My Boone Health - Fall 2023

Boone Health FALL 2023

Back in the

Workshop

Dale Vogt got the help he needed to get back to making wooden toys for children in need.

PG. 10

PG. 14

All About Your A1C

“The amount of clinical experience sets the Stephens nursing program apart from others.”

—Kaylee Morton, Class of 2023

Why is Stephens College a smart option for aspiring nurses? The 3-year BSN Program is direct entry, so students are part of the nursing class from day one, and they complete their degrees faster. With a 100% NCLEX pass rate, 100% employment rate, strong partnership with Boone Hospital and a culture that has empowered women for nearly 200 years, Stephens College may be the perfect place to Learn. Grow. Lead.

Table of Contents 16

MANAGING EDITOR

Erin Wegner Marketing & Communications Consultant I COPY EDITOR

Jessica Park Communications Consultant II CONTRIBUTING WRITER

Madison Loethen Digital Communications & Marketing Consultant II ADDITIONAL CONTRIBUTING WRITERS

Tiffany Carmichael, FNP; Kristin Dietiker, MD; Kristen Howard; Hayden Legg; Jenny Workman CONTRIBUTING PHOTOGRAPHERS

Madi Green

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

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

5

A Note from Gene

20 What is RSV?

6

Hospital Headlines

8

22 Dr. To Know

Life-Flighted

23 Nurse To Know

10 Back in The Workshop 12 A Pinched Nerve 14 All About Your A1C

24 Chemical Peels 26 Grains Galore!

16 One Step At A Time

28 Relieve Lower Back Pain

18 Dry Needling

30 Foundation News

24

Board of Directors CHAIR

Jerry Kennett, MD

VICE CHAIR

Bob McDavid, MD

S E C R E TA RY

Jan Beckett

TREASURER

William “Barry” Orscheln

MEMBER

Greg Steinhoff

Charles P. Bondurant, MD, FABNS, FACS

Dianne M. Lynch, Ph.D.

Randy Morrow

Stacye Smith

Judy Starr

Gary W. Thompson, MBA

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BOONE HEALTH

Fall 2023

A NOTE FROM GENE

Honoring Our Past, Building for Our Future W

hen I’m not serving as an interim executive, I teach graduate-level students in Health Care Administration at a university just west of here. I start each semester by describing the complexity of the healthcare industry.

Healthcare is a field with many constant changes, policies, opinions, and environmental factors that affect how we operate.

Managing a hospital has many components, including (but hardly limited to) federal, state, and local regulations; hiring and retaining healthcare professionals; proper handling of insurance, billing, and reimbursements; building community relationships; and, above all else, meeting our patients’ needs and expectations.

A hospital administrator needs to know and understand not just what happens inside their hospital, but what’s happening in their community and nationwide.

This complexity is why healthcare organizations across the nation must continue to remain responsive to a wide array of challenges and accept that our industry will change whether we’re prepared or not. This isn’t a field where “We’ve always done it that way” applies. It’s important to honor our past and learn from our experiences, but our future is critical, and we must be ready and willing to meet it with innovative approaches.

Boone Health is uniquely prepared as your community healthcare organization to be responsive to your needs, your family’s needs, and your community’s needs. While you may hear about the challenges faced by hospitals nationwide, I have seen how Boone has resources in place to deal with these issues, prepare for the future, and navigate uncertain waters.

Along with changes in technology and medicine, healthcare itself has changed since the 20th century as we continue to shift from caring for the acutely ill to helping people achieve their best possible health and focus on what matters to them most.

No matter what changes, one thing will remain the same – Boone Health is committed to top-quality patient care and to serving the people and communities of mid-Missouri. Since 1921, through prosperous and challenging times, this community hospital has consistently set high standards for patient care and experience, and that is one thing from our past that will endure.

As healthcare continues to change, there is always more to learn – and that applies to me, as well. The lessons I’ve learned during my time at Boone demonstrate that community hospitals are essential for a strong community.

The experiences I’ve had and relationships I’ve built will be invaluable to share with the future healthcare leaders I teach. I look forward to seeing how they will learn from and honor our past while building for the future.

Gene Meyer Interim CEO, Boone Health

It’s important to honor our past and learn from our experiences, but our future is critical, and we must be ready and willing to meet it with innovative approaches.

Boone.Health/My-Boone-Health

5

HOSPITAL HEADLINES

Missouri Cancer Associates Welcomes New Provider

U.S. News & World Report Names Boone Hospital Among Best Hospitals for 2023-2024 Boone Hospital Center has been named the #1 hospital in mid-Missouri and #7 hospital in the state of Missouri by U.S. News & World Report in its 2023-2024 Best Hospitals report.

Boone has held the top spot in mid-Missouri since 2015.

U.S. News evaluated more than 4,500 hospitals across 15 specialties and 21 procedures and conditions; only 12% of evaluated hospitals earned a Best Hospitals ranking. Hospitals awarded a “Best” designation excelled at factors such as clinical outcomes, level of nursing care and patient experience.

Hospitals are ranked from 1 to 50 in each specialty, with only 10% of all rated hospitals receiving a designation of “high performing.”

Boone Hospital Center ranked “high performing” in abdominal aortic aneurysm repair, aortic valve surgery, back surgery, colon cancer surgery, heart attack, heart bypass surgery, heart failure, hip replacement, knee replacement, leukemia, lymphoma, myeloma, prostate cancer surgery, and stroke.

“For 34 years, U.S. News has provided data-informed rankings to help patients and their doctors find the best hospital to treat their illness or condition,” said Ben Harder, chief of health analysis and managing editor at U.S. News.

U.S. News estimates that nearly two million hospital inpatients a year face the prospect of surgery or special care that poses either unusual technical challenges or significantly heightened risk of death or harm because of age, physical condition or existing conditions. The rankings are a tool that can help these patients find sources of skilled inpatient care.

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Alexandre Tungesvik, MD has joined Missouri Cancer Associates. Carrying on the legacy of his father, Dr. Tungesvik has recently completed a fellowship in hematology & medical oncology at the University of Iowa Hospitals & Clinics.

Missouri Cancer Associates is located at 1705 E. Broadway, Broadway Medical Plaza 4, Suite 100.

For more information, call 866.724.2413 or visit www. missouricancer.com.

Urology Associates of Central Missouri Welcomes New Provider Phillip Fish, MD has joined Urology Associates of Central Missouri.

Dr. Fish is a St. Louis native and completed medical school at the University of Missouri.

Dr. Fish specializes in minimally-invasive robotic procedures, the surgical treatment of kidney and prostate cancer as well as the management of BPH and kidney stones.

Urology Associates of Central Missouri is located at 105 Keene Street in Columbia. For more information, call 800.303.1018 or visit CentralMoUrology.com.

Boone Health Recognized by American Heart Association Boone Health Ranks High In Consumer Loyalty Boone Health has been named in the top 100 in the NRC Health 2023 Consumer Loyalty Awards.

The 100 top-performing hospitals are identified through the nation’s largest healthcare consumer-perception survey, conducted by NRC Health. The Market Insights survey annually measures the opinions of more than 300,000 consumers in over than 300 markets across the 48 contiguous United States.

The Consumer Loyalty Awards recognize healthcare organizations that consumers rate the highest on an equally weighted combination of Net Promoter Score (NPS), Brand Perception (overall image and reputation), and NRC Health’s proprietary Human Understanding Metric. To qualify for consideration, organizations must have received at least 150 Top-of-Mind mentions on NRC Health’s national Market Insights study between April 1, 2022 and March 31, 2023. Market Insights is the largest online healthcare consumer-perception survey in the U.S., measuring the opinions, behaviors, and profiles of 310,000 people annually.

Boone Health has received the American Heart Association’s Mission: Lifeline® NSTEMI Gold achievement award for its commitment to offering rapid, researchbased care to people experiencing a specific type of heart attack known as a non-ST elevation myocardial infarction (NSTEMI).

It also received the American Heart Association’s Mission: Lifeline® STEMI Receiving Center Gold recognition for its commitment to offering rapid, researchbased care to people experiencing an ST elevation myocardial infarction (STEMI), a type of heart attack known to be more severe and dangerous than other types of heart attacks.

Mission: Lifeline is the American Heart Association’s national initiative to advance the system of care for patients with high-risk, time-sensitive disease states, such as heart attacks. The program helps reduce barriers to prompt treatment for heart attacks – starting from when 911 is called, to EMS transport and continuing through hospital treatment and discharge. Optimal care for heart attack patients takes coordination between the individual hospital, EMS and health care system.

“When someone experiences a heart attack, American Heart Association guidelines call for specific actions in the hospital, as well as appropriate medications and cardiac rehab activities following a hospital stay,” said James G. Jollis, M.D., volunteer for the American Heart Association’s Get With The Guidelines® Coronary Artery Disease Systems of Care Advisory Work Group and cardiologist with The Christ Hospital Physicians – Heart & Vascular in Cincinnati.

“Organizations like Boone Health are recognized for consistently providing patients with guidance, medication and rehabilitation opportunities that give the patient the best chance of preventing another cardiac event.”

The Mission: Lifeline achievement award is earned by hospitals that demonstrate a commitment to treating patients according to the most up-to-date research-based guidelines for heart attack care as outlined by the American Heart Association.

Boone.Health/My-Boone-Health

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LIFE-FLIGHTED Boone’s team effort saves Zach’s life and stabilizes him for transport!

Z

ach Traylor sits across from the doctor who saved his life. The last time Zach was in front of Michael Brown, MD, MS of Missouri Heart Center, Zach was in a Pheo Crisis – a rare, life-threatening endocrine emergency.

But how did a seemingly healthy 24-year-old get to this point?

Zach was enjoying life. He was in his second year of PhD school at the University of Missouri. He loved to read, loved to cook, loved to try new recipes and especially loved to do science and his research.

In June 2022, Zach started waking up to a pounding heart – not pounding fast, just pounding hard. “It was a little concerning at first,” Zach says, “but eventually, things would get occasionally worse and that beating would go to my brain and my stomach and it would be agonizing pain.”

Zach went to his general practitioner who referred him to an electrophysiology expert in the cardiology department. He did a full echocardiogram, was put on a heart monitor for a month and nothing was found to be wrong with the functioning of Zach’s heart. With nothing to diagnose, Zach was advised to stay healthy and to come back if it got much worse.

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Fall 2023

Zach Traylor and cardiologist Michael Brown, MD, MS

As time went on, his episodes would last around 15 minutes. Sometimes they would be every night, and sometimes they would be months apart.

On Super Bowl Sunday in February 2023, Zach felt really sick. He attributed it to a fun weekend and thought that maybe he was hungover. As the day went on, he started feeling much worse. The pain that he attributed to his episodes was lasting for a couple of hours. Realizing this was a lot different, he headed to the Emergency Room.

Once Zach was admitted, he got rapidly worse. His blood pressure was very high, and after a couple of hours, he had his first cardiac arrest and had to be resuscitated. He tested negative for any virus, but every time the hospital staff tried to move him for more additional tests, Zach would go into cardiac arrest.

Zach was seen by cardiologist Michael Brown, MD. “Zach had a couple cardiac arrests before I got involved,” said Dr. Brown. “When Zach came to my attention, his body was in a shock state.”

Zach’s body was in Pheo crisis – a rare, life-threatening endocrine emergency.

“With Zach’s case, I knew we needed ECMO,” said Dr. Brown. ECMO – extracorporeal membrane oxygenation – is

a form of life support used for adults with life-threatening heart or lung problems.

ECMO provides time for the body to rest and recover by doing the work of the heart and lungs.

Realizing that Boone Hospital did not have the capability to keep Zach alive, as he was in cardiopulmonary collapse, his only hope was to be transferred to a facility capable of providing ECMO. At that time, Dr. Brown made the decision to transfer Zach to Barnes-Jewish Hospital where he could receive this treatment.

“Because Zach’s lungs had decompensated at that point, we weren’t going to be able to transfer him without being on something,” Dr. Brown explains.

“We took him to the Cardiac Cath Lab and put in an Impella Heart Pump.”

The Impella heart pump is used when patients need help pumping blood for a short amount of time. This would support his heart with blood flow but would not recover his lungs.

While still precarious, Zach was transferred to St. Louis by Helicopter.

Once Zach got to Barnes, he was hooked up to every life support machine they had. Most of his organs crashed and would need time to recover. After he was stabilized, they were able to do

a CT scan. Through the CT scan, a mass was found in his lower torso/abdomen. Ruled as an adrenal tumor – pheochromocytoma – a rare, usually noncancerous tumor that develops in an adrenal gland.

The tumor had been releasing hormones and all kinds of chemicals into Zach’s bloodstream. It had been mildly releasing epinephrine into his blood stream which would cause the heart pounding, headaches, and pain. When Zach crashed at the hospital, the tumor was pumping epinephrine into his blood stream continuously and it overloaded his heart.

Once the tumor was diagnosed, they were able to put Zach on medications which blocked the toxic effects of the secreted hormones. Soon, his liver, lungs and heart began the slow recovering process.

After his body had time to recover, the tumor was removed and was benign.

Measuring in at 10 centimeters, it was one of the largest tumors Zach’s surgeon had ever seen. The tumor was so large that it pushed one of Zach’s kidneys down and displaced it.

As Zach and Dr. Brown sit across from each other, Zach says, “I’m really excited and happy with how things turned out.

Just a few scars and a few things I have to work through – minus one adrenal gland. I do appreciate everything you did for me”.

“My pleasure,” Dr. Brown replies.

“I’m just so happy it turned out positive.

You were kind of the talk of the whole hospital for a while. You had a lot of people pulling for you.”

Zach is now tumor free and back to doing the things he loves. Looking forward to finishing his PhD, Zach is grateful for everything that was done to save his life. By Erin Wegner

Boone.Health/My-Boone-Health

9

Back in the

Workshop Dale Vogt and his wife Jackie.

Dale Vogt got the help he needed to get back to making wooden toys for children in need.

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Fall 2023

91

-year-old Dale Vogt enjoys spending his days in his woodworking workshop, making little toys to give to children in need. Woodworking has been a passion of his since he was just 8 years old, learning from his older cousin.

“The Boone Health team is who has gotten me back to doing what I love time and time again,” says Dale.

Dale’s journey with Boone Health began years ago when he had a quadruple coronary artery bypass surgery to treat multiple blockages.

“The whole team, the cardiologists, nurses, physical and occupational therapists, and everyone at home health all worked together so well and were so compassionate and wonderful,” says Dale’s wife Jackie.

One thing that was important to both Dale and Jackie after each of Dale’s health ailments was getting Dale back in the kitchen.

“In physical therapy and occupational therapy, they always set goals. One goal was to get Dale cooking again. He’s the cook in our house and it wasn’t long before he was back to making breakfast every morning,” says Jackie.

A couple years after his bypass surgery, Dale had another stay at Boone Hospital when he broke a hip.

“Again, everyone we worked with was just wonderful. Compassion is big here,” says Dale.

Dale, unfortunately, broke his other hip not long after and then later his pelvis. This led to several more surgeries and hospital stays at Boone Hospital.

“My cardiology team was always very involved in my care, and the whole team took care of both me and Jackie throughout the entire experience,” says Dale.

Jackie says she appreciates the family approach to care.

“They were so great about keeping me informed about everything involved in Dale’s care. At one point, they even had someone come sit with him through the night when he was having a reaction to some medication. It was such a relief to know he was being cared for so well,” says Jackie.

Following his hospitalizations, Dale received visits from Boone Health Home Care and Hospice.

“The home health team was just amazing. They worked on his balance and strength to prevent any further injuries. They always worked on their goals and really built confidence in him as he would improve,” says Jackie.

Dale says he can’t believe how far he’s come.

“I’m able to do what I enjoy again. I’m making breakfast, riding my riding lawn mower, and woodworking,” says Dale.

Dale still regularly attends Boone Therapy for outpatient physical therapy and occupational appointments.

“I am continuing to get more movement and get stronger. I often tell people about my wonderful experience with Boone and how much everyone there has helped me,” says Dale.

Dale and Jackie are very involved in their church, Olivet Christian Church, and Dale donates the wooden toys he makes through its Operation Christmas Child program. Because of Dale’s work, dozens of children in need receive handmade wooden toys every year for Christmas. By Madison Loethen

Boone.Health/My-Boone-Health

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Roger Cathey by his trophies from football and baseball.

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A Pinched Nerve I

t was a sunny day in September 2022. The weather in Macon, Mo. had consistently been in the 80s and Roger Cathey was outside soaking up the sun. Not one to sit around, Roger loves being outdoors, whether he’s mowing, fishing, gardening or planting his wife Pat’s flowers.

As Roger was mowing, he got his riding lawn mower stuck highcentered on a stump. Roger shrugged his shoulders and thought, “Well, I’ll just pick it up and get it off this stump so I can finish mowing.”

Once he reached down and grabbed the front of his mower and pulled up, he felt a sharp pain that he says “hurt like crazy,” but Roger didn’t think that any serious damage was done. He had his grandson help move the mower so he could finish mowing and took some pain medicine that night.

The next night was worse. Roger says the pain was so intense, he thought he was having a heart attack. “It hurt clear down that arm and into my chest. I couldn’t lay down flat without my whole side hurting. I have never felt pain like that in my life.”

Being active throughout his life – playing both football and baseball – Roger was no stranger to pain. And he stayed active as he got older.

“But I tell you what,” Roger says, “This kicked my butt. I had never, ever in my life felt pain like that before.”

Roger was suffering from cervical stenosis – a narrow space in the vertebrae of his neck that compressed his spinal cord and nerve roots. This tightened space caused one of Roger’s nerves to become pinched. The cervical stenosis also caused pain and tingling that radiated down his left arm and into his hand.

Thinking it was muscular pain at first, Roger’s primary care provider sent him to Moberly Regional Medical Center, where an MRI was done and the pinched nerve was located.

In December 2022, Roger was referred to Boone Health MidMO Neurosurgery where he met with Pamela Smith-Evans, NP. At this point, Roger still had pain and tingling down his left arm and into his hand. He also had difficulty extending his fingers and his wrist, and decreased grip strength in his hand which caused him to drop things without realizing it.

Pamela first tried to treat Roger’s issues with less invasive options, including Epidural Steroid Injection, or ESI, which did help some. When Occupational Therapy and additional testing

for some of the concerning symptoms still hadn’t resolved his pain, Roger was scheduled to return to see Terrance Ryan, MD, a neurological surgeon at Mid-MO Neurosurgery.

Roger’s first appointment with “Doc Ryan,” as he calls him was in February 2023. Roger was experiencing several symptoms that still had not resolved. Dr. Ryan discussed surgical options with Roger, and surgery was scheduled later that month.

Post-surgery, Roger was on the Neurology-Oncology floor at Boone Hospital before being transferred to the Inpatient Rehab unit, where he was taught back-health exercises.

“I’m doing the exercises the folks at Boone taught me,” Roger says. “Those nurses and therapists need a lot of credit. They were so sweet to me. All of them.”

Since the surgery, Roger’s still doing his exercises and hopes to regain full use of his left hand. “My hand is better than it was, but I just want to be well today,” Roger says. “I’m that kind of guy. Doc Ryan said I may not get all of it back.”

As for his pain level after surgery, after a day of mowing, Roger can feel it. He says he gets tired more quickly than he used to.

Roger followed up with his primary provider in Moberly who assured him that surgery on his neck was a tough procedure and that it may take him a while longer to get his endurance back.

Thinking back to his time at the hospital, Roger says, “I had a young nurse named Arin. She said ‘We had a meeting about you at the nurses station. Me and all the nurses want to know if we can adopt you as our grandpa?’ That meant a lot to me.”

By Erin Wegner

Boone.Health/My-Boone-Health

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All About Your A1C

What is A1C and should you get tested?

W

hat has your blood sugar been up to lately? If you’re at risk for prediabetes or type 2 diabetes, or if you’re managing diabetes, an A1C test can answer that question.

The A1C test—also known as the hemoglobin A1C or HbA1c test—is a simple blood test that measures your average blood glucose (sugar) levels over the past 3 months. A1C tests are often used to diagnose prediabetes and diabetes. They’re also the main test to help you and your health care team manage your diabetes. Because higher A1C levels are linked to diabetes complications, reaching and maintaining your individual A1C goal is crucial.

When glucose enters your bloodstream, it attaches to hemoglobin, a protein in your red blood cells. While everybody has some glucose attached to their hemoglobin, people with higher blood sugar levels have more. The A1C test measures the percentage of red blood cells that have sugar-coated hemoglobin.

When Should You Get an A1C Test?

Get a baseline A1C test if you’re an adult who’s 45 or older – or if you’re under 45, overweight, and have one or more of the following risk factors for prediabetes or type 2 diabetes: • A parent, brother, or sister with Type 2 diabetes • You are physically active less than 3 times a week • History of gestational diabetes • You are African American, Hispanic or Latino, American Indian, or Alaska Native

Prepare for Your A1C Test

The A1C test is done in a doctor’s office or a lab using a sample of blood from a finger stick or from your arm.

You don’t need to do anything special to prepare for your A1C test; however, ask your doctor if other tests will be done at the same time and if you need to prepare for them.

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LIFESTYLE TIPS Stay active.

Current guidelines recommend that adults get a minimum of 150 minutes of moderate physical exercise each week. If you use insulin or have other conditions, talk to your doctor about a suitable exercise plan.

Housework, gardening, and other routine activities can also keep you moving.

Monitor your blood glucose.

This is crucial to ensure you meet your targets and make any necessary changes.

Follow your treatment plan.

This includes the use of medications and lifestyle therapies.

Manage your weight.

Consider working with a health care professional to set realistic and achievable weight loss goals.

Track your progress.

This is useful for self-motivation, monitoring changes, and identifying which strategies work for you.

Enlist support.

Lifestyle changes are often easier to adopt if other people can encourage and monitor your progress.

For more information on Community Wellness services, visit boone.health/community-wellness or call 573.815.3263.

Your A1C Results For Diagnosing Prediabetes or Diabetes • Normal: Below 5.7% • Prediabetes: 5.7% to 6.4% • Diabetes: 6.5% or above A normal A1C level is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes. Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes.

For Managing Diabetes Your A1C result can also be reported as estimated average glucose (eAG), the same numbers (mg/dL) you’re used to seeing on your blood sugar meter:

A1C%

eAG mg/dL

7

154

8

183

9

212

10

240

A1C testing is a valuable ally in the fight against diabetes.

Knowing your results lets you and your health care team work together to manage this chronic condition.

After Your A1C Test If your result is normal but you’re over 45, have risk factors, or have ever had gestational diabetes, repeat the A1C test every 3 years.

If your result shows you have prediabetes, talk to your doctor about steps now to improve your health and lower your risk for type 2 diabetes. Repeat the A1C test as often as your doctor recommends, usually every 1 to 2 years.

If you don’t have symptoms but your result shows you have prediabetes or diabetes, get a second test on a different day to confirm the result.

Symptoms to watch for: • Frequent urination, often at night

• Numb or tingling hands or feet

• Losing weight without trying

• Fatigue

• Increased thirst

• Sores that heal slowly

• Increased hunger • Blurry vision

• Very dry skin • Having more infections than usual

If your test shows you have diabetes, ask your doctor to refer you to diabetes self-management education and support services so you can have the best start in managing your diabetes.

If you have diabetes, get an A1C test at least twice a year. Test more often if your medicine changes or you have other health conditions. Talk to your doctor about what’s right for you.

By Jenny L. Workman

Boone.Health/My-Boone-Health

15

One Step At A Time A team effort in recovery from COVID.

I

t was December 2022 when Donna Becker tested positive for COVID-19. At a time when many look forward to Christmas lights and gingerbread cookies, Donna was dealing with symptoms from COVID. Around 4 days after she recovered from her COVID symptoms, Donna developed polymyositis - an uncommon inflammatory disease that causes significant muscle weakness following a COVID infection.

Donna’s muscle weakness occurred in her mid-section from her waist to her ankles, affecting both sides of her body, making it impossible for her to walk or climb stairs.

Donna and her husband Stu lived in a condominium at the Lake of the Ozarks. Their home had a staggering 24 steps up and 24 steps down anytime they wanted to go anywhere. Not being able to walk, Donna had to be carried up and down the steps, and that was not a safe or easy way for her to get around.

A close friend reached out and told Donna to get to Boone Hospital Center.

“It’s the best hospital we offer in the Midwest,” they said. So, Donna and Stu packed their bags and made the trip to Columbia, Mo. Donna received a full Boone experience while she was here. Her total hospital

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time ended up being around 27 days before she transferred to the Therapy Floor for 6 weeks.

When Donna first arrived at Boone Hospital in December 2022, she was being monitored in a regular room for a few days before a doctor noticed her oxygen level declining. She was moved to the ICU until her oxygen levels stabilized and was then moved back to a regular room before she transitioned to the Therapy Floor.

“The hospital staff was so accommodating to Stu,” Donna said.

“There was a couch that changed into a bed, and he stayed there 24 hours a day with me for weeks. I was a little scared, so just having him there made me more comfortable.”

Once Donna arrived on the Therapy Floor, she stayed there for 6 weeks to work on her strength, with a goal of getting her walking again.

“The rehab therapists were just wonderful,” Donna said with a smile.

“I just loved them. They were very professional but also extremely fun. I had to have 3 hours a day with them, and I looked forward to spending that time with them every day.”

Though Donna’s muscle function did not return to normal use before she left the

hospital, she noticed that she got a tiny bit better every day. “I can walk,” Donna said, “but I can’t lift my legs or do stairs.”

Knowing they couldn’t return to the condominium with 27 steps, Stu was able to do some house hunting while Donna was in the hospital and purchased them a new home in Columbia, Mo. A week before Donna was discharged, she was let out of the hospital for the afternoon, along with all of her therapists. Donna and her therapists walked through every room of her new home to make sure she had enough assist bars to prevent falls. “My bathroom looks like a jungle gym now,” Donna jokes.

After Donna was discharged from the hospital at the end of February 2023, Boone Health Home Care came to her home and continued her physical therapy for an additional 6 weeks.

Over Spring Break, Donna’s granddaughter came to stay with her for a few days and they decided to make some cookies for the Therapy staff. When they got to the hospital, Donna’s granddaughter pushed her in a wheelchair and the Therapy staff was so happy to see her.

“My granddaughter helped me out of the wheelchair, and I walked around that great big gymnasium several times, whooping and hollering and throwing my arms in the air. They got a big kick out of that. ‘Oh my gosh!’, they yelled. ‘You can walk!’ It was a lot of fun.”

Both Donna and Stu share the same sentiment for Boone Hospital. “We were extremely pleased with the service - from the doctors, nurses, therapists and dinning staff. We just can’t say enough good things about it!” By Erin Wegner

Boone.Health/My-Boone-Health

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Dry Needling D

ecades of lower back and hip pain began to melt away for Brenda Wilson as she underwent dry needling from Boone Health Therapy Services.

Brenda’s pain began in her late teens after roller-skating falls and an unusual landing when cliff jumping into a river.

“At the time, the pain was just occasional, but as I got older, it became more and more of an issue,” says Brenda.

Brenda has always been active. She regularly goes on long walks and takes Pilates and yoga classes.

“I love to exercise but my injuries would always give me pain while I was doing what I enjoyed,” says Brenda.

She decided it was time to see a Physical Therapist and made an appointment at Boone Therapy.

“We were able to figure out that through the years, I had been relying on my stronger muscles to make up for my injured muscles. I was overusing my right side to make up for my left side and that was causing me muscle spasms and making my pain and lack of movement worse.

Wesley Glenn, my Physical Therapist, helped me realize that and helped me work on using both sides evenly so that my body could heel,” says Brenda.

Dry needling has been shown to: • Decrease pain and muscle tension • Improve blood flow • Positively affect changes in the central nervous system • Decrease nerve hypersensitivity • Reduce inflammation • Accelerate healing time

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For more information on Therapy Services, visit boone.health/therapy-services or call 573.815.3868.

Brenda noticed a big improvement from her physical therapy exercises but was still having some pain. Her physical therapist Wesley Glenn told her about dry needling.

“Dry needling is a method that allows a physical therapist to reach deep muscle knots (trigger points) that result from injury, poor posture, or positioning,” explains Wesley. “Common areas for these trigger points are in the shoulders, the buttocks, and along the lumbar spine.

A solid filament needle is used to engage the tight, painful muscle. When the needle engages the muscle, that reflex results in a short muscle contraction and then a relaxation which allows improved blood flow to the area. This relaxed state allows the patient pain relief and improved movement.”

Brenda says she felt better right away after the dry needling and even found herself standing up straighter.

“I couldn’t believe how much better it made me feel,” says Brenda.

Dry needling is offered at both Boone Therapy locations, and Wesley says it is a great During a dry needling treatment, one or option for more thin, monofilament needles are many patients inserted into a muscle trigger point. experiencing muscular pain and injuries.

“Dry needling is a very safe and “Patients comfortable option,” says Wesley. “There are good candidates when they have is a very low risk of injury from dry chronic pain stemming from soft tissue needling. Some people are hesitant restrictions, who have limitations in because there is a strong association of movement because of restrictions in soft pain with needles, but many times people tissue or headaches stemming from tight are unaware that the needle has even musculature in and around the neck,” been used until after the work is done.” says Wesley.

It has now been several months since The needling is done right at Brenda had dry needling done and she Boone Therapy during your scheduled says she is still enjoying the benefits. appointment. It does require a fee as “I am not having pain and I’m able to insurance usually does not cover it. The be active again. I’m still standing straight cost is $40-$60 depending on how many too.” By Madison Loethen areas you would like the needling done to.

Boone.Health/My-Boone-Health

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BRIN GIN G UP BOO N E BABIES

WHAT IS RSV?

Respiratory syncytial virus, or RSV, is the most common lower respiratory tract infection in infants under age 1. A pediatrician explains what RSV is, its symptoms, treatments, and prevention.

BY KRISTIN DIETIKER, MD; TIGER PEDIATRICS

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T

he fall season brings crisp mornings and colorful leaves, but it also marks the beginning of what we call “sick season: for children.” Respiratory Syncytial Virus, commonly referred to as RSV, is one the heavy hitters of the sick season. RSV is a viral infection that affects the smallest, branching tubules of the lungs called bronchioles. When infected, the tubules become swollen and full of mucous making it difficult to breathe.

RSV affects people of all ages, and almost all children are infected by two years of age. In children younger than 1 year, RSV is the most common cause of lower respiratory tract infections1 and the leading cause of hospitalization2,3. About 1 to 4 of every 100 infants in the United States is hospitalized for RSV, with approximately 80,000 infant hospitalizations each year4.

Symptoms RSV usually begins like a regular cold, with a runny or stuffy nose and mild cough, but then progresses to lower respiratory tract symptoms like wheezing or a deep cough by days 2 or 3. Symptoms usually peak on days 3 to 5, then slowly resolve. Fever and decreased appetite are common in children with RSV. Children need to see their doctor if they have any of the following symptoms: • Respiratory distress • Rapid breathing (tachypnea) • Pauses between breaths (apnea) • Nasal flaring • Retractions – you can see the skin or muscle between your child’s ribs or below their ribcage pull inward • Trouble eating or drinking • A fever greater than 100.4°F if your baby is younger than 3 months • A fever that lasts more than 3 days if your child is older than 3 months

Diagnosis Testing is available for RSV; however, your child’s doctor can make a diagnosis based on symptoms alone. Sometimes a test is useful if there are other potential causes such as influenza or coronavirus.

Treatment • Remove as much nasal mucous as possible with either a suction bulb or nasal aspirator.

• Keep your child hydrated with plenty of fluids.

• Use a humidifier.

• Don’t smoke or allow anyone to smoke near your child.

• If your child is older than 6 months, acetaminophen or ibuprofen can be given to relieve fever.

What to Avoid Some treatments are not recommended and have not been proven to help treat children with RSV, including: • Cough medications for children under 6 years old • Antibiotics • Breathing treatments (inhalers or nebulizers)

Prevention Vaccines for RSV are on the horizon and have been approved by the FDA in 2023. Even though everyone is infected to RSV by 2 years of age, keep in mind a previous infection does not protect against future infection.

Synagis (palivizumab) is a medication that can help prevent RSV; however, this is reserved for infants born premature or with congenital medical conditions.

• Beyfortus (nirsevimab) is a newly FDA-approved vaccine for RSV in newborns and infants. This is the first preventative option approved to protect a broad infant population including babies born healthy at term or preterm.

• Pfizer’s RSVpreF has also received FDA support. This vaccine would be given to mothers during pregnancy.

The vaccine would allow for placental transfer of antibodies that would provide protection during the neonatal period – one of the periods of highest RSV risk during infancy.

• Aresxy is a vaccine recently approved by the FDA and recommended by the CDC for prevention of RSV in adults who are 60 years or older.

Several other RSV vaccines show promise but are still at the stage of research and clinical trials and have not yet been approved by the FDA or CDC.

Dr. Dietiker is a pediatrician with Tiger Pediatrics and sees patients in Columbia. She is currently accepting new patients.

Sources: 1.) Hall, CB, Weinberg GA, Iwane MK, et al. The burden of respiratory syncytial virus infection in young children. N Engl J Med 2009; 360: 588. | 2.) Leader S, Kohlhase K. Recent trends in severe respiratory syncytial virus among US infants, 1997 to 2000. J Pediatrics. 2003; 143 (5 Suppl): S 127-S132 | 3.) Zhou H, et al. Hospitalization associated with influenza and respiratory syncytial virus in the United States. 1993-2008. Clin Infect Disease. 2012; 54 1427-1436 | 4.) McLaughlin JM, Khan F, et al. Respiratory Syncytial Virus-Associated Hospitalization Rates among US Infants: A Systemic Review and Meta-Analysis. J Infect Dis. 2022 Mar 15; 225(6): 1100-1111.

Boone.Health/My-Boone-Health

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GETTING TO KNOW A BHC DOCTOR

Paula J McMurtry, MD Rheumatology, Boone Health Rheumatology

I

grew up in Farrell, Pennsylvania – a steel town 70 miles north of Pittsburgh. My undergraduate degree in biology is from Westminster College in New Wilmington, Pa. and I attended medical school at Hahnemann University (now Drexel) in Philadelphia. I am married to John McMurtry, MD, a retired urologist, and we have two grown children.

Why did you get into the health care field?

I started thinking about medical school my junior year at Westminster. No one in my family thought of going to medical school or college. I used that summer to look at medicine or veterinary medicine. I chose people over puppies.

What interested you in your particular specialty? Because I decided late to go to medical school, I went to Duquesne University for a Master’s in Immunology.

When I did get to medical school, I decided on rheumatology about 2 months into the first year because of my interest in immunology.

What is the most rewarding part of your job?

I like to educate my patients about their inflammatory arthritis or connective tissue disease. I want them to understand why medication is important for disease modification. I think this takes some of the fear away.

What is the most challenging aspect of your job?

Medical insurance is always challenging. Biologic medications for rheumatic diseases are expensive, and you have to be flexible on your plan. You also need to help the patient have flexibility and patience with what their insurance is willing to cover.

What do you see changing in health care in the next 5 to 10 years? In rheumatology, the changes are with biologic therapy coverage. This is already happening with insurance denying hospital-based infusion centers for administration of biologics or copay assistance only lasting 8 months for self-injectable biologics.

I fear that one day there will be a population that cannot afford biologic medications.

What advice would you give someone looking to become a doctor? I told my children that they needed to choose a path they will enjoy, but part of the enjoyment is being able to pay their bills. I tell younger people that I do not regret the

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decision to go to medical school. I have enjoyed the interaction with people and the challenging cases. Having a patient feel much better with less pain is rewarding. I also feel that I am continuously learning even after 30 years of practice. If a person is looking for that type of career, then look at medicine. My daughter was looking for that career and has graduated from Sidney Kimmel School of Medicine at Temple University. My son choose aerospace engineering and aviation finance as aviation has been his interest.

What do you enjoy doing outside of work? When I was 10, I asked my father for a piece of the backyard to have a vegetable garden. He said okay as long as I planted one tomato plant for mom. I have not stopped gardening since. Since moving to Missouri, I have a greenhouse that keeps me busy with gardening all 12 months.

What advice would you give to someone who is going to be a patient in a hospital for a period of time? I am not sure I can answer this question – I try to keep my patients out of the hospital.

GETTING TO KNOW A BHC NURSE

Quenna Kovar, BSN, RN, CNOR Operating Room

I

was born in San Diego, Calif., as the youngest of five children — and only girl. My parents are immigrants from Cambodia. We moved to Columbia, Mo. on my 6th birthday, and I’ve been here ever since. I received my ADN from Moberly Area Community College in 2009, my BSN from Central Methodist University in 2013, and CNOR certification this year. I married my high school sweetheart, Kyle, in 2011. We have three amazing kids — Drake, 10; Jackson, 9; and Amelia, 4. And I can’t forget about our fur baby, Eva, a 5-year-old golden doodle.

Why did you get into the health care field?

I was introduced to the field in high school when I took an Introduction to Healthcare Professions course. I was very interested from that moment on. Upon completion of that course, I received my CNA license and got a job at Boone Hospital as a tech on the Surgical Specialties floor.

I pursued a health care career because it’s all so interesting and always changing for the better.

What interested you in your particular specialty? Surgery is all I know! I worked on the Surgical Specialties floor for 4 years before a friend recommended me to the Operating Room. I took a job as a circulating nurse, and I’ve never looked back! I have been in the OR for 13 years. My particular role is unique: I am the on-call nurse, which means I get called in after hours for the emergent surgical cases. I absolutely love being involved in the intraoperative phase of surgery from start to finish. I am my patient’s advocate while they are under anesthesia.

Everything I do in the OR is for their health and safety.

What is the most rewarding part of your job? My job is rewarding in several ways. I get to meet so many people and be a part of their care team. Being able to work alongside with several top-notch surgeons in the region and maintaining a professional relationship is also rewarding..

What is the most challenging aspect of your job?

As the on-call OR nurse, the most challenging aspect of my job is not knowing what I’m supposed to do until I get that urgent call. I have to be ready to go and capable of circulating all specialties, including orthopedic, vascular, neurosurgery, eye, plastic, gynecological, and general surgery to name a few. My resources are limited in the middle of the night, so I just have to figure it out! .

What has changed in your field since you started practicing? Heath Care is constantly evolving. Since I’ve started practicing in the OR, robotic assisted surgeries have been on the rise. The newest robot to join our OR is the Mako - will be used for joint replacement surgery. I’m eager to learn all about it!

What do you see changing in the next 5 to 10 years?

Changes in technology will affect charting systems, medical equipment and tools. In the operating room, these changes will be good and simplify surgical procedures for better patient outcomes and faster recovery.

What do you enjoy doing outside of work? Our family spends a lot of time doing everything together! We love to travel, enjoy the outdoors, and attend Chiefs and Cardinals games. Our kids’ sports currently keep us busy, including travel baseball, golf, basketball — and our youngest will start tee ball this year.

What advice would you give someone looking to become a nurse? My advice to someone looking to become a nurse is that you will never know everything. Be ready to learn something new almost every day. Be proactive, prioritize, and remember that communication is the key to success.

Boone.Health/My-Boone-Health

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Chemical Peels A

s a nurse practitioner in the aesthetics field, fall not only means pumpkin spice lattes, sweaters, bonfires, and falling leaves – it makes me think of corrective treatments for the skin! Cooler temperatures, less direct sun exposure, and fewer outdoor activities make autumn a great time to undergo a medical-grade chemical peel. But what is a medical-grade chemical peel, who can receive one, and what is the process like?

When you look in the mirror, do any of the following skin problems bother you? Overall tone and texture of the skin, freckling, active acne, oiliness, congestion, melasma, rosacea, fine lines and wrinkles, loss of elasticity, hyperpigmentation, scarring, or pore size? These are all conditions we can treat with medical-grade peels.

There’s a big difference between medical-grade chemical peels and a peel you perform at home or receive at a non-medical spa. Non-medical peels are superficial, meaning they can only penetrate the outermost layer of skin, or stratum corneum. There’s nothing wrong with indulging in this kind of peel, but results are mild for most people. Medical-grade peels penetrate deeper into the epidermis or dermis, depending on your treatment needs, with more noticeable results.

Halloween is approaching, but you don’t need to be fearful of chemical peels! In recent years there have been amazing advancements in medical-grade chemical peels. In the past, chemical peels were commonly formulated with a single acid and treated a limited number of conditions. These single-formulation peels have a higher risk of pain, discomfort, and more difficult recovery time, and were limited to certain skin types (Fitzpatrick Skin Types I-III), but this is no longer the case.

At Boone Health Medical Spa, we proudly use VI Peels from Vitality Institute. VI Peels work with a blended set of acids and other nutrients, which gives us the ability to treat a combination of concerns. This formulation of ingredients can penetrate the skin with a lower risk of post-peel complications and without prolonged healing time.

VI peels create a controlled micro-damage to the epidermis and papillary dermis layers of the skin.

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For more information on Medical Spa services, visit boone.health/medicalspa or call 573.815.5310.

As a result, we see exfoliation of dead skin cells, regeneration and stimulation for cell renewal and dermal structures, and an increase in collagen and elastin.

Unlike older peels, VI Peels can be used on many age groups, ranging from teenagers to advanced-age adults. All skin tones, from fairest to darkest (Fitzpatrick Skin Types I-IV ) have been clinically tested and approved for safe use.

Application is quick, easy, painless, and takes less than an hour from start to finish. All VI peels include Phenol in their formulation which helps to numb the skin for a painless and comfortable experience. At the end of your appointment, you’ll be sent home with everything you need to care for your skin for the next 7 days.

Peeling typically starts for most patients on day 3, with most peeling occurring between days 3 through 6. By the 8th day, 95% of your peeling should be complete.

Now, the million-dollar question: how much will you peel? Simply put, everyone is different. Your skin will decide how much to peel. The current condition of your skin plays a large role, including factors like routine exfoliation, oiliness, dry or dehydrated skin, or routine retinoid use. Some people peel in sheets while others will have light flaking.

But it’s only a few days of heavy peeling, and by this point, you are well on your way to glowing skin.

The popular opinion among our patients is that recovery is quite easy with minimal downtime. Plan for a full 10 days for 100% recovered and improved skin. For any type of medium-depth peel, I always recommend scheduling at least 2 weeks

before any big event or trip.

Avoid direct sun exposure for at least 48 hours before your peel application. After your peel application, limit your outdoor activities and avoid direct sun exposure the week following your peel application. And as always, we recommend daily SPF and sun protection whether you’ve had a peel or not!

With every patient, we can see improvements after a single VI peel. For optimal results when correcting skin concerns, VI Peels are best when done as a series of 3 treatments. Depending on the severity of your concern, more peels could be required.

Once optimal results are seen, we recommend 1 to 2 maintenance peels a year.

If you opt for a series of treatments, we recommend waiting at least 4 weeks in between each peel to give your skin adequate time to heal and return to baseline.

While VI peels can treat a wide range of age groups and skin types, some people aren’t candidates for chemical peels.

One of my top priorities is to ensure that all of my patients feel confident before they go in for treatment. We always review your history before we do anything to ensure a treatment is right for you.

If you think a medical-grade chemical peel might be right for you, schedule

Book your Boone Health Medical Spa consultation today!

a free consultation! Consultations are a great way for you to ask questions, share concerns, discuss your skin history, and go over potential options for peels.

By Tiffany Carmichael, FNP

Tiffany Carmichael, also known as Tiffany C. the aesthetic NP, is a board-certified family nurse practitioner and trained aesthetic provider.

Find us: 1601 East Broadway, Suite 260, Columbia, MO 65201 | 573.815.5310 Office hours: Monday - Thursday (Closed Fridays) | 7:30 a.m. - 5 p.m.

Follow us: facebook.com/BooneHealthMedicalSpa instagram.com/boonehealthmedspa Boone.Health/My-Boone-Health

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GRAINS Galore!

G

rains are an abundant food group in the ever-expanding worldwide food system. As a globalized population, we have access to a large variety of grains.

Grains are a rich source of carbohydrates, with varying degrees of fiber and a small amount of protein and fat. Grains contain B vitamins, like thiamine and folate, and trace amounts of minerals such as iron and magnesium.

Grains Explained Grains are the seeds derived from grasses called cereals. Cereals include oatmeal, popcorn, barley, wheat, rice, as well as some lesser-known grains like sorghum, farro and millet. Pseudocereals are seeds from non-grass plants, including quinoa, buckwheat and amaranth.

Whole grains include all three parts of the seed: the bran, the endosperm, and the germ. If the bran or germ are removed from the kernel, the grain is no longer considered whole and is called a refined grain.

There are different types of refined grains. Enriched grains have the germ and bran removed with vitamins and minerals added back during processing. Enriched grains can be found in white breads and pastas. Fortified grains are refined grains in which vitamins and minerals are added above and beyond what was originally present in the product.

Fortified grains are commonly found in most breakfast cereals.

Why Whole Grains?

Whole grains are higher in fiber, protein, vitamins, minerals, and antioxidants than refined grains. The higher fiber in whole grains aids in digestion and helps you feel more full after meals and snacks. Fiber improves cardiovascular health by lowering

cholesterol. The protein and fiber in whole grains can even help stabilize blood glucose levels through delayed glucose absorption.

The vitamins, minerals and antioxidants found in whole grains support the health of all the body systems.

The United States Department of Agriculture recommends making whole grain varieties at least half of the grains you eat each day. This would be about 3 servings of whole grains a day for most Americans. As an example, a single serving of whole grains would include one slice of whole wheat bread or ½ cup of brown rice.

To add more whole grains in your diet, try whole-grain snacks like pretzels, popcorn or graham crackers. The S’mores recipe below is a tasty and easy snack that includes whole grains!

By Kristen Howard MS, RD, LD, Clinical Dietitian II, Nutrition and Food Service Department

DIETITIAN’S TIP

If you’re looking for whole-grain products at the grocery store, read the ingredients list.

If the first word on the ingredients list is “whole,” then you’ve found a whole-grain product!

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Whole Wheat S’mores INGREDIENTS: • whole wheat graham crackers • mini marshmallows • dark chocolate squares • optional: ripe banana, peeled & sliced thin (other fruit would work as well) DIRECTIONS: • Set toaster oven or conventional oven to 350º.

• Lay graham cracker halves on a baking tray. Allow 2 squares per S’more.

• Add pieces of chocolate on one graham cracker and a few marshmallows on the other. Repeat with remaining graham crackers.

• Toast 2-3 minutes or just until the chocolate and marshmallows are melted or softened.

• Remove from the oven, add banana slices if desired.

• Close like a sandwich and enjoy!

Recipe Source: how2heroes. com/videos/quick-easy/ banana-whole-wheat-smores

Boone.Health/My-Boone-Health

27

Relieve Lower Back Pain W

hen people think of core muscles, they often think of six-pack abs; however, our core includes much more than abdominal muscles. Our hips, glutes, hip flexors, and lower back are all connected and work to stabilize our core and maintain correct posture.

Unfortunately, many Americans neglect strengthening these muscles and often develop deficiencies or imbalances that cause weakness and pain, particularly in the lower back. According to the CDC, nearly thirty-nine percent of the U.S.

adult population suffers from some form of chronic lower back pain. Although a wide array of issues can cause lower back pain, including pinched nerves and spinal stenosis, a proper exercise routine that targets the muscles around the trunk can help many people experience relief from their symptoms.

As someone who often experiences lower back pain to the point where my daily activities can be limited, I often feel significant relief from my symptoms when I can dedicate a portion of my exercise

time to strengthening and stretching the muscles around my hips, lower back, legs, and glutes.

Our lower back engages constantly and is used for everything from picking up kids or pets, walking and jogging, and even sitting upright. It’s crucial that we protect our lower back and work to keep our entire trunk strong to help prevent injuries.

Here are a few simple exercises to target the trunk area that you can do at the gym or at home with little to no extra equipment. By Hayden Legg, ACSM-CEP

• Extend your left arm and your right leg forming a straight line with your torso. While extending, squeeze your glutes and engage your core. Avoid rocking from side to side.

• Slowly lower back to a neutral position

Bird Dog • Start on your hands and knees with your head in a neutral position, looking down. Place your hands directly below your shoulders.

• Repeat for 8 to 10 repetitions on each side.

Sumo Squat • Stand with your feet a little wider than shoulder-width apart and toes slightly turned out.

• Keep your trunk engaged as you bend your knees and sink until your thighs are parallel to the floor. Make sure to keep your back straight and push your body weight onto your heels.

• Be sure to inhale as you lower your body and exhale as you push your feet into the floor to raise back up.

• Repeat for 8 to 10 repetitions.

• To increase difficulty, use both hands to hold a light weight close to your body in front of your chest. For even more difficulty, hold the weight extended from your body with your arms straight.

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Glute Bridge • Lie on the floor on your back with your feet flat, about shoulder-width apart, and knees bent. Place your arms at your side.

• At the top of the motion, squeeze your glutes. Be careful not to overarch your back. Slowly lower back down to the floor.

• Lift your hips and raise your pelvis towards the ceiling.

• Repeat for 8 to 10 repetitions.

• To increase difficulty, hold for 2-3 seconds at the top of your hip extension or add a light medicine ball on top of your hips for extra weight.

Romanian Dead Lift • Stand tall while holding light dumbbells on your thighs or a kettlebell between your legs.

• Keeping a straight spine and legs straight, slowly hinge at your hips while lowering the weight until you

feel a light pull in your hamstrings.

• Hold your legs straight while performing this exercise, but do not lock your knees.

• Keep your back straight the entire time. Avoid arching your back at the bottom of the exercise.

• Repeat for 8 to 10 repetitions.

• Stand back up while keeping a neutral spine.

Front Plank • Place your hands (or elbows) on the floor directly under your shoulders.

• Step your feet back to bring your body in a straight line. For more stability, place your feet wider; for a challenge, bring your feet closer together.

• Pull your belly button in towards your spine and engage your abs, quads, and glutes.

• Hold the exercise for 10-15 seconds, then drop your knees to the floor and rest. When ready, raise your knees and repeat 3 to 4 times. For a challenge, perform 2-3 repetitions of 20-30 seconds each until you can hold for up to 1 minute.

Boone.Health/My-Boone-Health

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FOUNDATION NEWS

Thank You For 15 Years of Service, Barb Danuser!

Barb Danuser retired in July 2023 after spending 15 years in the role of Executive Director for the Boone Hospital Foundation. Barb began at Boone in 2008 and has played an invaluable role in growing the Boone Hospital Foundation into what it is today. Barb always kept Boone Hospital patients, as well as the communities we serve, at the center of her work during her tenure at Boone. Betsy Vicente, Boone Hospital Foundation President, has worked with Barb for 6 years. She says, “Barb was a class act in every way - respected, trusted, thorough, professional. She was always a faithful steward of the gifts that donors entrusted to the Foundation.

As the Board of Directors, we are incredibly grateful for her leadership these past 15 years.” She will be missed, and we wish her the very best in retirement. Congrats to Barb!

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Meet Monica Collins, Boone Hospital Foundation’s Next Executive Director Monica Collins is the new Executive Director of the Boone Hospital Foundation. The Foundation supports Boone Health’s patient care and outreach programs and services, including advanced patient care technology, community benefit programs, and staff education.

Monica has served as Director of Advancement for The State Historical Society of Missouri and on the University of Missouri campus across several units. Before joining Boone, she worked in mid-Missouri as a REALTOR® with House of Brokers Realty, during which she was selected as a member of the Columbia Board of Realtors Leadership Cohort for 2023. She has also served as the central Missouri chapter president for the Association of Fundraising Professionals.

Originally from the Chicago area, Monica has lived in Columbia since 2011. She and her husband Craig have 6 children and 2 granddaughters.

2023

CALENDAR OF EVENTS October 14th

Annual Gala The Country Club of Missouri November 1st & 2nd

Scrubs on Site Sale Boone Hospital Center — Main Lobby December 14th & 15th

Linen Sale

JR Expressions, Boone Hospital Center — Main Lobby December 2023

Linen Sale

CoMoGives Campaign!

BO O N E H O S P I TA L F OU N D AT I ON

Annual Gala Saturday, October 14 th, 2023 The Country Club of Missouri Visit boone.health/foundation/gala for more details.

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

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PAID

COLUMBIA, MO PERMIT 286

AESTHETIC TREATMENTS backed by the clinical expertise of BOONE HEALTH Schedule your free consultation today to create a customized treatment plan to fit your individual concerns and goals.

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