Monument HEALTH Magazine, Issue 15, Summer 2024 by monumenthealthmagazine

DETERMINED

Bad knees threatened his mobility and stopped his active lifestyle, but dual joint replacements helped him get back to his favorite pursuits.

PRIMARY CARE NOW

FAMILY MEDICINE RESIDENCY PROGRAM

GRADUATING CLASS OF 2024

JAKE A. BROZEK, M.D.*

ALEXANDER N. COMBS-BACHMANN, D.O.

KRISTINA R. GRANT, D.O.

JOSEPH P. MCRAITH, D.O.

CHELSEA N. RAMBO, D.O.*

ALYSSA L. WEAVER, M.D.

*Chief Resident

SA WELCOME FROM

Paulette Davidson

President and Chief Executive Officer, Monument Health

ummertime in the Black Hills brings opportunities for adventure and celebration. In this issue of Health Magazine, we share the resilience and dedication of our patients, physicians and caregivers who continuously push boundaries and redefine possibilities.

Discover the incredible journey of Clint Petersen, who underwent a double knee replacement and has since returned to his outdoor activities. Thanks to the expertise of Orthopedic Surgeon Ray Jensen, D.O., Clint's life has been reimagined.

Be reacquainted with Leah Nixon, a mother, entrepreneur and small business owner whose unwavering spirit knows no bounds. Leah is training tirelessly with her new off-road wheelchair, preparing to conquer one of the most iconic summer marathons in the Black Hills.

Our commitment to compassionate care extends to the Heart and Vascular Unit, where dedicated professionals like Theresa Dooner, RN, and Bennett Smith, CNA, guide patients through their cardiac care journey. Their unwavering dedication is a testament to the devotion of our entire team.

We’re also thrilled to unveil our partnership with children’s book author Sean Covel, whose latest installment in the popular Porter the Hoarder series invites young readers on an interactive and lighthearted exploration of hospitals. This delightful book promotes literacy and encourages children to view health care in a new and positive light.

As you embark on your summer adventures, we hope these captivating stories inspire you to embrace new challenges and cherish every moment. We are honored to share these tales with you and wish you a summer filled with joy and discovery.

Managing Editor

Melissa Haught

Editor

Stephany Chalberg

Contributors

Dan Daly

Stephen Simpson

Bob Slocum

Anna Whetham

Art Director

Stacy Brozik

Layout

Terri Upward

Photographer

Bob Slocum

SUMMER 2024

Physicians and providers honored during annual banquet

Monument Health recognized six physicians and providers at the third annual Physicians and Providers Awards Banquet. The event was created to celebrate and honor the hard work and dedication providers have shown their patients and the communities they serve.

Six award categories were created to highlight the different areas of the medical profession, including the Early Career Provider and Early Career Physician of the Year Award, the Distinguished Clinician Award; the Distinguished Researcher Award; the Distinguished Educator Award and the Legacy Award.

Early Career Provider of the Year Award

Timothy Simonich, PA-C

Distinguished Educator Award

Jennifer Hasvold, M.D.

Early Career Physician of the Year Award

Rorak Hooten, M.D.

Distinguished Researcher Award

Matthew Gross, CNP

Distinguished Clinician Award

Stephen Tamang, M.D.

Award

Drew Purdy, M.D.

Quality ratings increase for Rapid City and Spearfish Hospitals

Monument Health proudly announces substantial advancements in both the Leapfrog Hospital Safety Grade and CMS Hospital Quality Star Rating, reaffirming its unwavering dedication to delivering exceptional health care.

Monument Health has received preliminary communication from CMS that Rapid City Hospital has elevated its rating from 1-star to a 3-star, while Leapfrog has confirmed its increase from a ‘C’ to a ‘B’ rating. Additionally, Spearfish Hospital has achieved CMS’s highest 5-star rating. The scores are expected to be reflected on the Leapfrog CMS websites in July.

Spearfish Hospital recognized

Monument Health Spearfish Hospital was named one of the top 20 rural and community hospitals in the country.

The National Rural Health Association (NRHA) has announced the 20 highest ranked prospective payment system hospitals in the country based on an evaluation by the Chartis Center for Rural Health. The hospitals are identified using the Chartis Rural Hospital Performance INDEX, the most comprehensive and objective assessment of rural PPS hospital performance.

The determining factors for the top 20 rural and community hospitals are based on eight indices: inpatient market share, outpatient market share, quality, outcomes, patient perspective, cost, charge and finance.

“Monument Health Spearfish Hospital is proud of the continued efforts of our physicians and caregivers who have contributed to our hospital achieving this designation,” said Suzanne Campbell, RN, Director of Nursing, Spearfish Market. “Our recognition as a top health care provider means our community can count on us to deliver the services they need, close to home, now and in the future.”

Nuclear Pharmacy opens in Rapid City

Monument Health opened its Nuclear Pharmacy on March 18. This is the second facility of its kind in South Dakota, the other being in Sioux Falls. Along with the opening of the pharmacy comes the addition of two authorized Nuclear Pharmacists to Monument Health: Patrick Novak, PharmD., and Bryan Brittain, PharmD.

The Nuclear Pharmacy specializes in compounding and dispensing radioactive drugs for critical conditions like GI bleeds, cancer treatments, cardiac procedures and cancer studies.

Having a nuclear pharmacy locally in Rapid City allows the nuclear imaging department to have more flexibility to scan add-on patients on the same day. If the doses were transported by plane, the nuclear imaging department would have to wait until the next day to scan add-on patients.

“Medications compounded in our Nuclear Pharmacy benefit a variety of patients,” said Patrick Novak, PharmD. “The growth of these types of medications, particularly in cancer treatment studies, is rapidly expanding. Having a Nuclear Pharmacy dedicated to serving Monument Health ensures more patients can receive essential treatment close to home.”

Annual Hospice Ball supports health care in the Northern Hills

Nearly $110,000 was raised during the 27th annual Northern Hills Hospice Ball.

Monument Health hosts the annual event to help raise awareness and support for hospice patients and their families.

Proceeds from this year’s event supported hospice care in the Northern Hills and a fund-a-mission portion of the event supported the expansion of the Monument Health Spearfish Hospital.

The event also honors those who have dedicated their lives to hospice programs throughout the Northern Hills and the greater Black Hills region.

Debbie Crowley, hospice care nurse aide, received this year’s Dignity Award.

LIFE IS A MARATHON

Competing in a half-marathon takes grit, determination and dedication — these are all traits Leah Nixon embodies. She’s also an artist, a mom and an entrepreneur.

Story by Stephen Simpson Photos by Bob Slocum

Tiny and Snail

Grace Nixon Peterson and Leah Nixon have built Tiny and Snail into a successful business, marketing directly to customers online at tinyandsnail.com. Both Leah and Grace draw the images and write the text for their products. Sometimes they collaborate. Sometimes they work separately. However all of their cards, stamps, stickers and other designs share the same smart, simply worded and brightly illustrated style.

If a picture is worth 1,000 words, a hand-written note might be priceless — at least that’s the hope at Tiny and Snail. Leah Nixon first introduced us to her greeting card company (which she co-owns with her sister Grace) in the Fall 2021 issue of Health magazine. In the cover story of that issue, she also shared her ongoing journey of recovery following a construction accident in 2018. That accident resulted in one of her legs being amputated and left her paralyzed from the armpits down.

A bookmark in time

Having had a near-fatal accident, Leah is very aware of how precious time and memories are.

Recently she began writing cards each week to her 2-year-old daughter. “At the beginning of this year I realized what a shame it would be if Ellie had no cards from me; I realized that I needed to make that commitment to write to her,” Leah said.

Taking the time to be present by thoughtfully writing to a loved one not only boosts the mental wellbeing of the writer, but creates a powerful connection for the receiver. A client of Tiny and Snail recently remarked, “Your cards are perfect for people who are hurting and who have dealt with trauma.” To Leah, those connections make perfect sense. “I'm in a lot of pain all the time, and that comes out in the art,” she said. Always moving forward

pain and her mental health.

“I've heard a lot of great things about exercise, so I just committed to doing it every day,” she explained. “I have an outdoor exercise chair with levers, so it's a lot easier on my arms compared to a traditional wheelchair. I've worked out outside almost every day since June of last year, and now it's just a part of my day. I need to do it, and my family knows that I need to do it.”

For Leah, running has always been a symbol of facing challenges. “I hated running to start with, but I know that I can do anything hard for 10 minutes, so I just started running for 10 minutes a day,” she said. “That eventually turned into running a half-marathon and then running two full marathons. And then my accident happened.”

After the accident, Leah continued to work out, but finding space for a daily commitment to exercise — the kind it takes to run competitively — was difficult. “I have a disability, I’m a mom, I’m a business owner; I have a lot going on. Sometimes you just feel too busy to prioritize the things you need to prioritize. But, you still need to step back to be able to think more clearly about it. Then you can find enough space to direct your energy towards the things you need to focus on.”

Gifts With Heart, the gift shop in the lobby at Monument Health Rapid City Hospital, is a Tiny and Snail outlet. Send magic

“I was a runner before my accident,” Leah said. “The Mickelson — I’ll be running with that with my dad and husband this June — was actually the first half-marathon I ever did.” In June 2023, Leah stopped taking a medication designed to block nerve pain. The medicine had minimal impact on her pain, so Leah has turned to exercise as a way to manage both her physical

As Leah, her husband and her dad take on the Mickelson Trail Half-Marathon this summer, the big thoughts of life are front and center in her mind. “My dad actually had brain cancer a couple of years ago, so he’s kind of a miracle, too,” Leah said. “When I was thinking about whether or not I wanted to run this, I thought, hey, I almost died five years ago. That makes you think about life differently. So, of course, I want to run this half-marathon with my dad!”

“I don’t think many people throw away a hand-written

card.” Leah said. “Digital files and pictures can get lost or buried over time. But even if you put a card in a drawer and forget about it, eventually you’ll come across it and it brings you back to a place and time.”

A PATIENT'S CHAMPION

Story and Photos by Bob Slocum

Nursing Assistants provide vital support that plays an important role in the patient experience. CNAs like Bennett Smith are devoted allies for those in their care.

When you treat everyone like family, you tend to earn a lot more friends. Perhaps that is why so many of Monument Health’s patients and caregivers have such good things to say about Certified Nursing Assistant (CNA) Bennett Smith. Aside from being dedicated to his duties working in the Heart and Vascular Unit (HVU), Bennett’s easygoing and personable nature have made him a favorite of his patients and peers.

“Bennett was welcoming, courteous and very professional. He put me at ease and was very concerned about making sure I had whatever I needed after my procedure,” wrote one patient who nominated Bennett for a TULIP award, a recognition for nursing support staff that is given quarterly in Rapid City. “I appreciated his kindness and am very impressed by his dedication. He deserves recognition as a positive face for his department, and he should be celebrated no matter what!”

Bennett has been in his role as CNA for three years at Rapid City Hospital’s HVU. He’s found enough gratification in his role that his goals include training new nursing assistants and helping them become certified. He also serves on the HVU Council and the Pressure Injury Prevention (PIPs) team.

“Everyone who I work with; the RNs, other aides, all my coworkers are helpful and supportive. They really feel like family,” Bennett said. On the HVU floor, the patient’s needs come first and all caregivers are on the same page to support each other in the name of patient care.

“We are all there for the patients. I really like talking with them and getting to know them; making sure they are comfortable and clean and that their needs are met.”

While a large part of the CNA role is being present and mindful in the moment, Bennett also has his eyes on the future. He’s looking forward to goals both personal and professional.

“We have continuing education requirements, team building and community service opportunities,” he said. “I try to embrace all of that.”

Outside of work, Bennett has many interests. He’s a big fan of exercise, sports, boating, word search puzzles and arcade games. He follows a moral and fitness example set by his hero, Chuck Norris. “I just think “Walker, Texas Ranger” is a great show. He has good morals and does the right thing.”

Doing the right thing comes easy for CNAs when patients need their help. One moment that stands out for Bennett is when a patient he was discharging and saying goodbye to started to cry.

“I was worried I’d done something wrong, but the patient said they were tears of joy, because of the conversations we’d had while he was with us,” Bennett said. “That’s why it’s easy to care so much.”

Patients know good care when they receive it, even if they couldn’t necessarily describe it, Bennett said. “That’s what we all try to give.”

“I appreciated his kindness and am very impressed by his dedication. He deserves recognition as a positive face for his department, and he should be celebrated no matter what!”

PATIENT NOMINATION FOR BENNETT TO RECEIVE THE TULIP AWARD RECOGNIZING NURSING SUPPORT STAFF

VOLUNTEERS

The Volunteer Auxiliary at Monument Health has been valuing patients for 50 years. Bonnie Martley brings a unique perspective to the value of volunteers — as one herself and as a patient.

At any given time, approximately 150-200 people are serving the patients and caregivers of Monument Health as part of the Volunteer Auxiliary at Rapid City Hospital. These loving people can be found running the hospital gift shop, helping patients navigate to and from appointments, working in the wig room at the Cancer Care Institute, cuddling babies in the NICU and much more.

Konnie Sorensen, Director of Volunteer Services at Monument Health, described how the Volunteer Auxiliary is all about heart. “I believe that people want to be involved with something bigger than themselves,” she said. “Our volunteers are the kind of people who have compassion for others and who want to be helpful.” The Volunteer Auxiliary is celebrating 50 years of this kind of passionate caring. Konnie and her team are honoring this monumental achievement with events planned throughout the year.

50 years of making a difference

The impact that the Volunteer Auxiliary has on the patients and caregivers of Monument Health can’t be overstated. These acts of love can look as simple and intimate as giving a gentle hand massage to a patient in the oncology department, as fun as providing art kits to postpartum moms or as legacy-focused as raising and investing millions of dollars back into Monument Health.

The Auxiliary raises these funds through the operation of the gift shop and other fundraising ventures. In fact, since 1974, the Auxiliary has been able to contribute over $4.5 million toward programs, projects and specialized equipment.

The Volunteer Auxiliary touches the lives of practically every patient at Monument Health. These friendly faces can be a bright light to many of these patients and their families. Maybe the person with one of the deepest understanding of how impactful this shining light can be is Bonnie Martley.

KONNIE SORENSEN Director of

Volunteer Services

“There are many different ways people can volunteer here, and they can commit as much or as little as they want,” said Konnie Sorensen, Director of Volunteer Services. The list of volunteer opportunities at Monument Health is so diverse that only a small percentage of the roles available are actually mentioned here.

To explore all of the exciting ways to serve as a volunteer and to submit an application to join the Volunteer Auxiliary, visit monument.health/volunteer or scan the QR code above.

Bonnie served as an administrative assistant at Monument Health — first in the OB Department and later in the Dialysis Department. After she retired, she joined the Volunteer Auxiliary and served as a wayfinder for about the last seven years. Wayfinders help patients navigate from appointment to appointment. “What I’ve learned is that a person who walks through the door — even if you don’t know their medical condition — will find that your smile or a kind word means so much to them,” Bonnie said. She also has served on the board of the Auxiliary.

Perspective

Bonnie has a unique perspective — she’s experienced the Volunteer Auxiliary as a caregiver, a volunteer and as a patient. “The very first day I was diagnosed, I bumped into Konnie. She said, ‘Bonnie, I didn't expect to see you here today.’ And I said, ‘Well, I’ve been diagnosed with breast cancer.’ She just hugged me while I cried, and I wouldn’t have had that if it wasn’t for the Volunteer Auxiliary.”

That simple but profound act of love set the stage for Bonnie’s journey of battling breast cancer. “Once I was diagnosed, it was a whirlwind,” she said. “They give you what's called a cancer navigator, and I don't know what I would have done without her.” A cancer navigator is a registered nurse who helps patients at the Cancer Care Institute keep track of their appointment times and locations. “I mean some days I’d have five appointments in one day, and my navigator kept me on track,” Bonnie said.

A cancer navigator also has the vital and precious role of helping patients navigate the roller coaster of emotions that go along with their treatment. “There were days when, say, the pathology came back and that news caused you to fall apart. My navigator would tell me to just breathe.”

The next 50 years

As a patient, Bonnie was gifted a cancer journal from the gift shop at Monument Health. She used this to chronicle her journey with cancer. The pages are adorned with photos of family supporting her, friends gathered to celebrate the end of her chemotherapy, caregivers who made a difference during her treatment and — like a beam of light — volunteers who offered comfort and grace to her during her journey.

“It made me realize how important volunteers are,” Bonnie said. “To be able to walk through the doors of the Cancer Care Institute — and you’re scared to death — and there’s somebody there with a smile asking you if they can walk you to your appointment. That’s when people open up. Maybe it’s just easier to tell a stranger your life story.”

The Volunteer Auxiliary has been creating these sorts of moments for 50 years, and these priceless volunteers will be present at Monument Health for another 50 years and beyond. “I’ll go back to the Auxiliary board next month,” Bonnie said. She’s also excited to return as a wayfinder because of this deeper appreciation for the powerful role that volunteers play at Monument Health.

Laura Spanbauer, Ashlea Semmens, M.D., Kendra Storm, DNP, Kelsee Bachmeier, Joanne Larson

A

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ASK THE DOC: NON-INVASIVE SKIN REJUVENATION TREATMENTS

WITH HUNTER MOYER, M.D., PLASTIC SURGEON

What is a face rejuvenation procedure?

Facial rejuvenation is done to promote new skin growth, promote collagen production and improve the look of an aging face. This can be done surgically and nonsurgically.

What are the common methods for this?

The most common procedures are: chemical peel, dermabrasion and laser treatment.

What is a chemical peel?

A chemical peel is just that — a chemical that is applied to the face which then peels off the top layer of skin. Chemical peels are one of the oldest types of cosmetic procedures. There is evidence in ancient Egyptian writings that show that they would put milk out in the sun to sour, creating lactic acid that they would then use on their skin. Unlike the ancient Egyptians, we have access to scientific labs and a variety of acids which means we can control the depth of the burn we are creating to optimize results.

Dr. Hunter Moyer is a board-certified Plastic Surgeon from Atlanta, GA. To learn more about Dr. Moyer, scan the QR code below.

What is dermabrasion?

In this procedure we use a diamond fraise to ‘sand’ the skin. This form of treatment really provides us with a lot of control to target specific acne scars, pox marks, wrinkles, sun spots and more. This precision allows us to really focus on the areas a patient wants. Since this tool scrapes off old skin – it promotes new growth and collagen production, similar to a chemical peel.

What is a laser treatment?

For laser treatments, we use light energy for the same effect. By focusing this high-energy beam of light we can burn the skin and get similar results to a chemical peel or dermabrasion.

This is the newest treatment we use. The options here are quite fascinating. If we focus the laser to an unique wavelength of light, it allows us to treat tattoos and colored pigments.

How is a laser treatment used on your face? It starts the same as a chemical peel or dermabrasion, we take that first layer of skin off. The difference here is that we are then able to fractionate the laser. This means we drill holes deeper into the next layer of skin. This method does not cause scarring because we are able to leave behind stem cells located in hair follicles and

sebaceous glands. By focusing the laser deeper into the layers of skin we can promote more collagen production.

Which treatment option is the best?

Each treatment is ideal for a specific purpose. Patients looking to do a full face skin rejuvenation are great candidates for chemical peels. They are done right in our office and they are not terribly painful procedures.

If you want to target specific scars or specific areas, dermabrasion is often a better option. It’s great because the physician has complete control of the treatment area and depth.

The laser is recommended for targeting dark spots, tattoos or deep wrinkles as we can safely penetrate lower layers of skin.

Are these treatments safe for all skin tones? There is a risk of hyper or hypo pigmentation after a chemical peel, dermabrasion or laser procedure. The risk is higher the darker your skin tone is.

What is the recovery time for these procedures? We recommend at least one week of downtime to fully regenerate the outer layer of skin. Most people stay home until the peeling slows or stops, which can take about one week.

THE WORK LIVES ON

Story by Stephen Simpson

For 20 years, Lynnett Rotert, BSRT, CBDT, was a bone density technologist at Monument Health’s Spearfish Clinic and worked in a clinical area called densitometry. She served the patients of Monument Health by performing a unique and vital procedure.

Using what is known as a DXA machine, Lynnett would measure and examine the amount of calcium and other minerals in a person’s bones. Those results would then be used by physicians and providers to tell patients how strong or weak their bones were and if they were at risk of developing osteoporosis.

Lynnett passed away in August of last year. “I miss her greatly,” said Cathy Sowers, DNP, Medical Director of Monument Health’s Osteoporosis program.

But her work will continue to live on.

In March, this year, Lynnett was posthumously presented with the Dr. Sydney Bonnick ISCD Award for Excellence in Densitometry. This award honors and celebrates technologists who’ve demonstrated expertise in their field. The ISCD, which stands for the International Society for Clinical Densitometry, is a worldwide network of 2,700 individual members from across 25 countries who work together to improve musculoskeletal health.

“We’re honored to celebrate her legacy. Her commitment to health care excellence continues to inspire us all,” said Cathy Sowers. “She had a great eye for the smallest of things. Her attention to detail made her outstanding in her line of work. To me, she represents the millions of people that go to work daily, doing the next right thing, seemingly unnoticed, yet making a difference in the world one person at a time.”

In ensuring that the bones of her patients stayed strong, she also strengthened the clinic’s bone health programs itself, which, in turn, made a huge difference to the community she served.

One of Lynnett's patients, Susan D. Johnson applauded the care that she received from her. “Whenever I would get my bone scan done, Lynnett was always professional. She was efficient and she took the time to explain what DXA meant and when I could expect my results. Yet, she also made the time to ask about how my family and I were doing. Monument Health was so lucky to have her as an employee all those years.”

Lynnett collected data about fractures from all the local hospitals and tabulated them. She made sure that the

"Her greatest joy, outside of family, was serving her patients and providing them a very high level of care."

PATRICK ROTERT, ON HIS WIFE LYNNETT'S DEDICATION TO HER PATIENTS

technology was up-to-date. When she wasn’t busy with the clinical side of things, she worked on creating materials that would help educate patients.

She, along with Richard Keim, M.D., an internal medicine physician, were instrumental in establishing the clinic’s projects related to fractures and osteoporosis. In fact, she was a driving force behind earning accreditation for them, said Dr. Keim.

Outside of her work at Monument Health, she volunteered “countless hours” at the Good Shepherd Clinic, a clinic based in Spearfish that provides free medical and dental care to those who don’t have health insurance. “She was looked upon as a role model and a leader,” said Cathy.

Another of Lynnett’s co-workers, Heather Delahoyde, RTR, CBDT had nothing but praise for her. “Lynnett was a great teacher. She taught me how to do DXA and provided me with the education I needed to pass my certification exam. She was so knowledgeable, patient, kind and caring. She gave me great life advice over the years and I miss her greatly.”

Patrick Rotert, Lynnett’s husband said, “Her passing was a tremendous blow to our family, friends and colleagues.” Speaking about her illustrious career, he said that Lynnett started out as a nuclear medicine technologist and earned her certification in Nebraska. The Roterts moved to South Dakota in 2001, where Lynnett threw herself tirelessly into her work at Monument Health.

“Her greatest joy, outside of family, was serving her patients and providing them a very high level of care. She was the go-to person when it came to accreditation standards. She would shy away from this praise as it was not in her nature to think she was doing anything but her job,” he said.

RAY JENSEN, D.O.

CLINT PETERSEN

Go big or go home.

It’s a sentiment often associated with outdoor and extreme sports. Meaning, if you are going to do something, commit and give it all you’ve got. Years of competitive sports and racing ingrained that “send it” mentality into Clint Petersen, but the lifestyle also punished his knees to the point where he began dealing with chronic pain and loss of function. When Clint realized that both his knees were deteriorating to the point where he would need to cease some of his favorite activities such as racing dirt bikes and off-road buggies, as well as snowmobiling, skiing and snowboarding, he made a bold decision befitting his “go big” proclivities: to get both knee joints replaced at the same time.

Once he’d committed to that idea, he had to convince some people; most notably his wife, Dusty, and his orthopedic surgeon, Monument Health’s Ray Jensen, D.O. Bilateral knee replacement is not for the faint of heart, and often patients who replace both knee joints have two separate procedures months apart. Clint wanted his to be consecutive and same-day.

“I was really determined that I did not want

to go through one long recovery and then right into another,” Clint said. “I really pushed hard for it, and I really had to persuade Dr. Jensen.”

A fellowship trained orthopedic surgeon specializing in arthroscopic treatment and shoulder and knee replacements, Dr. Jensen has some qualifiers for bilateral knee replacement patients, although Clint has not been his only similar case.

“A patient for this type of case needs to be healthy otherwise, and they have to have really bad knees to where I think they’re a candidate. And frankly they need to convince me they can handle it.”

Knee replacement surgeries are very safe statistically, and more than half a million U.S. patients undergo this procedure annually. However, the rehabilitation and healing process is intensive and sometimes challenging.

“Clint was adamant that he wanted it this way, and I began to consider that although it could potentially be difficult for him with twice the healing at once, there were other positives,” Dr. Jensen said, “Such as one less time under anesthesia, and one less time to be prescribed pain medication.”

Story and Photos by Bob Slocum

To learn more about Dr. Jensen, scan the QR code above.

The decision

If you’re as old as you feel, then Clint’s knees were watching Matlock with a nice glass of prune juice while he still had a desire to be extremely active. Clint often competes in desert races with courses hundreds of miles long.

“I had so much arthritis in my knees at one race in Mexico the impact of the sport actually broke a chunk off of my kneecap right in the middle of a 300-mile stretch. It was excruciating.”

It wasn’t long after that when Dusty encouraged him to take action, as he wasn’t able to partake in any activities, period. Once they began to consider full-on joint replacement, they found their way to Dr. Jensen.

“I’m very happy with the outcome; being able to do my favorite things again and even just being able to sleep at night. My knees are better than they have been in 20 years.”

CLINT PETERSEN, ON HAVING DOUBLE KNEE REPLACEMENT SURGERY

The surgeon noted that total knee replacement surgery was an option they arrived at together after more than a year of trying other treatments.

“Clint was in a really bad way with his knees for a long time, and we tried everything else. We were really trying hard to wait for a replacement just because he’s so young.”

Knee replacement joints are typically expected to last 30 years. Looking into the future was less of a factor for Clint because his present state was so severe. He had post-traumatic arthritis resulting from multiple ACL tears in each knee. Clint had a whopping seven knee surgeries prior to his bilateral replacements. That’s not to mention back surgery as well for a t10 fracture.

“Both his ACLs were gone, so he had a lot of instability,” Dr. Jensen said.

The outcome

Clint’s procedures took place in February of last year with physical therapy and rehab to begin right away. Clint credits Dusty with supporting him and their family in those initial weeks when he was in the early stages and off his feet. Progress came incrementally until he was eventually comfortable and able to trust the new knees. Now, Clint is back to riding dirt bikes off-road and recently took part in another long buggy race.

“At a certain point they still don’t feel like your own knees, and then one day they just felt better,” Clint said.

“I’m back to riding again — I mean aggressively riding — and they don’t hurt. It’s a huge change.”

Resuming an active lifestyle has not been the only benefit from the bilateral replacement process. Being on solid ground again means less secondary injuries such as muscle wasting in the quadriceps, which Clint worked hard to rehab.

“I can tell I have muscles coming in now that I haven’t seen in years; they have been so weak just from the knees being so bad,” he said. “I’m very happy with the outcome; being able to do my favorite things again and even just being able to sleep at night. My knees are better than they have been in 20 years.”

A CULTURE OF CARING

Story and Photos by Bob Slocum

Patients of Monument Health’s Heart and Vascular Unit (HVU) can be at any stage in their health care journey, but they all deserve the best quality care. Nurses like Theresa Dooner, RN, are by their side during their stay at HVU.

“We take care of people on the inpatient and outpatient side,” Theresa said. “Sometimes people have a heart attack while out there living their best life, and then they come here. Some patients are here with known issues or disease. They can be here for scheduled procedures or interventional procedures. I take care of these types of patients before surgery.”

Growing up, Theresa had an aunt who was special to her who was a nurse, as were her aunt’s two daughters and other close family members.

“I think because of that it just kind of imprinted on me that it was a noble calling,” Theresa said. “It’s in my nature, I think. I’m Native American and was raised in a culture of caring for others.”

Caring for others is a culture in HVU, and not only in the aid of patients. Having spent all of her time as a nurse in HVU, Theresa has high praise for her peers.

“This is where I grew up, essentially, and I love my team. If I need help, everyone is willing to help even if they’re not my neighbor or my assigned aid; everybody's willing to come help anyone else. The preceptors that I had when I first started out were very informative. They gave me all of the education I needed to be successful. They were very supportive.”

Theresa has been a nurse for about three and a half years. She found herself drawn to nursing later than some, but a family history in the field made it feel almost inevitable. Once immersed in it, she realized life experiences had prepared her well, making the timing feel just right.

“I didn’t become a nurse until later in my life, but I feel like motherhood set me up successfully for nursing because I find that I communicate with patients how I communicate with my children: with empathy and a lot of patience.”

Communicating to patients about procedures, medications and management of their conditions

“It’s in my nature, I think. I’m Native American and was raised in a culture of caring for others.”

THERESA DOONER, ON PATIENT CARE

is a key part of being a nurse, and Theresa said it is one of her favorite parts of the role.

“I love providing education to my patients because it’s a chance to take something they may not fully understand or have fears about and put it into terms they will understand; given with a supportive intent,” she said. “When they understand their condition or their disease, then they understand why we’re doing the things that we're doing. They put the pieces together and they feel more successful after they're discharged. When they’re grateful for understanding what you’re explaining to them, it’s a good feeling. It’s my favorite part of the job.”

Receiving gratitude from patients is more than a simple act, Theresa said. It often renews a nurse’s resolve to keep striving for the best.

“One instance of a patient being so kind and so generous and so thankful sticks out the most in all of my time here. He was so generous and so kind and giving that he ended up gifting me a star quilt for when my oldest daughter graduated 8th grade,” she said. “In Native American culture, if somebody does something that you want to honor them for you present them with a star quilt, and he did that for me. I hadn’t experienced something like that. It was amazing. I don’t know what part of his heart I touched, but I always think how if everybody could be that nice, do you know how great this world would be? That’s probably the nicest thing anyone’s ever done for me.”

WEST RIVER NURSE HONOR GUARD

Nurses regularly deal with death in their work, but often their own passing goes unrecognized. A new organization hopes to change that.

FOR 42 YEARS, Shirley Struble was a nurse in Rapid City. Deeply dedicated to her profession, she made lifelong friends and helped countless patients and families through their toughest times.

Shirley, 80, died on Christmas Day of 2022. A new group called the West River Nurse Honor Guard attended her celebration of life to conduct a special ceremony recognizing Shirley’s life and work.

The ceremony itself is simple, and it’s flexible to meet the needs of the family or the facility where the service is held.

Story by Dan Daly Photos by Bob Slocum

(L to R): Karen Pitharoulis, Marica Benning, Lisa Esser, Heather Solon, Jennifer Murray, Cindy Koehler, Marcy Morrison

Honor Guard members wear traditional nurse caps, white uniforms and blue capes.

At Shirley’s memorial, West River Nurse Honor Guard President Heather Solon, RN began by lighting the Florence Nightingale Lamp. She then recited the Nurse’s Prayer, The Florence Nightingale Pledge and brief tribute. The Honor Guard presented a single white rose and rang a triangle to mark the final call of duty. Shirley’s name was recited three times, and when she did not respond, the lamp was then extinguished and Heather closed the ceremony and said, “We officially release you from your nursing duties. Please go and rest in peace.”

Shirley’s daughter Tami Struble, was grateful for the Honor Guard’s presentation.

“They did a really nice job honoring the career of my mom. She wasn’t just a mother. She spent countless hours being a nurse, and the ceremony really brought that home to us, so we were able to reflect on that part of her life,” she said.

The ceremony is meaningful for the members of the Honor Guard as well, said member Marcy Morrison, RN, a case manager at Monument Health Rapid City Hospital. Marcy knew Shirley and was touched by the ceremony. However, she now realizes that honoring nurses — even nurses she never met — is a meaningful experience.

“I had no idea how rewarding it would be,” she said. “Nursing is much more than a professional pursuit. It’s a way of life, a calling.” Participating in the Nurse Honor Guard ceremonies has reinforced that passion. “It pulls the profession of nursing together. It truly is a ministry to be a part of such an intimate time for nurses, but is also so touching for families to know that someone thought so highly of their loved one,” she said.

Heather Solon, who lives in Kadoka, formed the West River Nurse Honor Society in early 2019. As of mid-April 2024, the group had participated in more than a dozen nurse funerals in the region.

Heather was inspired, in part, by the 2019 funeral for her father, a Vietnam veteran and friend of law enforcement. In addition to military graveside rites, the county sheriff and his deputies served as an honor guard at his funeral.

She felt that the honor guard was a fitting tribute.

In a recent South Dakota Public Broadcasting video, Heather said her goal is to honor nurses both in life and in death. “We just need to say thank you. Your career and your dedication did not go unnoticed. You deserve this honor, you deserve to be recognized for your career,” she said.

Marcy, who grew up in Philip, saw a story about the group in the Pioneer Review, the Philip newspaper, and contacted Heather about joining. Since then, the West River Nurse Honor Guard has expanded to about three dozen members from all over western South Dakota.

Honor Guard services are available to anyone who worked as a Registered Nurse, Licensed Practical Nurse, Certified Nurse Practitioner, Certified Registered Nurse Anesthetist or Certified Nurse Midwife and have passed away. The Honor Guard, usually three to six nurses, attends the funeral, memorial service or celebration of life to conduct the ceremony.

The ceremony is free of charge for families. The chapter does accept donations to help with expenses. Contact information is available at most West River funeral homes, and the group also relies on family, friends and clergy to contact the Honor Guard when a nurse has passed.

For more information, contact Heather at the West River Nurse Honor Guard at WestRivrNrseHnrGrd@gmail.com or 605-837-2992.

A FULL RIDE ON THE FRONTLINES

Caregiver Jordan Hanley, RN, discovered that a supportive environment is crucial to finding your next level.

Story by Stephen Simpson Photo by Bob Slocum

Jordan Hanley, RN, always knew — even when she was a little girl growing up in Hartford, S.D. — that she wanted to use her life to help people. “My grandma was a nurse, so I followed in her footsteps,” Jordan said. “I also completed a lot of internships in high school through the ER there.”

Jordan earned her LPN degree at Southeast Technical College in Sioux Falls. After graduation, she moved to Rapid City to be closer to her boyfriend and to take a position at Monument Health. While serving as an LPN at the Rapid City Hospital, Jordan discovered a supportive and encouraging environment. “I have no family out here, so it’s really nice to have this kind of support,” she said. A workplace that cares is always nice, but Jordan found something even better from her fellow caregivers: encouragement and support to take the next step.

The next step

An LPN, or licensed practical nurse, is a nurse who is trained and charged with the comfort of their patients. Becoming an RN, or registered nurse, allows nurses to, among other things, offer more guidance to their patients. Jordan explained, “When I was an LPN, I couldn’t give as much education and advice as an RN can. So in a clinic setting, I’m now able to relay some information to patients instead of having a doctor call.”

Jordan always wanted to continue to grow in her nursing career. “I knew I wanted to go back to RN school when I came out here; I just didn't know what school or how to go about it,” she said. Jordan met with Ace Berry, RN, Fifth Street Clinic Nurse Manager, to discuss her next steps on earning her RN degree. “I met with Ace and I told him I was interested in earning my RN, so he reached out to Human Resources for me. Then I applied to Western Dakota Tech and for the Build Dakota Scholarship. That’s how I got started.”

Build Dakota Scholarship

Through the Build Dakota Scholarship, Jordan received a full scholarship to the RN program at Western Dakota Technical College (WDTC). Students participating in this scholarship agree to keep a grade point average at or above a 2.5, work in an in-demand field in South Dakota for a minimum of three years after graduation and meet certain other requirements.

Joanna Wiseman, Monument Health, talent acquisition and marketing specialist, explained more about how the Build Dakota Scholarship works. “We pay for half of their schooling and the state of South Dakota pays the other half.”

Joanna added that being a part of Build Dakota lines up with the mission of Monument Health. “I think it really shows that we’re invested in developing the community by helping get more people in health care. It’s a really great opportunity for students to not worry about their finances while going to school and being able to focus directly on their studies.”

Monument Health has sponsored over 100 people through the Build Dakota Scholarship, and Joanna is excited to see even more caregivers and others enjoy this opportunity. In fact, Joanna reported that new health care programs will be eligible for this scholarship soon. “It’s a great opportunity, and you don't just have to be a high school student to reap the benefits, and you don't have to be a Monument Health employee, either,” Joanna said. “Applications are open one time a year — from January through the end of March.”

Providing the encouragement Today, Jordan has earned her RN and is using her new experiences to serve her patients. “When I was an LPN, I obviously knew how to do IVs and wound care and all that, but going back and pursuing more education is just another way to serve our patients,” she said.

Jordan has also become a champion of the Build Dakota Scholarship, and actively cheers on her colleagues who are committing to take the next step in their nursing careers. “We have multiple people going back to school now in our clinic; one of whom is going to WDTC, so I’ve been helping her through the process of applying for Build Dakota,” Jordan said.

An encouraging environment can really change a life, as Jordan has discovered. And with opportunities like the Build Dakota Scholarship, Jordan and others are sure to keep advancing in the ways they can make a difference in the lives of others.

The Build Dakota Scholarship is a phenomenal opportunity for South Dakota residents to pursue more educational opportunities.

To see a full list of qualifying programs and to learn more, scan the QR code or visit builddakotascholarships.com.

To learn more about Dr. Semmens, scan the QR code above.

Ashlea Semmens, M.D.

Board-certified General Surgeon Breast Surgical Oncologist Director of the Breast Center at Monument Health Rapid City

I am most passionate about caring for breast patients and their loved ones throughout all aspects of their diagnosis. I firmly believe in shared decision making and feel it is a privilege to care for women and men as they navigate a new diagnosis of breast cancer.

My role

I serve as the Director of the Breast Center and am a Breast Surgical Oncologist. I am the only general surgeon in the region who has completed a Breast Surgical Oncology Fellowship. I oversee the Breast Surgery Department in addition to the NAPBC Breast Center of Excellence and treat patients with benign breast disease, acute breast problems, such as abscess or cellulitis, and patients diagnosed with breast cancer. I also oversee the High-Risk Breast Clinic and see patients who have an elevated risk of developing breast cancer as well.

My professional goals

We are working to grow the breast program at Monument Health in Rapid City. We recently obtained designation as a Breast Center of Excellence by the National Accreditation for Breast Centers (NAPBC), which is awarded to organizations that deliver the highest quality care for patients with breast disease and breast cancer. We hope to continue to provide excellent care in accordance with national guidelines and standards to serve the patients within our community and the region. I have also developed our High-Risk Breast Program and am working to raise awareness within the community about those who may be at an elevated risk of developing breast cancer and what options they have available to them.

My personal goals

I am a mother to two young daughters. My husband, Trent Semmens, is also a Monument Health caregiver in the Physical Therapy Department at the Orthopedic and Specialty Hospital. We couldn’t be happier to raise our children in Rapid City. We are excited to take them on many adventures in the Black Hills. I hope to personally serve as a role model to my daughters as they grow older. We also hope to get more involved in the community through local engagement and volunteering.

My passions at work

I am most passionate about caring for breast patients and their loved ones throughout all aspects of their diagnosis. I firmly believe in shared decision making and feel it is a privilege to care for women and men as they navigate a new diagnosis of breast cancer. I also enjoy the time I spend in the operating room with decision making regarding surgical approach, localization of the lesion within the breast and breast cosmesis including oncoplastic techniques.

My passions at home

I enjoy spending time outdoors with my family. I also enjoy traveling and camping. We spend a lot of time together cooking and baking. I have also gotten back into reading, quilting and am an avid Peloton member.

My team

I frequently tell patients our team is “small but mighty.” The Breast Surgery Department is in the main hospital near General Surgery and Gastroenterology Services. I have a wonderful nurse practitioner, Kendra Storm, DNP, who has been working with breast patients for over 20 years. I feel so fortunate to have her caring, calming demeanor and expertise. My nurse, Joanne, has years of experience within several departments but has been with breast surgery for nearly two years now. She is a strong patient advocate and will do whatever it takes to ensure everyone is cared for. My medical assistant, Kelsee, is extremely friendly and is passionate about the care of surgical patients and genetic testing. My clinical assistant, Laura, is smart and self-motivated, taking care to greet every patient with a smile. I feel extremely lucky to have the team that we do within breast surgery and enjoy working with this group of women every day. We also work very closely with multiple team members within the Cancer Care Institute (CCI). It is an excellent group of individuals who are passionate about the care of breast patients.

“There are even some families here where I’m taking care of three generations as their primary care provider.”

CHRIS SEIME, ON THE SCOPE OF HIS FAMILY MEDICINE PRACTICE

LIKE FAMILY

Story by Stephen Simpson

Photo by Bob Slocum

Chris Seime, PA-C, is a Physician Assistant serving patients at Monument Health Sturgis Clinic. He’s passionate about providing family medicine to this northern Black Hills town and serving this community in some other amazing ways, too.

Family medicine, like the name suggests, is all about ongoing and close relationships. For Chris Seime, PA-C, he’s discovered this kind of familiar relationship with his patients at Monument Health Sturgis Clinic. “I love just getting to know the patients,” he said. “Some of them have even become friends.”

Chris has been serving the people of this northern hills community in the field of family medicine for over eight years. He explained, “In family medicine, I get to take care of acute care problems and chronic care problems, from infants to the elderly. There are even some families here where I’m taking care of three generations as their primary care provider.”

Back to roots

Chris is passionate about serving the Sturgis community. He chalks up some of that passion to how he grew up in a small town in northwestern North Dakota. “We have a lot

of farming and ranching families here in Sturgis, so growing up in a small town in North Dakota really helps me relate to my patients on a personal level,” he said.

Chris also loves to fish and hunt — especially with a bow. His four daughters also keep him busy; one of his favorite ways to spend time is being able to vacation with his family.

He went on to say that he loves where he gets to work. “I really enjoy being here in Sturgis because the entire staff and the physicians are all very helpful and supportive of the PA role, which is really important.”

Getting to care for the people of Sturgis and being supported by fellow caregivers, Chris feels like his role is more of a calling than a job. “When you really enjoy something — which I do in family medicine — it really doesn’t feel like going to work; it’s more like I get to come here.”

Beyond his regular duties at Monument Health Sturgis Clinic, Chris also offers his medical skills and knowledge to a volunteer organization.

Compass Point is an inpatient and outpatient addiction treatment center located in Sturgis that has been helping the people of the Black Hills in their journeys of recovery for over 50 years.

“There are nine beds in the inpatient facility, and about 430 people in the outpatient program,” he explained. Chris serves as the acting medical director.

The state of South Dakota regulates recovery facilities like Compass Point, and one of the requirements is that clients complete a medical examination prior to admission. “When admitting someone to the inpatient program, they need to be examined within 72 hours of admittance,” Chris explained. Chris helps address the medical needs of Compass Point’s inpatient clients during their stay at the Sturgis facility.

READING TOGETHER

is a check-up from the neck up

Story by Anna Whetham

This May, Monument Health came together with the Porter Project to provide a free book to more than 2,000 families of second grade students in the Black Hills. While that alone is exciting, there is much more that makes up the Porter Project.

Sean Covel, a film and television producer from the Black Hills of South Dakota, most commonly known for his movie Napoleon Dynamite, started a fun and interactive children’s book series called Porter the Hoarder. Joining Sean in the creation of this series is illustrator Rebecca Swift. Rebecca, also from South Dakota, is an illustrator, singer-songwriter (having been on American Idol) and a professional makeup artist. Together, the two brought Porter to life as she invites readers into an interactive journey that blends the excitement of a 'Look-and-Find' adventure with the warmth of a 'Read-with-Me' experience. Tailored for both the Littles and the Bigs — parents, grandparents and siblings — this storybook promises delightful moments for all.

A prescription for collaboration

The most recent book is “Porter The Hoarder and the Hospital Hijinks.” The goal for readers is to assist Porter in her quest to uncover beat-up bedpans, refurbished flower arrangements, cleaning mops and a myriad of other items! Monument Health and Black Hills Reads partnered with the author to provide books to more than 4,000 families in the Black Hills. From Belle Fourche to Edgemont, LeadDeadwood to Oglala Lakota County and elementary schools in between, these books found their way into hundreds of classrooms across the Black Hills region for the first time.

Health care to the classroom

Throughout Porter the Hoarder week, Monument Health volunteers stepped into 2nd grade classrooms to share in the thrilling escapades of Porter during her hospital visit. Following the reading session, each student received a special package containing their very own copy of the book, along with a surgical cap for added fun and homework — but here's the twist: the homework wasn't for the students — it was for their parents. The task, read the book together, at home.

Photos by Bob Slocum

EMPOWERING PATIENTS

Story by Stephen Simpson

Photo by Bob Slocum

Patient Relations Advocates help patients navigate the sometimes complicated world of health care. This special role takes a special person, and Shary Haag brings the perfect combination of emotional intelligence and grit to this position.

Following a major medical diagnosis, many patients — understandably — find themselves in an extremely emotional state. Adding to the stress of a diagnosis is the sometimes complicated plans of treatment laid out before them. “Our patients don’t always know how to navigate the health care system,” said Shary Haag, Patient Relations Advocate.

Shary works to connect with patients to help them understand their care and to address any concerns that they might have. “Sometimes we get called to a hospitalized patient’s room so I can visit with family members,” Shary explained. “Sometimes we talk on the phone. Some are calling in to compliment the care that they received here. And sometimes they call in with their complaints or concerns.”

When Shary connects with patients, the conversations can occasionally involve some heated discussions. Shary, however, is unflappable in the face of this conflict. “I’m actually kind of an adrenaline junkie,” she said, “When I get people who are upset or angry, that actually gets me hyped up to find a solution.”

Shary, who has been serving in this role for 18 years, is a trained social worker. “It takes a special person to be a social worker. Our focus is really to help people, and I really think that’s why I’ve been successful and why I’ve been here for so long.”

Why a social worker?

“When you’re working with patients or family members who are upset, you always have to remember that they’re not mad at you. The first thing you have to do is separate yourself, and I think as social workers, we do a pretty good job at that.” Shary’s experience and training as a social worker serves her well as she connects with patients. “We were also taught to funnel things down into smaller pieces in order to get to the root of the problem,” she said. One of Shary’s goals is to help patients feel like they have a trusted adviser in their medical journey and that they ultimately feel like a partner in their care.

Shary went on to describe that any ire that a patient brings to the Patient Advocacy desk is hardly ever actually aimed at a caregiver. Rather, Shary said, it often comes down to fear. “Many of our patients are walking into the unknown. So when it comes down to it, they’re just very scared — what’s going to happen

to me? What’s my next step? So just sitting down and having that conversation with them is very beneficial because it gives them more insight into their care; their care is a partnership.”

All about Shary

When Shary isn’t working, she loves spending time with her family — including her three children, six grandchildren and one great grandchild. “We try to spend a lot of time together as a whole family; that’s really important,” she said.

Shary also shared that her Native American heritage is an important part of her identity “I’m enrolled on the Pine Ridge Reservation. My family is from the Manderson area, but I actually grew up in Custer,” she said. “My culture is very important to me, and I’m learning more about it. I’ve made some very good friends, who are mentors, who have really helped me through several different things about my culture.”

Shary has also found that sometimes her culture provides valuable perspective when connecting with patients and their families. “Working with Native American patients, they know that I’m Native, so connecting through conversation, I think it just makes them feel a little bit more comfortable — that there’s another Native American who’s working to help them.”

For many patients, receiving treatment for serious medical conditions is one of the scariest moments of their life. But with the compassion and care of a Patient Relations Advocate, a patient might just find an ally in their recovery journey. “We always leave our numbers with our patients, and they know that they can always call us,” Shary said. “Even after their discharge, they can give us a call if they have questions about what’s next or any other questions.”

Medical treatment can be an emotional time for patients and their families. Patient Relations Advocates are here to help during these potentially stressful times. Scan the QR code to connect with Patient Advocates like Shary at any of our hospitals or clinics to discover how these allies can serve you during your journey of recovery.

RIGHT CARE. RIGHT PLACE. RIGHT

Primary Care is the first point of contact for patients seeking non-urgent health care services. Primary care providers focus on preventive care, routine screenings, managing chronic conditions and addressing common illnesses. Providers develop long-term relationships with their patients to maintain their overall health and well-being.

• Care to manage your general health

• Common infections – strep throat, bladder, sinus

• Earaches

• Immunizations

• Minor injuries – cuts, burns, bruises

• Minor skin conditions – poison ivy

• Nausea/vomiting

• Pregnancy tests

• Preventive services

• Respiratory infections – pneumonia, bronchitis

• Routine checkups

• Vaccinations – tetanus shots, flu shots

Visit Urgent Care or Primary Care NOW for common things that need to be treated soon. Urgent Care is on a walk-in basis and does not require an appointment. Primary Care NOW is a scheduled appointment for same day needs.

Visit OrthoExpress for orthopedic care that needs to be treated soon but is not life-threatening. OrthoExpress is on a walk-in basis and you do not need to schedule an appointment.

Urgent Care & Primary Care NOW

• Abscesses

• Allergies/ Allergic reactions

• Asthma

• Athlete’s foot/fungus

• Bronchitis

• Common infectionsear, eye, sinus, strep throat, bladder

OrthoExpress

• Back pain

• Fractures –casting/ splinting

• Hamstring injuries

• Congestion/ Cough/Sore Throat

• Diaper rash

• Fever

• Flu

• Gastroenteritis

• Insect bites

• Labs

• Lacerations/ wounds

• Migraine

• Minor burns

• Injuries to the hands, wrists or shoulders

• Lower extremity injury

• Muscle and tendon strains

• Nausea/ vomiting

• Rashes

• Respiratory infections –pneumonia, bronchitis

• STD testing & treatment

• Stitches

• Stomach discomfort/ nausea

• X-rays

• Sprains

• Strains

• Swollen joints

• Torn bicep, tricep or quadricep tendon

Go to the Emergency Room for serious life, limb or eye conditions/injuries.

• Chest pain

• Difficulty breathing

• Eye injuries

• Heavy bleeding

• Large open wounds

• Loss of consciousness

• Major broken bones

• Major burns

• Severe head injury

• Spinal injuries

• Sudden change in vision

• Sudden weakness or trouble talking

ISSUE 15, SUMMER 2024 // DETERMINED

DOWN

1. The DXA machine measures and examines the amount of this in a person’s bones

2. Leah Nixon is preparing to conquer this iconic marathon in the Black Hills

4. The _______________ Project provided more than 2,000 2nd graders in the Black Hills with a free book

5. Lynnett Rotert was posthumously presented with the Dr. Sydney Bonnick ISCD Award for Excellence in this field

6. This annual ball helps support health care in the Northern Hills

7. Bonnie Martley brings a unique _______________ to the value of volunteers — as one herself and as a patient

8. The Build Dakota _______________ is a phenomenal opportunity for South Dakota residents to pursue more educational opportunities

9. HVU stands for Heart and Vascular __________

10. Becoming an RN, or registered nurse, allows nurses to, among other things, offer more of this to their patients

ACROSS

1. Theresa Dooner, RN says a key part of being a nurse is this

3. West River Nurse Honor Guard members wear traditional nurse caps, white uniforms and blue these

5. Debbie Crowley, hospice care nurse aide, received this year’s _______________ Award

8. Chris Seime, PA-C is passionate about serving this community

11. This hospital was named one of the top 20 rural and community hospitals in the country

13. The most common procedures for a facial rejuvenation are: chemical peel, dermabrasion and this treatment

15. This type of pharmacy is the second facility of its kind in South Dakota

18. Monument Health recognized how many physicians and providers at the third annual Physicians and Providers Awards Banquet

19. Bennett Smith, CNA was nominated by a patient for this award

20. Shary Haag has also found that sometimes her _______________ provides valuable perspective when connecting with patients and their families

21. Ashlea Semmens, M.D. serves as this for the Breast Center

22. Patient Relations _______________ help patients navigate the sometimes complicated world of health care

12. Quality ratings increase for Rapid City and Spearfish Hospitals reaffirms its unwavering dedication to delivering exceptional this

14. Clint Petersen underwent simultaneous double knee replacement surgery in this month

16. Leah has turned to this as a way to manage both her pain and her mental health

17. The Volunteer Auxiliary at Monument Health Rapid City Hospital is celebrating _____ years of valuable service WANT TO PEEK AT THE ANSWERS?

KEY ON PAGE 40

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 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

Bariatric and Metabolic Institute 1445 North Avenue Spearfish, SD 57783

605-644-4170

Monument Health

Bariatric and Metabolic Institute

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 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 640 Flormann Street Rapid City, SD 57701

605-755-3300

Monument Health

Spearfish Clinic 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 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 Rapid City, SD 57701

605-755-5700

Monument Health

Spearfish Clinic 1445 North Avenue Spearfish, SD 57783

605-644-4170

ENDOCRINOLOGY

Monument Health

Rapid City Clinic 640 Flormann Street Rapid City, SD 57701

605-755-3300

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 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 1420 North 10th Street Spearfish, SD 57783

605-717-8595

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

Monument Health Home+ Home Medical Equipment 1635 Caregiver Circle Rapid City, SD 57702 605-755-6150

IMAGING SERVICES

Monument Health Rapid City Clinic 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 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 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 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 1420 North 10th Street Spearfish, SD 57783

605-717-8595

LIFESTYLE MEDICINE

Monument Health Rapid City Clinic

640 Flormann Street Rapid City, SD 57701

605-755-3300

NEPHROLOGY

Monument Health Rapid City Clinic

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 1445 North Avenue Spearfish, SD 57783

605-644-4170

OCCUPATIONAL MEDICINE

Monument Health

Rapid City Urgent Care

1303 N Lacrosse Street Rapid City, SD 57701

605-755-2273

Monument Health

Rapid City Urgent Care 2116 Jackson Boulevard Rapid City, SD 57702

605-755-2273

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

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 Rapid City, SD 57701 605-755-5700

PODIATRY

Monument Health Orthopedic & Specialty Hospital 1635 Caregiver Circle Rapid City, SD 57702

605-755-6100

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

Monument Health Spearfish Clinic 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 640 Flormann Street Rapid City, SD 57701

605-755-3300

RHEUMATOLOGY

Monument Health

Rapid City Clinic 640 Flormann Street Rapid City, SD 57701

605-755-3300

SLEEP CENTERS

Monument Health

Rapid City Clinic 2929 5th Street Rapid City, SD 57701

605-755-4000

Monument Health Spearfish Clinic 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

Monument Health

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

Monument Health

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

TRAVEL MEDICINE

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

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

URGENT CARE CLINICS

Monument Health

Rapid City Urgent Care 1303 N Lacrosse Street Rapid City, SD 57701 605-755-2273

Monument Health Rapid City Urgent Care 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 Rapid City, SD 57701 605-755-5700

WOUND & OSTOMY CARE

Monument Health

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

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

June

August

September

+ Botox Cosmetic Injections, Facial Fillers

+ Breast Augmentation, Lift, Reconstruction & Reduction

+ Brow Lift & Facelift/Mini Facelift

+ Buttock Lift

+ Chemical Peels – Skin Resurfacing

CoolSculpting

Liposuction

Rhinoplasty – Nose Surgery

Scar Revision

Thigh Lift

Tummy Tuck

For more information, visit monument.health/plasticsurgery

HUNTER MOYER, M.D.

OLGA SCHUTH, M.D. Plastic Surgery

MONUMENT HEALTH PLASTIC SURGERY

4150 5th St. Rapid City, SD 57701

605-755-6000

Monument HEALTH Magazine, Issue 15, Summer 2024

DETERMINED

PRIMARY CARE NOW

GRADUATING CLASS OF 2024

SA WELCOME FROM

Paulette Davidson

President and Chief Executive Officer, Monument Health

CONTENTS

Physicians and providers honored during annual banquet

Quality ratings increase for Rapid City and Spearfish Hospitals

Spearfish Hospital recognized

Nuclear Pharmacy opens in Rapid City

Annual Hospice Ball supports health care in the Northern Hills

LIFE IS A MARATHON

Tiny and Snail

A PATIENT'S CHAMPION

VOLUNTEERS

Perspective

A

APPROACH TO REDUCING YOUR RISKS.

ASK THE DOC: NON-INVASIVE SKIN REJUVENATION TREATMENTS

WITH HUNTER MOYER, M.D., PLASTIC SURGEON

THE WORK LIVES ON

The decision

A CULTURE OF CARING

WEST RIVER NURSE HONOR GUARD

A FULL RIDE ON THE FRONTLINES

Ashlea Semmens, M.D.

LIKE FAMILY

READING TOGETHER

is a check-up from the neck up

Health care to the classroom

EMPOWERING PATIENTS

RIGHT CARE. RIGHT PLACE. RIGHT

ISSUE 15, SUMMER 2024 // DETERMINED

DOWN

ACROSS

We’re near you

PRIMARY CARE CLINICS