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Boone Health FALL 2021

The Strength of

THERAPY When Reid needed to build strength before his knee replacement surgery, he received a new type of therapy.

PG. 12

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Hug-A-Heart


Nursing at Stephens College The Bachelor of Science in Nursing is a partnership between Stephens College and Boone Health. Practice your skills in a brand new hospital simulation lab, and become a member of the Boone Health community. Our total tuition and fees are almost $9,000 lower than Mizzou’s nursing program, and Boone offers tuition remission for employees and their families. At Stephens, you’ll be a nursing student from day one (no secondary application), and graduate in three years into a high-earning profession.

Interested in the possibilities? Schedule a quick virtual conversation about program costs, scholarships and your academic readiness.

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Table of Contents CEO Troy Greer

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Director of Marketing & Public Relations Ben Cornelius Communications Consultant II Jessica Park Digital Communications & Marketing Consultant II Madison Loethen Marketing Consultant I Erin Wegner Photography Sadie Thibodeaux Contributing Writers Maria Bickell, Dr. Graham A. Colditz, Gretchen Holmes, Hannah Robertson, Christina Szatkiewski, Jennifer Tveitnes

Follow us Check us out on Facebook, Twitter, Instagram, Pinterest and YouTube.

Please submit comments or feedback to erin.wegner@boone.health or call 573.815.3217

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1600 East Broadway Columbia, MO 65201 573.815.8000

For a FREE subscription, call 573.815.3392 or visit boone.health/my-boonehealth and click on the subscription link on the right side of the page.

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A Note from Troy

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Hospital Headlines

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Hernia Repair

Get to Know a BHC Doctor

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The Strength of Therapy

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Get to Know a BHC Nurse

Hug-A-Heart

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Boone Success Story: Tracy Sasser Even a Little Exercise Helps

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Pickleball Tips for Creating a Baby Registry

Once a Week, Cut the Meat There’s Nothing Like a Good Stretch Foundation News


A Note from Troy

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s summer gives way to fall and we enter September, we find ourselves reflecting on the significance of September 11, 2001. The horrible events surrounding that day are etched in the collective conscience of generations. Equally as impactful was the incredible sacrifice and service to others from fire fighters, first responders, and medical personnel who rallied together to help. They braved treacherous circumstances, many losing their own lives in the hope of saving others. Twenty years later, we are still a grateful nation humbled by the heroic efforts witnessed in those fateful moments. Today we find ourselves facing challenges of a different nature requiring no less of a heroic effort by caregiving team members. The global Coronavirus pandemic has strained our health systems and communities in ways unseen for nearly 100 years. Eighteen months into this battle, our community is blessed to have the brave team members at Boone Health giving of themselves by sharing their knowledge, skills, and gifts to care for others. Our collective “thank you” to our healthcare team members feels inadequate to express our heartfelt appreciation for their sacrifices.

It really is amazing to consider our creation 100 years ago was, in part, to address the last major global pandemic due to the Spanish Flu. What challenges did our founders see in the immediate future? What needs did they identify and how might they have addressed opportunities? Could they have envisioned a healthcare system 100 years later with nearly 2,000 team members, more than 400 providers, a home health agency, ambulance service, retail pharmacy and 13 clinic locations with the furthest clinics being 95 miles apart? Although they may not have envisioned what Boone Health became, they certainly had vision for the future of a growing mid-Missouri. Looking to our immediate future, how might we build on this legacy of service to our community for the last 100 years? Although detailed projection of activities can be difficult, we can look at present trends and identify categories of activities that will be critical to meeting the healthcare needs of our community. Three of these categories are Access, Value, and Operational Excellence.


A NOTE FROM TROY

Access describes how easy it is to

Our collective ‘thank you’ to our healthcare team members feels inadequate to express our heartfelt appreciation for their sacrifices.

receive service at Boone Health. This includes everything from scheduling, arrival, convenience of locations, virtual options, coordination with providers, and availability. We must see things through the eyes of our customers and remove barriers to make the experience of using Boone Health as seamless as possible. In a world where you can book a flight, reserve a hotel, rent a car, work, and shop without leaving home, what virtual options are we creating to access healthcare services? Development still needs to be done in this area, but telemedicine will certainly be a significant option moving forward. The strength and continued growth of our medical group along with community providers is critical to meet the needs of our community. This is especially true in the areas of primary care services. Our Home Health service is in a prime position for growth and well positioned to be an adjunct for other services. Boone Hospital Center is a vital resource for our broad, 26-county service area. Outlying patients, hospitals, and providers rely on us to be available when higher levels of care are needed. We must build up our greatest resource, our Boone Health team members, to accommodate these requests safely and efficiently. Ensuring we have the resources to say “yes” when needed is crucial to fulfilling our mission.

Value in healthcare is achieving the highest possible quality and service at the lowest cost. Healthcare spending represented 17.7% of the U.S. economy in 2018. We owe it to our community to be strong stewards of our resources and deliver outstanding service. The great news for Boone Health is we are an exceptional value today. To ensure that is the case going forward, we must be mindful of our

responsibilities while working with other like-minded organizations who understand the importance of creating healthcare value. Boone Health will be a strong partner and participate in networks and programs emphasizing value. We will continue to develop our ambulatory offerings to complement our outstanding hospital services.

Operational Excellence is the

backbone of a high performing healthcare organization. Ensuring our tools, systems, and processes work well is essential for high quality care. Continuous improvement to reduce variability throughout the system eliminates waste, enhances outcomes, and improves team member engagement. Focusing on operational excellence is critical as we continue to integrate various systems and platforms since becoming an independent health system on April 1. Although predicting what the future will look like is an inexact science, aspects of who we are and what we do are timeless in a healthcare organization. The core of Boone Health is our passionate team members who care deeply for their patients and each other. This passion drives our commitment to exceptional quality and service and helps us achieve our mission. Whether it was the Spanish Flu of 1918 or the current Coronavirus pandemic, Boone and our team members have been here ensuring great care is delivered to our community. I look forward to our future with great anticipation because I believe in Boone.

Troy Greer CEO, Boone Hospital Center

Boone.Health/My-Boone-Health

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HOSPITAL HEADLINES

Boone Health Receives Get With The Guidelines Stroke Gold Plus Quality Achievement Award Boone Health has received the American Heart Association’s Get With The Guidelines Stroke Gold Plus Stroke Quality Achievement Award for their commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines. Each year, program participants apply for the award recognition by demonstrating how their organization has committed to providing quality care for stroke patients. In addition to following treatment guidelines, participants also provide education to patients to help them manage their health and rehabilitation once at home. Boone Health also received the Association’s Target: StrokeSM Honor Roll Elite Award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clotbuster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.

Boone Health’s Bariatric Program Achieves Accreditation Boone Health’s Bariatric Program has been accredited as a designation level center by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. The MBSAQIP Standards, Optimal Resources for Metabolic and Bariatric Surgery, ensure that metabolic and bariatric patients receive multidisciplinary medical care, which improves patient outcomes and long-term success. MBSAQIP-accredited centers offer preoperative and postoperative care designed specifically for patients with obesity. To earn MBSAQIP accreditation, Boone met essential criteria for staffing, training, facility infrastructure, and patient care pathways, ensuring its ability to support patients with obesity.

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Cardiovascular & Pulmonary Rehabilitation Program Certified by Industry Leader Boone Health is proud to announce the certification of its cardiovascular and pulmonary rehabilitation program by the American Association of Cardiovascular and Pulmonary Rehabilitation. This certification is a recognition of Boone Health’s commitment to improving the quality of life of patients by enhancing standards of care. AACVPR-certified programs are leaders in the cardiovascular and pulmonary rehabilitation field because they offer the most advanced practices available and have proven track records of high quality patient care. AACVPR program certification is valid for three years.

Boone Hospital Center Recognized As No. 1 Hospital In Mid-Missouri For Sixth Year In A Row For the sixth year in a row, Boone Hospital Center was ranked the No. 1

hospital in Mid-Missouri by U.S. News & World Report. It also ranked No. 7 in the state of Missouri.

The 2021-2022 U.S. News Best Hospitals ranked hospitals in the U.S. in 15

adult specialties, as well as by state, metro, and regional areas for their work

in 17 more widely performed procedures and conditions. Of the nearly 5,000

hospitals analyzed and 30,000 physicians surveyed, only 175 hospitals ranked in at least one of the specialties.

Boone Hospital Center was rated high performing in the specialty

of orthopedics and in the following procedures and conditions: heart

failure, heart bypass surgery, heart attack, colon cancer surgery, kidney

failure, stroke, knee replacement, hip replacement, and chronic obstructive pulmonary disease.

The rankings have been published on the U.S. News website’s health

section at usnews.com/best-hospitals/area/mo/central-missouri.

Boone.Health/My-Boone-Health

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A New Look for the Boone Mobile Health Unit Boone Health’s Mobile Health Unit has recently received a fresh update with a new design. Purchased by the Board of Directors and the Boone Hospital Foundation, our Mobile Health Unit lets Boone healthcare professionals bring free screenings to communities across our service area. Keep your eyes open for upcoming dates – we will resume our community screenings as soon as it’s safe to do so!

Lab Services Open in Mexico On August 18, 2021, we officially cut the ribbon on the new Lab Services location in Mexico, MO. At the ribbon-cutting ceremony, Boone Health Laboratory Services was also presented with a Progress Award by the Mexico Chamber of Commerce. Located at the Boone Health Medical Group primary care clinic in Mexico, the new site makes it more convenient to get lab tests done. Both services are located at 1051 Old Farm Road in Mexico. Lab Services is open 8 a.m. to 5 p.m. Monday-Thursday and 8 a.m. to noon on Friday. For other Boone Health Lab Services sites, visit boone.health/lab

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Boone.Health/My-Boone-Health

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Hernia Repair A Boone surgeon helps a recovering cancer patient with an unexpected side effect.

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To learn more about Boone Health General Surgery, visit www.boone.health

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erald Johnson was in the midst of his home recovery from a major stomach cancer removal surgery when his wife, Gayla, pointed out something odd protruding from his incision. “She said something didn’t look right, and I looked down and saw about a 6-inch wide and 2-inch tall knot coming out of my stomach. It just appeared all the sudden. I don’t know if I sneezed or what, but just one day there it was,” says Gerald. Gerald called his oncologist who confirmed the bulge was likely an incisional hernia. An incisional hernia is a protrusion of tissue that forms at the location of a recent surgical scar. Most incisional hernias don’t cause serious problems, but there is a risk of complications. “I just had some minor discomfort. But as time went on, it bothered me more and more mentally. It was pretty big on my stomach, and I just felt like I wasn’t healing right. After a little time went by, I made an appointment with Dr. Waliye.” Hussein Waliye, MD of Boone Health General Surgery, specializes in hernia repair. Dr. Waliye explained to Gerald that in the United States, millions of people undergo open abdominal surgery every year. Out of this, 20 to 30 percent of the patients can form an incisional hernia. Most of these people present with a bulge, but they can also present with pain, small-bowel obstruction, or bowel strangulation. After examining Gerald, Dr. Waliye and Gerald both agreed surgery was the best course of action. “Dr. Waliye explained everything to me so well. I was nervous about some parts of the surgery, but he put me completely at ease.” Dr. Waliye says before any incisional hernia surgery, his first objective is to optimize his patients. This can include weight loss, smoking cessation, or diabetes management. In Gerald’s case, Dr. Waliye ensured that his cancer was in complete remission before performing the surgery. “Our goal during the operation is to restore normal anatomy and reinforce the hernia repair with mesh to decrease the chance of recurrence,” Dr. Waliye says. “In addition, we will always strive to achieve this goal using a minimally invasive approach if possible. For Mr. Johnson, we ended up doing an open retro muscular repair. He did very well. He was very motivated and was walking the

hospital halls even the night of the surgery. He was able to go home the next day.” Gerald said he was amazed with how quickly he recovered. “I felt pretty good right away. I wore my recovery belt and took it easy for a while, but I now have no restrictions and am able to live life normally,” says Gerald. Gerald is also still in full remission from cancer and is doing well. He and Gayla enjoy doing family activities with their two adult children. “We have gotten through all of this as a family, and we just love to spend time together,” says Gerald. By Madison Loethen

Hussein Waliye, MD Boone Health General Surgery

Boone.Health/My-Boone-Health

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The Strength

OF THERAPY

When Reid needed to build strength before his knee replacement surgery, he received a new type of therapy. 12

BOONE HEALTH

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For more information, visit www.boone.health/therapy or call 573.815.3868

t 78 years old, Reid Ethington has always been an active guy. He enjoys playing sports, golfing, and walking. In 1969, he had his knee operated on. After the operation, Reid says, “It’s been bone on bone since then and I’ve had no trouble.” “In this case, ‘bone on bone’ means there is no cartilage in the knee, and cartilage is what helps the two bones in the knee move together,” says Katie Darkow, a physical therapist with Boone Therapy. Reid was having no problems with his knee until he and his wife Betty took a vacation to the Gulf a few years ago. Turns out walking on the sand really irritated his knee, and it was very painful to get home. Over the years, Reid would “tweak” his knee, but it wasn’t anything that he thought needed surgery. Reid started playing pickleball with his friends, one of whom happens to be a nurse. After several games, Reid really started having problems with his knee, so his friend introduced him to Benjamin Holt, MD at Columbia Orthopaedic Group. After discussing options with Dr. Holt, Reid determined the best option would be to replace the knee. So, surgery was scheduled, and Reid was headed off to prehab. Prehab is therapy done before an event, like knee surgery, with exercises to provide strength, avoid injury or decrease pain. When Reid met Katie, he told her he was going to have a knee replacement and wanted to get stronger. Katie saw how active Reid was and wanted him to build as much strength in his

knee as possible. She recommended Blood Flow Restriction Therapy. This type of therapy is used often to build strength in a limb without having to add weight to the limb during activities or exercise. As Katie explains: “It is essentially like a blood pressure cuff that you can put on any area of the body. So with Reid, because we’re working on his knee, we put the cuff on his thigh to measure total limb occlusion. Treatment is then completed at partial limb occlusion.” Limb occlusion safely reduces the blood flow to the limb being treated. “I would have Reid relax while the cuff pumps, similar to a normal blood pressure cuff, and the machine safely determines when the total loss of blood flow occurs. From there, I can set the machine to a safe occlusion percentage, always starting off at a lower range and with patient tolerance in mind. Limiting the blood flow within a safe range creates a situation in which the muscles are required to work harder to complete the exercise. This allows for increased strength gains in a shorter amount of time than traditional exercise.” Without the blood flow restriction therapy, Reid might have added an ankle weight to his leg lifts, which could have added more pressure to his knee. “Blood flow restriction therapy was the easiest way to get that strength from him without causing more knee pain,” Katie says. Before prehab, Reid had problems going up and down the stairs of his house. Living in a house that doesn’t have a bedroom or complete bathroom on the first floor required him to use his stairs often. With his knee pain,

Katie attaches blood flow restriction to Reid’s thigh.

Katie pumps the machine to the appropriate level.

Reid wasn’t able to take the stairs very quickly, and it was painful. After a few sessions with Katie, Reid could tell that his leg was indeed getting stronger. “By the time we were done, I could go up and down the stairs at a normal pace without pain in the joint,” Reid recalls. The drawback of blood flow restriction therapy is that the therapy can feel uncomfortable. Imagine your arm in a blood pressure cuff, but you’re wondering if it’s every going to stop pumping and getting tighter around your arm. Reid quickly learned that he couldn’t wear his normal Bermuda shorts because they were too uncomfortable in the cuff. He wore a pair of gym shorts made of a thinner material, which made all the difference. “You’re doing exercises with the leg while it’s restricted, and that can be uncomfortable, but it does get easier, and it’s just a part of therapy,” Reid says. “You have to look towards the end goal, which is to improve the strength in the leg, and you have to grin and bear it.” Reid was able to do blood flow restriction along with his more typical therapy exercises, including leg lifts, sit to stand, and stair steps. Blood flow restriction therapy can help a patient build strength both before or after surgery. After Reid has his knee replacement surgery, he will return to Boone Therapy and Katie for rehab and more blood flow restriction therapy. Reid has nothing but positive things to say about his experience. “I was pleasantly surprised by this type of therapy and I can recommend it to people, and it does work”. By Erin Wegner

Reid does one set of leg lifts. Boone.Health/My-Boone-Health

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HUG-AHEART A group of women at Christian Fellowship Church provide thousands of heart-shaped pillows to Boone Health breast surgery patients. BY MADISON LOETHEN

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wice a month, a group of women at Christian Fellowship Church in Columbia meet with their sewing machines and get to work. They sew stuffed heart pillows and seat belt covers for Boone Health patients who recently underwent breast surgery. Their program is called Hug-A-Heart, and they are responsible for donating thousands of pillows to patients. The group was started by Linda McBee in 2017 shortly after she moved to town from Springfield, Missouri, and began attending church at Christian Fellowship. “I was involved in this kind of ministry in my church in Springfield, and I wanted to bring it here,” Linda says. “I lost two very dear friends to breast cancer and I’m a cancer survivor myself. I came to the church and showed them what I did. I told them I’d like to bring this to Christian Fellowship, so they posted it on the website, and little by little, women started coming to help.” Anne Petersen, MD of Boone Health General Surgery, has found the pillows to be very helpful to her patients. “I really love the Hug-A-Heart program,” she says. “The pillows are provided for patients who undergo any type of breast surgery, both men and women, and also occasionally after surgery for melanoma where we’re working across the chest or in


A Hug-A-Heart volunteer sews pillows and seat belt covers.

the armpit area. It provides something for extra comfort for positioning. It also lets our patients know that there are people who care about them and want them to feel taken care of and supported through their journey.” Linda says she is thrilled with how her program has taken off and with how many people it has helped. She’s also quick to tell you that she’d be nowhere without her fabulous group of ladies. “They’re very special,” she says. “They’re very dedicated. They seldom miss a meeting. They bring their sewing machines and get to work. They’re special to me and they’ve become very good friends.” Outside of the Hug-A-Heart program, there are a couple other groups that work to provide comfort to breast surgery patients. The Healing Chair of Columbia delivers and loans reclining lift chairs to patients’ homes after they undergo a mastectomy. Knotted Knockers provides soft, homemade knit prosthetics for women after a mastectomy. Dr. Petersen herself knits some of these prosthetics. Cleaning For A Reason provides two free home cleanings for patients in active cancer treatments. Patients can find information about all of these programs at their Boone Health General Surgery appointments. Hear from Linda McBee and Dr. Petersen on YouTube at YouTube.com/boonehealth.

Christian Fellowship Church Hug-A-Heart members meet twice a month.

Group members stuff seat belt covers.

Linda McBee, a breast cancer survivor herself, started the Hug-A-Heart program at Christian Fellowship Church.

The Knotted Knockers program makes knitted prosthetics for mastectomy patients. Boone.Health/My-Boone-Health

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BOONE SUCCESS STORY

Tracy Sasser W

hen Tracy Sasser was a young girl, around the age of 5, she had a “trick” that others would often point out: She could flutter her eyelids abnormally fast. She was often asked how she was able to flutter them so quickly, but the truth was, she didn’t know. In fact, most of the time she didn’t even know it was happening. In high school, she noticed that, in addition to blinking quickly, she would sometimes zone out or not remember what she had just said. It wasn’t until college that she had her first grand mal seizure. She assumed she had passed out for a short amount of time because of sleep deprivation or dehydration, but in reality, 40 minutes had slipped by and something much more serious was going on. This happened eight more times before the morning of her brother’s wedding, when she had a grand mal seizure that resulted in her having a large knot on her head that was “a real challenge for the makeup artist that day,” she says. It was at this point that family members became aware of her symptoms. Some members in the medical field suggested to her that it sounded like seizures and encouraged her to seek care. At the time, she was working at a smaller hospital in cardiology. She visited the hospital’s neurologist, who performed an EEG (electroencephalogram) and MRI (magnetic resonance imaging)

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to determine the cause of her seizures. While she was working, he pulled her into a separate room where he showed her the results of her EEG. From there, he told her the shocking news that she had epilepsy. She distinctly remembers allowing herself a five-minute breakdown before having to head back to work. They started her on medication right away. The diagnosis meant she could no longer drive, but she was still on call. She relied on her family members to give her rides at random hours, and they were always there for her. Shortly after

her diagnosis, she moved to Columbia and began working at Boone Health as a cardiovascular sonographer in December of 2014. She quickly found a caring community there. She says: “Everyone is like a family. You can walk through the halls and someone will always say hi, wave, or smile. You don’t always get that at big hospitals.” After moving, she started seeing neurologist Miles Goble, MD. They performed a sleep-deprived EEG to purposefully encourage seizure activity. This showed that she was having seizure


were focal seizures, coming from one activity throughout the night despite part of the brain that they could locate, her medication, and also explained to there was a possibility they could her why she felt so tired all the time. remove it. From the video EEG, they Tracy would learn that sleep deprivation found out that her condition was worse was one of her triggers for a grand mal than she thought, and she was having seizure, along with stress, alcohol, and many small seizures without realizing hormonal changes. After this EEG, they it. One subtle symptom of her seizures upped her medication and years passed was that the muscles in her leg twitch, without a seizure (2014 to 2016). It which she previously thought was just seemed that everything was going great, a restless leg. They also found out her so she and her husband, Scott, decided seizures were generalized, which meant to start a family. They were blessed with surgery was not an option. With the a baby girl named Savannah in October of 2017. Thanks to the second EEG at Boone, they knew sleep deprivation would be a problem. Her husband helped prevent this as much as he could by allowing her extra sleep and coordinating naps, but Tracy had a grand mal seizure six weeks after Savannah was born, on a Sunday. Scott called 911 and Tracy was treated at Boone, where Tracy wears her Epilepsy medical alert necklace from Laurens Hope, an organization that makes they upped her custom engraved necklaces and bracelets. medication again. Her next grand mal would be in October of severity of her symptoms, they decided 2019, two weeks after her son Ethan they needed to put in a vagus nerve was born. After this, her medication was stimulator, or VNS, as soon as possible. continually increasing to try controlling At this point, Tracy went back the seizures. Dr. Goble then suggested to Boone, where Terrance Ryan, Tracy go to MU Health Care to visit MD performed the surgery. It was their neurologist specialist for a second an outpatient surgery, so she was opinion and to perform a video EEG. allowed to go home that same day. This required Tracy to stay in the The VNS is in her chest and a hospital for a week, where they took wire is wrapped around the vagus her off her meds and made sure she was nerve and threaded up her neck. It sleep-deprived to try to cause seizures. sends impulses every five minutes in The goal was to see where in her brain 30 second durations up to her brain the seizures were coming from. If they automatically. She wears a magnet as a

belt clip which, when swiped over her chest, will double the strength of the impulses. This is useful if she feels a seizure coming on, and she has taught those around her how to use it just in case. It automatically increases in power when there’s an increase in heart rate, so she is sure to turn it off during a run. Since the surgery, Tracy does not feel as nervous about everyday life anymore. She feels stronger, more energized, and more confident to do things alone. When asked if there’s anything she is particularly excited about, she mentioned that she and her husband haven’t gone to see a movie since 2015 because of the flashing lights. With the VNS, she feels hopeful they can go again soon! As both a patient and employee at Boone, Tracy would recommend the hospital to anyone. She says it’s a place that genuinely cares about patients and communicates not only between departments, but between hospitals as well to ensure you receive the best possible care. She hopes by sharing her story, she can raise awareness of the different ways epilepsy can present, as her subtle symptoms are the reason she went undiagnosed for so long. She also wants people to know that people with epilepsy can still go on and live normal lives, work normal jobs, and have a family. Epilepsy may make it hard sometimes, but with the right care team, anything is possible. By Hannah Robinson

Boone.Health/My-Boone-Health

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Even a Little Exercise Helps By Dr. Graham A. Colditz, Siteman Cancer Center

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ere’s a secret about physical activity that you should know and share: Even a small amount can give your health a boost. And that can be really important, maybe even inspiring, to hear, especially these days. Studies have found that many people have reduced their physical activity during the pandemic. It’s easy to see why, with stay-at-home orders, safety restrictions at gyms and recreation centers, and the general upending of everyday life, including how we work, pick up kids from school, and run errands. While there’s evidence we’re returning to more regular amounts of activity, the delta variant and halting rates of vaccination mean our daily lives are likely to be disrupted to a degree for some time. But one thing we know about physical activity and health — whether it’s during a pandemic or not — is that we don’t need to get high levels of activity to start seeing benefits. Any movement you can add to your day or week is worth doing. And some of the biggest health gains can come when going from getting little or no regular activity to some activity. So, take the pressure off yourself. You don’t need to start training for a marathon or wait until your schedule lets you fit in 10,000 steps a day or hold out until the pandemic is over. Just do whatever you

can right now. And with cooler September temperatures and fall work and school schedules kicking into gear, it’s a great time to try fun and creative ways to add extra movement to your days. Here are five ideas to get you started: • Park at the far end of the lot to get extra steps to the store • Set a timer to remind yourself to stand up and take a brief walk every hour, even if it’s just around your desk or living room • Stream a five-minute video about stretching or any other light activity you might want to try, like chair yoga or tai chi • Walk with your kids to the bus stop or from the parking lot to the school • Take the stairs next time you need to go up or down a floor or two

Simple efforts like these can naturally build on each other and become part of your routine. They don’t cost a thing, and the more activity you get, the more benefits you receive. Current guidelines set a higher goal of two and a half hours or more of moderate physical activity each week because studies have found, at these levels, we see most of the health benefits. This regular activity

can lower the risk of heart disease, stroke, diabetes, and cancer, and it can boost our energy level, mood, and overall quality of life today and in the future. While that amount of activity is always a great goal, adding small amounts of movement to our days is a great place to start and worthwhile on its own. To quote from a campaign promoting the latest Physical Activity Guidelines for Americans: “Do what you can. Even five minutes of physical activity has real health benefits.”

Dr. Graham A. Colditz, associate director of prevention and control at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis, is an internationally recognized leader in cancer prevention and the creator of YourDiseaseRisk. com, a free, personalized tool for helping people reduce the risk of cancer and other chronic diseases. An epidemiologist and public health expert, he has a long-standing interest in the preventable causes of disease. Colditz has a medical degree from The University of Queensland and a master’s and doctoral degrees in public health from Harvard University’s T.H. Chan School of Public Health.

Boone.Health/My-Boone-Health

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PICKLEBALL Check out this fast-paced sport that’s growing in popularity!

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ickleball, a racquet sport similar to tennis or badminton, was started in 1965 by a Seattle family looking for a new game to play. Half a century later, pickleball courts are popping up around the country as people look for new ways to get outdoor exercise. This fast-paced sport offers fun for people of all ages and is easier to learn than tennis. Pickleball is played on a pickleball court or tennis court marked with pickleball boundary lines. A pickleball court is smaller than a tennis court and the net is typically lower. Some pickleball courts are indoors, but may be hard to find. Pickleball can be played in singles, with one person on each side of the court, or in doubles, with two people on each side of the court. Beginners may enjoy playing doubles because it offers better court coverage and easier return of the ball to opponents. Like tennis, each game starts with a serve. Pickleball uses an underhand serve into the opponent’s service box, which is diagonal from the server. The ball must bounce into the service box and be returned with a bounce over the net and into the server’s court. A match consists of the best 2 out of 3 games that are played to 11 points with a lead of 2 points over the opponent. There are many differences between tennis and pickleball rules, so make sure you know how to play correctly.

Check the official USA Pickleball site at usapickleball.org to learn how to play. You can find videos online which explain the rules for Pickleball and give instruction and tips on technique. EQUIPMENT Pickleball equipment consists of a small solid racquet, called a paddle, and a hard plastic ball similar to a whiffle ball. Paddles and balls can be found at most sporting goods stores. Paddles can be made of wood, plastic or fiberglass – I personally have enjoyed using a fiberglass paddle. Different court balls used for indoor and outdoor play. Because the ball has holes, windy days can make playing pickleball more of a challenge. The price range for equipment can range widely, from $20 to $150 and up, but you don’t have to invest much money to start playing – I found my set online for $40. To play pickleball, you’ll also need good court shoes that allow for quick lateral and front-to-back movements. BENEFITS Pickleball is a fun, energetic game that demands quick decisions and strategy to outsmart your opponents. It’s a fast game,

it’s not hard to learn, and the equipment is easy to pack for a family vacation. Pickleball will make you work hard and break a sweat, too, which can be good for your health. A study by Leslie E. Smith, et al., published in the International Journal of Research in Exercise Physiology found that, after a six-week training period, a group of 15 middle-aged or older men and women who played an hour of pickleball three times a week had a significant reduction of cardiovascular risk factors over that period. LDL cholesterol and blood pressure were lowered while increased HDL was reported. Prolonged aerobic activity was associated with increased oxygen consumption was associated with prolonged aerobic activity. Pickleball is a moderate-intensity activity, burning around 350 calories a match. If you’ve mastered the basics and want a challenge, Pickleball tournaments are a great way to meet other active people. You can find and join tournaments online at usapickleball.org. If you’re interested in trying a new sport, pickleball will definitely keep you moving! By Gretchen Holmes, MS, Boone Health Exercise Physiologist

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BRIN GIN G UP BOO N E BABIES

TIPS FOR CREATING A BABY REGISTRY BY MARIA BICKELL, BSN, RN, IBCLC, BOONE FAMILY BIRTHPLACE

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T

he stress of a new baby can surprisingly start before baby has even arrived! Many expectant parents will create a baby registry as they prepare for their new family member, but it can be easy to get quickly overwhelmed while making your list. These tips can make it easier for you to let family and friends know what you need or want for your new baby – and to stay excited about your journey towards parenthood.

• First, decide if you want a registry with a specific store or a universal registry, which lets you list desired items from more than one store or company.

• Offer flexibility like a group gifting option for large items, gift cards, or help and favors that allow more people to donate their money or time.

• There’s no right or wrong time to create your list. You can make a private list to start then make it public later, such as when you know your baby’s sex or after shower invitations are sent.

• Research items before adding them to your list. Read online reviews or product guides, talk to parents who’ve used the product or, if possible, test it out in the store.

• Organize your list into categories so that the Wants don’t outweigh the Needs. • Think about your available space before adding large items to the list. Check the listed sizes and make sure they’ll fit. • Balance your list with items of varied cost so gift givers can contribute and stay within their budget.

• Babies grow and change quickly and can become quite particular, so don’t stock up on too much of one size or items that may be needed after your baby is over 6 months old. • According to research, the most common items bought as baby gifts are blankets and clothes. Because people who buy a gift outside of your registry will likely buy these items, don’t go overboard adding blankets and clothes to your list.

• Keep in mind that a baby’s skin is sensitive. You’ll definitely need diapers, wipes, lotions, soaps and other products that come in contact with baby’s skin. Include a few different types on your list to try out and see which works best for your baby. • Bottles can also be hard to choose before your baby uses them, so list a few different types to start. • Don’t forget to list health and safety items that you’ll need, such as a baby first aid kit, thermometer, nail clippers, baby gates, or outlet covers. • Most importantly, HAVE FUN! Preparing for your little one’s arrival is an exciting time, and creating a baby registry lets your family and friends share in that excitement!


GETTING TO KNOW A BHC DOCTOR

Phillip Beck, MD

Boone Hospital Center Infectious Disease

I

grew up in the small town of St. Elizabeth, Missouri. I completed my undergraduate studies in biology at the University of Missouri and stayed at MU for medical school. I completed my internal medicine residency program, followed by my fellowship in infectious diseases, both with MU Health Care. I have had the pleasure of serving as the infectious diseases specialist with Boone Health Medical Group since July 12, 2021.

Why did you get into the healthcare field? I always had an affinity for science, including biology and chemistry, during my formative years. Two of my older cousins went to medical school, which was a large part of why I considered entering the healthcare field. I eventually decided to apply my love of science and desire to help others by pursuing a career in medicine as a physician. It turned out to be the perfect career choice for me, and I love what I do. What interested you in your particular specialty? Internal medicine was attractive due to its cerebral nature and variety. I discovered that the infectious diseases specialty is internal medicine on steroids — incredible amounts of problem solving, critical thinking, and detective work — which led me to select that as my specialty. ID affords the chance to see a wide variety of patients in both inpatient and outpatient settings with a multitude of infections including bacteria, viruses, fungi, and parasites that can all affect different parts of the body. We get to be on the cutting edge of medicine and technology to tackle newly discovered infectious organisms (such as SARS-CoV-2, the virus that causes COVID-19) and combat other new problems such as antibiotic resistance. What is the most rewarding aspect of your job? The most rewarding parts of my job are helping solve a difficult or complicated case and making the diagnosis that allows a patient to be cured. What is the most challenging aspect of your job? The most challenging aspect of my job is when a patient has an infection and either there’s no good treatment available or the available antimicrobial has significant side effects, such as organ damage. What do you see changing in health care in the next five to 10 years? Telehealth will have an increasingly important role to provide specialty care to more rural areas that otherwise

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wouldn’t have that added expertise available. Medicine will likely continue its trend of being more sub-specialized. What advice would you give someone looking to become a doctor? Be sure to have adequate exposure to the field by shadowing physicians, researching all required schooling and training, and understanding the time and work demands of the profession. If you think you will enjoy medicine and have the desire to achieve that goal, then go for it. At the end of the day, you have to do what you love or you won’t be happy. What do you enjoy doing outside of work? I enjoy spending time with my family, friends, and my wife, Danielle Linneman Beck. We were married in 2019 and will be celebrating our second anniversary this month. We enjoy trying new restaurants around mid-Missouri and watching TV shows and movies. I am a huge sports fan; I enjoy watching and attending games of the Mizzou Tigers, St. Louis Cardinals, and Kansas City Chiefs. During April through October, I play slow-pitch softball with friends at Cosmo Park in Columbia. I enjoy hunting deer and turkey in my hometown during the fall and spring, respectively. What advice would you give to someone who is going to be a patient in a hospital for a period of time? I would encourage patients to get to know their physician and the rest of their care team. It’s important to build this relationship so everyone involved can share information more easily and be comfortable with one another. Patience is important as well, be it waiting for a procedure or a test result — having that in mind from the start will lead to a more satisfying experience.


GETTING TO KNOW A BHC NURSE

Ty Dille, BSN, RN Operating Room

I

am from Macon, Missouri, and was born right here in Boone Hospital. I’ve also lived in Kansas, where I worked as a finish carpenter before earning my BSN at Wichita State University. I have worked in the operating room at Boone Health since returning home to Missouri in 2016. I love my job and really enjoy living in Columbia.

Why did you get into the healthcare field? I wanted a career that was challenging yet rewarding, and healthcare fit that perfectly. I suppose I’m also following in the footsteps of several of my family members who work in healthcare, including my mom, who’s the best nurse I know. What interested you in your particular specialty? When I did my first clinical rotation in the OR during nursing school, I immediately knew I had found my specialty. I was fascinated at seeing all the pieces come together to perform a surgery and the profound, positive impact it had on someone’s health as a result. The process required the coordination of many talented and knowledgeable people, and I wanted to be a part of it. What is the most rewarding part of your job? It is incredibly rewarding to help a person through what is likely one of the most difficult and vulnerable times in their life, and I get to do so alongside the many fantastic physicians and health care professionals at Boone Health. We are truly fortunate to have such a great group of people. What is the most challenging aspect of your job? Taking care of others comes with a responsibility that can feel heavy at times, but the reward of helping others outweighs the burden. What has changed in your field since you started practicing? Healthcare in general is always evolving, and the world of surgery is certainly no exception. The introduction of new

techniques, equipment, and instruments is a challenging yet necessary part of the process. What do you see changing in the next 5 to 10 years? I believe we will continue to see many advancements in the OR, including improvements in robotic-assisted surgery, instrumentation and implant technology. What do you enjoy doing outside of work? I enjoy woodworking and anything outdoors, including fishing, hiking and gardening. I also love exercising and cooking. What advice would you give someone looking to become a nurse? Healthcare can be a stressful setting, and as we’ve experienced recently, additional challenges can increase the strain on our emotional well-being. Your patients and co-workers need someone who projects kindness and positivity. Try to be that kind of nurse.

Boone.Health/My-Boone-Health

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ONCE A WEEK,

Cut the Meat BY CRISTINA SZATKIEWSKI, RD, LD, & JENNIFER TVEITNES, RD, LD CLINICAL DIETITIANS, BOONE HEALTH BARIATRICS

D

id you know that by just cutting out meat one day a week, you could reduce your risk of chronic disease like heart disease, diabetes, and cancer? Research has shown that a plantbased diet may be the key to disease prevention and overall health. If you’re not ready to make a huge change in your diet, there are still ways you can decrease animal proteins and increase plant proteins.

Why Choose Plant-based?

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Fall 2021

Protein Stretching

Protein stretching refers to replacing portions of animalbased proteins with plant-based proteins. For example, try incorporating a can of unsalted black beans when preparing taco meat. This simple swap will decrease fat and increase fiber while also resulting in a larger number of servings. (Leftovers, anyone?)

It’s good for your budget. Not only is meat more expensive, but so are the costs associated with chronic diseases.

It’s good for your heart health. By cutting out meat, you could reduce the amount of saturated fat in your diet. Saturated fat should be limited because of the association with heart disease and many cancers. It’s also good for your digestive health. Many plant-based proteins are a good source of fiber, a nutrient that most people do not get enough of. Fiber promotes fullness, aids in weight management, is essential for bowel regularity, promotes heart health, and can help prevent certain cancers. Going plant-based can help your wallet, too. Not only is meat expensive, but so are the costs associated with chronic diseases. For example, one serving of chicken breast will cost you around $1.15 and a serving of ground beef will cost you $1.45, while the same amount of protein from black beans would only cost $0.50. The saturated fats found in animal proteins can also increase your risk of chronic disease and related medical bills, while the fiber found in plant proteins can decrease your risk.

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Lastly, it’s good for the environment. By eating one less pound of meat per month, you can save the earth well over 1,000 gallons of water.

Meatless Monday

You may have heard the phrase “Meatless Monday” before. Meatless Monday is a nonprofit initiative started by Johns Hopkins Bloomberg School of Public Health in collaboration with the Center for a Livable Future with the goal of reducing meat consumption by 15%. The purpose is to benefit not only our personal health, but the health of the environment. Once a week, cut the meat. On Mondays, enjoy a vegetarian diet for breakfast, lunch, and dinner. Take it a step farther by going vegan (completely plant-based) for one or all meals.

What About Protein?

Protein isn’t just from animals. There are many plant-based sources of protein.


Plant Based Proteins

Soy* (edamame, tofu, tempeh, soy milk, and other soy products) • Nuts, seeds (includes hemp, chia, and flax) • Beans, legumes (includes peas) • Grains (oatmeal, quinoa*, etc.) • Nutritional yeast • Plant-based meat substitutes (these incorporate one or more of the above foods) *These are considered complete proteins, meaning they have all nine essential amino acids. Unsure where to get started with a plant-based meal plan? See this sample day for easy ideas. Breakfast

Hot quinoa with fresh fruit and nuts. Lunch

Burrito with beans and vegetables. Dinner

Lentil soup or bean chili. Snacks

Trail mix (nuts and dried fruit) or apple slices and peanut butter.

Tips for Success: •

Don’t just eliminate meat. Eat more whole grains, beans, lentils, and vegetables. Make sure to incorporate a good plant protein with every meal, especially if it’s completely meatless. Keep it simple. Try a recipe like meatless bean chili, which has plenty of vegetables and plantbased protein.

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THERE’S NOTHING LIKE A GOOD STRETCH A Boone Exercise physiologist shares simple stretches you can do before any physical activity or sport to reduce a possible injury.

Did you know that it is better to warm up before stretching? A warm-up, such as walking for 5 to 10 minutes, increases the blood supply, oxygen, and nutrients in the muscles. To reduce your risk of injury from exercise, sports or other physical activities, it is best to stretch first. Stretching your muscles can help with your range of motion and flexibility. Before starting any new exercise program, please consult with your doctor. Also talk to your doctor or primary care provider if you feel any pain while doing any of these stretches. By Gretchen Holmes, MS, Boone Health Exercise Physiologist

Deltoid Stretch

Tricep Stretch

Stand with your feet shoulder width apart. Extend one arm across the chest. Keep the extended arm straight while applying gentle pressure with the opposite hand. Do not raise your shoulders. Hold this stretch for 10 seconds. Repeat the stretch with the opposite arm.

Bend one arm so that the elbow is close to the ear. Gently stretch the arm backwards with the opposite hand. Keep your head looking forward and avoid dropping your chin. Hold this stretch for 10 seconds. Repeat the stretch with the opposite arm.

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Quadricep Stretch Bend one leg so that the foot is close to the buttocks. Hold the foot while keeping the knees slightly close together. You may want to hold onto a countertop for balance if needed. Hold this stretch for 10 seconds and repeat the stretch with the opposite leg.

Pickleball Locations in Columbia, Missouri I N D O O R C O U RT S • The ARC 1701 W. Ash St. • The MAC 2900 Forum Blvd. • Columbia Sports Fieldhouse 4251 Phillips Farm Rd. O U T D O O R C O U RT S • Albert Oakland Park 1900 Blue Ridge Rd.

Tennis Courts in Columbia, Missouri • Cosmo Park 1615 Business Loop 70 W. • Cosmo-Bethel Park 4500 Bethel St. Hamstring Stretch Raise one leg off the ground to a comfortable level. Use a stair railing or stable support for balance if needed. Keep the legs straight with a slight bend in the standing supporting leg. Keep the back straight and the torso directly above the hips. Hold the stretch for 10 seconds and repeat the stretch with the opposite leg.

• Fairview Park 1001 S. Fairview Rd. • Green Tennis Center 2001 S. Providence Rd. • Oakland Park 1900 Blue Ridge Rd.

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FOUNDATION NEWS

2021 Golf Classic

The Boone Hospital Foundation’s annual golf tournament took place on July 12, 2021, at The Club at Old Hawthorne. We had a sold-out tournament, and we are so thankful to our sponsors and to the 46 teams who came out to support the Walter Johnson Supportive Care Program. Funds raised from the 18th Annual Golf Classic will provide resources to enhance care for Boone Health patients with life-altering or end-of-life illnesses. A SPECIAL THANK YOU TO OUR GENEROUS SPONSORS:

Foundation Fan Sponsors

Additional Sponsors

Hole Sponsors

Dr. Andrew and Kim Getzoff

Welltower TIG Advisors

American Document Solutions

Orscheln Industries Woodrail Centre

Urology Associates of Central Missouri

Phoenix Textile Corporation

Macadoodles

Septagon Construction

Missouri Cancer Associates

Harold G. Butzer Inc.

Shelter Insurance

Columbia Landcare

Environmental Engineering

S.M. Wilson & Co

The Club at Old Hawthorne

Boyce & Bynum Pathology

Drewing Automotive Group

Schindler Elevator Corporation

Williams-Keepers Morrison Healthcare

Betsy and Tim Vicente

Bob and Brenda Wagner

Rusk Rehabilitation Center PTC Laboratories 30

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Fall 2021


2021 Boone Hospital Foundation 2021 Boone Hospital Foundation

2021 Saturday, October 30th Saturday, October 30th In keeping our community’s health in mind, we invite you to join us from the In keeping our community’s health in safety of your home in celebrating mind, we invite you to join us from the Boone Hospital Center’s 100th Birthday safety of your home in celebrating Boone Hospital Center’s 100th Birthday

CALENDAR OF EVENTS OCTOBER 21 - 22

Scrubs on Site Virtual Sale OCTOBER 30

Since 1921 Boone has been a healthcare leader in our community. You are invited to investHospital in the next generous Boone SinceThrough 1921 Boone has donations, been a healthcare leader in 100 years ofspecial Booneequipment, Health! provides Foundation helps fund our community. You are invited to invest in the next advanced education training for caregivers 100 years ofand Boone Health! online at programs. and supportsDonate community outreach Donate online at: www.boone.health/foundation/2021-gala

mailprogram donatonsor to:service nearest to Direct your gift toOrthe www.boone.health/foundation/2021-gala Donate online at:Boone www.boone.health/foundation/2021-gala Hospital Foundation

Centennial Gala DECEMBER 2021

CoMo Gives Campaign

your heart.OrFuture patientsto:and families mailBroadway, donatons 1600 East Box 88 will thank you. Boone Hospital Columbia, MOFoundation 65201 1600 East Broadway, 88 or mail donations to Foundation Office: (573) Box 815-2800

Columbia, MOimpact 65201patient care. 100% of your gift will Boone Hospital Foundation Foundation Office: (573) Thank you for being a part of815-2800 enhancing lives, 1600 East Broadway, 88 care! saving lives and transformingBox patient

Columbia, MO 65201 Foundation Office: (573)815-2800 Thank you to the following sponsors for supporting this event! Thank you to our sponsors for supporting this event.

Board Members Leadership Board President: Paul Mehrle

Boone Health Representative: Drew Wilkinson

Board VicePresident: Betsy Vicente

Active Boone Physician Representative: Dr. Tim O’Connor

Board Secretary: Sara Jeffrey Board Treasurer: Larry Swindle

Community Members Wally Bley

Representatives

Will Markel

Board of Trustees Representative: Jan Beckett

Dr. James Roller

Board of Trustees Representative: Randy Morrow

Genie Rogers Jolene Schulz Nancy Thomas Becky Willard

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Boone Hospital Center 1600 East Broadway Columbia, MO 65201 573-815-8000

NONPROFIT U.S. POSTAGE

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COLUMBIA, MO PERMIT 286


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