Monument HEALTH Magazine, Issue 13, Winter 2024 by monumenthealthmagazine

M O N U M E N T

H E A L T H

Issue 13

CHEER Santa’s job is hard work, but as Director of Pharmacy Dana Darger can attest, it comes with a lot of joy.

Winter 2024

COMMUNITY HEALTH SUMMIT AT THE STOCK SHOW | JAN. 6 - FEB. 3

Stop by our booth outside the

RODEO ZONE WEEKDAYS

10 A.M. - 4 P.M.

WEEKENDS 10 A.M. - 6 P.M.

Free health screenings and healthy cooking demos at our booth. Plus, discover the power of robotic assisted technology with the daVinci SI and Globus systems.

FOR FULL SCHEDULE, VISIT: MONUMENT.HEALTH/COMMUNITYHEALTHSUMMIT

TOUGH ENOUGH TO WEAR PINK BROUGHT TO YOU BY:

T-SHIRTS

S - 3XL

T-SHIRTS ARE AVAILABLE: IN PERSON • Monument Health Foundation 2925 Regional Way, Suite 100 M - F, 8 a.m. - 4:30 p.m. • Monument Health Booth during the Black Hills Stock Show and Rodeo Rapid City in the Ice Arena ONLINE monument.health/TETWP PHONE 605-755-9191

All proceeds benefit the MONUMENT HEALTH CANCER CARE INSTITUTE

EMAIL pink@monument.health

Monument Health Rapid City Market Receives Magnet Recognition® for Excellence in Nursing ANCC Magnet Recognition® is the highest and most prestigious distinction that a health care organization can receive for nursing. As a Magnet-recognized organization, Monument Health achieves excellence in five key areas: SUPPORT Collaboration across teams and departments

SHARED LEARNING Evidence-based best practices and research

INNOVATION Leadership in health care processes and delivery

CONFIDENCE Nurses who are empowered to lead and work independently

PATIENT CARE High standards and quality of care, resulting in better outcomes

Magnet recognition demonstrates our commitment to improving patient care and outcomes. Visit our website at www.monument.health to learn more about how we’re continuing to lead health care delivery and patient outcomes.

Learn more about the ANCC Magnet Recognition Program® at nursingworld.org/magnet.

W E LC O M E

F R O M

Paulette Davidson

President and Chief Executive Officer, Monument Health

s the song says, it’s the most wonderful time of the year, and I’m so excited that you’ve got the latest issue of Monument Health Magazine in time for the holidays. We put a lot of hard work and creativity into every issue, but this one has a little something extra — holiday magic. No doubt you saw Santa Claus on the cover. Dana Darger, Director of Pharmacy at Rapid City Hospital, has another important job; he’s one of Santa’s helpers. Get to know him and his friend Denny Leibel, who puts on an epic Christmas light display in Rapid City. Together, these two use hard work and a little Christmas magic to bring the North Pole to the Black Hills. You’ll also have the opportunity to learn about Kelly Howie and his team members at RE/MAX 28

Advantage, who have shared the magic of giving with their clients to help support the Children's Miracle Network, earning the title of Miracle Agents. We also caught up with Carter Berlin, who was featured in our very first issue. Three years later, and he still refuses to let a rare autoimmune disorder define him. I know you’ll enjoy getting to know some of our caregivers as well, like Wanda Schummer, RN, who has spent almost 50 years caring for patients at Sturgis Hospital. She has seen a lot of changes over the years, but her love for the community of Sturgis hasn’t changed. You can also read about Jamie Clark, a licensed massage therapist who uses the healing power of touch to help cancer patients feel better during their healing journey. Check out a great article about Miss South Dakota, Miranda O’Bryan. Born and raised in South Dakota, she has a rare opportunity to be a positive influence for others, which is why she became an ambassador for Monument Health Sports Performance Institute, powered by exos. You’re also going to want to read about Jason Olivencia, especially if you love cars. Between his custom 2005 Ford Mustang Joey Logano Hot Wheels replica, and his donation of over 1,000 new Hot Wheels cars to Monument Health, Jason is fast and generous! I’m confident that you’ll love these stories and more in this issue of Monument Health Magazine, and from everyone at Monument Health, we wish you a happy holiday season. If you enjoy our magazine, we encourage you to share your feedback, suggest stories and send your thoughts to us at magazine@monument.health.

C O N T E N T S WINTER 2024 In case you missed it Our roundup of all the latest news and happenings throughout Monument Health. page 4 Where are they now: Carter Berlin A lot has changed for 13-year-old Carter Berlin since we first introduced you to him. See how living with a rare chronic autoimmune disorder doesn’t define him. page 6

H E A L T H

Ask the doc: heart failure Luis Hernandez, M.D., FACC, leads the Heart Failure program at Monument Health Heart and Vascular Institute. Learn more about how heart failure differs from other heart conditions. page 10

Managing Editor Melissa Haught Editor Stephany Chalberg Senior Writer Wade Ellett Contributors Karlee Baumann Dan Daly Jennessa Dempsey Stephen Simpson Bob Slocum Anna Whetham Art Director Stacy Brozik Layout Terri Upward Photographer Bob Slocum Monument Health Magazine. All rights reserved. Reproduction of any part of this publication without the expressed consent of the publisher is prohibited. The information included in this publication is believed to be accurate at the time of publishing. Additional articles are available online at magazine. monument.health Monument Health Magazine is a free, quarterly publication distributed throughout the Black Hills. Follow us on Facebook and Instagram for updates.

Miss South Dakota never misses leg day As Miss South Dakota, Miranda O’Bryan is proud to represent the state where she was born and raised. She’s also grateful for the opportunity to prepare for the Miss America Competition at Monument Health Sports Performance Institute, powered by exos. page 8

My space: Jamie Clark Providing comfort and joy to cancer patients is a passion and driving force for Jamie Clark, LMT. Get to know Jamie and the services she provides to those battling cancer. page 12 32

Foundation feature: Re/MAX Advantage Kelly Howie and his real estate team believe deeply in supporting the Children’s Miracle Network. See how they have earned the title of Miracle Agents. page 15 Nurse feature: Wanda Schummer Fifty years working at the same hospital sounds like a big commitment, but for Wanda Schummer, it’s been time well spent. page 17

Not slowing down John Palmer, D.O., has spent years building trust with his patients. This relationship is especially valuable to the Wagner family, who share a disease, doctor and positive outlook. page 20 Cover story: Making Christmas Holiday magic is hard work. Luckily Monument Health caregivers Dana Darger and Denny Leibel are up to the task. page 22 A way to fight back The Clinical Research department has a rich history of working on medical breakthroughs. For one patient, her participation in a recent study may have saved her life. page 26 On track to spread joy It's always fun to share what you love, and for miniature car collector Jason Olivencia, there's nothing better than making kids smile. page 28 Physician spotlight Meet Fawzi Ameer, M.D., a Cardiologist at the Heart and Vascular Institute. page 30 APP spotlight Meet Sarah Schryvers, CNP, a certified family practice nurse practitioner at Monument Health Hot Springs Clinic. page 31 My space: Chanwanpe Shields When a great cup of coffee and outstanding customer service meet, you’ll find Chanwanpe Shields and her team of baristas. Get to know the team at Rapid City Hospital's two specialty coffee cafes. page 32 Introducing Get to know physicians who have recently joined Monument Health. page 34 Crossword puzzle. page 37 Directory Find a Monument Health provider near you. page 38 Calendar Upcoming events at Monument Health. page 40

NEWS // EXCELLENCE

Construction completed on Cancer Care Institute expansion Physicians, caregivers and patients celebrated the completion of the Cancer Care Institute expansion and renovation with an official ribbon cutting on Oct. 5, 2023. The 70,000-square-foot, two-story project began in 2021. The expanded Cancer Care Institute has more than double the space previously available to treat the growing need for cancer care in the Midwest; serving patients from South Dakota, North Dakota, Nebraska, Colorado, Montana and Wyoming, as well as the Pine Ridge, Cheyenne River and Rosebud reservations. The Cancer Care Institute sees over 40,000 patient visits each year. The Cancer Care Institute now has adequate space for expanded clinic space and associated exam rooms, 24 private infusion rooms, a large laboratory with privacy bays, a state-of-the-art oncology pharmacy and a brachytherapy suite. A high-tech conference room provides greater opportunities for multidisciplinary collaboration and community rooms that are available for classes and support groups for patients, families and caregivers. The expansion also includes a wig shop, a prosthetic room for custom-fitting mastectomy bras, a gift shop, salon, several seating areas and a healing garden.

Robotics-trained surgery team expanded Breanna Connett, D.O., board-certified general surgeon, and Marcus Tjeerdsma, M.D., board-certified general surgeon, joined Monument Health’s General Surgery team in September. The addition of these two robotics-trained surgeons expands the ability to provide the most advanced minimally invasive general surgery services to the region. Both Dr. Connett and Dr. Tjeerdsma are trained in the da Vinci Robotic Surgical Assist System. For patients, the benefits of robotic surgery include smaller incisions, which can alleviate blood loss and reduce risk of infection. At Monument Health, our surgical care teams in Rapid City and Spearfish include skilled, experienced surgeons and specialists equipped with the latest diagnostic and surgical technology. Patients will now have easy access to a full spectrum of board-certified surgical experts.

Monument Health achieves Magnet recognition Monument Health Rapid City Market has attained Magnet designation from the American Nurses Credentialing Center (ANCC). Magnet designation is the highest recognition for nursing excellence and quality patient care in the United States. This prestigious award represents a commitment to quality and patient safety. Magnet recognition is the gold standard for nursing excellence. The assessment process is a rigorous and comprehensive review of Monument Health’s nursing practices and quality patient care. The process involves collecting and submitting extensive data and documentation that demonstrate a commitment to excellence in nursing. This process typically takes up to four years of work from the nursing team and leadership. “With this Magnet recognition, we are well positioned to continue providing high-quality care for our patients and our community,” said Tasha Frisinger, MSN, RN, CNML, Vice President of Nursing in the Rapid City Market. “Magnet values a shared governance model for nursing practice. At Monument Health, nurses are at the center of decisions for their professional practice. These values and standards will guide us in our efforts to continually improve nursing excellence and provide high-quality care to patients.” WINTER 2024 // HEALTH

Monument Health expands cardiac services Monument Health Heart and Vascular Institute is extending its cardiac services to include treatment for advanced heart failure. This includes a partnership with the University of Minnesota, which is recognized as a world leader in cardiovascular care. Luis Hernandez, M.D., FACC, recently completed a Heart Failure and Transplant Cardiology fellowship at the Cleveland Clinic, and was selected to lead the Advanced Heart Failure program. “This expansion of services is still in development in many ways. We’re beginning with patients who need more attention and care for their heart failure,” said Dr. Hernandez. “That may include increased medical management, a left assisted ventricular device (LVAD), which is a heart pump, or a heart transplant. We do not offer heart transplantation in Rapid City, but our partnership with the University of Minnesota will allow us to offer our patients these therapies while we continue to provide increased services in our community.’’

Rapid City Hospital recognized for high-quality AFib care Monument Health Rapid City Hospital has received the American Heart Association’s Get With The Guidelines® – AFib GOLD quality achievement award for its commitment to managing atrial fibrillation (AFib), ultimately helping to reduce patients’ stroke risk. In 2022, Rapid City Hospital was recognized with the Silver Award, the highest possible award an organization can receive in its first year participating, and has now upgraded to the GOLD recognition.

Rapid City Clinic earns DXA Accreditation

Monument Health Foundation receives donation from Black Hills Community Bank Black Hills Community Bank made a large donation to the Monument Health Foundation to support the Spearfish expansion project and health care in the Black Hills. Black Hills Community Bank pledged a total of $100,000. Half will be allocated to sponsor foundation events, including the Northern Hills Hospice Ball and the Children’s Miracle Network Golden Guitars Gala. The other half will be allocated to support the Monument Health Spearfish Hospital Expansion Project and the Rapid City Children’s Expansion Campaign. The Spearfish Hospital Expansion Project was announced in May 2022, and the Monument Health Foundation committed to raising $6 million to support the expansion. “Gifts like this help build momentum and highlight continued community support,” said Hans Nelson, Director of the Monument Health Foundation. “Black Hills Community Bank is a well-known and trusted name in the Northern Hills. Their support will inspire others to get behind projects like this.” HEALTH // WINTER 2024

Monument Health Rapid City Clinic, Flormann Street, Dual Energy X-ray Absorptiometry (DXA) Department and Skeletal Assessment Services has been awarded accreditation by the International Society for Clinical Densitometry (ISCD). They join the Monument Health Spearfish Clinic, 10th Street, as the only clinics in the area with ISCD accreditation. The Spearfish Clinic has been accredited since 2013. This accreditation encompasses the technical and professional aspect of DXA and skeletal assessment services provided by the osteoporosis team at Rapid City Clinic, Flormann Street. Their dedication to the field reflects excellence in the quality care and expertise in the acquisition, analysis and interpretation of DXA studies. Rapid City Clinic, Flormann Street, performs over 3,000 DXA scans a year. 5

WHERE ARE THEY NOW // COMMUNITY

ONE TOUGH TEEN Stepping up to challenges is nothing new for Carter. Story and Photos by Bob Slocum

Scan the QR code to read our original coverage of Carter's story

WINTER 2024 // HEALTH

In our inaugural issue, we introduced you to Carter Berlin (One Tough Ten Year Old, Spring 2021), a young man who lives with a rare chronic autoimmune disorder. Three years later, Carter is still a regular visitor to Monument Health for infusion treatments. What’s changed the most since he became a regular visitor to the Pediatric Unit is Carter himself. He has grown since being diagnosed at age 4 into a good-natured and humorous teenager who enjoys pepperoni pizza and roller coasters. At 13, Carter is in a typical phase of discovery. He loves video games and horror movies, is getting interested in music and has been trying new sports like basketball and soccer. He bowled on a team with his older brother Mason, 15, in the Special Olympics state tournament recently. “I like playing sports because you get to socialize and compete,” Carter said. “That’s what makes me feel excited; just getting to do fun things that make me feel like a normal kid.” A diagnosis of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) was the beginning of a new journey for Carter and his parents, Heather and Ryan, in treating and managing the condition. At 4 years old, Carter began to stumble and fall frequently. That’s when his parents first became concerned. As things progressed he lost the use of his limbs and large motor functions at times. Carter’s CIDP causes his body to attack his myelin sheaths, the fatty coverings that protect his nerves. Carter was first diagnosed and given Immunoglobulin (IVIg) therapy treatment at Mayo Clinic. At Monument Health, the Rapid City Hospital team works closely with Carter’s care team at Mayo Clinic to carry out his plan of care closer to home. He comes in several times per month to receive infusions through an IV port in his chest. It’s a long 6-hour day when taking infusions, but he breaks it up by gaming and reading. Physically, Carter has ups HEALTH // WINTER 2024

“I would describe myself as someone who wants to make everyone laugh and tries his best to be nice.” CARTER BERLIN

and downs dealing with CIDP. Some days he has more energy and endurance than others. He is enrolled in physical and occupational therapy to help him stay active. Carter shared that he has recently been diagnosed with autism, something he says has informed his perspective about his CIDP, adolescence and life in general. “It makes me feel like what I’m going through is more normal, and I understand why I feel awkward sometimes,” he said. Carter goes to middle school half days and enjoys reading and math. He says he enjoys the way math gets his brain working in problem-solving mode. His dad says he is proud of Carter for learning to live day by day and discovering things he is passionate about. “Carter is a trooper. He’s been through a lot,” Ryan said. “What he can do any day just depends on how he’s feeling, but he pushes himself really hard to get through the day and to be able to do the things he enjoys.” He has been billed in these pages as a tough guy, and rightly so, but Carter just wants to make you smile. “I would describe myself as someone who wants to make everyone laugh and tries his best to be nice.” 7

COMMUNITY // EXCELLENCE

MISS SOUTH DAKOTA NEVER MISSES LEG DAY Written by Wade Ellett Photos by Bob Slocum

As Miss South Dakota, Miranda O’Bryan is proud to represent the state where she was born and raised. She’s also grateful for the opportunity to prepare for the Miss America Competition at Monument Health Sports Performance Institute powered by exos. Monument Health Sports Performance Institute powered by exos, is dedicated to improving performance. For the clients that train there, this takes a lot of different forms. Some are Olympic hopefuls, others are preparing for their first 5K. There are professional athletes looking to advance their careers, and older cowboys training to stay in the saddle. The exos team provides performance training, nutrition services and an award-winning facility to help everyone who walks through the doors achieve their goals. “When we say we want to help people accomplish their goals, we mean everyone, regardless of what that goal is,” said Kyle Wheeldon, General Manager of the Sports Performance Institute. “We’re used to helping with traditional athletic goals, but we aren’t going to put limits on what we do. If someone

WINTER 2024 // HEALTH

comes in and tells me that they want to train to be the first person on Mars, we’re going to dig into how astronauts train and develop a plan for working toward that goal.” Training for Mars may seem extreme, but Kyle and his team don’t judge people’s ambitions, they facilitate the work necessary to reach them. Finding a place That includes Miranda O’Bryan, Miss South Dakota 2023, who is training for her chance to become Miss America 2024 in January. Miranda has been training at the Sports Performance Institute since 2021. “I graduated from college and started my career during the pandemic, and I needed to find a space where I felt comfortable. I tried a few different gyms and there was nothing wrong with them, but I hadn’t found a place that was the right fit,” she said. “When I found the Sports Performance Institute, I figured I would give it a try with the one-week free trial, and I have been training there ever since.” It can be challenging for people to find the right gym, no matter what their fitness level and goals. Miranda liked everything that the Sports Performance Institute provided, like weight lifting, the equipment in the cardio room and yoga classes. “More importantly, the people there made it such a welcoming environment. It didn’t matter where I was starting or where I was on my health and fitness journey, they were excited that I was there.” “Unfortunately, a lot of people have had some negative experiences at a gym, or just haven’t found one where they feel at home. We’re competitive people — that’s why we do what we do, and it’s important to us that we motivate our clients to do their best,” said Kyle. “That doesn’t mean acting like a drill sergeant all the time. We find out what works best for each individual, but the rule of thumb is that everyone is welcome here.” A different kind of training When Miranda was training for the Miss South Dakota competition, she found that she had some needs that are a little different than what you might see from traditional gym-goers. “I was really thankful that they allowed me to use the studio space when it wasn't being used for classes. I've practiced singing, which is my talent, in the studio space. I've also used that space to practice walking in my evening gown,” Miranda said. It may seem like an odd request, but it was important that she have a flat open space with mirrors, and having access to the sound system didn’t hurt either. “We don’t see a lot of our clients in the facility

HEALTH // WINTER 2024

practicing walking in evening gowns, so it was a little unusual in that respect,” said Kyle. “But if we had a bodybuilder who wanted to practice poses in front of the mirror wall, no one would think twice. No matter what competition people are training for, we’re here to help them succeed. It doesn’t matter if they’re roping, swinging bats, running down fields or walking confidently in an evening gown.” “I showed up with a bag of dresses in my arms and the trainers were absolutely committed to helping me prepare, and I just thought it was so funny walking around the gym in an evening gown,” she added. The next big thing As the new year approaches, so too does the Miss America Competition, and Miranda is committed to being as prepared as possible. That means keeping up with her physical training. “When I started competing, we still had swimsuit competitions, but over the years that has changed, and now we have a health and fitness category,” Miranda explained. “The idea is that you’re looking at overall fitness. You need to be physically fit to sustain this yearlong opportunity, but also you need to be mentally and emotionally healthy as well. That's been really important for me to share with people. No matter what you do, or what you're passionate about, you need to be healthy in all areas of life.” Recognizing the importance of health and fitness has led Miranda to become an ambassador of the Sports Performance Institute. “I approached them and we had a great conversation about how being Miss South Dakota and preparing for Miss America is, in a way, similar to preparing for any competition,” she said. “Not the same, because I’m definitely not a professional athlete, but as an ambassador, I can help share how important health and fitness is for everyone.” Kyle is happy that Miranda is able to reach an audience of potential clients that may not realize everything that exos has to offer. “We’re great at connecting with the competitive athletes, but people who aren’t in that world may not be aware that we’re here for them too,” he said. “The same things we focus on with our pro athletes — mindset, movement, nutrition and recovery — will help anyone achieve their goals, no matter what they are.” “I can’t say I’ve ever watched a Miss America competition,” Kyle added with a laugh. “But we’ll be cheering for Miranda in January, that’s for sure — she’s one of us. She’s a contender.”

Get to know Miranda Miranda is a South Dakota girl through and through — she grew up in Martin, graduated from SDSU in 2020, and now resides in Rapid City where she has worked for KOTA Territory News and KEVN Black Hills FOX. She says the three most important things in her life are her friends, her family and her cat. Miranda’s initiative for her year as Miss South Dakota is literacy based — she wants to get as many people reading as possible. As part of this, she hosts a podcast called Page Turners, where she speaks with authors, literacy advocates and people from across the country on unique reading journeys.

SCAN TO LISTEN TO MIRANDA’S PODCAST, PAGE TURNERS

ASK THE DOC // TRUST

What you need to know about

HEART FAILURE Photos by Bob Slocum

Luis Hernandez, M.D., FACC, leads the Heart Failure program at Monument Health Heart and Vascular Institute. He is fellowship-trained in both Cardiovascular Disease and Advanced Heart Failure and Transplant Cardiology. Dr. Hernandez is passionate about empowering heart failure patients to find success in their diagnosis.

WINTER 2024 // HEALTH

At Monument Health Heart and Vascular Institute, you’ll find western South Dakota’s largest group of cardiovascular specialists who offer the full spectrum of care. To learn more, visit monument.health/heart.

What is heart failure, and how does it differ from other heart conditions? Approximately 6.2 million adults in the United States are living with heart failure, which is a chronic condition where the heart is unable to pump properly so it can't meet the body’s need for blood and oxygen. Having heart failure does not mean your heart has failed or stopped working — it just isn’t working properly or as efficiently as it should. Heart failure differs from other heart conditions like heart attack or arrhythmias because it’s a long-term problem. There are several potential causes, like high blood pressure, coronary artery disease, hypertension, heart attack or arrhythmia. What are the common symptoms of heart failure, and when should I see a doctor? The most common symptoms of heart failure are shortness of breath or trouble breathing, persistent cough or wheezing that’s prominent at night, an inability to sleep flat, leg swelling, fatigue and leg weakness, rapid weight gain, lack of appetite and nausea. If the heart function is especially low or inefficient, people may experience confusion, dizziness, trouble concentrating and even fainting. If someone experiences these symptoms, especially if they worsen over time, it’s essential to consult a health care professional. What are the different types of heart failure, and how are they diagnosed? Heart failure can be categorized into systolic and diastolic heart failure. Systolic heart failure, also known as reduced ejection fraction, is the most common type. In systolic heart failure, the muscle slowly weakens and loses the ability to pump blood. Because the heart is unable to pump enough blood, it typically grows in size while the muscle gets thinner. In diastolic heart failure, also known as preserved ejection fraction, the heart has lost the ability to relax normally because the muscle has become stiff. The stiffness leads to elevated pressures in the heart and lungs, which in turn prevents the heart from functioning as it should. In these cases, the heart appears normal but with a smaller cavity and harder, thicker muscle, in varying stages of severity. Diagnosis involves a combination of physical exams, medical history, imaging tests and lab work to assess the heart’s function and determine the type and stage of heart failure. Can heart failure be prevented, and what lifestyle changes can help reduce the risk? While heart failure cannot always be prevented, lifestyle changes like maintaining a healthy weight, HEALTH // WINTER 2024

managing blood pressure, thyroid problems, diabetes and cholesterol, exercising regularly and avoiding smoking can significantly reduce the risk. How can heart failure be managed? There are several medications that can improve heart failure symptoms and keep patients from being admitted to the hospital for heart failure. Most patients will require ARBs or ARNIs, beta-blockers, aldosterone blockers and SGLT2 inhibitors to treat their heart failure and sometimes we use diuretics to get rid of excess water. It’s important to understand that all of these medications work together. When taken properly, following the provider’s instructions, they will help strengthen the heart by reducing its workload, improving its pumping ability and managing fluid retention. It’s also important for heart failure patients to manage their diet. This will include reducing sodium intake, managing fluid intake and focusing on fresh foods, such as fruits and vegetables. It can be helpful to consult with a registered dietitian. Similarly, exercise can be beneficial for individuals with heart failure, but it should be done under the guidance of a health care provider. Cardiologists can recommend safe exercises like walking, swimming or stationary cycling, tailored to each patient's needs. Are there any new and innovative treatments for heart failure on the horizon? There are exciting developments in heart failure treatment, including new drugs, advanced devices and gene therapies. Cardiologists with advanced heart failure training are well positioned to offer these cutting-edge treatments when appropriate, and provide guidance on the best options for each individual patient.

A cardiologist with advanced heart failure training specializes in managing complex heart failure cases, offering advanced therapies, such as heart transplants or mechanical assist devices, when needed. They can also optimize medication regimens and provide the latest treatments.

MY SPACE // COMMUNITY

COMFORT AND JOY Cutting-edge treatments and therapies are powerful allies in the fight against diseases like cancer. But when it comes to feeling better, don’t underestimate the healing power of touch.

Written by Stephany Chalberg Photos by Bob Slocum

WINTER 2024 // HEALTH

There are many ways to describe Jamie Clark: licensed massage therapist, yoga instructor, kayaker, skier and camper. While those may describe her hobbies and careers, they don’t necessarily describe her. To really understand who Jamie is, first you have to understand her quest for knowledge and her ability to touch the lives of others. Oncology massage is growing in popularity as a complementary treatment for patients with cancer. The massage isn’t intended to treat the disease itself, but rather to help relieve cancer symptoms and ameliorate side effects of certain treatments. Despite its growing popularity, Jamie is the only massage therapist in South Dakota to be recognized by the Society for Oncology Massage as a preferred practitioner. While it seems like a pretty specific niche, she didn’t start her career with a focus on treating cancer patients. Instead, it seems like the career chose her. Open heart, open mind

“Right after I graduated from massage school, a client of mine said he had a friend that had a dual diagnosis of cancer and AIDS. He wanted to know if I would be willing to meet the patient. As a new graduate I was nervous, but I knew if I could just go and maybe sit with him, hold his hand and just listen, maybe that would be enough, because there is healing in that, too,” she said. “People need to be heard,

touched and to feel connected.” Jamie recalled the lessons she learned from that first client — treating people with an open heart and open mind can be just as important as massage techniques. “If I can help someone be comfortable even just for a few seconds, in their mind and in their body and just feel like they’re a whole person — |even though they have this diagnosis — then I feel like I’ve become their helper.” When Jamie first started her career, the recommendation was to not provide massage to cancer patients. The misconception, at the time, was that overstimulating the lymph system and increasing circulation in the body could cause the cancer to spread. Through her experience and certifications, Jamie has learned the safe way to massage cancer patients. She is aware of which areas of the body to avoid, and the pressure used is modified to ensure comfort. “What we’ve learned in the last few years is that massage can be adjusted to meet the needs of each individual client. I always discuss their cancer journey with them before we begin.” Considering compassion

Between the yoga studio and the massage room at the Cancer Care Institute, Jamie hopes her spaces provide an opportunity for cancer patients to feel present and calm their nervous system. “These are also safe spaces for patients to express whatever they might be feeling,” she explained. “Whether they need to laugh or cry, these are spaces where they can let it out without any worry or judgment. Sometimes that’s exactly what someone needs.”

Jamie considers her time with her clients

“If I can help someone be comfortable even just for a few seconds, in their mind and in their body and just feel like they’re a whole person — even though they have this diagnosis — then I feel like I’ve become their helper.” JAMIE CLARK, ON HELPING PATIENTS UNDERGOING DIFFICULT DIAGNOSES

HEALTH // WINTER 2024

MY SPACE // COMMUNITY

in many ways. The more she understands their diagnosis, the better she can adjust her approach to increase relaxation and comfort to clients. “The cancer journey is scary — it can be really hard and isolating for people.” Jamie realized that after a diagnosis, some people find friends or loved ones who don't know what to do or say, so they disappear from their lives. Jamie works to create a safe environment for each client to share as much or as little as they need. “Some days we laugh together until we cry together. Other days, clients and I will cry together, until we laugh. It doesn’t make everything better, but I can bring them just a little bit of joy.” Being compassionate is part of who Jamie is, but she learned just how beneficial that compassion can be for patients facing significant challenges. “My mother had colon cancer, and when she got really sick and could barely speak we shared a mantra which was, ‘I’m okay today,’ and she would make the symbol of a heart with her hands.” 14

Jamie also learned firsthand just how meaningful touch can be while she was there for her mom. “Sometimes she would ask me just to hold her feet — when neuropathy set in, that light touch might be all she could handle. Other times she asked me to rub her neck, shoulder, arms or hands. I really directed my attention wherever she needed it.” Never alone

Jamie and the Cancer Care Institute team want to relay this important message to the people facing a cancer diagnosis: you’re not alone. There are resources and support systems in place to care for cancer patients. And, treating yourself to a massage may relieve more than just sore muscles. “I’ve been doing this for over 20 years. I’m now treating more of the heart and the mind, not just the body. It’s not as hard physically, but I’m not gonna lie, some days, it’s hard on my heart,” Jamie says. “But helping people feel better? It’s well worth the effort.”

The massage needs and physical abilities of cancer patients receiving treatment can be drastically different, so working with these patients requires specialized skills and training. On her quest to continue to learn, grow and improve her skills to care for her clients, Jamie is preparing for an additional yoga certification specifically to help instructors provide classes to those with cancer.

WINTER 2024 // HEALTH

COMMUNITY // FOUNDATION FEATURE

MIRACLE AGENTS Kelly Howie and his real estate team believe deeply in supporting the Children's Miracle Network — and showing others how they can, too. Written by Stephen Simpson Photos by Bob Slocum

HEALTH // WINTER 2024

Leaving your community better than you found it — there’s something inside of us that flourishes when we have a hand in that. If you’re looking for a heightened feeling of gratitude and a greater sense of purpose, improving your community is a great place to start. It’s even more powerful when you’re able to see the effects of those changes. Kelly Howie and his team believe that everyone should make a point to discover that kind of special touchpoint in their community. 15

COMMUNITY // EXCELLENCE

Kelly owns RE/MAX Advantage in Rapid City. He and the two broker associates on his team, Ashley and Kylie, discovered a cause they’re passionate about in 2018, when they were presented with an opportunity to make an ongoing impact in the Black Hills. Upon the completion of every real estate transaction that the team is a part of — whether buying or selling — a donation is made to benefit the Children’s Miracle Network (CMN) through the Monument Health Foundation. Ashley Reed loves sharing the joy of generosity with her clients. “I have always felt that when you give to your community, your community gives back to you,” she said. “If you lose a sense of community, it just makes life a lot harder. So making sure that we have that sense of community and our clients have it too, has been amazing.” Personal ties

Kylie McMullin explained that making these donations in their clients’ name is usually appreciated more than other gifts that real estate agents typically send their clients. “We always joke about sending things that people will never use or just shove into the corner. But because almost everyone has had a friend or family member who has been personally involved with the Children’s Miracle Network, we thought that investing in CMN would be something that would speak to every one of our clients.” Kelly and his team started the process of determining the best way to give back to the community by looking for personal ties to organizations and causes. “I do have a personal connection to the Children’s Miracle Network,” Kelly said. “My son was in the NICU for a period of time when he was born, and seeing the staff work — they were just tireless; they’re amazing in that section of the hospital. And beyond that, what it does for the families of the children who are there — the access that it provides, the comfort that it gives to the kids — it’s incredible.” Kelly and his team encourage others to look for those same sorts of personal ties in the community to know where best to invest and serve. “If you’re looking for some way to invest in your community, consider the Pediatric Unit at Monument Health. It has had a huge impact on us,” Kelly said. “Your donations stay local, and you know your gift is going to help make sure every child in our community has a chance at the best care possible.” 16

WINTER 2024 // HEALTH

EXCELLENCE // NURSE PROFILE

Fifty years working at the same hospital sounds like a big commitment, but for Wanda Schummer, it’s been time well spent.

FEELS LIKE HOME Written by Wade Ellett Photos by Bob Slocum

HEALTH // WINTER 2024

One way to get to know people is to learn what they love. Some love nature and the wild, others love books and warm mugs of tea. Nurses are a special lot — they love helping people feel better. That’s true of Wanda Schummer, RN, but she also has a special place in her heart for the City of Sturgis and the people that call the place home. For almost 50 years, Wanda has worked at Sturgis Hospital. She’s called the City of Sturgis her home even longer. “I grew up in Sturgis, and I went to school here. We raised our kids here,” Wanda explained. “We did move into the country, but I consider Sturgis my hometown. I’ve got so many links to the people here, including the patients I’ve worked with over the years.” "The Sturgis Hospital is just part of my home." Hometown nursing Wanda is a clinical resource nurse, which is a subspecialty of registered nursing with a responsibility for coordinating nursing staff and overseeing the care of specific patient groups. For Wanda, those groups are endoscopy and pain management patients. “Once a week two surgeons from Spearfish come over and we assist them with endoscopy, and we do pain management with West River Anesthesiology,” Wanda explained. “We’ve done pain management for about 10 or 15 years now, and I really enjoy doing that. The patients see me over and over again, so they know me. You develop a relationship.” “You’re helping them feel better and they appreciate it.”

NURSE PROFILE // EXCELLENCE

“I’ve had the privilege of being a member of the committee that’s developing the history wall in Sturgis Hospital. As I reviewed old photos and newspaper articles, I remembered so much of what has happened with our small hospital and how it has grown over the years,” Wanda said. “There were changes, but the goal was always to provide services to our community. I have worked with so many physicians, staff and patients over the years and each one has impacted my life.” WANDA SCHUMMER

Supporting Sturgis Wanda has spent her entire adult life serving the health care needs of Sturgis. She graduated from nursing school in December 1973, and started her nursing career in her hometown immediately in 1974. In every small community across the country, you’ll hear kids talking about getting out of town — but not Wanda. She’s always felt that Sturgis is where she’s supposed to be. Growing up, her family owned and operated a western store downtown, Bob’s Saddlery. She got to know her hometown and the people who lived there by working and playing in that store. “There were more businesses downtown then, and it seems like there are more coming back now,” she said. “I may not live in town anymore, but this is where I do my shopping. I’m not running to Walmart — I go to the stores here in Sturgis. I think that’s one way folks can really support their community.” In many ways, Wanda is ahead of the curve. Downtown revitalization is a growing trend across the country, and more and more people are becoming interested in a local economy, whether that’s by opening their own business or by spending their dollars downtown instead of at big box stores or online. Wanda has seen a lot of changes over the years, but she’s happy to see some of that enthusiasm for local business returning to Sturgis. “I think a lot of people want to see businesses flourish in their community, and if you don’t support them they’re not going to be here. To me, that’s a major problem.” The times they are a changin’ It’s not just the community of Sturgis that has changed during Wanda’s tenure — the profession of nursing has evolved during her career as well. “If you go back to when I started, all of our records were

on paper. We had a couple of nurses taking care of 20 to 25 patients, and we relied so heavily on our CNAs.” Wanda explained. “We did emergency surgery, we did deliveries. We did everything.” In the span of her career, Wanda has had the opportunity to get to know her patients, and even to treat some individuals who she helped deliver years ago, an experience that she has found both awe-inspiring and humbling. “Sometimes you get to see the impact you’ve had, and that feels amazing. It’s always been for the community — offering services for the people here,” she said. Sturgis Hospital itself has changed before Wanda’s eyes. She’s seen the hospital change hands from Lutheran Homes and Banner, to private ownership and finally Monument Health. “A lot has changed over the years, but one thing that hasn’t is how much our nurses and other caregivers care about the people here,” said Wanda. What’s next for Wanda Wanda still finds satisfaction in her work, and she still feels fulfillment in providing patient care. Likewise, Sturgis still feels very much like home, and she’s happy that she can continue to enjoy it with her family. “I have nine grandkids, and my second great granddaughter is due this year,” she said. “They’re the most important thing, and I’m grateful that they all live in the area.” And although she’s reached the point in her career and her life where many people might consider retiring, and maybe even heading south for the winter, Wanda has no plans or desire to make those changes any time soon. “I love my job. I love where I work. I have a really great community that I get to work for, and hopefully I can do my part to keep everyone here as healthy as possible.”

“If you ask anyone at Sturgis Hospital, they’ll tell you the same thing — Wanda is a pleasure to work with. She exemplifies Monument Health’s values, is a great role model and resource and she’s a leader in her department and the organization as a whole," said Angie Dahlke, RN, MSN, Nursing Director of the Sturgis Market. “Sturgis is important to her, and she is active in the community, participating in local events and supporting local businesses. She has made lasting memories and relationships with caregivers as well as with our patients, who will often ask for her by name. I can’t say enough positive things about her.”

WINTER 2024 // HEALTH

US ON

for the latest news, events, patient stories and health care information.

monument.health

PATIENT STORY // EXCELLENCE

Katie Washnok, her husband James and their children.

NOT SLOWING DOWN The Wagner family shares a disease — and a doctor. Written by Dan Daly

Kip Wagner was 34 years old when he found out he had type 1 diabetes. His daughter, Katie Washnok, was diagnosed at age 12. Kip’s son, Kevin Wagner, was 25. The Wagners are proof that genetics play a big role in type 1 diabetes. They also prove that the disease is not just a young person’s affliction. “That's one of the misunderstandings about diabetes. We used to call type 2 diabetes adult onset and type 1 juvenile diabetes … but you can have young kids with type 2 diabetes and people in their 20s, 30s, 40s even 50s who get type 1 diabetes,” said Monument Health Endocrinologist John Palmer, D.O. Kip, now 63, lives in Whitewood. He was referred to Dr. Palmer in 2011. “It took about 30 seconds to figure out I was in the right place,”

WINTER 2024 // HEALTH

Kip said. Now Katie, 34, and Kevin, 29, are also treated by Dr. Palmer. “It’s a family affair for us with Dr. Palmer. My dad, who’s been type 1 for almost 30 years now, is the best testimonial out there for Dr. Palmer,” said Kevin, of Spearfish. When Dr. Palmer was practicing in Sioux Falls, the family would go to Sioux Falls for treatment. And Katie, who now lives in Aberdeen, travels across the state for her appointments with him. During a recent interview at Rapid City Clinic, Flormann Street, where Dr. Palmer practices, Kip, Kevin and their doctor chatted about glucose levels, insulin units and basal rates with the ease and comfort of old friends. Different diseases Both types of diabetes involve problems with insulin, a hormone produced by the pancreas to regulate blood glucose — also called blood sugar — in the body’s bloodstream. It helps turn the food you eat into energy and store energy away when it’s not needed. Not enough glucose in the bloodstream means you feel tired and weak. The body could eventually begin burning fat and muscle to keep going. Too much glucose can damage nerves, blood vessels, tissues and organs. Type 1 diabetes, Dr. Palmer explained, is an autoimmune disease. The body attacks the insulin-producing cells in the pancreas, causing them to stop production. For Kip and Kevin, insulin production tapered off for about two years before stopping. For 12-year-old Katie, her pancreas shut down completely and quickly. With type 2 diabetes, the body either doesn’t produce enough insulin, doesn’t metabolize it, or both. Although there is a strong genetic factor in type 2 diabetes, poor diet and lack of exercise are its main drivers. There is little that type 1 patients can do to avoid the disease. Dr. Palmer said Monument Health has been involved in clinical trials of treatments to preserve the insulin-producing cells before the autoimmune system can do its damage.

HEALTH // WINTER 2024

(L to R): Kip Wagner, Dr. John Palmer, Kevin Wagner

Advances in treatment What separates Kip’s early diabetes experience from that of his children are the advances in technology that make it much easier to manage. In 1995, when Kip was diagnosed, living with the disease required regular pin pricks, syringes and a carefully controlled diet. Now, Dr. Palmer’s type 1 patients regulate their glucose levels via sensors and insulin pumps attached to catheters embedded in the skin. Both devices communicate constantly with a cell phone app that shows glucose levels and allows patients to manually adjust their levels if needed. In addition, the quality of the insulin manufactured today is better, Dr. Palmer said. “You used to have to really direct your lifestyle around the diabetes. You had to eat at a certain time, take your injections at a certain time and if you didn’t, there was trouble.” Dr. Palmer said. “Now your lifestyle becomes the focus.” Still diabetes is a daunting diagnosis. That was especially true for Katie when she was diagnosed at just 12 years old. “It was tough, but I was lucky because I had parents who never let me have a pity party,” she recalled. “They said, ‘Yep, you’ve got this and you are going to be in charge of it. It’s not going to be in charge of you. You’re the boss.’ I was like ‘I love being the boss, so let’s do it.’” When Kevin was diagnosed in August 2019, sensors, pumps and cell phone apps made the disease easier to manage. “I got lucky I never had to deal with any of that,” he said, referring to the pin pricks and injections that used to control a diabetic’s life. However, he said, diabetes still requires a constant awareness of your health. “I read somewhere that the average diabetic makes 180 more decisions a day about their health than the average person,” Kevin said. “You still have to be captain of your ship,” Dr. Palmer added.

COVER STORY // COMMUNITY

MAKING Written by Wade Ellett Photos by Bob Slocum

Christmas

Holiday magic is hard work. Luckily, Monument Health caregivers Dana Darger and Denny Leibel are up to the task.

When did you first learn the truth about Santa Claus? No, not that truth. The one about Santa’s network of helpers around the world who help him make holiday wishes come true for millions of girls and boys. After all, it’s a big job, and even with a sleigh full of Christmas magic, Santa needs all the help he can get. Dana Darger, RPh, Director of Pharmacy at Rapid City Hospital knows firsthand just how hard Santa’s job can be. There’s hours of work to do, often in the cold, but nobody would ever say

WINTER 2024 // HEALTH

it’s a thankless job. “I think being Santa is one of the most gratifying experiences a person could have,” said Dana. “There’s something about Christmas and Santa that helps kids believe in magic.” “And it makes adults feel like little kids again,” he added with a chuckle. So how exactly does Dana know about the hard work that Santa Claus puts in? It’s simple — he is Santa Claus. Okay, maybe he’s not The Santa Claus — his driver’s license doesn’t say Kris Kringle, and he doesn’t live at the North Pole — but he’s one of a select few people in the world who have the honor of putting on the red suit and becoming Santa for children of all ages. Before the suit

It takes more than just putting on a costume to make a person Santa Claus. Sure, anyone can stuff a pillow down their coat and throw on a fake beard, but it won’t take long for kids to see through it. No, there’s more to being Santa than just a fancy costume. It starts with the Christmas spirit, and that starts with a giving heart. “You know, when my wife and I first got married we were both in college, so we were pretty poor. We made all of our Christmas presents,” Dana shared. A lot has changed since then, and the Dargers are no strangers to buying gifts, but Dana still enjoys making them — a fact that his pharmacy staff could attest to. “When I'm making gifts for someone, I pray for that person and meditate on that person. I'm trying to put them and myself into that gift. I think that’s how Santa makes presents,” Dana said. “I don’t know if I can tell you exactly when I figured out Santa had helpers all over the world, but that’s part of the magic of Christmas. You just have to have a giving heart.” Making gifts? Check! A giving heart? Check! Throw in his happy, childlike demeanor, positive attitude and white beard, and Dana Darger had all the right stuff to become Santa Claus. All that was missing was that one little nudge toward the red suit — and to learn where that nudge came from, you need to get to know Denny Leibel.

“I think being Santa is one of the most gratifying experiences a person could have. There’s something about Christmas and Santa that helps kids believe in magic." DANA DARGER

one thing in particular: lights! “When I was a kid I was always fascinated with Christmas lights. I remember driving around looking at houses where people had a display and it always brought me joy. Those are memories I cherish,” Denny said. “So a long time ago, I thought that my ultimate goal was to have that ‘go-to house’ that everybody wanted to go see. I think we've accomplished that for sure.” Denny isn’t mistaken — for the past 15 years he and his family have put up holiday displays to celebrate the season. “We started small, but for the last five or six years, we’ve exploded.” That’s not an exaggeration. An explosion of light is exactly what you’ll get when you pay his house

Partners in shine

Denny Leibel, Pharmacy Business Analyst, works closely with Dana at Rapid City Hospital. Like Dana, he shares a love of Christmas magic, and for him that magic means HEALTH // WINTER 2024

COVER STORY // COMMUNITY

a visit during the holiday months, but it isn’t a chaotic scene. Quite the opposite, in fact — the entire display is coordinated and organized, from illuminated snowmen to a blinking light show synchronized to Christmas music. Think “National Lampoon’s Christmas Vacation,” but with a much better eye for design. “My wife is the designer and is truly the mastermind at instructing me where things go,” Denny explained. “We’ve got to get things in the right place, and we’ll look at pictures from the year before and put things back where they were if it worked well, or move them if it was a bad spot for them. The first couple of days are the hardest, and it takes a few weeks from start to finish.” It’s a big endeavor that involves large decorations like a 7-foot illuminated Santa, giant snowmen, hundreds of extension cords, and waterproofing junction boxes. Denny and his family think of Christmas all year round — from dreaming up new features for the display to fixing anything that has broken in the previous season, the Leibels always have the holidays on their minds. “Sometimes people ask me why we do it, and honestly it’s because I enjoy it,” Denny said. “I love seeing the kids get excited about it. A lot of people think about their lives and wonder what their legacy will be. I guess if my legacy is that I put up a big Christmas display, and created a lot of smiles, I’m happy with that. I can do Christmas.” The centerpiece of the Christmas display is Santa’s chair, where you’ll find Dana, decked out in his red suit, every Friday and Saturday night until Christmas. Becoming Santa

Dana had all the makings of a great Santa Claus. All he needed was the little push to get him to put on the suit. It turns out, it was Denny adding Santa’s chair to his winter wonderland that sealed the deal. “Denny bought the chair after Christmas — it was part of a store’s holiday display — and I asked him what the heck he was going to do with it. Of course he was going to put it in his yard the following Christmas,” Dana said with a chuckle. “I teased him about it for a couple of months, telling him that you can’t have the chair without Santa sitting in it. Then one day I walked past his desk and said, ‘If you’re not going to be Santa, can I?’” Just like that, it happened — it was all over except for

getting the suit. “Honestly I was just teasing him, but something about it resonated with me. It was something that I truly wanted to do.” And if he was going to do it, he was dedicated to doing it right. He had no interest in a cheap Santa suit, many of which were easy enough to find online. “The nicer suits were more expensive, which I had no problem with,” he said, “but I didn’t want to order one and have it arrive only to find it was no good.” By this time, it was October, and Santa suits were not really a hot commodity. If you’re going to be Santa Claus, however, you can’t be easily deterred. During a family visit to Denver, Dana took some time to visit a costume shop. “They were in full Halloween mode, but had one Santa suit on the rack. There was just no way it was going to fit, and it wasn’t really what I was looking for,” Dana said. The proprietor suggested that he return after Halloween. “When I told him where I live and that I couldn’t make it back, he asked me to wait a minute. When he came back, he told me, ‘They’re bringing a rack of suits over from the warehouse,’ and not long after they wheeled in a rack with probably 50 suits on it.” Looking through the rack, Dana found the perfect suit — it was one of the pricier suits he had looked at online, and it was a near-perfect fit. “It’s like it was meant to be. I had already been letting my beard grow out, now I had the suit, and that was my first Christmas at Denny’s,” Dana said.

WINTER 2024 // HEALTH

‘You can’t play Santa’

A little lighthearted teasing between friends had led to something magical, but Dana still had his work cut out for him. After all, if it was easy to be Santa Claus, everyone would do it. “It wasn’t until that first night when I sat down in that chair that I realized that as soon as you put that suit on, you can’t play Santa. You have to be Santa,” Dana explained. It’s his goal to have every kid walk away with hope that they’ll get the Christmas gift that they’ve asked for, but he can’t make any promises. After all, the gift list stays at the North Pole — and Dana has no way to know what parents may or may not be able to get for a child. “There’s a sacred trust between the kids and Santa. You can’t lie to them, you can’t make something up,” Dana said. “My goal is always to be as real as possible with them, but to give them hope and to help them believe in the magic of Christmas.” Take for example the girl who asked for a real unicorn — a difficult ask, most would agree. Yet, it would be a shame for Santa Claus to dismiss the girl’s request. After all, if Santa is real, why shouldn’t unicorns exist as well? Dana knew what to do. “I looked at her and I said, ‘You know what, I haven’t seen a unicorn in probably the last 30 years, but if I find one, I'll bring him to your house.’ I wanted to give just a little touch of reality but without destroying hope. I was able to tell her that she probably wasn’t going to get a unicorn, but she

Ready to pay Santa a visit?

could have a little bit of hope that there was some small chance,” Dana explained, “And she walked away believing that there could still be unicorns out there somewhere.” The Christmas Spirit

It’s been six years since Dana first became Santa Claus, and it has lost none of its joy. For he and Denny, that’s what this is all about — creating a little spark of happiness that kids can carry away with them. “People have asked me if I take donations. I always say no. I don’t want anyone’s money,” Denny said. “I want their smiles. I want them to make memories. People tell me that their new family tradition is coming to my house to see Santa Claus. And if you see how the kids react to Santa, it makes all the work we put into it worthwhile.” Dana agreed. “Santa can’t guarantee that every boy and girl will get what they asked for, but he can make sure that they walk away with a smile and feeling like I really listened to them, and that I care about them,” he said. “I can spread a little happiness and joy, and I think that’s more meaningful than we grown-ups realize sometimes.” Regardless of your background, culture or beliefs, Dana and Denny believe that there’s a magic to the holiday season that belongs to everyone. The two have conspired to bring Christmas to life in the Black Hills in a way that makes children and adults repeat a phrase reminiscent of “Miracle on 34th Street.” “I believe in Santa Claus.”

Head to Denny’s house and check out the Christmas lights any night this holiday season. Santa will be in attendance every Friday and Saturday night from 6-8 p.m. until Christmas. Bring your smiles, and you’ll get a little holiday magic in return. You’ll find the amazing display at 4311 Paddock Court in Rapid City. Santa can’t wait to see you there.

HEALTH // WINTER 2024

HEALTH AND WELLNESS // EXCELLENCE

A 25-year legacy The Monument Health Clinical Research department has been a part of medical breakthroughs for over two decades. And because many of the caregivers at Monument Health play such an active role in these trials, when a new drug or treatment is approved, these experienced nurses and doctors are able to hit the ground running when offering these new breakthroughs to their patients.

A WAY TO FIGHT BACK The Clinical Research department at Monument Health has a rich history of working on medical breakthroughs. For one patient, her participation in a recent study may have saved her life. Written by Stephen Simpson Photos by Bob Slocum

WINTER 2024 // HEALTH

Patients who are presented with the opportunity to participate in a clinical research trial often ask if their other health care providers will be aware of the trial. The answer is yes, all caregivers involved communicate extensively with each other and through medical records. To learn more about clinical research at Monument Health, visit monument.health/clinical-research.

Because of the nature of clinical research, many of the specific details of this story have been omitted.

Lori Allen has struggled with breathing and other health issues all her life. Eventually, she was diagnosed with a heart condition that could only be corrected with surgery. As part of her follow-up care, Lori’s caregivers at Monument Health continued monitoring her cholesterol levels post surgery. “My cholesterol has always kind of been a big thing,” Lori explained. Knowing that Lori’s cholesterol levels met certain special criteria, Bhaskar Purushottam, M.D., FACC, FSCAI, FSVMB, reached out to Monument Health’s Clinical Research department to see if Lori would be a good fit for an upcoming clinical trial. Being a part of clinical research Kelli McIntosh is the Director of Monument Health’s Clinical Research department. She said that this lesser-known but crucial facet of the Monument Health system is vital in keeping caregivers on the cutting edge of treatment options. Sometimes, though, inviting patients to participate in a research study can involve overcoming some preconceived ideas. “The first thought that the general public has a lot of time is, ‘Well, I don't want to be a guinea pig,’” she said. Roger DeRaad, CNP, Clinical Research Investigator, agrees with Kelli. He said that most patients are initially skeptical of participating in clinical research, but that many of them decide to join a study because of the benefits. “A lot of our patients mention that they're doing this for their family, for people in the future or to have a chance to fight back. It can be frustrating when you get a diagnosis, and sometimes patients just want to be able to do something,” he said. Kelli, Roger and the whole team of Clinical Research caregivers advise taking advantage of an opportunity to participate in a clinical trial if you’re ever presented with one. As Roger described, there are many motivations to participate, but one outcome that might be surprising. “Participants in clinical research typically fare better than patients who are not,” Roger said. “It’s not necessarily because of the treatment, although it certainly can be beneficial. Often it’s because these patients are under a heightened level of observation.”

team started in a typical way. “I got a call and I thought, ‘What is this? It seems kind of scary,’” she said. But Lori soon discovered that participating in clinical research is special, and that it’s about inviting a larger group of caregivers around you and your diagnosis. “Everybody that I've met through the research and all my doctors over at the hospital have just been super fantastic. I'm so grateful to everybody,” she said. Lori’s participation in this clinical research study involved getting a Computed Tomography Angiogram, or CTA — a diagnostic test that she would not have received in her regular course of treatment. Because of that scan, Lori and her caregivers made a lifesaving discovery. “If I hadn't had that CTA, I don’t know if I would still be here.” Lori’s CTA revealed an elevated chance of a heart attack that would have likely gone unnoticed if Lori wasn’t observed at that heightened level. “I'm very thankful for that. My doctor encouraged me to get into the research, and a part of the research was doing the CTA.” Taking ownership of your own well-being can take many forms — exercising, eating right and staying informed. And sometimes it means, like in Lori’s experience, being intentional about surrounding yourself with the best caregivers you can find. Receiving a diagnosis can be scary, frustrating and even leave people with a sense of helplessness. Lori is living proof that you can fight back against those emotions. Participating in a research study — if the opportunity should arise — is one of those ways. “Do it. It definitely changed my life,” Lori said.

Another pair of eyes A reason caregivers were able to intervene early in Lori’s heart condition was thanks to Dr. Purushottam, who connected Lori with Clinical Research. If she hadn't participated in that trial, she likely wouldn’t have received the CTA scan that led to her caregivers performing open heart surgery. “Often patients are worried when they hear about a research trial, but in research, you have another pair of eyes,” said Dr. Purushottam. Participating in clinical research proved to be vital in Lori Allen’s health — it may have even saved her life. “She could have had a major heart attack, which could have potentially killed her or led to heart failure,” said Charan Mungara, M.D., one of Lori’s surgeons. He was grateful to have been able to make a difference in Lori’s life. “She was an excellent patient,” Dr. Mungara added. “She’s a sweet lady and very appreciative. I'm glad she's doing well.”

A life-saving discovery Lori’s introduction to the Clinical Research

HEALTH // WINTER 2024

COMMUNITY // EXCELLENCE

ON TRACK TO SPREAD JOY

It’s always fun to share what you love, and for this miniature car collector there’s nothing better than putting smiles on kids’ faces. 28

Story and Photos by Bob Slocum

WINTER 2024 // HEALTH

Jason Olivencia is a car guy. The 12-year enlisted Air Force Technical Sergeant has a set of wheels to match his passion: a custom 2005 red and yellow Ford Mustang Joey Logano Hot Wheels replica. His car’s build has many features you’d expect from a car show-worthy ride: custom intake, exhaust, racing seats and endless upgrades. When Jason’s Ford rumbled into the Monument Health Rapid City Hospital parking lot in October, it was filled with a donation to the pediatrics unit that represents his other hobby: collecting Hot Wheels. Jason and his Mustang are aligned with Driven Dreams, an organization that holds an annual event to donate Hot Wheels to hospitals and other charities or organizations that accept donations for children. This was the third annual national Diecast Day of Giving and the second time Jason has brought toys for Monument Health’s youngest patients. He brought 1,000 cars the first year and even more this fall. Jason gave first dibs from numerous boxes full of sealed Hot Wheels to some patients in the pediatrics unit, taking some time to share videos of his car and wishing the patients and their families well. “We really had some happy kids, and we will continue to get smiles over the next year as we hand them out,” said Amanda Horsley, Manager Nurse in the pediatrics unit. “Some of our kids go through some tough things here, and any little thing that can bring them happiness matters.” The Texas native’s Hot Wheels collecting led him to start a YouTube channel called “Mustang Hunter Diecast,” and he has been part of an online collector’s community ever since. HEALTH // WINTER 2024

Multiple collectors joined together to ship Hot Wheels for a good cause the first year, and the event has grown from there, with organizers making donations in their local communities. “The reward is just so great. Seeing the kids and their excitement reminds me of when I got my first car when I was a kid, and knowing that these will go to kids who are going through some hard times means a lot,” Jason said. “Knowing that one of them may spark an interest for some boy or girl to get into cars or Hot Wheels is awesome.” Jason currently has 7,000 Hot Wheels in his “keeper” collection, most of them are different variations of Ford Mustangs. “I love cool cars, and there are so many cars that I want when I see them. I'm like, ‘Man, I'd love to buy that,’” he said. “Hot Wheels comes out with every car you can think of, and that is my way of collecting them and checking those off my list.”

PHYSICIAN // EXCELLENCE

Dr. Ameer focuses on advanced cardiac imaging. This specialty refers to sophisticated techniques and technologies used to obtain detailed and comprehensive images of the heart and surrounding structures. This includes: • Cardiac magnetic resonance imaging, which provides detailed images of the heart anatomy and function using a strong magnetic field and radio waves. • Cardiac computed tomography, which uses X-rays to create cross-sectional images of the heart, allowing for detailed visualization of the coronary arteries and other structures. • Echocardiography, which uses sound waves to create images of the heart and provides real time information about structure and function.

Fawzi Ameer, m.d.

• Nuclear cardiology, in which a small amount of radioactive material is injected and used to assess blood flow and function of the heart muscle.

Cardiologist, Rapid City

For most people, looking inside the heart is just a metaphor. For Fawzi Ameer, M.D., it’s all part of the job.

My role I am a cardiologist at Monument Heart and Vascular Institute with a primary focus in cardiovascular imaging. I grew up in Rapid City and did my medical and cardiovascular training at New York Presbyterian. Additionally, I did a year of advanced cardiovascular imaging with a focus on cardiac CT, structural echocardiography and cardiovascular MRI at Houston Methodist Hospital. I help manage cardiovascular patients at Monument Health in the clinic and the hospital as well as assist in the specialized imaging needed for the Monument Health Heart Failure team as well as the Monument Health Structural Heart team. My goal My goal is to provide the Rapid City community and our patients with the newest technological advancements in

cardiovascular care and cardiovascular imaging. I strive to continue to learn and evolve as a physician and a cardiologist so that I can provide our community with the most appropriate and optimal care. I hope to help the cardiology practice in Rapid City evolve and grow so that patients can receive their care close to home. My passion My passion is serving people in their greatest time of need. Cardiology provides an opportunity to help people in their most vulnerable moments in the hospital and then help and support them as they work to improve their heart health once they go back home. I am eager to contribute my skills and dedication to make a difference in the lives of those facing cardiovascular challenges, and feel fortunate that I am able to do so.

WINTER 2024 // HEALTH

Advanced Practice Provider (APP) refers to physician assistants (PA-C), certified nurse practitioners (CNP) and certified registered nurse anesthetists (CRNA). Because of their advanced training, APPs can do many of the same things a physician does. Patients benefit from having both their physician and their APP working together on their care.

My Role As a certified family practice nurse practitioner, I provide primary care for patients of all ages, managing chronic conditions and promoting wellness through education and prevention. I’m passionate about improving my patients’ quality of life and empowering them to be active participants in their own health.

"I enjoy teaching the next generation of nurse practitioners. My patients have been gracious enough to allow these students to learn in our clinic. I have provided over 2,500 hours of precepting to these students, and have found it very gratifying."

Sarah Schryvers, cnp Primary Care, Hot Springs

The Hot Springs community is multi-generational — there are families whose ancestors homesteaded in the area. Sarah Schryvers, CNP, enjoys caring for these families, from grandparents to their grandchildren.

HEALTH // WINTER 2024

My Goal I strive to provide high-quality medical care to the people of Hot Springs and the surrounding area. We see patients from Nebraska, Pine Ridge, Buffalo Gap, Edgemont and even from Wyoming. I grew up in a rural South Dakota community and understand the challenges and benefits of providing care in this type of community. My Passion We are an hour away from Rapid City, so it can be very difficult for people to travel there for appointments. This is why I’m passionate about providing care in a rural setting. As the Diabetes Champion at Monument Health Hot Springs Clinic, I provide a diabetes clinic with a Certified Diabetes Educator twice a month. My goal is to help people with diabetes experience a high quality of life with a disease that requires constant monitoring. Any chronic disease can be overwhelming, and my goal is to help people lead lives they enjoy, instead of letting the disease rule their life.

MYSPACE // COMMUNITY

COMMUNITY AND CULTURE Written by Stephany Chalberg Photos by Bob Slocum

WINTER 2024 // HEALTH

There are about as many different coffee orders as there are caregivers at Monument Health. And the baristas crafting each drink are every bit as unique as the orders they serve. Rapid City Hospital is home to two specialty coffee cafes: Market Coffee and create. Each serving Starbucks drinks, breakfast and lunch to caregivers, patients and visitors. The team behind the counters is dedicated to providing fast, friendly service to everyone who stops by. Chanwanpe Shields started as a barista in March 2023, and she brings her personality and individuality with her to work every day. “If I was to introduce myself, I would say I’m Lakota Dakota, from Marty, South Dakota, and an enrolled member of the Yankton Sioux.” “I love to share about my culture,” she said. “I feel like that's one thing about my identity that I'm always willing to share is where I come from — I’m surrounded by my culture with modeling and with my volunteer work. It's all for the community here.” There are many regulars who stop to see Chanwanpe and her team at both cafes in Rapid City Hospital. She enjoys seeing patients progress along their healing journey. “There was one patient I remember seeing on crutches, and a few weeks later he was walking on his own — that was great to see.” Each day the barista team works together to ensure an efficient and positive experience for their customers. Ask any regular at a coffee shop and they’ll tell you baristas don’t just create drinks — they get to know their customers well enough to start their order before they even step up to the counter. “Being a barista isn’t just about coffee,” Chanwanpe explained. “It’s also food service. We have daily breakfast and lunch specials in create, and in Market Coffee we can go back to the main kitchen and help prep for lunch.” Service Between the two locations, Monument Health baristas serve an average of 500 people each day. Sometimes their customers are ending long and challenging overnight shifts. Others are arriving to visit a loved one who is beginning a healing journey. Each of those 500 customers are treated with kindness and compassion. HEALTH // WINTER 2024

“My team is like family to me. We all walk in with optimism. We lift each other up and put our heads together to improve the customer experience every day,” she said. “And every time we get to visit with someone, we strive to become a great part of their day.” Chanwanpe doesn’t just serve her fellow caregivers at work. She also dedicates time to community service. “I started volunteering with my uncle when I was still in high school, and I still help him today when I’m able,” she said. “We serve meals at Memorial Park every Friday. Everyone is welcome: single mothers, single fathers, people in the community and especially our elders.” Providing service to her community is important to Chanwanpe, and just like serving caregivers and patients at Rapid City Hospital, serving the community is a team effort. “I hope people driving by see the community that goes into the meal. It’s not just one family, it’s several families who are dedicated to always being there.” A model for others Service to others is important to Chanwanpe, and she hopes that others are encouraged to give back as well. “We’ve had people see what we do, and they’ve wanted to help as well,” she said. “I think when you serve others, you get back just as much.” In addition to her service to others and work as a barista, Chanwanpe is passionate about modeling. She especially loves to combine that passion with her love of highlighting her culture and heritage. “Last April, I walked in two fashion shows — one was at the Dahl Arts Center and the other was at The Monument in Summit Arena, which is the biggest thing I’ve done,” she said. “It showcased native and indigenous artists, so I was proud to model their clothing.” Chanwanpe enjoys modeling, and it has led to new friendships in the fashion world. She is looking forward to more modeling opportunities and traveling in the future. Community Chanwanpe has a lot of sides, interests and passions, but the thread running through them all is community. “I’m always surrounded by community. Whether I’m modeling, volunteering or even when I’m at work, I’m always connected to my identity, my culture and my community. Everything I do is connected to that, and I try to bring the same passion and dedication to all the things I do,” she said.

create delivers an exhibition-style culinary experience where food is prepared right in front of you, with a number of options to customize your order. Open MondayFriday, 6 a.m.-2 p.m. you can also find your favorite Starbucks coffee here, as well as a number of bottled beverages, grab-and-go food options and snacks. Market Coffee provides an authentic café experience to caregivers, physicians and patients on the first floor of Rapid City Hospital. Open seven days a week, 7 a.m. to 11 p.m., baristas like Chanwanpe will serve your favorite cup of coffee with a smile. They also offer a seasonal menu with fresh gourmet pastries and grab-and-go items.

“My team is like family to me. We all walk in with optimism. We lift each other up and put our heads together to improve the customer experience every day.” CHANWANPE, ON THE IMPORTANCE OF TEAMWORK AND SERVICE TO OTHERS

NEW PHYSICIANS // EXCELLENCE

Welcome our newest physicians BARIATRIC SURGERY

Pial Hope, d.o., is a General Surgeon specializing in metabolic and bariatric surgery at Monument Health Rapid City Hospital. He received his medical degree from the Lake Erie College of Osteopathic Medicine in Erie, Pa. Dr. Hope completed his General Surgery Residency at Beaumont Health — now Corewell Health — in Dearborn & Trenton, Mich. He completed a Minimally Invasive Foregut and Bariatric Surgery fellowship at the University of Texas Health Science Center in Houston, Texas, and the Bariatric Medical Institute of Texas in San Antonio. He specializes in advanced minimally invasive techniques including laparoscopic, endoscopic and robotic-assisted surgery. BREAST SURGERY

Ashlea Semmens, m.d., is a board-certified General Surgeon and Breast Surgical Oncologist who serves as the Medical Director of the Breast Surgery program at Monument Health Rapid City Hospital. She is a native of eastern Montana and received her medical degree from the University of Washington School of Medicine. She completed her general surgery residency at Iowa Methodist Medical Center before moving to Memphis for her Breast Surgical Oncology fellowship. She treats a wide spectrum of conditions including benign breast disease and acute breast problems. She enjoys helping patients who have been diagnosed with, or who have an elevated risk for, breast cancer. CARDIOLOGY

Amid Bitar, m.d., is a General Cardiologist at Monument Health Heart and Vascular Institute. Dr. Bitar grew up in Damascus, Syria, and received his medical degree from Windsor University School of Medicine in St. Kitts. He completed his Internal Medicine residency and his Cardiology fellowship at Orange Park Medical Center in Orange Park, Fla. Dr. Bitar enjoys cardiovascular imaging and believes that proper prevention practices and exercise can prevent disease progression and prolong his patients’ lives.

FAMILY MEDICINE

Tricia Jensen, m.d., is a Family Medicine physician and faculty at the Family Medicine Residency Clinic in Rapid City. Dr. Jensen completed her medical degree at the University of Washington School of Medicine and her residency at Monument Health Rapid City Hospital Family Medicine Residency program. After completing her residency, she returned to her home state of Wyoming to provide rural health care. Dr. Jensen is honored to be a part of the educational training of the residents and provide care to patients at Monument Health. FAMILY MEDICINE

Emily Urbaniak, m.d., is a Primary Care Physician at Monument Health Spearfish Clinic, North 10th Street. She grew up in Watertown, S.D. and received her medical degree from the University of South Dakota Sanford School of Medicine. She completed her Family Medicine residency at the Monument Health Rapid City Hospital Family Medicine Residency program. Dr. Urbaniak specializes in Family Medicine and enjoys being able to take care of all patients, from newborns to geriatrics. She also offers natural family planning counseling. GENERAL SURGERY

Breanna Connett, d.o., is a General Surgeon at Monument Health Rapid City Hospital. Dr. Connett received her medical degree from Western University of Health Sciences in Lebanon, Ore. and completed her General Surgery residency at Beaumont Hospital, Dearborn & Trenton, Mich. She specializes in endoscopy, colectomy, hemorrhoid surgery, cholecystectomy, anti-reflux procedures, hernia repairs and peritoneal dialysis catheters. She has a special interest in robotic surgery and colorectal surgery.

WINTER 2024 // HEALTH

EXCELLENCE // NEW PHYSICIANS

GENERAL SURGERY

Marcus Tjeerdsma, m.d., is a General Surgeon at Monument Health Rapid City Hospital. Dr. Tjeerdsma received his medical degree at the University of South Dakota Sanford School of Medicine. He completed his General Surgery residency at the University of Kansas-Wichita School of Medicine in Wichita, Kan. He is trained in minimally invasive robotic surgery and follows the philosophy of treating his patients with the same care and compassion that he would want for his own family. HOSPITAL MEDICINE

Ethan Pauley, m.d., is a Hospitalist at Monument Health Rapid City Hospital. Dr. Pauley completed his medical degree at the University of South Dakota Sanford School of Medicine and his Internal Medicine residency at Billings Clinic. He is a fourth generation South Dakotan and is excited to be back in the Black Hills. NEONATOLOGY

Lucinda Weaver, m.d., is a Neonatologist at Monument Health Rapid City Hospital. Dr. Weaver completed her medical degree at the University of South Dakota Sanford School of Medicine. NEUROLOGY

Lee McCraney, d.o., is a Neurologist at Monument Health Neuroscience Center in Rapid City. Dr. McCraney completed his medical degree at the University of Miami/ Jackson Health System in Miami, Fla. And his Neurology residency at Baylor Scott & White Medical Center in Temple, Texas. His special interests include general neurology and migraines.

HEALTH // WINTER 2024

NEUROLOGY

Donald Barr, m.d., is a Neurologist at Monument Health Neuroscience Center in Rapid City. Dr. Barr completed his medical degree at the Medical University of South Carolina College of Medicine, Charleston, S.C., his Neurology residency at Baylor Scott & White Medical Center, Temple, Texas and his Epilepsy fellowship at the University of Miami/Jackson Health System, Miami, Fla. PLASTIC SURGERY

Olga Schuth, m.d., is a Plastic Surgeon at Monument Health Rapid City Clinic, 4150 5th Street. Dr. Schuth completed her medical degree at Brody School of Medicine at East Carolina University. She went on to complete her Integrated Plastic & Reconstructive Surgery residency at Virginia Commonwealth University Medical Center and a Hand and Microvascular fellowship at Vanderbilt University. Dr. Schuth specializes in reconstructive, cosmetic and hand surgery. PODIATRY

Colin Zdenek, dpm, is a Podiatrist at Monument Health Spearfish Clinic, North 10th Street. Dr. Zdenek completed his medical degree at Des Moines University College of Podiatric Medicine and Surgery in Des Moines, Iowa and his Foot and Ankle Surgery residency at the Western Pennsylvania Hospital/Allegheny Health System in Pittsburgh, Pa. His special interests include achilles rupture and injuries, ankle replacement, arthroscopic ankle procedures, foot and ankle reconstructive surgery, foot and ankle trauma and general podiatry. UROLOGY

Levi Hamilton, m.d., is a Urologist at Monument Health Rapid City Hospital. Dr. Hamilton completed his medical degree at the University of Washington School of Medicine in Seattle, Wash. and his residency at the University of Texas Health San Antonio.

monument.health/careers

TEST YOUR KNOWLEDGE // CROSSWORD

ISSUE 13, WINTER 2024 // CHEER 1

23. The Cancer Care Institute celebrated the end of its expansion construction with a ribbon cutting in what month?

2 3 4

24. Children's Miracle Network abbreviation 5

25. Professionals who help people buy, sell or rent property DOWN 1.

2. Monument Health is headquartered out of what city?

3. For 50 years, Wanda Schummer has lived and worked in what city?

14 15

6. A place for the latest news, events, patient stories and health care information

22 24

ACROSS Fawzi Ameer, M.D. is what kind of physician?

4. Where can you find Santa in Rapid City? 5. The Wagner family shares a disease and which doctor? 7.

Making a comeback

8. Rapid City Clinic earns accreditation for what service? 9. The city Sarah Schryvers, CNP, cares for patients in 12. Denny Leibel and Dana Darger are "partners in __________” 13. What treatment does Carter Berlin consistently receive at Monument Health? HEALTH // WINTER 2024

9. Jason Olivencia is too fast and too generous, what toy has he donated to pediatric patients? 10. February 2 we are Tough Enough to Wear __________ 11. A specialized form of treatment to ease pain for cancer patients

Who enjoys pepperoni pizza, roller coasters, sports and video games?

15. Olga Schuth, M.D., is a plastic surgeon who specializes in reconstructive, cosmetic and __________ surgery 16. Jason Olivencia drives a custom 2005 red and yellow Ford __________ 19. Where world class athletes, future space travelers and a Miss America hopeful train 20. The only massage therapist in South Dakota to be recognized by the Society for Oncology Massage as a preferred practitioner

14. Medical specialty to treat cancer patients 17. Rapid City Hospital received the American Heart Association’s Get with the Guidelines AFib __________ quality achievement 18. A group of Black Hills realtors earned the honor of being called what kind of agents? 21. Monument Health welcomes this new general surgeon who specializes in metabolic and bariatric surgery 22. Certified Nurse Practitioner abbreviation

WANT TO PEEK AT THE ANSWERS? SEE KEY ON PAGE 40

DIRECTORY // COMMUNITY

We’re near you ASSISTED LIVING Monument Health Assisted Living 432 North 10th Street Custer, SD 57730 605-673-5588 AUDIOLOGY Monument Health Rapid City Clinic 4150 5th Street Rapid City, SD 57701 605-755-5700 Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170 BARIATRICS Monument Health Gillette Clinic 620 W Four-J Court Gillette, WY 82716 307-682-1204 Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170 Monument Health Rapid City Hospital 353 Fairmont Boulevard Rapid City, SD 57701 605-755-5700 BEHAVIORAL HEALTH Monument Health Behavioral Health Center 915 Mountain View Road Rapid City, SD 57702 605-755-7200 Monument Health Family Medicine Residency Clinic 502 East Monroe Street Rapid City, SD 57701 605-755-4060 Monument Health Lead-Deadwood Clinic 71 Charles Street Deadwood, SD 57732 605-717-6431 Monument Health Rapid City Clinic 640 Flormann Street Rapid City, SD 57701 605-755-3300 Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170

Monument Health Sturgis Clinic 2140 Junction Avenue Sturgis, SD 57785 605-720-2600 CANCER CARE Monument Health Cancer Care Institute 353 Fairmont Boulevard Rapid City, SD 57701 605-755-2300 CARE CENTER Monument Health Sturgis Care Center 949 Harmon Street Sturgis, SD 57785 605-720-2400 DIABETES Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 Monument Health Spearfish Clinic, North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595 DIALYSIS Monument Health Dialysis Center 425 N Cambell Street, Suite 200 Rapid City, SD 57701 605-755-6950 Monument Health Dialysis Center 132 Yankee Street Spearfish, SD 57783 605-722-8110 DERMATOLOGY Monument Health Gillette Clinic 620 W Four-J Court Gillette, WY 82716 307-682-1204 Monument Health Rapid City Clinic, 4150 5th Street 4150 5th Street Rapid City, SD 57701 605-755-5700 Monument Health Dermatology 550 East Colorado Boulevard Spearfish, SD 57783 605-717-8860 EAR, NOSE & THROAT Monument Health Rapid City Clinic, 4150 5th Street 4150 5th Street Rapid City, SD 57701 605-755-5700

Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170 ENDOCRINOLOGY Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 Visiting Clinics: Belle Fourche, Custer, FMR, Hot Springs, Lead-Deadwood, Spearfish, Sturgis GASTROENTOROLOGY Monument Health Rapid City Hospital 353 Fairmont Boulevard Rapid City, SD 57701 605-755-5700 GENERAL SURGERY Monument Health Gillette Clinic 620 W Four-J Court Gillette, WY 82716 307-682-1204 Monument Health Rapid City Hospital 353 Fairmont Boulevard Rapid City, SD 57701 605-755-1000 Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170 HEART & VASCULAR Monument Health Gillette Clinic 620 W Four-J Court Gillette, WY 82716 307-682-1204 Monument Health Heart and Vascular Institute 353 Fairmont Boulevard Rapid City, SD 57701 605-755-4300 Monument Health Spearfish Clinic, North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595 Visiting Clinics: Belle Fourche, Custer, Hot Springs, Lead-Deadwood, Sturgis

HOSPITALS Monument Health Custer Hospital 1220 Montgomery Street Custer, SD 57730 605-673-9400 Monument Health Lead-Deadwood Hospital 61 Charles Street Deadwood, SD 57732 605-717-6000 Monument Health Rapid City Hospital 353 Fairmont Boulevard Rapid City, SD 57701 605-755-1000 Monument Health Spearfish Hospital 1440 N Main Street Spearfish, SD 57783 605-644-4000 Monument Health Sturgis Hospital 2140 Junction Avenue Sturgis, SD 57785 605-720-2400 HOME MEDICAL EQUIPMENT STORES Monument Health Home+ Home Medical Equipment 1800 N. Haines Avenue Rapid City, SD 57701 605-755-9000 Monument Health Home+ Home Medical Equipment 911 East Colorado Boulevard Spearfish, SD 57783 605-717-8930 HOSPICE CARE Monument Health Home+ Home Health & Hospice 224 Elk Street Rapid City, SD 57701 605-755-7710 Monument Health Home+ Home Health & Hospice 931 East Colorado Boulevard Spearfish, SD 57783 605-644-4444 Monument Health Home+ Hospice House 224 Elk Street Rapid City, SD 57701 605-755-7710 IMAGING SERVICES Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 Monument Health Custer Hospital 1220 Montgomery Street Custer, SD 57730 605-673-9400

Monument Health Lead-Deadwood Hospital 61 Charles Street Deadwood, SD 57732 605-717-6000 Monument Health Rapid City Hospital 353 Fairmont Boulevard Rapid City, SD 57701 605-755-1000 Monument Health Spearfish Hospital 1440 N Main Street Spearfish, SD 57783 605-644-4000 Monument Health Sturgis Hospital 2140 Junction Avenue Sturgis, SD 57785 605-720-2400 Monument Health Spearfish Clinic, North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595 Monument Health Orthopedic & Specialty Hospital 1635 Caregiver Circle Rapid City, SD 57702 605-755-6100 Monument Health Orthopedic and Sports Medicine 2479 East Colorado Boulevard Spearfish, SD 57783 605-644-4460 INFECTIOUS DISEASE Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 INFUSION SERVICES Monument Health Infusion Services 2880 5th Street Rapid City, SD 57701 605-755-7700 LAB SERVICES Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 Monument Health Custer Hospital 1220 Montgomery Street Custer, SD 57730 605-673-9400

WINTER 2024 // HEALTH

Please call your local clinic to schedule an appointment. Monument Health is also offering extended services through video and telephone visits with your provider.

Monument Health Lead-Deadwood Hospital 61 Charles Street Deadwood, SD 57732 605-717-6000 Monument Health Rapid City Hospital 353 Fairmont Boulevard Rapid City, SD 57701 605-755-1000 Monument Health Spearfish Hospital 1440 N Main Street Spearfish, SD 57783 605-644-4000 Monument Health Sturgis Hospital 2140 Junction Avenue Sturgis, SD 57785 605-720-2400 Monument Health Spearfish Clinic, North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595 LIFESTYLE MEDICINE Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 NEPHROLOGY Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 NEUROLOGY Monument Health Neuroscience Center 677 Cathedral Drive Rapid City, SD 57701 605-755-5000 NEUROPSYCHOLOGY Monument Health Neuroscience Center 677 Cathedral Drive Rapid City, SD 57701 605-755-5000 NEUROSURGERY Monument Health Neuroscience Center 677 Cathedral Drive Rapid City, SD 57701 605-755-5000 OB/GYN Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170 Visiting Clinic: Sturgis

OCCUPATIONAL MEDICINE Monument Health Rapid City Urgent Care, Lacrosse Street 1303 N Lacrosse Street Rapid City, SD 57701 605-755-2273 Monument Health Rapid City Urgent Care, Jackson Boulevard 2116 Jackson Boulevard Rapid City, SD 57702 605-755-2273 Visiting Clinic: Spearfish ORTHOPEDICS Monument Health Gillette Clinic 620 W Four-J Court Gillette, WY 82716 307-682-1204 Monument Health Orthopedic & Specialty Hospital 1635 Caregiver Circle Rapid City, SD 57702 605-755-6100 Monument Health Orthopedic and Sports Medicine 2479 East Colorado Boulevard Spearfish, SD 57783 605-644-4460 Visiting Clinics: Custer, Sturgis, Gillette PHARMACIES Monument Health Home+ Pharmacy 353 Fairmont Boulevard Rapid City, SD 57701 605-755-8184 Monument Health Home+ Pharmacy 1420 North 10th Street, Suite 1 Spearfish, SD 57783 605-717-8741 Monument Health Home+ Specialty Pharmacy 2006 Mount Rushmore Road, Suite 2 Rapid City, SD 57701 605-755-3065 PLASTIC SURGERY Monument Health Rapid City Clinic, 4150 5th Street 4150 5th Street Rapid City, SD 57701 605-755-5700 PODIATRY Monument Health Orthopedic & Specialty Hospital 1635 Caregiver Circle Rapid City, SD 57702 605-755-6100

HEALTH // WINTER 2024

Monument Health Spearfish Clinic, North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595 PRIMARY CARE CLINICS Monument Health Belle Fourche Clinic 2200 13th Avenue Belle Fourche, SD 57717 605-723-8970 Monument Health Buffalo Clinic 209 Ramsland Street Buffalo, SD 57720 605-375-3744 Monument Health Custer Clinic 1220 Montgomery Street Custer, SD 57730 605-673-9400 Monument Health Family Medicine Residency Clinic 502 East Monroe Street Rapid City, SD 57701 605-755-4060 Monument Health Hill City Clinic 238 Elm Street Hill City, SD 57745 605-574-4470 Monument Health Hot Springs Clinic 1100 Highway 71 South, Suite 101 Hot Springs, SD 57747 605-745-8050 Monument Health Lead-Deadwood Clinic 71 Charles Street Deadwood, SD 57732 605-717-6431 Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300 Monument Health Spearfish Clinic, North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595 Monument Health Sturgis Clinic 2140 Junction Avenue Sturgis, SD 57785 605-720-2600 Monument Health Wall Clinic 112 7th Avenue Wall, SD 57790 605-279-2149 PULMONOLOGY Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300

RHEUMATOLOGY

TRAVEL MEDICINE

Monument Health Rapid City Clinic, Flormann Street 640 Flormann Street Rapid City, SD 57701 605-755-3300

SLEEP CENTERS

Monument Health Spearfish Clinic North 10th Street 1420 North 10th Street Spearfish, SD 57783 605-717-8595

Monument Health Rapid City Clinic, 2929 5th Street 2929 5th Street Rapid City, SD 57701 605-755-4000 Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170 SURGERY CENTER Same Day Surgery Center 651 Cathedral Drive Rapid City, SD 57701 Monument Health Surgery Center 1316 North 10th Street Spearfish, SD 57783 605-642-3113 THERAPIES – PT, OT, SPEECH Monument Health Inpatient Rehabilitation Center 1050 Fairmont Boulevard, Suite A100 Rapid City, SD 57701 605-755-1230 Monument Health Rehabilitation 2200 13th Avenue Belle Fourche, SD 57717 605-723-8961 Monument Health Rehabilitation 1220 Montgomery Street Custer, SD 57730 605-673-9400 Monument Health Rehabilitation 61 Charles Street Deadwood, SD 57732 605-717-6000 Monument Health Rehabilitation 2140 Junction Avenue Sturgis, SD 57785 605-720-2400

URGENT CARE CLINICS Monument Health Rapid City Urgent Care, Lacrosse Street 1303 N Lacrosse Street Rapid City, SD 57701 605-755-2273 Monument Health Rapid City Urgent Care, Jackson Boulevard 2116 Jackson Boulevard Rapid City, SD 57702 605-755-2273 Monument Health Lead-Deadwood Urgent Care Services 71 Charles Street Deadwood, SD 57732 605-717-6431 Monument Health Spearfish Urgent Care 1420 North 10th Street Spearfish, SD 57783 605-717-8595 Monument Health Sturgis Urgent Care Services 2140 Junction Avenue Sturgis, SD 57785 605-720-2600 Monument Health Custer Urgent Care Services 1220 Montgomery Street Custer, SD 57730 605-673-9400 UROLOGY Monument Health Rapid City Clinic, 2805 5th Street 2805 5th Street Rapid City, SD 57701 605-755-5700 WOUND & OSTOMY CARE

Monument Health Rehabilitation 2449 East Colorado Boulevard Spearfish, SD 57783 605-644-4370

Monument Health Rapid City Clinic, 2929 5th Street 2929 5th Street Rapid City, SD 57701 605-755-1309

Monument Health Orthopedic & Specialty Hospital 1635 Caregiver Circle Rapid City, SD 57701 605-755-6100

Monument Health Spearfish Clinic, North Avenue 1445 North Avenue Spearfish, SD 57783 605-644-4170

CALENDAR // COMMUNITY

Jan. 26 - Feb. 3, 2024

Community Health Summit at the Black Hills Stock Show THE MONUMENT, RAPID CITY

Jan. 27, 2024

Monument Health Special Rodeo THE MONUMENT, RAPID CITY

Feb. 2, 2024

Tough Enough to Wear Pink/Pink Party THE MONUMENT, RAPID CITY

Jan. 26 - Feb. 3, 2024

Black Hills Stock Show & Rodeo Rapid City RAPID CITY

Feb. 11, 2024

February Freeze 5K Fun Run/Walk FOUNDER'S PARK, RAPID CITY

Feb. 24, 2024

American Heart Association Heart Ball RAPID CITY

CROSSWORD ANSWER KEY 1

C A R D A

I O L O G

S T 3

P A D D O C K C O U R T

I 10

H O T S P R Y I

J A M I

O 17

E C L A R K

O C T O B E R P 25

N E

S G

S H

M U S T A N G

E X O S

I O N S

D X A

H A N D

N G S

N F U S

I 13

T W

P A L M E R

R E C O V E R Y

R E A L T O R S

C M N L

WINTER 2024 // HEALTH

MONUMENT HEALTH HEART AND VASCULAR INSTITUTE’S FEMALE PROVIDERS

Heart disease is the

#1 KILLER

OF WOMEN

It’s responsible for 1 in 3 deaths each year – more deaths than all forms of cancer combined. At Monument Health, our Heart and Vascular team stands together in the fight against heart disease. Join our team by wearing red on Feb. 2 for American Heart Month and to raise awareness of women’s heart health.

Heart and Vascular Institute Rapid City Hospital | 353 Fairmont Blvd. | Rapid City, SD 57701 605-755-4300 | monument.health/heart

SUBSCRIBE At magazine.monument.health

LIKE US ON FACEBOOK