My Boone Health - Winter 2022

Boone Health WINTER 2022

A CENTURY OF CARING See how Boone Health has grown alongside its community.

PG. 8

PG. 18

A New Path

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 be on track to become a working member of Boone Health after graduation.

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.

Get started at

stephens.edu/nursing

+

Table of Contents CEO Troy Greer

12

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 Wes Glenn, Emily Nusbaum, Jennifer Tveitnes, Jenny Workman, Hannah Robertson

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

14

16

18

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 Troy

20

For Your Health

6

Hospital Headlines

22

Welcome to the

8

A Promise Fulfilled

12

A Matter of the Heart

24

Get to Know a BHC Doctor

14

Baby Crashes Babymoon

25

Get to Know a BHC Nurse

16

Motivation During

26

How To Clean Your Plate

the Winter Months

28

A Simple Start

18

A New Path

30

Foundation News

Boone Family Birthplace

A NOTE FROM TROY

People Are Our Priority

A

sk a Boone Health employee what they love most about working here, and they’ll probably say, “It’s the people.”

I couldn’t agree more.

At our employee Service Awards reception in December 2021, I had the pleasure of recognizing two Boone Health employees who’d each served us for 45 years. We also had dozens of employees celebrating 20 years of service or more that evening. I had the privilege of announcing both our Employee and Leader of the Year. It was a humbling experience to see so many dedicated and talented employees be recognized for their commitment to Boone.

Our longtime employees serve as a valuable resource to newer employees. They know nursing. They know the hospital. They know our medical staff. They know our partner organizations. They know our patient population. And they know mid-Missouri.

During my first year as Boone Health’s president, countless employees and members of our medical staff have helped me. They’ve sat down with me to discuss how our executive team can best support their areas. They’ve introduced me to incredible people in our community. They’ve given me directions around the hospital if I even look like I’m lost. They have made me feel welcome. I am grateful for their knowledge, experience and hospitality.

I appreciate their compassion, as well. During the holiday season, I heard a story nearly every day about a department that adopted a family or donated food, toys and necessities. Some of our nurses decorated rooms for patients in need of holiday cheer. A security guard received a note of gratitude after taking time to chat with an anxious patient awaiting a procedure.

The Boone team also supports one another. During our transition to independence, our team did incredible work to implement and learn over 100 new platforms and to focus on continually improving our practices and systems. This accomplishment would be unthinkable without strong teamwork.

Our staff’s and physicians’ heroic efforts to meet the demands of the COVID-19 pandemic is also an amazing accomplishment. When our patient care floors needed critical support last summer, employees from all areas signed up to step in and help our clinical staff by preparing patient rooms or delivering supplies. When we say everyone at Boone cares for patients, we mean it.

I could list our many awards and accolades from 2021 – it’s no small feat to achieve a 5-star rating from the Centers for Medicare and Medicaid Services – but, while these recognitions reflect our high standards for patient care, our staff doesn’t

do what they do for awards, they do it for our patients. Giving people the best care and treating them with dignity isn’t a task, it’s a value. Our employees and physicians take pride and ownership in Boone, and it shows.

As we bring in new team members who share values consistent with our mission and standards, it’s important to recognize that the people in our community also make Boone Health a great place to work and receive healthcare. Even if you haven’t worked here, you’ve helped us make a difference.

You’ve made Boone your medical home. You’ve partnered with us to meet community needs. You’ve helped us provide a higher standard of care by supporting the Boone Hospital Foundation.

You’ve believed in us in both prosperous and challenging times.

Boone Health wouldn’t be here if it weren’t for community members who saw a need for safe, quality, modern healthcare.

100 years later, medicine has changed, technology has changed, and our campus has changed, but our foundation remains the same. We remain dedicated to improving the health of the people and communities we serve by delivering exceptional care at the highest quality. At the heart of Boone Health is the people.

Troy Greer CEO, Boone Hospital Center

Boone.Health/My-Boone-Health

5

HOSPITAL HEADLINES

New Chief Financial Officer Announced After an extensive, nationwide search, Boone Health is proud to announce Laura Thomas, MHA as our next Chief Financial Officer.

Laura was most recently with Broward Health Medical Center in Fort Lauderdale, Florida, where she served as a Region CFO for that health system. She has also worked at healthcare facilities in Texas, Ohio and New Mexico. Laura received her bachelor’s degree from the University of Texas - Odessa and her Master’s in Health Administration from Ohio University.

Laura describes herself as a nontraditional CFO who thrives in a creative environment.

“I’m very excited to be joining Boone Health,” Laura says. “In every interaction I have had to this point, I can already feel what it’s like to be a part of the Boone family and what makes Boone different. I can’t wait to help build on the strong tradition of care that Boone Health has established.”

Laura will be joined in Columbia by her husband Jason, a special education teacher, and son Hudson, who will be entering his first year of high school. Their other son, Hayden, is attending college in Texas. The Thomas family is excited for their move to the midwest and looks forward to spending time exploring in the outdoors.

Boone Health Named Breast Center of Excellence Boone Health was recently accredited with the Breast Center of Excellence by the American College of Radiology. This designation requires a facility to be accredited in multiple areas of breast cancer diagnostics, including mammography, stereo biopsy, breast ultrasound and breast MRI. The rigorous application process for accreditation evaluates a hospital’s equipment, procedures, patient safety, image quality, and the experience and education of the department’s technologists and radiologists. Hospitals must meet or exceed the ACR’s standards and reapply for accreditation every 3 years.

According to Liesje Myers, “When patients see the ACR gold seals of accreditation, they can rest assure that their exam is being performed in a safe environment by registered technologists, that the equipment is state-of-the-art and uses the lowest amount of radiation to produce optimal images, and that highly qualified and experienced radiologists will interpret their exam. This allows for appropriate treatment to begin as soon as possible, greatly increasing the chance of long-term survival.”

Congratulations to the Boone Health radiology team for their commitment to detecting and treating breast cancer.

6

BOONE HEALTH

Winter 2022

Boone Health CEO Troy Greer writes a message on a rose vial: “On behalf of our Boone Health team, thank you for allowing us to save lives.”

This year, the Donate Life Rose Parade Float Program is also returning to their practice of honoring our donor heroes on the Donate Life Float in Pasadena on New Year’s Day. The CEO & Partners Rose Dedication Program offers Hospital CEOs and Transplant Center Administrators, an opportunity to handwrite a rose dedication on the actual rose vials that will be placed on the Donate Life Float.

Boone Health was recently recognized by Columbia Public Schools (CPS) for our support of their Fine Arts and Athletics Departments. Boone has been a top level sponsor for 10 years, helping CPS improve facilities and reinstate programs with the funding provided.

2020 Employee of the Year

2020 Leader of the Year

Emily Wood

Drew Wilkinson

Staff Nurse, Women’s & Children’s Health

Director of Laboratory, Ambulance & Emergency Services

Emily was recognized for her attentiveness to her patients, positive attitude, attention to detail and support for her coworkers. Many of Emily’s colleagues have called her a role model and inspiration, including one nurse who said, “I call her style of nursing ‘The Emily Way.’” Emily was also Boone Health’s first recipient of the DAISY Award for Nursing in 2018.

Drew was recognized for demonstrating leadership in challenging situations, including setting up a COVID drivethrough testing site, and for supporting our patients and communities by expanding our outpatient laboratory services to new locations and areas. He is known for his commitment to teamwork and willingness to help others and take on new responsibilities.

Boone.Health/My-Boone-Health

7

A

Promise Fulfilled For a century, Boone Hospital keeps up with medical advancements and a growing community.

F

or a century, Boone Hospital keeps up with medical advancements and a growing community.

Long before Columbia became mid-Missouri’s medical center, people received healthcare in their doctor’s office or at home. But as the city grew and medicine advanced, new approaches were required. This need was made plain in 1918 when the flu pandemic struck Boone County. Parker Memorial Hospital at the University of Missouri quickly became crowded. At one point, severely ill flu patients were placed in tents on Stankowski Field, which unfortunately resulted in the virus spreading further. During the crisis, local physicians, including Dr. Frank Nifong, pledged that Boone County would provide safe medical care for its citizens and led the founding of Boone County Hospital.

Since the hospital first opened its doors to its owners – the people of Boone County – the hospital has grown along with

8

BOONE HEALTH

Winter 2022

the community. Over the century, as Boone County grew from 29,000 to 180,000 residents, Boone County Hospital grew from 37 beds to our current 392. With each expansion, the hospital has upheld the promise made by Dr. Nifong and his colleagues.

1921: Boone County Hospital Opens

On December 10, 1921, a crowd lined the corridors and stairway of the new Boone County Hospital to watch the opening ceremony and tour the three-story building.

The 37-bed hospital featured an X-ray department and surgery suite with bay windows. The campus included a chicken yard for registered nurse Eleanor Keely, the hospital superintendent, who lived in the neighboring Tandy House.

The staff included five other employees – an engineer, housekeeper, cook and two interns. With the trustees’ permission, a neighbor’s cow grazed on the hospital grounds.

While the original building has undergone multiple renovations, it remains part of Boone Hospital. Details from the original facade are still visible on the north end.

1950s: Major Expansion

After enduring the challenges of the Great Depression and World War II, Columbia saw more prosperous times, which put new pressures on Boone County Hospital. The postwar baby boom increased demand for obstetric services.

From 1940 to 1950, the county population grew by 38%, as university attendance and employment rose. The construction of highways 70 and 63 made the hospital more accessible, especially to people outside Columbia. More cars also meant increased parking demands and more patients with injuries from collisions. The small county hospital was frequently forced to turn patients away or place beds wherever space was available, including hallways. After Parker Memorial closed, the demand for local hospital-based care was critical.

On July 11, 1954, Boone County Hospital doubled in size with the opening of the Memorial Wing. After county voters rejected a bond issue to expand the hospital, Dr. Nifong and his wife funded the wing’s construction, assisted by a public drive led by hospital administrator Bertha Hochuli and the Women’s Auxiliary. The threefloor addition housed 45 beds, increasing the total to 82.

The dedication took place on a hot summer afternoon and featured a concert by the Centralia High School Band, a flag ceremony by the Veterans of Foreign Wars and the American Legion, and remarks by Dr. Nifong. Now 90 years old, he told the crowd that he believed Columbia would become a major medical center by the 1980s.

Within a year of the Memorial Wing opening, Dr. Nifong passed away. The new building was renamed the Nifong Wing in his honor.

A few years later, a bond supporting a $3 million expansion was passed, funding construction of what is now the hospital’s North Tower. This addition increased the hospital’s capacity to 257 beds and made room for expanded services and advanced medical technology, including new diagnostic imaging equipment and a cobalt therapy machine used for cancer treatments. To support expanded inpatient care, an updated kitchen and housekeeping area were built.

The new wing was introduced to the community with an open house on November 29, 1959. Local contractors who worked on the building ran ads in the Columbia Daily Tribune congratulating Boone County Hospital on its significant expansion.

1960s View to 80,000 people. Crowding remained a problem, forcing the hospital to repurpose visitor areas as patient care areas.

Despite economic challenges facing the nation and region in the ‘70s, Boone County expanded its facilities in two stages.

The hospital board held a groundbreaking in 1972 for the first stage of a plan to add space for inpatients and hospital services.

On January 4, 1974, Boone nurses helped 37 patients move into the completed wing, now called the Central Tower. The move, led by assistant nursing director Bev Palmatary, went smoothly. The new units, described by the Tribune as having “the comfort of an expensive hotel,” increased the hospital’s bed count to 317.

The second stage of construction added two floors to the Central Tower and updated the Emergency Room.

Radiology and Laboratory services were expanded, the cafeteria and dining room were renovated, and storage and supply areas were added. The hospital’s lobby and admissions area were redesigned. The public was invited to see the renovations at an open house in early January 1976.

1970s:

In its first year, Boone County Hospital admitted 600 patients.

Fifty years later, that many patients were admitted weekly as the county hospital transformed into a regional referral center. Between 1960 and 1970, the county grew from 55,000

Open House Tribune ad in 1976.

Boone.Health/My-Boone-Health

9

1980s: Boone Hospital Center

By 1980, Boone County Hospital easily saw a thousand patients each month. Advances in surgical techniques allowed patients to go home the same day after some procedures. The hospital’s cardiac surgery program brought in more patients and increased demand for procedural areas and operating rooms. Parking was again in short supply. New patients and services generated more medical records, requiring more space for staff and storage.

In 1981, the newly renamed Boone Hospital Center celebrated its 60th anniversary with the dedication of its new building. Parking was expanded with a new garage on Ann Street. A new annex housed the Medical Records department. Respiratory Therapy could now store more oxygen supplies. Emergency care was enhanced with the addition of a heliport. The surgical unit tripled its floor space with an expanded surgical ICU and five additional operating rooms. The Radiology department also tripled in size and brought in new radiation therapy equipment. Following changing trends in obstetric care, Labor and Delivery added birthing suites where new mothers could give birth, recover with their baby, and receive visitors. Separate entrances were built for patients and staff, and a new lobby and admissions area offered patients more comfort and privacy.

The open house and dedication on November 8, 1981 presented Kathy Montie’s 22-foot-tall aluminum sculpture of the hospital’s “spoonheads” logo, located at the patient entrance.

Among the speakers at the event was David Etheridge, the first baby born at Boone County Hospital in December 1921.

1990s and 2000s: Expanding Outpatient Care

At the turn of the 20th century, Boone Hospital Center addressed the growing need for primary care and outpatient services. Broadway Medical Plaza gave referring physicians the opportunity to locate their clinics closer to the hospital. A pedestrian bridge spanning Broadway made it easy to send patients across the street for testing.

On May 24, 2006, Boone cut the ribbon on the Center for Advanced Medicine, also called the CAM, an 80,000-squarefoot addition designed to make outpatient care more convenient. Located on the south end of the hospital, the wing added a separate entrance and admissions area for patients receiving outpatient testing and procedures, including mammograms at the new Harris Breast Center.

Now called the Outpatient Tower, the CAM became home to outpatient surgery, GI lab, and the cardiac cath lab. Spacious waiting areas made it easy for visitors to stay updated on loved ones and take them home after procedures. Distribution and Central Services moved into new spaces designed to streamline tracking, sterilizing, and delivering supplies to procedural areas.

The CAM reflected new approaches to hospital design.

Local, nature-themed art was displayed throughout the building. Waiting areas were designed to be inviting, well-lit and comfortable. This approach influenced the next phase of Boone Hospital’s growth.

10

BOONE HEALTH

Winter 2022

2007 View 2010s: A Healing Environment

Since 1921, knowledge about infectious disease had significantly increased, including the prevention of hospital-acquired infections. Infectious disease specialists on Boone’s medical staff recommended a shift to private rooms. Research showed that not only did patients who stayed in private rooms have shorter stays, fewer hospital-acquired infections, fewer complications and fewer readmissions, the costs hospitals saved as a result offset the expense of giving each patient a private room. Private rooms also provided a more restful healing environment.

The new patient tower reflected the latest in evidence-based practice. 128 private rooms, including 44 in the new Intensive Care Unit, were designed with patients in mind. Bathrooms were more accessible. Convertible sofas allowed visitors to stay overnight. Large windows maximized natural light.

Soft colors, warm lighting and nature-inspired art provided a soothing atmosphere. Angled doorways and decentralized nursing stations made it easier to observe patients.

In 2011, Director of Support Services Myrl Frevert said, “At every decision point, we asked ‘What’s the right thing for the patient? As it’s coming into reality, I know we’re doing the best thing for our patients. This is a true healing environment.”

Boone also wanted its new patient tower to protect the environment. Designated as the first LEED Gold hospital facility in the area, the tower made extensive use of recycled and local materials. A rain harvesting tank collected water used to irrigate the campus landscaping.

Low-flow toilets, a rooftop solar panel, and room sensors helped the hospital conserve water and electricity.

Now known as the North Tower, the building had seven floors, plus a ground-level floor for an updated Laboratory.

Two unfinished floors left room for expansion, including the Stewart Cancer Center, which opened in 2014.

The tower included a new main entrance and registration desk, a renovated lobby with a gift shop and café, and a healing garden funded by donations to the Boone Hospital Foundation. A new conference center made it easier to host events at the hospital, including the annual Heart Fair. A pedestrian bridge connected the new building to the William Street garage, which opened in 2009.

In the Boone tradition, the new patient tower held an open house event on June 12, 2011, the year of the hospital’s 90th anniversary, with tours, refreshments, live music, a “History of Healing” video, and free health screenings. Banners along Broadway reminded the community, “This is your patient tower.”

Older units were later renovated for private rooms. Nearly a decade later, these private rooms would prove invaluable during the Coronavirus pandemic, making it easier to reduce the risk of spreading the virus to patients without COVID. While Dr. Frank Nifong and his peers could only imagine what medicine would be like in 100 years, they accurately predicted the need and potential for a county hospital. In the 1950s, Dr. Nifong wrote, “The development of hospitals during

my time has gone forward as rapidly as the science of medicine...

The Boone County Hospital with which I have been associated for a quarter of a century has accomplished much, pointing a way for a better hospital service for rural communities.”

No doubt the good doctor would be proud of how much the hospital he helped build has grown. By Jessica Park

On the Cover

On the cover: Hospital trustees and leaders break ground on a new wing in 1972.

Boone.Health/My-Boone-Health

11

A Matter of the

HEART

How a Heart Health Check saved Rickey Harvey’s life.

O

ne day in March 2021, Rickey Harvey was attending a Heart Health Check his wife, Susie, had signed him up for. He had no symptoms but was prompted to attend the Heart Health Check given his family health history. He has relatives who have Factor V Leiden, a genetic blood-clotting disorder due to a mutation of the blood’s factor V protein, and one of his siblings recently suffered a heart attack. A short three months later Rickey was on the operating table.

12

BOONE HEALTH

Winter 2022

Rickey’s story goes to prove the significance of preventative healthcare. The Heart Health Check program at Boone Hospital Center is designed to catch potential cardiovascular issues before they become a problem. The program includes a laboratory analysis to evaluate cholesterol and risk for developing diabetes, a cardiac calcium score screening using compute tomography to check for calcium deposits in the walls of your heart’s arteries, and an Advanced Body Composition Assessment which measures fat versus lean mass with a quick, low dose x-ray exam.

Rickey received a call from Boone just a few short hours after the Heart Health Check.

He tested negative for Factor V Leiden, which was a relief, but it was then he learned that he had a high calcium score. The score of this test reflects the total area and density of calcium deposits. The higher the score, the higher your risk of heart disease. His results indicated he needed further care and testing and he was referred to Cardiologist Trung H. Tran, MD with Missouri Heart Center.

Rickey participated in a cardiac stress test which entailed walking on a treadmill that makes your heart work progressively harder while an electrocardiogram (ECG) monitors your heart. They also performed a cardiac catheterization where they found blockages in multiple arteries. It was then they realized the severity of Rickey’s condition despite appearing outwardly as perfectly healthy. It was a scary time for both Rickey and Susie, as this was the first big health issue they faced together.

The damage was extensive, to the point he was not a candidate for stents. Instead, Rickey would need triple bypass surgery—and soon.

Within a couple of weeks of his second round of testing, it was

time for his surgery. He had his triple bypass on June 28, 2021.

Recovery took several weeks, and Rickey found it very difficult to stay still, not work, etc. During his recovery time, he suffered a mild stroke after pushing himself a little too far. Because of this, Rickey was in two forms of therapy beginning in September; Outpatient Therapy with Boone’s Therapy program to help him regain strength after his stroke, as well as the Cardiac Rehabilitation Program to help strengthen his heart. These days alternated, with Rickey spending part of each weekday in a form of therapy. He enjoyed his time there though, appreciating how the staff pushed him to the point of satisfying exhaustion and taught him how he could improve his health.

Rickey attended these classes for roughly two months and was coming along nicely until he had to stop because of an infection.

He began wearing a wound VAC to assist in healing, but at the time of this story, he is in the hospital and we are wishing him a speedy recovery. Rickey has been transferred throughout the hospital floors, through various departments and physicians, and says he has received “excellent care everywhere he goes.” He also said that in addition to the nursing staff treating him well, the foodservice staff has been great to him.

Susie describes the experience from the Heart Health Check as “life-saving” and appreciates that the surgery was performed proactively rather than after a terrible event. Despite a bump in his journey, Rickey has been an excellent example of the value of the Heart Health Check and preventative healthcare in general. By Hannah Robertson

The Heart Health Check program at Boone is designed to catch potential cardiovascular issues before they become a problem. Consider a Heart Health Check if you answer “Yes” to any or all of these statements.

I have high blood pressure or cholesterol, even if it is being medically managed.

I have a family history of heart disease.

I have Type 2 diabetes.

I am a smoker or former smoker.

What is a Heart Health Check?

The Heart Health Check program at Boone Boone Hospital Center includes: • Laboratory analysis to evaluate cholesterol and risk for developing diabetes which includes a full lipid panel and A1C. • A cardiac calcium score screening uses computed tomography (CT) to check for calcium deposits in the walls of your heart’s arteries. These deposits may indicate early development of heart disease.

• An Advanced Body Composition Assessment; a quick, low dose x-ray exam that measures fat versus lean mass in the body. It may help your health professional assess what is needed to maintain or improve your ratio which can minimize your overall cardiac risk.

To schedule your Heart Health Check call 573-815-8150. For more information call 573-815-2274 or visit boone.health/heartcheck

Boone.Health/My-Boone-Health

13

When Baby

Crashes Babymoon An unexpected visitor surprises mom and dad on their babymoon getaway.

W

hen Jessica and Nathan set off on a “babymoon,” they had planned to rest and relax before their daughter arrived. A babymoon is a chance for expecting parents to get a vacation before their baby arrives. But baby had other plans.

Jessica and Nathan live in Chicago, where Nathan teaches at a small liberal arts college and Jessica is a freelance writer. As many expecting parents do, they chose to spend a few days with some friends, who own the Amber House Bed and Breakfast in Rocheport, Missouri.

Two days into their trip, Jessica work up at 2 a.m. having strong contractions that were already five minutes apart. She was only 34 weeks pregnant.

Jessica and Nathan’s birth plan had been thrown an unexpected twist. Back in Chicago, they had been meeting and working with midwives for months. Jessica going into labor in Columbia, Missouri, was not part of the plan.

They first called their midwife back in Chicago, who thought that Jessica could be having intense Braxton Hicks contractions.

But after Jessica’s water broke, Nathan and Jessica drove to the nearest hospital.

Zora was born at 3:24 p.m., weighing in at 4 pounds, 6.5 ounces, 17 inches, and six weeks early. Jessica was able to get skin-to-skin contact with Zora. She says, “When she got in my arms,

14

BOONE HEALTH

Winter 2022

Baby Zora being held by mom Jessica in the NIC U.

Jessica, Nathan and baby Zora in the NICU.

she just had this look like, ‘So this is what the outside is.’”

Zora was named after the author Zora Neale Hurston.

Jessica says, “Zora wrote this beautiful novel, ‘Their Eyes Were Watching God.’ Reading that book was part of my curriculum at Stephens College. And my great grandmother’s name is Nora.”

Despite coming six weeks early, baby Zora didn’t need an IV or to be on oxygen, but she still had to stay in the NICU for a few weeks. “Every patient that is admitted to the NICU is placed on a continuous monitor that monitors heart rate, respiratory rate, and oxygen saturations,” says Stacie Barker, patient care supervisor. Blood pressure is also monitored frequently. Babies that are born early are at a higher risk to have episodes which can include apnea (stop breathing), bradycardia (drop in heart rate), and desaturation (decrease in oxygen saturations).

“NICU patients are also placed in a heated isolette. This keeps the baby warm to help the baby maintain normal body temperature,” Stacie says. “Premature babies can lose body heat rapidly. They don’t have the stored body fat of a full-term infant, and they can’t generate enough heat to counteract what’s lost through the surface of their bodies.”

At first, “Zora had a feeding tube placed. Breast milk was given to her through a feeding tube that was passed through her nose and into her stomach. This is called a nasogastric tube, or NG tube,” Stacie says.

When Zora was able to start nursing, this was one way Jessica and Nathan could monitor Zora’s improvements on their own. Jessica says: “We would time her when she went

on breast so we could see those changes — how long she’ll actually feed there. She latches and feeds herself, but she gets too tired to finish her full feeding. But now, we’re starting to see her be more and more awake and more vocal. She’s not full on screaming for her food. She’s done it once, but she’s close.”

“Zora was able to graduate from the NICU when she was able to maintain her body temperature without the assistance of the heated isolette, she could breast- or bottle-feed all feedings by mouth, and she had gained weight steadily,” Stacie says.

Jessica and Nathan visited with a social worker after Zora’s birth. (Every baby born at Boone Health gets visited by a social worker). The social worker was able to get Jessica a breast pump, as hers was waiting for her back in Chicago. The social worker also helped them apply to stay at the Ronald McDonald House.

Jessica says: “At first we were a little reluctant because we didn’t want to take up a spot for someone else who needs it. But it’s taken a layer of stress off of us not having to worry about the extra expense of having to have stayed in a hotel this whole time.”

Nathan says: “It’s been really wonderful. There are members of the community who come out and set up dinner every night. We’ll often leave a 6 p.m. feeding and when we get back, there will be food there, so we don’t have to worry about what we’ll have for dinner or even that added expense”.

Jessica says: “We will definitely be giving the Ronald McDonald House a lot of love after this. It’s an amazing service. It was just nice to not have to worry about another expense on top of this.” By Erin Wegner

Boone.Health/My-Boone-Health

15

Motivation

During the Winter Months

R

ecovering from our post-holiday festivities and the colder months can be a struggle for many people. For some, this slump comes with the changing of the seasons. Do you experience mood changes, lack of energy, low motivation to socialize, no desire to exercise, or less motivation at work? If so, you may experience the “winter blues.” The winter blues are very common, with many of us experiencing mood shifts during the colder, darker days of winter. You may find yourself feeling more lethargic. Below are some suggestions that could assist with your motivation.

16

BOONE HEALTH

Winter 2022

FRESH AIR

One of the most effective ways to boost your happiness is to simply go outside. Fresh air helps to send plenty of oxygen through your blood and allows your lungs to work at full capacity. Oxygen to your brain also means more brain power.

With less daylight in the winter, it’s important to make sure you get enough vitamin D. Vitamin D is connected to your mood, and low levels may affect your mood. (Please talk to your doctor if you think you have low vitamin D levels.)

If you need to be indoors for most of the day, make time to take short breaks to pop outside for a breath of fresh air every so often.

Your body and mind will thank you for it.

EXERCISE

Exercise can boost your level of endorphins, also known as the body’s feel-good chemicals. Any form of exercise can elevate your mood. For some people, exercise can be hard to stick to — that’s why it’s so important to find an activity you like. You may try out going to a gym, swimming, doing yoga, hiking, taking group fitness classes, biking, dancing or doing something else you enjoy!

If you need help keeping yourself accountable, find an exercise buddy. You and your buddy are less likely to let each other down than you are to let yourselves down. Make a commitment and stick to it.

DIET

Believe it or not, there are mood-boosting foods! Excellent options include nuts and lean proteins, which are rich in omega-3 fatty acids, and berries, which are packed with antioxidants. Make sure your meals include foods with vitamin D, like milk, as well as eggs, mushrooms and fish. Even though fresh fruit and vegetables are not in-season, try frozen options. Limit how many sugary treats you eat.

Candy, cookies or cakes can typically bring a quick happiness boost, but the feeling isn’t a long-term fix.

TRAVEL

Take a break and head to a tropical location, visit family and friends or find an adventure. Time away from work can help recharge your energy, decrease stress, and increase productivity when you return.

Book that trip to help crush those winter blues.

SPEND TIME WITH PETS

According to the CDC, there are many health benefits of having a pet. A pet can bring you opportunities to exercise, get outside and socialize. Regular walking or playing with pets can even decrease your blood pressure, cholesterol levels and triglyceride levels. Pets can help manage loneliness, stress and depression by giving us companionship. If you don’t have a pet and can’t keep one at home, volunteer to walk or care for animals at your local shelters or animal rescue organizations.

Winter doesn’t last forever, and neither do the winter blues. Schedule or prepare for an activity you can enjoy as the weather warms up, like planting a garden or training for a 5K. Find songs or quotations that motivate you. I’ll close with a favorite from Winston Churchill: “Success is not final, failure isn’t fatal. It is the courage to continue that counts.” By Jenny L. Workman, Community Health Manager

Although you may feel less happy than usual, the winter blues typically do not affect your ability to enjoy life.

However, if this feeling affects all aspects of your life, including daily activities, sleep, and appetite, or you have feelings of hopelessness, sadness, or anxiety, you may be experiencing seasonal affective disorder, or SAD. SAD is a type of depression that usually occurs during late fall or early winter. If your winter blues are overwhelming and you think you may have SAD, talk to your primary care provider.

Depression is a common condition, and you deserve to feel your best.

For more information regarding Community Health programs and resources, contact Jenny L. Workman, Community Health Manager at jenny.workman@boone.health or call 573.815.3263.

Boone.Health/My-Boone-Health

17

A NEWPath Boone Cardiac Rehab helps a heart attack survivor turn his life around.

18

BOONE HEALTH

Winter 2022

To learn more about Boone Foundation Scholarships, visit boone.health/foundation or call 573.815.2800

T

here are moments in life when two paths stand clearly in front of us and we know, instinctually, that the path we take will change everything.

For Dale Donnell, that moment came shortly after his second heart attack.

Anthony J. Spaedy, MD, a cardiologist with Missouri Heart Center, had treated Dale just a few years prior, after his first heart attack. Dr. Spaedy told Dale then that he didn’t want to see him again. But at that time, Dale’s priority wasn’t to get healthy long term; his goal instead was to be healthy enough to return to his old habits of drug and alcohol abuse.

“When you do the drugs I did, you just don’t care,” Dale reflects.

After he suffered his second heart attack on June 6, 2021, he was back in Dr. Spaedy’s care and had to have his second stent put in. This time had been nearly fatal. That’s when Dr. Spaedy had the eye-opening conversation with Dale that changed his life.

“He told me I had lived the first 42 years of my life one way. Now I had a choice of how I wanted to live the rest of my life, and if I kept living the way I was I would die.”

When Dr. Spaedy mapped out the way those choices would end for Dale, something clicked in his head. He says, “I chose to live.”

Making the choice to change was one thing; actively working towards that change was another. Boone Health’s Cardiac Rehabilitation program would be instrumental in Dale’s journey.

While in the hospital, Dale received information about the Cardiac Rehab classes. He also learned that if insurance wouldn’t cover the cost of the classes, that he could still participate in an 8-week program, thanks to the generous donations that make up the Boone Health Foundation Scholarships.

Patti Ross, the supervisor at Boone Hospital’s Cardiovascular and Pulmonary Rehabilitation and Fitness Center, knew Dale through a mutual connection. He had attended school with her daughter, Angie. She encouraged Dale to give the program a chance, and so he did.

“Now I had a choice of how I wanted to live the rest of my life, and if I kept living the way I was I would die.”

On his first day, an intake assessment was performed to determine Dale’s starting point. They created a chart to show where he was starting, how bad it was, and where they wanted him to be by the end of the program. He noticed that he was the youngest person there – another factor motivating him to change.

Dale’s concerns about whether he could do it or not disappeared thanks to encouragement he received from Patti and the other staff members. Even that first day, he felt as though he’d been there forever and that they were his family. It was then when he decided to truly turn his life around – starting with quitting drugs cold turkey.

Participating in the 8-week program meant going to classes twice a week for an hour each day. Dale describes the

classes as being “like going to the gym, but everyone in the gym has an area of expertise and wants to help you.” He took their lessons on food, exercise, and caring for his mental health seriously.

Dale never missed a session and has been described by a staff member as “the most successful Foundation Scholarship patient we have had.”

Dale remembers the 8 weeks passing by all too quickly and not wanting it to end, but he felt pride looking back at his chart and seeing how much he had accomplished.

Being a recipient of a Boone Health Foundation Scholarship and participating in the 8-week Cardiac Rehab program changed Dale’s life drastically and permanently. He has been sober ever since he started and has a new outlook on life. He doesn’t take life as seriously as he did because, as he says, “We’re never promised the next day.”

He’s more aware of his feelings and has lower stress levels than before, despite going from working 20 hours a week to over 60 hours a week. “I’m back to my old self, my old work ethic and passion – and it shows. Since starting the program, I’ve been the Dale I always wanted to be.”

When asked about what his future looks like, Dale broke into a wide smile and said “Super bright.” After 25 years in the fast-food industry, Dale is now a nursing assistant at The Neighborhood by Tiger Place and a custodian for Columbia Public Schools. He is studying to become a certified nursing assistant with the goal of becoming a traveling nurse.

Dale is incredibly grateful to the Foundation donors who made his participation in the Cardiac Rehab program possible, and the staff who helped him along his journey to recovery. He fully credits these individuals with saving his life.

His message to anyone who has the opportunity to participate in the program is “Take the program. It will change your life. And if you’re hesitant, I will go back with you myself every day because it is so, so worth it.”

By Hannah Robertson

Boone.Health/My-Boone-Health

19

20

BOONE HEALTH

Winter 2022

It’s a Great Time to Be a Quitter (and Get Tobacco-Free)

By Dr. Graham A. Colditz, Siteman Cancer Center

T

hough it doesn’t make headlines as often these days, it’s hard to overstate how important quitting smoking is to our health — and in ways many people may not be aware of.

Smoking impacts almost every organ in the body to some degree. It’s the main cause of lung cancer, of course, but it also causes 14 other cancers, including breast, colon, cervical, and kidney cancers. It also greatly increases the risk of heart disease, stroke, emphysema and chronic bronchitis.

Overall, smokers die a decade or more earlier than those who’ve never smoked.

Smoking also raises the risk of conditions that may seem less serious but can have a major influence on quality of life. These include rheumatoid arthritis, cataracts, and macular degeneration, which is a common cause of severe vision loss in people over 50. If that’s not enough, smoking is also linked to tooth loss, slower healing of cuts, trouble getting pregnant and erectile dysfunction.

The good news is that quitting smoking lowers the risk of nearly all of these diseases and conditions, and over time, some risks drop to nearly those of a person who’s never smoked.

But you don’t need to wait years to see benefits. Minutes after your last cigarette, your heart rate drops. Then, in the next

several days, carbon monoxide levels in your blood fall to the level of nonsmokers.

And within months, coughing and shortness of breath improve.

While finding reasons to quit isn’t hard, actually doing it can be, as many smokers who’ve tried to quit know. The nicotine in tobacco is addictive, and that makes smoking different than many other behaviors we may try to change.

At the same time, quitting is far from impossible. Thousands of smokers stop for good every day. And getting help quitting can double, and maybe even triple, the chances of success. But only a minority of smokers actually take full advantage of approaches we know help with quitting.

For most smokers, this means talking to a healthcare professional about a combination of medications approved by the Food and Drug Administration and behavioral support. Medications can include nicotine replacement therapy, like patches or gum, or other drugs, like bupropion. Among its other benefits, behavioral support can help smokers learn to work through barriers to staying smoke-free, like cravings and triggers that can lead to urges to smoke. Support can come in many different forms, including in-person or virtual classes as well as text messaging and other programs.

If you’re a smoker who wants to quit, you’re in good company. Nearly 70% of smokers feel the same way, and more than half have tried to quit in the past year.

So, if you’re ready to quit — or even ready to just start thinking about quitting — there’s no better time than today to start the new year on the right track. The American Cancer Society has resources for becoming and staying tobacco-free.

Why not celebrate the new year by doing something really wonderful for your health?

Yes, quitting is hard. But you can do it.

It’s your health. Take control.

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 master’s and doctoral degrees in public health from Harvard University’s T.H. Chan School of Public Health.

Boone.Health/My-Boone-Health

21

BRIN GIN G UP BOO N E BABIES

WELCOME TO THE

BOONE FAMILY BIRTHPLACE! We are honored that you would choose to have your baby here with us! It is our highest priority that you have a safe and comfortable stay here with us. Let me show you around.

BY EMILY NUSBAUM, RN, IBCLC, BOONE FAMILY BIRTHPLACE

Labor and Delivery (L&D) Floor When you come to the hospital, you will start out on labor and delivery (L&D). Here you will labor, deliver, and recover for a few hours after your delivery.

When you arrive on L&D, you will check in with our unit secretary. She will get your insurance information and put you in a triage room.

Triage Room In the triage room, you will be asked to change into a hospital gown, and we will apply monitor belts that will tell us your baby’s

22

BOONE HEALTH

Winter 2022

heart rate and contraction pattern. We will do a physical exam to determine where you are in your labor process. You will also answer lots of questions about your health and pregnancy. You will be in this room for anywhere from 20 minutes to a few hours. Once it is determined you are in labor, you will move to a labor room.

Labor and Delivery Room Here you will labor, deliver your baby, and recover for a few hours. You will continue to wear the fetal monitor belts during your labor. You are free to move around the room for your comfort. If you get an epidural, you will stay in bed, since you won’t be able to feel your legs enough to stand or walk. Your support person or partner and one other visitor are welcome to stay with you. Our nurses work 12-hour shifts, so depending on the timing of your stay, you may have a few different nurses caring for you. Your doctor will come and see you each day of your stay. It is possible that a different doctor will deliver your baby depending on the time of day or day of the week.

Once your baby is born, you are encouraged to hold him or her skin to skin for the first couple of hours.

Operating Rooms If it is determined that you need a Caesarean section, you will be wheeled to one of our two operating rooms. Your support person can accompany you in the OR. Once your baby is delivered, you will hold him or her skin to skin just as you would if you would have had a vaginal delivery. Following a C-section, you recover back in your labor and delivery room.

Post-Partum A few hours after your delivery, you will be transferred to postpartum. You will stay in this room until your discharge. You, your support person, and your baby will spend your time learning to feed and care for your baby. Your baby’s pediatrician and your obstetrician will visit daily. You will have meals provided for you, but your support person will be responsible for their own meals. A lactation consultant will be available every day except Sunday.

Newborn Nursery Our newborn nursery is a place where newborn procedures like circumcisions, some assessments, weights, and labs are done. Babies can spend time in the nursery with a nurse or nursery tech while parents nap or shower.

Neonatal Intensive Care Unit (NICU) If your baby needs specialized medical care, they go to our neonatal intensive care unit (NICU). In the NICU, your baby may be in a special crib called an isolette where they can be kept warm and have minimal stimulation.

GETTING TO KNOW A BHC DOCTOR

Michael Szewczyk, MD, FACEP Boone Hospital Center Occupational Medicine

H

aving grown up in Chicago, my wife and I moved to Columbia so she could complete a residency in Dermatology. I worked at Boone in the Emergency Department and became board certified in Internal Medicine and Emergency Medicine. Recognizing that Columbia was an ideal place to live, we raised our three great children here, all born at Boone Hospital.

Why did you get into the health care field? I’ve always seen medicine as a noble profession that allowed me to do what I love — work closely with others, figure out what the problem is, and provide the best care. That drew me to work in the emergency department and to become involved with employee health. Growing up, I had good role models, including a loving and supportive mom who had six children. Three of us became physicians and also married physicians. At times, Thanksgiving seems like a medical conference.

What interested you in your particular specialty? In the 1980s, while doing my internal medicine residency, I moonlighted in emergency departments. Emergency medicine was just developing as a specialty and I loved it. You never knew what problem you’d see next and you took care of patients of all ages. While working as an emergency physician at Boone, I became their employee health physician, a role that I still hold. In 1999, seeing the need for occupational medicine services in Columbia, in partnership with Boone Hospital, Occupational Medicine of Mid Missouri was opened. It became so busy that it turned in to a full-time job.

What is the most rewarding aspect of your job? You can’t find anything more rewarding than helping take care of others, some in severe crisis. While I’m no longer in the emergency department, I continue to help employees stay healthy and fit. I love it when someone I don’t recognize tells me that years ago, I helped them out.

The ultimate compliment is when a patient tells me I “saved” their life.

While I know it was a team effort, it certainly is rewarding.

What is the most challenging aspect of your job?

Practicing medicine has become more difficult with well meaning but excessive oversight and regulators stepping into the relationship between doctors and patients.

What do you see changing in health care in the next five to 10 years? I believe we are on the cusp of a new era in medicine with the development of biologic and immune modulator medicines. During the COVID-19 pandemic we heard about

24

BOONE HEALTH

Winter 2022

messenger RNA vaccines and monoclonal antibodies, but did you know that, in some cases, antibodies can treat migraine headaches.

Former President Jimmy Carter had melanoma cancer in the brain, a fatal disease. With these new medications, he was cured.

What advice would you give someone looking to become a doctor? Think about why you want to become a physician and make sure it is what you want. Work or volunteer in health care and research projects while in high school and college.

These experiences will help confirm your choice and set you apart from other candidates. Have a physician review your application and personal essay. And finally, don’t give up. If you’re not accepted the first time — regroup and reapply. It can take a few years to get in.

What do you enjoy doing outside of work? I enjoy doing things around the house, from yard work to remodeling, along with fishing and turkey hunting. I also enjoy community activities. As a member of a number of boards, including my homeowner’s association and the Boone Board of Health, I’ve been able to work on larger projects that bring real improvement to our community.

What advice do you have for someone who is going to be a patient in the hospital? Plan ahead and have someone lined up to be your health care advocate and liaison with your caregivers. If possible, pick a friend or a family member who has a medical background or is in a health care field.

GETTING TO KNOW A BHC NURSE

Lacey Clark, RN Surgical Specialties

I

am from a small, rural town in northeast Missouri called Memphis. My husband, Justin, and I both originate from there and we both still have families there. I moved to Columbia for school and have been living here for more than 10 years. I graduated from Moberly Area Community College with my associate’s degree in nursing. Justin and I have two little red-headed boys, 3-year-old Weston and 5-month-old Reed.

Why did you get into the health care field? My mom is a nurse, so I was familiar with the profession growing up. My sister spent some time in the hospital when I was a junior in high school, and that experience solidified my love of nursing. I knew I wanted to pursue a career in that field. The awesome staff at Boone Hospital who delivered such great care to my sister inspired me to start my nursing career at the same place.

What interested you in your particular specialty? In nursing school, I was always interested in either trauma or surgery. I started on a general medicine unit as a new nurse and decided to transfer to a surgical unit to dive into that specialty. I love the variety of patients, the opportunities to use my skills, and learning about new procedures and surgeries.

What is the most rewarding part of your job? I feel rewarded just knowing that I possibly made a difference in a person’s life with the care that I delivered. Getting to know my patients and forming a connection with them is pretty special.

What is the most challenging aspect of your job?

I think the demand for nurses, supplies, and equipment — and the availability of all three — will always be a challenge.

What has changed in your field since you started practicing? In the 10 years I have been at Boone Hospital, I have worked with three different electronic medical record systems, each one different from the last. When I was a brandnew nurse, I remember two nurses had to verify a paper copy of the home medication list for discharged patients to ensure it was correct. Now, with a simple click of a button, a patient’s new prescriptions can be electronically sent to their pharmacy.

What do you see changing in the next five to 10 years? I think nursing will see big changes through the integration of new technology in the years to come. Everything nowadays is so tech-driven, so I think we’ll see changes in communication and the ways we deliver health care.

What do you enjoy doing outside of work? I love to play slow-pitch softball during the summer months. I also enjoy having get-togethers with friends and family and travelling to old and new places!

What advice would you give someone looking to become a nurse? My advice would be to stick with it and to always remember why you wanted to be a nurse, especially during the hard times.

Boone.Health/My-Boone-Health

25

How to

CLEAN YOUR PLATE Easy alternatives to reduce food waste without overeating.

P

arents past and present have instructed children to “clean their plate” at the family table. Kids are expected to finish all the food on their plate, and it’s often a requirement before they can receive more food, especially dessert.

Always eating every bite of food on your plate, however, can quickly result in weight gain due to overeating. It’s important that we listen to our body’s hunger and fullness cues. Stop eating as soon as your body says it is full, not when your plate is empty.

If this is a habit you have developed, it can be difficult to break. There is often guilt attached to disposing of uneaten food. The first step is to work on letting go of the guilt! I always encourage people to consider that uneaten food will end up in one of two places: in the trash or in your body as extra calories and, most likely, stored as fat. Which place would you prefer it go?

26

BOONE HEALTH

Winter 2022

There are also other approaches to avoid overeating without throwing out uneaten food.

Use smaller plates and bowls.

A smaller dish holds a smaller portion of food, decreasing the chance of overeating.

Be mindful of portion sizes when putting food on your plate or your child’s plate. You can always go back for more, but it’s harder not to eat food in front of you.

It is okay to start with half a burger!

Your first serving of food should last at least 15 minutes. It takes 15 minutes for your stomach to tell your brain that it is full. If you finish your plate in less than 15 minutes, you may still feel hungry and go back for seconds. When that feeling of fullness finally hits, you will have food remaining on your plate from that second trip, causing you to eat more than your body needs.

Store your leftovers for later.

Even if it’s not enough food for a second meal, the few bites that are left can be eaten as a snack or side.

Another way to help let go of the guilt is to find alternative ways of disposing of leftover food. Find out if some of your favorite foods can be left out for birds or added to a compost pile.

When enjoying a snack, don’t eat from the box or bag. It’s easy to finish an entire package of food because you’re not paying attention to your hunger and fullness cues. Always put a snack in a bowl or on a plate, sit at the table, and eat slowly and mindfully.

Remember that changing old habits is hard. Try one strategy at a time, go slowly, and give yourself grace. By Jennifer Tveitnes, RD, LD

Boone.Health/My-Boone-Health

27

A Simple

START No equipment is needed for these simple strengthening and stretching exercises.

D

uring the winter, many folks find they have less time or motivation to make physical activity a priority. Fatigue and a low mood are normal for some people this time of year and can make getting up and moving a challenge. Getting in the groove with exercise may seem daunting, but simple things can help you tackle the problem.

Setting alarms, marking calendars, and having a workout buddy can help you make exercise a habit, but simple exercises can also help you move in the right direction. The activities shown here are intended to promote general strength and mobility. Building strength through the hips and shoulders is important as we age and is beneficial for general quality of life.

Light stretching helps overall movement and can prevent aches in the long run.

These exercises can be performed weekly or daily, depending on what feels right for you. It’s important you don’t overdo it. Start with a lower number of reps or shorter duration. If you’re starting from scratch or haven’t exercised for a long time, try performing these activities three to five times a week. Over time, you can increase the repetitions and duration or increase the range of motion based on your tolerance.

It is important for you to do a simple warm up, such as walking before beginning your activities. You want to avoid painful movements during exercise. You should be able to feel a muscle working or a stretch, but if something feels wrong or you feel pain during a particular exercise, stop the activity. If your pain persists, please talk to your primary care provider.

Light daily exercise has been shown to improve general health, mobility, and cognition and has been associated with enhanced mood and energy levels — all the more reason to squeeze in some exercise! By Wes Glenn, DPT, PT, Boone Therapy

28

BOONE HEALTH

Winter 2022

Wall Push-Ups Stand and face a wall. Place both hands with palms against the wall and your fingertips a little below shoulder level. Lean forward, using your arms, slowly lower yourself towards the wall until you come within 3 to 5 inches. Straighten your arms to return to the start position. Keep your body in good alignment as you do the movement. If you have difficulty or pain, go only half the distance to the wall. Do two sets of five to 10 repetitions.

Calf Stretch Stand facing a wall. Using your hands to steady yourself on the wall, step forward with one leg and back with the other. Let the front knee bend while you keep the back knee straight and back foot flat on the floor. Lean forward slightly to feel a stretch in the calf and ankle of the back leg. Hold for 30 to 60 seconds, depending on your comfort, then switch to the other leg to stretch the opposite calf.

Perform once or twice on each leg.

Variation: To get a stretch closer to the ankle, slightly bend the back knee. Hold for the same 30 to 60 second count.

Heel & Toe Raises Standing at a countertop or other solid surface you can hold onto, shift your weight forward and lift up on the balls of your feet. Hold that position for three seconds and then slowly lower yourself.

Then, while steadying yourself with your hands, shift your weight onto your heels and lift your toes off the floor. Hold the position for three seconds and lower yourself again. Perform both the heel and toe raise 10 to 20 times.

POSITION A

POSITION B

Mini Squat Standing at a counter or other solid surface, grasp the edge to steady yourself if needed. Place a chair behind you for additional safety. Keep good posture in your lower and middle back as you bend first at the hips and then at the knees to squat. Find a position between A and B that will allow you to feel the muscles in the buttocks work, but not so low that you’re uncomfortable.

Return to the start position. Do two sets of five to 10 repetitions.

Piriformis Stretch Sitting with good posture, cross one leg over the other so that your ankle rests on the knee of the opposite leg. Apply light pressure to the raised knee. If you feel a stretch in the hip or buttocks at this point, hold for 30-60 seconds, but discontinue before that time if it becomes painful. If you don’t feel a stretch yet, lean forward – without slumping – until you feel a stretch in the hip or buttocks and then hold for 30 to 60 seconds. Repeat for the other leg. Perform once or twice on each side.

Bridge While lying on your back, cross your arms over your chest and bend your knees so that your feet are flat on the surface. Push through your feet to lift your hips. Hold the up position for five seconds and then slowly lower yourself back to start position. If you have pain while performing the bridge, don’t lift your hips as high or hold the position for less time. Do two sets of 10 repetitions.

Boone.Health/My-Boone-Health

29

you

finally, whole-person, genetically guided personalized medicine is available today.

_

GeneTrait Laboratories specializes in diagnos�c gene�c lab services for Missouri's healthcare community, including COVID-19 tes�ng and PGx-guided precision medicine.

Our partnership with Boone Health has helped facilitate quick and reliable PCR COVID-19 tes�ng for tens of thousands of pa�ents and providers during the most cri�cal stages of the pandemic.

GeneTrait con�nues to support our local community by providing high quality COVID-19 tes�ngmedtrait.net services with Copyright © 2021 PTC Laboratories, Inc. dba GeneTrait Laboratories • Columbia, MO

same-day op�ons available to the public. Learn more at genetrait.com

30

BOONE HEALTH

Winter 2022

Molecular Diagnostics and Human Identity

Forensic Human Identity

Molecular Diagnostics

Molecular Diagnostics and Human Identity

Relationship/Human Identity Testing

FOUNDATION NEWS

THANK YOU FOR SUPPORTING OUR 2021

2021 Boone Hospital Foundation

2022

Saturday, October 30th

Thank you to the following sponsors for supporting the Boone Hospital Foundation’s 2021 Stay-At-Home Gala celebrating Boone Hospital Center’s 100th Birthday! 100% of the proceeds directly impacts the programs and services of Boone Hospital Center!

In keeping our community’s health in Thank you formind, believing in Boone us continue to be we invite you toand join helping us from the a healthcare leader in your our community for the next 100 years! safety of home in celebrating

CALENDAR OF EVENTS FEBRUARY 16-17 Uniform Sale MAY 9 Golf Tournament

Boone Hospital Center’s 100th Birthday Thank you to our sponsors for supporting this event.

Presenting Since 1921 Boone has been a healthcare leader in our community. You are invited to invest in the next Sponsor: 100 years of Boone Health!

Donate online at: www.boone.health/foundation/2021-gala Or mail donatons to: Boone Hospital Foundation 1600 East Broadway, Box 88 Columbia, MO 65201 Foundation Office: (573) 815-2800

MAY 25-26 Uniform Sale APRIL 4-6 Collective Goods Booksale AUGUST 2-4 Uniform Sale 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

Boone.Health/My-Boone-Health

31

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

NONPROFIT U.S. POSTAGE

PAID

COLUMBIA, MO PERMIT 286