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Medical Directory May 2011

Keep your brain

IN SHAPE Start Your Day Off Right

10 WAYS to reduce cancer risk


PROFESSIONAL SER VICES OFFERED • Free Hearing Aid Evaluations • Hearing Instrument Sales/Service • Guaranteed lowest prices on any prescribed hearing instrument • Diagnostic Hearing Examinations • Industrial Hearing Conservation • Ear Protections • FREE Lifetime Maintenance Service Plan • FREE 2-year Full Warranty on Prescription Hearing Instruments • FREE 1-year Accident Insurance • Medicare Provider

Dr. Kent Webb, CCC Audiologist



Council Bluffs


Red Oak

115 South Elm (712) 246-3150

110 W. Washington (712) 542-5831

421 E. Broadway Suite B (712) 322-1885

14 N. Walnut (800) 458-4413

1010 A. Broadway (712) 623-4802


1-800-458-4413 OR VISIT: WWW.ASIAUDIOLOGY.COM 2 Š Medical Directory 2011




The best of both worlds he obstacles faced by health care providers and patients in the rural areas of Clarinda, Red Oak, and Shenandoah are vastly different than those in urban areas. Rural Americans face a unique combination of factors that create disparities in health care not found in urban areas. Economic factors, cultural and social differences, educational shortcomings, lack of recognition by legislators and the sheer isolation of living in remote rural areas all conspire to impede rural Americans in their struggle to lead a normal, healthy life.


Here in southwest Iowa, residents are fortunate enough to have the best of both worlds - great local health care and close proximity to urban areas with access to world-class specialists from every corner of the medical community. Despite the many challenges our rural residents face, we could not be more proud of the dedicated health care professionals working in southwest Iowa. We hope you enjoy the 2011 version of our annual medical directory. Bob Eschliman, Publisher Clarinda Herald-Journal

Barb Trimble, Publisher Shenandoah Valley News

(712) 542-2181

(712) 246-3097

Advertiser’s Index (Alphabetical order)

Aesthetic & Family Dentistry . . . . . . . . .Pg10 Apria Healthcare . . . . . . . . . . . . . . . . . .Pg10 ASI Audiology . . . . . . . . . . . . . . . . . . . .Pg02 Bodyworks by Ric . . . . . . . . . . . . . . . . .Pg17 Brian Raric . . . . . . . . . . . . . . . . . . . . . . .Pg08 Clarinda Medical Association . . . . . . . . .Pg08 Clarinda Regional Health Center . . . . . .Pg06 Clarinda Regional Health Center . . . . . .Pg18 Fair Oaks Residential Care Center . . . . .Pg09 Family First Dental . . . . . . . . . . . . . . . . .Pg07 George Jay Drug . . . . . . . . . . . . . . . . . .Pg16 Goldenrod Manor . . . . . . . . . . . . . . . . . .Pg04 Golden Living . . . . . . . . . . . . . . . . . . . . .Pg18 Good Samaritan Society . . . . . . . . . . . .Pg14 Herzerg Chiropractor . . . . . . . . . . . . . . .Pg08 HyVee Pharmacy . . . . . . . . . . . . . . . . . .Pg05 Medical Clinic . . . . . . . . . . . . . . . . . . . .Pg09 MCMH . . . . . . . . . . . . . . . . . . . . . .Pg12 & 13 Millennium Chiropractic . . . . . . . . . . . . .Pg17 Miller Orthopaedic Affiliates, P.C. . . . . . .Pg23 Nebraska Medical Center . . . . . . . . . . . .Pg19 Nordland Insurance . . . . . . . . . . . . . . . .Pg22 Paula Hayes, LMT . . . . . . . . . . . . . . . . .Pg23 Physicians Clinic Red Oak . . . . . . . . . . .Pg04 Dr. Portz . . . . . . . . . . . . . . . . . . . . . . . .Pg15 Red Oak Dental Care . . . . . . . . . . . . . . .Pg23 Red Oak Dental Clinic . . . . . . . . . . . . . .Pg11 Red Oak Rehab . . . . . . . . . . . . . . . . . . .Pg08 Security Insurance . . . . . . . . . . . . . . . . .Pg09 Shenandoah Medical Center . . . . . . . . .Pg24 Southwest Foot & Ankle Center . . . . . . .Pg22 St Francis Hospital . . . . . . . . . . . . . . . . .Pg07 Tabor Manor Care Center & Rehab . . . .Pg10 Taylor Pharmacy . . . . . . . . . . . . . . . . . .Pg17 Walmart Pharmacy . . . . . . . . . . . . . . . .Pg14 Waubonsie Mental . . . . . . . . . . . . . . . . .Pg17 Weber Dental . . . . . . . . . . . . . . . . . . . . .Pg10 Dr. Janet Wheat . . . . . . . . . . . . . . . . . . .Pg09 Medical Directory 2011 Š 3

MEDICAL DIRECTORY Small enough to provide personal care, but large enough to provide professional, quality services.

Occupational, Rehab & Restorative Therapies.

Professional Therapists visit daily.

“A namee youu cann dependd on” PHYSICAL THERAPY~MEDICARE~MEDICAID RESPITE CERTIFIED~HOSPICE 225 W. LaPerla Drive G Clarinda, Iowa 51632 G 712-542-5621

For the best family health care, look to the heart. It’s good to know every member of your family can get the quality health care they need from a doctor you know and trust. And it’s reassuring to know that doctor is close to home-at Red Oak Physicians Clinic. The staff at Red Oak Physicians Clinic has provided generations of Southwest Iowa families with an unequaled level of health care. The doctors and their staff are proud to provide your family with care that comes from the heart. FAMILY MEDICINE William G. Artherholt, D.O. Warren C. Hayes, M.D. Tom Schmadeke, PA-C



To make an appointment, call

An Affiliate of Methodist Health System

1400 Senate, Suite 105, Red Oak



4 Š Medical Directory 2011

The Best Care Comes from the Heart

MEDICAL DIRECTORY ATTENTION ALL MEDICARE ELIGIBLE PATIENTS Please stop in or call and we will gladly go over any questions you may have.

HyVee accepts all Medicare Part D Prescription Plans

Expert Pharmacists • Quality Service • Exceptional Care • Consultation on all your medications • Blood pressure, blood sugar and cholesterol checks • Specialized compounded products • Convenient drive-up window • Free in-town delivery • Medication reviews • Medical equipment and supplies • Medicare/Medicaid billing • Diabetic Shoe Fitting

201 S. 16th Clarinda, Iowa 712-542-6546

PHARMACY 110526-40934

1208 West Nishna Road Shenandoah, Iowa 712-246-3440 • 800-367-8748 Medical Directory 2011 Š 5


Clarinda Regional

Health Center

Medical and Ancillary Services Provided by CRHC G G





Bone Density Scanning Cardiac & Pulmonary Rehabilitation Chemotherapy Services Clarinda Medical Associates – Family Practice - 6 Physicians/4 Nurse Practitioners Clarinda Medical Associates Bedford Clinic Clinical Hypnotherapy Community Education Corporate Wellness Program Diabetes Education Dietitian Services




Digital Mammography 24/7 Emergency Services EMS/Ambulance Service Gift Shoppe – CRHC Auxiliary Laboratory Lymphedema Therapy Meals On Wheels Nuclear Medicine Nursing Occupational Therapy Page Co. Homemaker Services Personal Training Pharmacy Physical Therapy/ Rehabilitation

New CRHC Hospital Floor Plan G G G G G G


Radiology/Digital XRay/CT-Scan Respiratory Therapy Social Services Specialty Clinics – 23 Visiting Specialists Speech Therapy Surgical Services – Full Service General, Vascular, Thoracic, Plastic, Endoscopy, Laparascopic Swing Bed Ultrasound Villisca Family Health Center Walk-In Nurse Wound/Ostomy Clinic

Online Clarinda Medical Associates, Villisca Family Health Center & Bedford Clinic

Appointment Scheduling, 24/7 @ CRHC (712) 542-2176 ~ Clarinda Medical Associates (712) 542-8330 6 Š Medical Directory 2011


–St. Francis Family Health Care Announces–

EXPANDED PATIENT ACCESS In addition to same-day appointments,

Walk-In Clinic is now available for minor illnesses and injuries

Monday-Thursday: 12 to 6:30 PM Friday: 12 to 4:30 PM Across from the Hospital ER


2016 South Main Street – Maryville, MO – (660) 562-2525

Family Dentistry with a gentle and caring touch

Enjoy quality dental care for the whole family in one convenient location. We offer a full range of dentistry services for children and adults, including tooth whitening and other cosmetic procedures.

“Where Family Comes First”.

Family 1st Dental 104 E. Washington G Clarinda


Dr. Rachel Williams Medical Directory 2011 Š 7




Aching Feet? Step right into our office. We specialize in quality medical and surgical care for all types of foot and ankle problems.

Your feet are in good hands with us! ingrown nails • warts • nail fungus • callouses • corns • orthotics • arch disorders • heel pain • hammertoes • bunions • bone spurs

Brian Rarick, DPM 300 North 17th St. | Clarinda | 542-4221

Get well, reach your potential with chiropractic. Herzberg Chiropractic, P.C. 112A North 16th Street–Clarinda


8 Š Medical Directory 2011

Offering skilled nursing and therapy services to Montgomery County. Home Health Services keep our community in their home as long as possible. Western Hospitality with a Smile. 110526-40946

Clarinda Regional

Health Center

Clarinda Medical Associates

(712) 542-8330 Villisca Family Health Center

(712) 826-3003 Clarinda Medical Associates Bedford Clinic

(712) 523-3604 We’ve Added the Convenience of

ONLINE APPOINTMENT SCHEDULING Available 24/7 on our website


Call us for your insurance needs # G G G G


Health -Individual &

Thomas H. Largen, M.D. • Kelli E. Woltemath, D.O. Laurance W. Choate, M.D. • David Owen, A.R.N.P Michael J. Ourada, M.D. • Jaylene Zanker, P.A.C.

Families -Medigap -Medicare RX

Right care, Right now


Larry Van Fosson – Ron Richardson

$ecurity Insurance

1219 Main St. Hamburg, IA (712) 382-2626

313 Main St. Sidney, IA (712) 374-2649

710 Center St. Tabor, IA (712) 629-2975

1427 East Washington Clarinda 542-6000

Residential Living at it’s Best!



“Where Caring Makes a Difference.”

Treating Whole Person & Whole Family EXPERIENCED CHIROPRACTIC Gentle & Effective Techniques

Director JoElla Travis Call for a tour today!


Comforts Provided • Handicap Accessible • Security System • Smoke-Detectors • 24-hour staff on duty • Laundry & housekeeping • Sunroom/fireplace, front porch • Telephone and Cable TV access

We are located at 1201 South Walnut St., Shenandoah, IA


• Breakfast, lunch & dinner • Menu Selections prepared in facility • Activities • All utilities included • Assistance with medicaitons & ADLs • Home Environment • Beauty Shop/Barber Shop


Fellow of International Academy of Medical Acupuncture • Natural Approach to Pain Relief • Balance for the Whole Body • Helps Hormonal & Menopausal issues, Digestive, Sinus, etc.

712-623-3838 401 E. Park Av. Red Oak

712-379-3455 527 Iowa St. Essex

Red Oak Office Open Monday through Friday Essex Office Open Tues. & Fri. Afternoon



Medical Directory 2011 Š 9


• WEBER DENTAL• • IV Sedation • Oral Surgery • Endo & General Dentistry • Lab Technician on Premises Patients on state assistance & emergencies welcome

Dr. George Weber & Dr. Calvin Weber 712-527-4801 • 208 N. Walnut St. • Glenwood, Iowa Credit Cards Accepted • Most Insurance Accepted Payment Plans Available

In home healthcare, quality equipment backed by excellent service is of utmost importance to the patient and the patient’s family.


Aestheticc & Family

De tistry

Nobody cares more about quality service than Apria Healthcare.

• Home Oxygen and Respiratory Therapy Equipment • CPAP Equipment for Sleep Apnea • Beds, Wheelchairs, Walkers and Bath Chairs

APRIA HEALTHCARE 111 Washington, Red Oak, Iowa 51566 Tel: 712-623-5466/800-432-0009 110526-36650

10 Š Medical Directory 2011

Comprehensive Dental Care For All Ages New Patients Welcome 119 South Elm Shenandoah, Iowa

Telephone (712) 246-5587 Fax (712) 246-5586

Tabor Manor Care Center & Rehabilitation

209 Main Street • Tabor, Iowa 712-629-2645 • Skilled Nursing Care • Respite Care • Day Care • Medicare and Medicaid Certified • Physical Restorative Therapy • Outpatient Therapy • Occupational Therapy • Speech and Language Therapy • Beauty Shop • Chapel Services • Pharmacy Consultant • Resident Council Tender, Loving Care Makes The Difference!


The secure feeling that comes from having dependable equipment, provided by skilled technicians and clinical expertise for all of our patients, can aid in the healing process.




Start the day off right... Ten easy minutes to feeling good every single day As the days begin to grow shorter and shorter, it’s likely you’re finding your to-do list has reached a length of world-record length proportions. With so much on your plate, it is easy to forget to take care of yourself. Leslie Bonci, MPH, RD of the University of Pittsburgh Medical Center, recommends you take at least 10 minutes each morning and dedicate them to doing something good for yourself. She’s developed several simple and easy tips that can boost your mood and productivity before even stepping out the door. “Ten minutes may not seem like it will make a difference, but it’s plenty of time to get your day started off right,” says Bonci. “It’s important to remember that living a healthy lifestyle is a

life-long commitment - that doesn’t necessarily need to take a lot of your valuable time.”

Confidence is Key Say to yourself out loud “I can and I will take care of myself today.”

nationally available non-refrigerated snack bars that contain a live probiotic culture and fiber (and 3 to 4.5 grams of fat per serving depending on the flavor of bar) — throw one into your bag to help promote the health of your digestive system, anytime, anywhere!

Movers and Shakers

Drink Up

Whether it’s a walk on your favorite nature trail or your favorite step aerobics class, even 10 minutes of exercise can pump your heart and muscles and get you revved up for the day. Can’t make it to the gym? Then spend a few minutes each morning stretching to help make your body more flexible.

A large glass of water is one of the best (and easiest!) ways to give your body the fluid it needs.

Gut Check

Fresh air cleans our lungs. Many adults spend at least eight hours inside of the buildings where they work. Leave your car in the garage and walk to the bus or train. This will ensure you’re breathing in fresh air for at least a few minutes each day. For more tips about healthy living, visit

If your gut feels good, then you feel good, so incorporate probiotics into your daily diet. Probiotics are live cultures that exist naturally in the digestive system and are helpful for maintaining digestive health. For an easy snack, grab a Liveactive Chewy Granola Bar. They are the first

Add a Splash of Color Eat or drink something that contains color - a piece of fruit or glass of vegetable juice.

Breath of Fresh Air

New w Patients Welcome! Michael P. McCormack, DDS 712-623-4988 Terry J. Gillespie, DDS 712-623-5404

Red d Oak k Dentall Center 1700 Summit Street Red Oak, Iowa 51566 Medical Directory 2011 Š 11



Patient Services Include:

Montgomery County Memorial Hospital Providing quality health care to the S.W. Iowa area.

The Birthing Center at MCMH is a warm, comfortable and family-friendly place to welcome your baby.

Montgomery County Memorial Hospital uses state-of-the-art equipment and resources, but it is the caring, concerned and professional staff who make the difference. MCMH Outpatient Clinics provides convenient easy access to physician specialists in eighteen different fields. There’s no need to drive to the city to see a specialist. All outpatient services in one convenient location.

MCMH Women’s Health Center Dr. Christopher Johnson, specializes in obstetrical and gynecological services to women in southwest Iowa from the Women’s Health Center conveniently located in the Physician’s Center on the MCMH Medical Campus.

Heartland Home Health and Hospice provides home based care for short or long term needs by trained, caring professionals. Heartland Hospice can help individuals and families with specialized care for those with cancer and other terminal illnesses in their homes.

Montgomery County Memorial Hospital • 2301 Eastern Avenue • Red Oak, Iowa 51566 1 Š Medical Directory 2011

• • • • • • • • • • • • • • •

Birthing Rooms with fetal monitoring Laboratory CT Scans MRI (magnetic resonance imaging) Mammography Ultrasound imaging Home Health and Hospice Care Diabetes Education Dietary Consultation Cardiopulmonary Rehabilitation Respiratory Therapy Occupational, Physical & Speech Therapy In-Patient and Out-Patient Surgery Sleep Studies X-ray

Monthly Outpatient Clinics • • • • • • • • • • • • • • • • • •

Allergy/Asthma Cardiology/Cardiovascular Dermatology Family Counseling Gastroenterology NCV-EMG Nephrology Oncology/Hematology Ophthalmology Orthopedics Otorhinolaryngology (Ear, Nose & Throat) Pain Management Pathology Plastic Surgery Pulmonology Radiology Rheumatology Urology

Medical Directory 2011 Š 1


W hen someone you care about needs caring for.

They are our mothers. Our fathers. Ourselves. People who have come to see life for the remarkable journey it has been and that is still to come. People who — better than anyone — can help us all find meaning and purpose. At the Good Samaritan Society in Red Oak and Villisca, we believe everyone deserves to feel loved and valued, and to be treated with dignity.

To learn more about our communities, call us at Red Oak (712) 623-3170 or at Villisca (712) 826-9592.

Allll faiths faiths ths hs orr beliefs b belief eliefs welcome. w we welc come. o e 2007-G0000 2007-G000 G 0

All faiths or beliefs are welcome. 09-G0573

P H A R M AC Y Orchard Corners Shopping Center

Free Blood Pressure Check Most Insurance Plans Accepted Diabetics - Check our Insulin Prices All Medicare Part D Plans Accepted Free Mail Out Service for Prescriptions

any transferred prescription good through August 31, 2009

Highway 59 South # Shenandoah, Iowa


14 Š Medical Directory 2011

1000 off


• 110526-36578


Keep your brain in shape as you age It's easy to forget that your brain, like the rest of your body, needs to be exercised to stay in shape. It is precisely this forgetfulness that medical researchers are trying to curb, by encouraging a three-pronged system for strengthening memory and keeping a sharp mental edge. "We're seeing baby boomers and even people in their thirties worrying about brain fitness," said Asenath LaRue, a senior scientist at University of Wisconsin School of Medicine and Public Health. "It's not a stretch to think we may begin hiring brain coaches in addition to physical fitness trainers." Observational studies have led LaRue and colleagues to agree on three main brain workouts that are especially helpful as we age: „ Be Physically Active: This does not necessarily mean the exercise has to be planned. But basic day-to-day activity seems to relate to brain fitness, says LaRue. Activities like gardening, dancing and even cleaning - basically anything keeping you up and moving could help maintain brain health. „ Challenge Your Brain: Word search games and crossword puzzles are more than just games to fill-up the morning hours.

As lifting weights strengthens muscles, thinking intently for a chunk of time each day can help strengthen brain activity. Lectures, concerts and museums are other fun and healthy activities people could explore. „ Stay Socially Active: Activity in broad social networks helps keep the brain chimed in with the rest of the world and actually helps maintain brain health, more so than for those who participate less socially. "While we don't know at what point in an individual's life the three factors have maximum impact, the theory is that the better developed your coping resources, the more likely you are to withstand brain changes affecting memory and thinking," says LaRue. While these methods are helpful for maintaining a healthy brain, LaRue and colleagues do not think brain workouts could reverse Alzheimer's or dementia. Nonetheless, they do help to hinder memory loss and confusion, and should be used by anyone looking to keep his or her mental edge sharpened.

MICHAEL J. PORTZ, O.D., P.C. JANET WADE, O.D., P.C. “Dignity in Life” is our Mission. We are “Families serving Families”. We succeed by focusing our attention & energies On exceeding expectations with a “Yes, I Can” attitude.

Standing: Jo Meggison, Nancy Gilleland, Marlene Richardson, Susan Stevens, Trudy Jenkins Seated: Dr. Michael J. Portz, Dr. Janet Wade

1409 N. Second Street • Red Oak, IA 51566 712-623-5551 Serving Southwest Iowa for over 40 years Professional Vision Care for the Entire Family 110526-40944


Contact Lenses Emergency Care 24 hours & weekends Red Oak’s full-time optometric practice Locally owned and staffed

OFFICE HOURS M, T, W, F 8:30 a.m.-5 p.m. Thursday 8:30 a.m.-7 p.m. Saturday by appointment

When you need us, Either short or long term Our team of friendly faces Will do the best for you Ways we may serve you include Skilled care with therapists on staff For your rehabilitation needs. Hospice services are also available. Stop by for a visit, The coffee is always on. “Life is Good” at Stanton Care Center 213 Halland Avenue • Stanton, Iowa 712-829-2727 110526-40992

Medical Directory 2011 Š 15


HOMETOWN HEALTH CARE Caring for you & about you Nursing Home Prescription Service • Free Delivery • 24 Hour On Call Service • Fill and Organize Weekly Prescriptions with 7 Day Opus System and Monthly with 31 Day Bubble Pack System • We Work with all Local Nursing Home Facilities and Physicians • Preferred Locally Owned Pharmacy

We now carry Sunmark Brand, Jay’s generic over the counter medicines and health products. Priced to compete with other retailers

Diabetic Supplies • Syringes • Lancets

• Test Strips & Glucose Meters • Blood Pressure Monitors

Order your prescription refills online at

G EORGE JAy DRUG CO. Dependable


612 W. Sheridan • Shenandoah • 712-246-2635 Hrs: Mon.-Sat. 8:30 am - 5:30 pm • Visit us online at:


16 Š Medical Directory 2011


Taylor Pharmacy Clarinda, IA–542-3522

“ or the first time in months my hands are warm.”




~ 79-year old arthritis patient

was worried that shoulder surgery would put me out of work, but because of regular massage I regained full motion and strength.” ~ 45-year old victim of fall


“ assage is one of the kindest, and most nurturing therapies anyone can experience. Ric is most respectful and helped to deepen my spiritual journey to better self-care." ~ 57-year old woman

1205 South 16th Clarinda, IA 51632

Phone (712) 542-3056 Office Hours Monday through Friday 9-5

90* 9(:4<::,5 34; 4;7/@:0*(3;/,9(70:;(::0:;(5; 05:;9<*;69 (;+,:4605,::*/663 6-4(::(., ,::,?/,(3;/*,5;,9

Waubonsie Mental Health Center Serving: Fremont, Montgomery & Page Counties TREATMENT FOR A VARIETY OF MENTAL HEALTH PROBLEMS... G Life Adjustment Issues G Depression G Anxiety G Serious Mental Illness ACCREDITED SERVICES G Individual Counseling G Marital Counseling G Family Counseling G Psychiatric Evaluations G Psychiatric Medication Checks G Psychological Testing And Evaluations G Co-occuring Disorder Treatment for Mental Health/Substance Abuse Problems G Educational Programs & Seminars G Consultation G Emergency Services G Supported Community Living Services For Persons With Serious Mental Illness G Peer Support Services Sliding Fee Scale G 3rd Party Health Insurance G Title XIX

1800 N. 16th St. Suite 1, Clarinda, Iowa 51632 Phone 1-800-432-1143 or (712) 542-2388 CLARINDA 1800 N. 16th St.

SHENANDOAH 813 Church St.

RED OAK SIDNEY Montgomery County Memorial Hospital 710 Illinois St. Medical Directory 2011 Š 17


golden living centers Alzheimer’s care

Freedom Through Functionality G





honoring each person’s uniqueness and dignity building on individual strengths creating an environment that nurtures feelings enabling freedom of movement and expression partnerships with family members and others




Our program is specially designed to meet the needs of older adults. Freedom through Functionality utilizes Nautilus® equipment developed specifically for older adults. Out trained personnel teach residents how to perform the exercises.

We have created a nuturing, home environment, where an individual can live an independent life in a safe and secure setting.

call today to find out more about our many quality programs

Assisted Living G



our residents improve their independence by giving themselves more strength to do things on their own our program offers regaining a positive outlook bringing the best and latest in strength to seniors

Goldenrod Living Communities make you feel comfortable, welcomed and at home skilled staff offering quality personal care outstanding care focusing on the physical, emotional, spiritual and social needs of all residents full-service campus approach to assisted living a community designed with residents in mind

524 N. Laura Street - Maryville, MO (660) 582-7447 www.goldenliving

Clarinda Regional

Health Center ional, Profess ped, uip Fully-Eq sive Respon edical ncy M Emerge vice! Ser




9 Paramedic Specialists; 27 EMT’s Emergency Medical Services Department Responds 24 Hours / 7 Days Emergency Department (E.R.) 24 Hours / 7 Days NEW!!! On-Scene/In-Route Wireless EKG’s Sent Directly to E.R. and Cardiologist

18 Š Medical Directory 2011




Mobile Intensive Care/Critical Care Transport Vehicles Revolutionary Zoll AutoPulse Cardiac Support Pump (automated CPR) Zoll Defibrillators Lifeline In-Home Medical Alert System. Call 542-2176 for subscription information.


Medical Directory 2011 Š 19


10 ways to Most people assume that cancer is genetic and cannot be avoided. However, according to the American Cancer Society, healthy behaviors could prevent approximately half of cancer deaths. Below is a list of 10 lifestyle changes, all based on the latest research, which people can make to improve their odds of preventing cancer or catching it at its earliest, most curable stages. Don't smoke or use any other tobacco products. Tobacco increases the risk for many cancers including those of the lung, bronchus, head and neck, colon, and bladder. If you smoke, stop. If you don't smoke, don't start. If you've tried to quit before, don't give up -- eventually something will work. Don't be afraid to ask for help from your physician, your family and friends, your employer, and even your insurance company. There are so many benefits to reducing smoking that many companies and insurance companies provide free help for quitting smoking.


Get screened for cancer r eg u l a r l y. Several tests can find cancer at a very early stage, sometimes even before a growth has turned cancerous. Finding cancer early can greatly increase your chance for a cure and reduce your risk of dying from the disease. Currently available cancer screening includes: Colon: Starting at age 50, all people should have a colonoscopy (or even younger if at high risk). The frequency of colon screening depends on risk. A



Medical Directory 2011

colonoscopy every 10 years is the norm for those with no personal or family history of colon cancer or high-risk polyps. Those at high risk may need more frequent testing. Acceptable alternatives for people who are not at high risk for colon cancer include flexible sigmoidoscopy, CT scanning and a test to check for hidden blood in the stool. Breast: Starting at age 40, all women should get an annual mammogram (or even younger if at high risk) and a breast exam performed by a clinician. Some women may be eligible for a breast MRI and ultrasound as recommended by their physician. Prostate: Starting at age 50 (or younger if at high risk), all men should have an annual physical exam (including a digital-rectal exam) and a blood test to check for blood levels of prostate-specific antigen, or PSA, which when elevated can be an indication of prostate cancer. Cervix: Cervical-cancer screening (cervical sampling for Pap smear and human papillomavirus testing) should start as soon as a woman is sexually active and should continue throughout life with frequency depending on the woman's risk and age. Skin: All adults should have a yearly skin exam by their primary care doctor. Those at high risk should have annual skin-cancer screening performed by a dermatologist. Persons at high risk for melanoma or other skin cancer should examine their own skin monthly.

Keep your alcohol consumption low. This means no more than two drinks per day for men and one drink per day for women. Alcohol use increases risk for several cancers including those of the breast, esophagus, colon, pancreas, and head and neck. Keeping your alcohol intake to the minimum daily level doesn't mean that you can "save up" all your drinks for a week and binge on Friday night with your weekly "allotment." This type of binge drinking is dangerous because it reduces your ability to make rational decisions, and it increases your risk of injury and of acute heart failure.


Protect your skin from the sun. Use sunscreen every time you go outdoors (preferably one with an SPF of 30 or higher that protects against both UVA and UVB rays). Keep covered with a broad hat and sunglasses, keep the amount of exposed skin to a minimum and limit time in the sun when it is the strongest (usually 10 a.m. to 4 p.m.) Remember that sun rays penetrate car and other windows, so you should use sunscreen any time you'll be getting sun exposure through a window. Never use a tanning bed, as they are as dangerous as sun exposure. If you want a tan without going outdoors, use a self-tanner, as such products do not cause skin cancer or other skin damage.


Keep a physically active lifestyle. Research suggests that exercising three to four hours per week at moderate or vigorous levels reduces the risk of several cancers by 30 percent to 50 percent. Many studies have shown that regular exercise lowers risk for breast and colon cancers, and studies now suggest that risks for endometrial and lung cancer may also be lower in people who exercise regularly. You don't need to be an athlete to get the benefit of exercise. Activities like brisk walking, biking, dancing, or any exercise that raises your heart rate and makes



reduce your cancer risk you sweat will be beneficial. Keep your weight in the normal range for your height. That means keeping to a body mass index (BMI) of 25 or less. (You can calculate you BMI with online calculators). People who are overweight or obese have increased risk of developing several cancers including those of the colon, breast, pancreas, liver, kidney and endometrium, and perhaps leukemia and lymphoma. There is also evidence that men who are obese are more likely to develop a deadly form of prostate cancer if they develop the disease. Keep your weight steady; don't gain pounds over time. Try to stay within 5 to 10 pounds of what you weighed at age 18. The best way to avoid weight gain and avoid overweight or obesity is to eat a diet high in vegetables and fresh fruit and low in high-calorie foods like sugared drinks, refined carbohydrates and fatty foods.


Avoid taking menopausal hormone therapy. Menopausal hormonereplacement therapy increases risk for breast, endometrial and, possibly, ovarian cancer. If you have menopausal symptoms, try to handle them without hormone therapy including estrogens, progesterone, and testosterone. If you need to take hormones, limit your use to less than five years.


Consider taking medications for reducing cancer risk. There are several medications that have been tested and found effective for reducing risk for cancer. Anyone considering using such medications should talk with their doctor about the pros and cons of these medications given their risk for the disease. These include: Breast: Tamoxifen and raloxifene both reduce the chance of developing breast cancer by half in women at increased risk for the disease. Women


at increased risk include those over age 60, and women who have certain family histories of breast cancer or who have had certain types of benign breast disease. Prostate: Finasteride has been shown to reduce the risk of developing prostate cancer by 25 percent. However, it increases risk for some types of advanced prostate cancer. Avoid exposures to cancercausing substances. Radiation exposures and some chemicals are known to cause cancer. Make sure that any physician who orders an X-ray for you, especially high-dose ones like CT scans, knows how many previous X-rays you have had. If it is not an emergency medical situation, ask whether there is an alternative examination that would work for you, such as ultrasound or MRI, which do not have radiation. Limiting X-ray exposure is especially important for children and teens. If you work in an industry or occupation where you are exposed to radiation or chemicals, be very careful to follow the regulations of your company and the U.S. Occupational Safety and Health Administration.


Eat a cancer-riskreducing diet. The role of diet in cancer is far from established, but research suggests that a plant-based diet is associated with reduced risks for several cancers, especially for colon cancer. Some general dietary guidelines for reducing cancer risk are:


Keep your intake of red meat to a minimum. This means no more than 4 ounces of red meat per day on average. Four ounces of red meat is about as big as a deck of cards. Avoid processed meats such as sausages and bologna. The chemicals used to process such meats have been found to cause several kinds of cancer. Eat a variety of non-starchy vegetables and fruits every day. The National Cancer Institute recommends eating at least five servings of vegetables and fruit per day, but most experts on cancer and diet recommend at least double that a m o u n t . Experts further recommend that you eat a variety of brightly colored vegetables and fruits, as these contain the highest concentrations of vitamins. You can increase your intake of vegetables by putting them into your breakfast omelet, by snacking on carrots, and by mixing them into casseroles for dinner. Minimize your intake of highcalorie foods such as sugared drinks, juices, desserts and candies, refined breads and bagels, and chips. By lowering intake of these high-calorie foods and increasing your intake of nonstarchy vegetables, you will be better able to keep your weight to a normal level and avoid gaining weight. Eat foods with high calcium and vitamin D levels such as fortified lowor nonfat milk and yogurt. If you don't get enough through your diet, you may want to take calcium and vitamin D supplements. Check with your doctor, who may want to check your blood level of vitamin D, because many Americans have been found to have a deficiency in this vitamin. Medical Directory 2011


MEDICAL DIRECTORY Why Live With Painful Foot Conditions?

A Step in the Right Direction

Jeffrey Kiley DPM Andrew Stanislav, DPM Board Certified in Foot Surgery


SOUTHWEST FOOT & ANKLE CENTER 813 Church Street Shenandoah, Iowa 51601


Don’t want to worry about

health insurance? Choose

The Blues ! ®

AUTHORIZED INDEPENDENT AGENTS FOR You Just Can’t Beat The Blues® Wellmark Blue Cross and Blue Shield of Iowa is an Independent Licensee of the Blue Cross and Blue Shield Association, Des Moines, Iowa Form No. IA-91-P-01


712-246-5866 Toll Free All Locations1-800-334-5516110428-40915

Ron Grebert 712-542-5175 Nordland Insurance Agency, Inc. 121 N. 15th St. Clarinda, IA 51632


Hearing Healthcare Center 866-623-2565 Clint Knoell, HIS • Melissa Knoell, BC-HIS • Free one year warranty on loss of hearing aids • Free maintance service for lifetime • Ear protection • Medicaid provider • Financing available

Shenandoah • 1203 W. Sheridan / Clarinda • 111 N 15th 22 Š Medical Directory 2011


• Hearing aid sales/service • Free hearing tests • Free hearing aid batteries for one year • Free 3 year warranty on hearing aids • Free Lifetime warranty on Voz hearing aids


MASSAGE THERAPY A natural, healthy course to relaxation

It’s not just Quality . . . It’s Quality of Life!

Dr. Huy Trinh Spine Specialist Specialties:

• • • •

Neck & Back Disorders Minimally Invasive Spinal Surgery Mini-incision Carpal Tunnel Release Knee & Shoulder Surgery

SW Iowa Clinic Locations: Red Oak & Clarinda

Dr. Thomas Atteberry Sports Medicine Specialist Specialties: • • • • •




Paula Hayes, LMT Licensed Massage Nationally Certified Therapist 300 Park Avenue, Suite 209 Shenandoah • 712-246-2628 110526-36647

Sports Medicine ACL Reconstruction Meniscus Repair Arthroscopic Rotator Cuff Repair Shoulder Impingement & Instability Surgery

SW Iowa Clinic Locations: Red Oak, Clarinda & Corning

Dr. Roy Abraham Specialties: • •

Total & Partial Knee Replacement Total Hip Replacement & Resurfacing Total Shoulder Replacement ACL Reconstruction

Dental Car e PC

Outpatient Clinic Locations in Southwest Iowa

Dr. Kimberly M. Truka and staff pro vide state-of-the-art general dentistry for all ages. We offer a relaxing atmostphere while treating our patients in a professional manner.

Red Oak: 712-623-7000 Clarinda: 712-542-8330 Corning: 712-322-6268 Hamburg: 712-382-1515

Call 712-623-3383 to schedule your appointment.

415 E Coolbaugh • Red Oak, IA

• •

SW Iowa Clinic Locations: Red Oak & Hamburg


Total Joint & Sports Medicine Specialist

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