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A Special Supplement To The Valley News and The Herald-Journal








Finding the Right Specialist Chiropractic Care Dental Care Physician Clinics Eyecare Rehab & Care Centers

Kids’ vitamin deficiency signs Understanding and fighting hypertension

Copyright 2013 The Valley News & The Herald-Journal

Medical Directory

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Or call toll free (800) 458-4413 2 w Medical Directory 2012

Medical Directory

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. John Van Nostrand, Publisher Kate Thompson, Publisher Clarinda Herald-Journal Shenandoah Valley News

Advertiser’s Index (Alphabetical order)

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Seniors Helping Seniors..................................Pg 16 Shenandoah Medical Center............................Pg 10 Shenandoah Medical Center............................Pg 19 Shenandoah Medical Center............................Pg 21 Shenandoah Medical Center............................Pg 24 Southwest Foot & Ankle Center.......................Pg 15

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Stanton Care Center.........................................Pg 15 Tabor Manor Care Center & Rehab..................Pg 10 The Valley News, Weekly Times, Clarinda Herald-Journal...................................Pg 22 Walmart...........................................................Pg 19 Weber Dental...................................................Pg 19 Medical Directory 2012 w 3

Medical Directory

MCMH SURGICAL SERVICES Dr. Eduard Grass, MD General Surgery If your physician recommends surgery, call us for an appointment: (712) 623-7240 Montgomery County Memorial Hospital 1400 Senate Ave Red Oak, IA 51566 Visit our website: 130513-52410

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 Warren C. Hayes, M.D. Claudia Balta, PA-C



To make an appointment, call

An Affiliate of Methodist Health System 1400 Senate, Suite 105, Red Oak



4 w Medical Directory 2012

The Best Care Comes from the Heart

Medical Directory Total Joint Pain: Back, Knee, Hip, Shoulder, Elbow, Wrist, Hand, Foot, Ankle Total Joint Reconstruction: Knee, Hip, Shoulder, Toe, Finger Surgical Repair: Fracture, Tendon, Ligament, Carpal Tunnel (Endoscopic & Open) Podiatry: Diabetic & Arthritic Foot Care and Footwear

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C. Kent Boese, M.D.

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Thomas M. Atteberry, M.D.

Roy Abraham, M.D.

Caliste I. Hsu, M.D.

Inderjit S. Panesar, M.D.

Theresa Gallo

Sports Medicine Specialist

Total Joint Specialist

Spine Specialist

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Total Joint & Sports Medicine Specialist

Hand & Microvascular Surgeon



Council Bluffs 712-323-5333

Clarinda 712-542-8330

Harlan 712-755-5161

Hamburg 712-382-1515

Denison 712-265-2600

Corning 641-322-6268

Manning 712-655-2072

Missouri Valley 712-642-2784

Red Oak 712-623-7000

Audubon 712-563-2611

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Villisca Medical Clinic • 826-4422


Medical Directory 2012 w 5

Medical Directory


Dr. Jeffrey McCoy, D.C. Dr. Matthew Potratz, D.C. 813 Church Street, Shenandoah

712-246-5954 6 w Medical Directory 2012


Medical Directory

Kids’ vitamin deficiency signs A healthy diet is supposed to provide all of the essential vitamins and minerals necessary to sustain a body. But thanks to finicky eating habits and limited choices, many children are not getting the vitamins and minerals they need to grow up healthy. Although many foods are fortified with certain vitamins, they still may not be enough to provide the level of nutrition required for a growing body. Parents may be well informed of a child’s needs of vitamin C to boost immune system function, but they may not be as readily informed about other vitamins that are essential to human health. n Vitamin A: Vitamin A promotes a healthy immune system and proper eyesight function. A child lacking in

vitamin A may be tired and weak and experience weight loss. Other symptoms include dry eyes, skin scaling and respiratory infections.

n Vitamin B6: Hyperactivity and impulsiveness are often blamed on an underlying medical condition, such as ADHD. But such condi-

tions may be the result of a deficiency in vitamin B6. n Vitamin B12: Nervous system function is largely governed by proper levels of vitamin B12. Children who do not receive enough vitamin B12 may experience weakness, insomnia, edema, and abdominal pain. n Vitamin D: Vitamin D is called the “sunshine vitamin” because it is produced in the body after exposure to the sun. Children who spend many hours indoors or wearing thick layers of sunscreen may not get enough vitamin D. Irritability, muscle cramps and even late teething could be tied to vitamin D deficiency. Parents should consult with pediatricians about the proper levels of vitamins children need.

Right Care, Right Now

Michael J. Ourada, M.D.

Kelli Woltemath, D.O.

Jaylene Zanker, P.A.C.

Tara Goodman, A.R.N.P.

David Owen, A.R.N.P.

Melissa Marshall, A.R.N.P.

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710 Center St., Tabor, IA 712-629-2975 Medical Directory 2012 w 7

Medical Directory

Understanding and fighting hypertension go hand in hand

What is HBP? HBP is often associated with men and women who are considered to be con-

blood through the body’s arteries and veins. Those arteries are made of muscle and a semi-flexible tissue that stretches when the blood is pumped through them. The more forcefully that blood is pumped, the more that flexible tissue is stretched. When the tissue is stretched too much, a person is at an increased risk of suffering from a host of problems, including blood clots, plaque buildup that can lead to heart attack and stroke, and tissue and organ damage from arteries that have narrowed or become blocked.

Routine blood pressure screenings are often the only way men and women can learn if they are suffering from high blood pressure.

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Hypertension, often referred to as high blood pressure, affects millions of people across the globe. According to the American Heart Association, more than 76 million adults in the United States alone have been diagnosed with high blood pressure. But even children and teens can suffer from hypertension, making it a formidable but largely preventable foe. Understanding high blood pressure, or HBP, may encourage adults and children alike to take steps to maintain a healthy blood pressure, which can reduce their risk of heart attack, stroke and kidney disease.

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Medical Directory HYPERTENSION Continued from Page 8

toms. So people suffering from HBP may not know it if they have not routinely had their blood pressure checked. Over the years many myths have prevailed regarding HBP. Such myths can be dangerous, giving people a false sense of security regarding their blood pressure. For example, in the early 1900s it was assumed that people with high blood pressure experienced more frequent headaches than those with healthy blood pressure. However, a study published in the journal Neurology found that people with high blood pressure were significantly less likely to have headaches

than those with healthy pressure readings. Nosebleeds have also been linked to high blood pressure, but one study found that 83 percent of patients treated for high blood pressure did not suffer from nosebleeds. Debunking such myths is important, as it further emphasizes the need to receive routine blood pressure readings as the only reliable means for men, women and children to determine if they have high, low or healthy blood pressure. Anyone experiencing frequent headaches or nosebleeds should consult a physician but should not assume such occurrences are a byproduct of high blood pressure.

Can certain foods help reduce high blood pressure? One rumor concerning HBP actually has some merit. A heart-healthy diet that includes the following foods can help men, women and children manage their blood pressure and reduce HBP if necessary: n Blueberries: Blueberries contain anthocyanin, a natural compound that a recent study published in the American Journal of Clinical Nutrition found can protect the body against HBP. n Whole grain cereal: A Harvard University study found that whole grain cereals that are high in fiber can reduce a person’s risk of developing HBP. n Beet juice: A study from British researchers published

by the AHA in its journal Hypertension found that a glass of beet juice can lower blood pressure in a matter of hours. n Low-fat dairy products: A 2008 study that examined nearly 30,000 women at an average age of 54 found that those who consumed the most low-fat dairy products, including skim or low-fat milk, were significantly less likely to develop high blood pressure than those who consumed dairy products that were high in fat. HBP is a common problem that affects millions of people of all ages across the globe. There are several ways men, women and children can reduce their risk of HBP and lower their blood pressure if it’s already high.





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Medical Directory

Get the facts on migraine headaches Headaches are a common response to stress, but migraine headaches are a type of headache that seem to be a unique breed. Migraines cause significant pain and are often accompanied by other symptoms that make them particularly bothersome. Much is not understood about the cause of migraines, but environmental factors and genetics seem to play a role. According to The Mayo Clinic, migraines may be caused by changes in the brain stem and interactions between this part of the neurological system and a major pain pathway called the trigeminal nerve. Imbalances in brain chemicals, including serotonin, may trigger the formation of neuropeptides, which travel to the outer cov-

ering of the brain known as the meninges, causing pain. The World Health Organiza-

tion estimates that more than one billion people will get a migraine at some point in

their lives. Women are more prone to migraines, possibly due to hormonal fluctuations. In fact, many migraines are triggered by certain situations or conditions. Menstruation is a common trigger of migraines. Here are some other common triggers: n Stress: Stressful situations may cause both mental and physical responses in the body, which can trigger migraines. n Foods: Caffeinated products, monosodium glutamate, alcohol, aged cheeses, and even salty foods can bring on a migraine in some people. n Environmental changes: Migraines may be triggered by the weather and see MIGRAINE, Page 14


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Medical Directory







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RED OAK INTERNAL MEDICINE Eric Paulson, MD Edward Piller, MD Joan Smith, ARNP Call for an appointment: (712) 623-7280 Montgomery County Memorial Hospital 1400 Senate Ave Red Oak, IA 51566 visit our website: 130530-52416

Medical Directory 2012 w 11

Medical Directory


MCMH Womenâ&#x20AC;&#x2122;s Health Center Christopher Johnson, MD and Bonnie Muller, PA specializes in obstetrical and gynecological services to women in southwest Iowa from the Womenâ&#x20AC;&#x2122;s Health Center conveniently located in the Physicianâ&#x20AC;&#x2122;s Center on the MCMH Medical Campus.


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Medical Directory 2012 w 13

Medical Directory HYPERTENSION Continued from Page 10

changes in barometric pressure. n Sights, smells and sounds: Perfumes, unpleasant aromas, bright sunlight, or even loud noises may be the causes of migraines in some people. n Medications: Some medicines, such as nitroglycerin, are known to cause migraines. Symptoms of migraines When a person has a migraine, he or she is likely to report a throbbing pain on one side of his or her head. But the pain may be on both sides of the head, too. Also, the pain may switch sides

and doesn’t necessarily have to occur on the same side each and every time a migraine occurs. Many people report blurred vision, tunnel vision or a temporary blind spot as part of the symptoms of a migraine. Sensitivity to light is common, as is accompanying nausea. For some the nausea is so severe it leads to vomiting. Some people find they are able to predict when a migraine is coming. Seeing stars, zigzag lines or bright spots and colors called “auras” can often be warning signs that a migraine is coming on. Symptoms of migraines may linger after the migraine has subsided. One may experience neck pain, fatigue, loss

of appetite and a feeling that you don’t have mental acuity. Treating migraines There is no one specific treatment for migraines. The U.S. National Library of Medicine lists a number of different medications and treatment options to alleviate migraines and subsequent side effects. Because serotonin is believed to play a role in migraine headaches, using certain SSRI medications normally prescribed for depression may help. Seizure medications and blood pressure medications may be prescribed as well. Triptans are prescribed very often for stopping migraine attacks. They constrict blood vessels

in the brain and relieve swelling. Some doctors also use botulinum toxin, commonly known as Botox, to relax areas and reduce migraines. Nausea medications and pain relievers may be used in conjunction with other treatments. Stress-relief methods and alternative therapies, such as acupuncture or massage therapy, may help delay migraine onset as well. Keep in mind that migraine headaches could be a risk factor for stroke in both men and women. Call emergency services if the headache is extreme, starts very suddenly, pain increases in severity when lying down or if there are any speech, vision or movement problems that accompany the migraine.

Do not let a surgery, illness, or injury get you down. Our experienced team of Hospital-to-Home Transition Specialists will get you back to living your life, as you do it best. To learn more about our short-term rehabilitation program and its return-to-home success rate, please contact us at 712.374.2693.

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Medical Directory 2012 w 15

Medical Directory

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Our loving, caring compassionate seniors are there to help. We offer the services seniors need to stay in their own home, living independently. There’s a huge difference in the kind of home care you can receive from someone who really understands what your life is like as a senior. Your concerns and your need for independence. Someone who, like you, has a little living under his or her belt. ...a way to give and to receive JOIN US AND HELP SOMEONE while earning money for yourself at the same time. With Seniors Helping Seniors in-home services you get all the good feeling of volunteering - for pay! Our seniors help other seniors with in-home services like cooking, light housekeeping, driving, yard work,companionship and more.

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Medical Directory

Reasons to include more dairy in your diet A healthy diet can improve quality of life and reduce a personâ&#x20AC;&#x2122;s risk of developing disease or other negative health conditions. For example, a diet rich in fruits and vegetables can boost the immune system and promote cardiovascular health, lowering your risk of heart disease in the process. While the benefits of including fruits and vegetables in your diet are widely known, the medical benefits of dairy are often overlooked. The following are a handful of ways that dairy products like low-fat milk, cottage cheese and yogurt can make a nutritious and beneficial addition to your diet. n Dairy packs a proteinand calcium-laden punch. One cup of nonfat yogurt can provide as much as one-third of your daily recommended

calcium intake and nearly 20 percent of your daily recommended protein intake. Though dairy products like ice cream donâ&#x20AC;&#x2122;t pack the

same nutritious punch as yogurt, healthier fare like reduced-fat cheese and skim milk can go a long way toward meeting your daily in-

take of protein and calcium. n Dairy is a great source of vitamin D. In addition to providing sufficient calcium and protein, dairy also helps men, women and children boost their vitamin D. Thatâ&#x20AC;&#x2122;s especially important in the winter months when people tend to get less exposure to the sun. Exposure to the sun is a natural way to boost your vitamin D, but the shorter days and colder weather of winter can make it hard to get sufficient vitamin D during that time of year. Dairy products like low-fat milk can boost your vitamin D, which can improve your bone health and, according to recent research, might help reduce your cancer risk. n Dairy may help lower your blood pressure. Men and women with high blood see DAIRY, Page 18

Medical Directory 2012 w 17

Medical Directory DAIRY Continued from Page 17

pressure might benefit from including more dairy in their diets. In a study of 5,000 adults, Spanish researchers found that those who reported consuming the most lowfat dairy products were more than 50 percent less likely to develop high blood pressure than those who consumed less low-fat dairy. Though researchers are not certain as to the reason behind lowfat dairy products’ impact on blood pressure, some theorize that their calcium and protein content are likely behind the benefit. n Dairy benefits your bones. Dairy has long been known to improve bone density. But it’s not just seniors who benefit from the bonestrengthening impact of dairy. Youngsters who consume dairy can also expect an

increase in bone mass, which can make them less susceptible to injuries like broken bones. Seniors who consume dairy to improve their bone density should know that a recent study from researchers at the Institute for Aging Research found that not all dairy products are equal when it comes to improving bone density. While milk and yogurt were linked to higher bone mineral density, dairy products like cream and ice cream contain less protein, calcium and vitamin D and more fat and sugar than yogurt and milk, and these products may actually be associated with lower bone mineral density. Though there are many ways men and women can improve their overall health, it’s important to consider the nutritional value of dairy when making any alterations to your diet.

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Medical Directory

Calcium and vitamin D important throughout life Calcium and vitamin D are frequently touted for their ability to improve bone health. While consuming foods rich in vitamin D and calcium is especially important for aging women, both vitamin D and calcium also help to keep the body strong and vital at any age. Calcium and vitamin D help fight bone loss, and not just in older women. Younger, active women need it to prevent stress fractures and other bone injuries. A 2008 study reviewed the health of 5,000 female U.S. Navy recruits, and those who did not take additional calcium and vitamin D were 25 percent more likely to suffer a stress fracture. A stress fracture is a

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small fracture of a bone caused by repeated physical strain. Gymnasts, runners and even marching soldiers can suffer such fractures even if they are otherwise healthy. Calcium is also needed for other parts of the body. The National Institutes of Health Osteoporosis and Related Bone Diseases National Resource Center says calcium is necessary for the heart, muscles and nerves to function properly. It also helps blood to clot. Furthermore, pregnant women need ample calcium in their diets in order to supply calcium to a growing fetus. If a pregnant woman does not get enough calcium through diet, the baby will draw it from Momâ&#x20AC;&#x2122;s own bones, threatening the motherâ&#x20AC;&#x2122;s health while leading to bone fragility and increasing her risk of fractures. Calcium and vitamin D work in conjunction. Although a balanced diet may provide enough calcium, many times high levels of salt and protein in oneâ&#x20AC;&#x2122;s diet can increase calcium excretion through the kidneys. Also, people who have an intolerance to lactose may not be getting the calcium they need. Vitamin D is necessary for the body to absorb calcium. Without vitamin D, a woman cannot produce enough calcitriol, impairing calcium absorption from her diet. In turn, the body will take calcium from stores in existing bone, weakening them and preventing the formation of strong, new bone.

see CALCIUM, Page 20






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Medical Directory 2012 w 19

Medical Directory CALCIUM Continued from Page 19

Women who may have been deficient in vitamin D and calcium can develop osteoporosis and other boneloss conditions as they age. Thanks to osteoporosis, half of all women over the age of 50 will have a fracture of the hip, wrist, or vertebra during their lifetime, according to the U.S. National Library of Medicine. A drop in estrogen at the time of menopause can contribute to bone loss. Drinking large amounts of alcohol, maintaining a low body weight and smoking can each cause osteoporosis. In order to maintain bone and body health, there are certain dietary intake recommendations regarding calcium and vitamin D. Adults under age 50 should consume between 1,000 and 1,300 milligrams of calcium

and roughly 600 IU of vitamin D daily. Calcium can be found in dairy products as well as in salmon, shellfish, brazil nuts, dried beans, and green, leafy vegetables. Vita-

min D is found in fish, eggs and fortified milk. Vitamin D can also form when the body is exposed to sunlight. Even as few as 10 minutes of daily exposure to sunlight can pro-

duce vitamin D. Consuming enough calcium and vitamin D can help a womanâ&#x20AC;&#x2122;s body stay healthy as she ages.

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Medical Directory

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ph. 712-246-3097 Kate Thompson Publisher

Carol Bryson Office Mgr.

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Medical Directory

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Medical Directory

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Connie Holmes, ARNP Sharon Johnson, ARNP

Dr. Bumgarner, MD

Dr. Ray, MD

Rose Walter, ARNP

Dr. Issacson, MD

Dr. Thippareddi, MD

Jan Wilson, LMHC, NCC

“Care You Can Count On” 1 Jack Foster Drive Shenandoah, Iowa 51601 712-246-7400 24 w Medical Directory 2012


Shenandoah Physicians Clinic

Medical Directory 2013  
Medical Directory 2013