Presence: Fall 2017

SAINT FRANCIS HEALTH SYSTEM | FALL 2017

HEALTH ZONE MEMBERS CHARLES AND SONDRA MONROE

ACHIEVING GOALS ONE STEP AT A TIME BREAST CANCER AWARENESS

AND NEW TECHNOLOGY AT SAINT FRANCIS

UNDERSTANDING GLUTEN WHAT’S IN A NAME?

THE FEAST OF ST. FRANCIS XAVIER

Feast Day of St. Francis Xavier Page 12

Contents

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Breast Health Awareness Year In, Year Out

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And New Technology at Saint Francis

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What's in a Name?

The Feast Day of St. Francis Xavier

Right Place, Right Time Knowing the Difference Between Emergency and Urgency.

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Thanks for Giving

Oklahoma Blood Institute and Saint Francis Health System's Thank-The-Donor™ Program

Saint Francis Hospital Vinita

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Longtime Health Zone Members Achieve Goals And Gain Support Every Step of the Way

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Understanding Gluten Plus Gluten-Free Recipes and Tips

Spotlight on the Region

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VALUES AWARDS Painted Pony Ball A Recap in Photos

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a publication of Saint Francis Health System

Letter from Jake Henry Jr., President and Chief Executive Officer Our health system’s namesake, St. Francis Xavier, was quoted as saying, “No one can ever excel in great things who does not first excel in small.” If you are a regular reader of this publication, you are aware of the many great things we have accomplished this year. However, here at Saint Francis Health System, we have always given attention to doing the small things well. Be it ensuring that the cabinets in and around patient rooms have quiet-close hinges to prevent loud noises from disturbing the healing environment or ensuring that our landscaping creates a peaceful and comforting welcome for guests to our campus— it’s the little things like this that make a big difference and help to create the Saint Francis experience our region has come to expect.

As you will read in this issue, our founder, Mr. William K. Warren, Sr. was born on the feast day of St. Francis Xavier which is why December 3 is such a special day throughout the health system. It is my hope that as we commemorate this day each year, we take a moment and reflect on the great gifts given to us by the two men we celebrate: the legacy of extending Christ’s healing ministry so perfectly modeled

by St. Francis Xavier and the enduring legacy of healthcare excellence founded

by Mr. Warren, Sr. that has inspired generations of women and men within our organization.

Also featured in this issue is a story on the 2017 Painted Pony Ball benefiting The Children’s Hospital at Saint Francis. This event, which was conceptualized and inaugurated by Mrs. Suzanne Warren, celebrated its tenth anniversary under her inimitable leadership. I would like to extend my deepest thanks and congratulations to Suzanne and her committee for making the tenth Painted Pony Ball the most successful ever. Many thanks to our generous patrons and donors— their generosity is matched only by their ongoing commitment to supporting this very worthy cause.

May you and your families have a blessed Christmas season and a happy new year.

My best regards,

Saint Francis Health System Board of Directors John-Kelly C. Warren, Chairman Judy Kishner, Vice-Chair Jake Henry Jr. Michael Case Michael Cooke, J.D. Brent Dennis, M.D. William R. Lissau Charles McEntee, M.D. Sanjay Meshri Debbie Zinke

Saint Francis Health System Executive Council Jake Henry Jr.

President and Chief Executive Officer, Saint Francis Health System

Barry Steichen

Executive Vice President/Chief Operating Officer, Saint Francis Health System

Eric Schick

Executive Vice President/Chief Financial Officer, Saint Francis Health System

Mark Frost, M.D.

Senior Vice President/Medical Affairs, Saint Francis Health System

Tom Neff

Senior Vice President/Strategic Planning and Corporate Business Development, Saint Francis Health System

Lynn Sund

Administrator, Saint Francis Hospital and Chief Nurse Executive/ Senior Vice President, Saint Francis Health System

Charley Trimble

Senior Vice President/Operations, Warren Clinic

David Weil

Administrator, Saint Francis Hospital South and Senior Vice President, Saint Francis Health System

Tony Young

Administrator, Saint Francis Hospital Muskogee and Senior Vice President, Saint Francis Health System

Michele Keeling

Jake Henry Jr.

Administrator, Vice President, Laureate Psychiatric Clinic and Hospital

President and Chief Executive Officer, Saint Francis Health System Saint Francis Health System

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Tulsa is a Little Big Town The Children’s Hospital Foundation at Saint Francis hosted multi-award winning artist Little Big Town as the entertainment for the tenth Painted Pony Ball in October.

Proceeds from the event support the purchase of a pediatric magnetic resonance imaging (MRI) scanner for The Children’s Hospital at Saint Francis. See more from the Painted Pony Ball and the generous supporters on page 22.

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Twilight Giving For a group of Saint Francis Health System employees, the evening of Thursday, October 5, was all about helping those in need. Joining together with other volunteers, the health system employees served at the weekly Night Light Tulsa activity in downtown Tulsa.

The Saint Francis volunteers found a number of ways to make themselves useful and lend a hand to others— including providing flu vaccinations, serving a meal and handing out basic items for the several hundred people who attended.

Night Light Tulsa is an organization that provides opportunities for volunteers to build relationships with those in Tulsa’s homeless community and inner city neighborhoods.

Whether it is offering hot meals and other essentials, the mission of Night Light Tulsa is to give hope and touch souls of those in need. For more information, visit nightlighttulsa.org.

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Bird’s Eye View to the Tulsa Zoo Saint Francis Health System’s All Employee Safari at the Tulsa Zoo has fast become a crowd pleaser among employees and their families. This year’s trek to the zoo took place on Saturday, September 16, and provided an evening of fun and eye-toeye encounters with a wild (or wide, that is) range of species.

The popular event not only gives Saint Francis families a fun opportunity to get together but also a great way to enjoy one of the city’s most prized assets— the Tulsa Zoo.

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Breast Cancer Awareness –Year In, Year Out Just because October — Breast Cancer Awareness Month — has come and gone doesn’t mean your focus on this important matter can do the same.

Keeping track of which screenings are recommended at what age can be overwhelming. That’s why the services and wealth of information available at the Saint Francis Breast Center are more important than ever for your breast health.

Advanced Technology at the Saint Francis Breast Center In terms of the latest and most effective breast cancer screening technology available today, the Saint Francis Breast Center provides comprehensive services for its patients.

3D Mammography Mammography that utilizes tomosynthesis (3D) technology provides more detailed images of the breast tissue with the same radiation dose as a 2D exam. It is designed to offer more patient comfort, resulting in a better overall mammography experience.

The key is that it takes multiple images at different angles which provide our doctors with much better views to help detect any abnormalities.

“We are so pleased to offer our patients the latest in screening technology,” says Penni Barrett, M.D., imaging director of Saint Francis Breast Health Services. “All of the data obtained in a tomosynthesis 3D screening is processed and resynthesized in layers.

This makes it possible for us to see multiple images, as opposed to a single image with the traditional 2D mammography. This is why we recommend 3D mammography for all of our screening patients if possible.”

Automated Breast Ultrasound (ABUS)

ABUS

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Saint Francis Health System is one of just a few healthcare facilities in the area to offer a new screening tool known as Automated Breast Ultrasound or ABUS. This innovative breast screening was developed as an additional screening for those women who have a type of breast tissue that is more dense than others. Dense breast tissue is normal and

statistics show it appears in five out of ten women in this country. Some studies have reported that women with dense tissue have a greater risk of developing breast cancer compared to women with fatty breast tissue.

Why Have an ABUS Screening?

Traditional mammography uses x-rays to image breast tissue. Radiologists are able to detect benign (non-cancerous) and malignant (cancerous) lumps as they appear white on a mammogram. However, dense breast tissue also appears white on a mammogram and abnormalities can often be hidden. With the ABUS screening, sound waves create images of breast tissue in a different way.

Studies show as a result, it has been found to detect more breast cancers after a normal or benign mammography result.

“It’s important to understand that ABUS is not a substitute for mammography and that mammography should always be the first step in breast cancer screening,” Dr. Barrett says. “With the technology we have available today, we are able to find more cancers at smaller sizes when they are more curable. This is very reassuring news for our patients!”

Breast Cancer Screening Guidelines There’s no getting around the fact that screenings can be trying—particularly when

“With the technology we have available today, we are able to find more cancers at smaller sizes when they are more curable. ”

Penni Barrett, M.D., imaging director of Saint Francis Breast Health Services

it comes to waiting for results. Yet, they are absolutely essential in early detection, maintaining overall health and receiving the proper care if you develop breast cancer. It is important to bear in mind that the goal of the screenings is to find breast cancer early, before any symptoms can develop and when the cancer is usually easier to treat.

• A breast MRI (magnetic resonance imaging) may be used with mammograms as a screening tool for detecting breast cancer.

A breast MRI is often performed for women who have a high risk of breast cancer; a very strong family history of breast cancer; or who carry a hereditary breast cancer gene mutation.

General breast cancer screening guidelines are as follows:

“You’ve heard it before, and you’ll hear it again—early detection is key,” Dr. Barrett says. “And, there’s no question screening is most effective if done annually. Ultimately, our goal at the Saint Francis Breast Center is to try to diminish unnecessary ‘call backs’ for our patients and to increase the detection rate we provide for those who do require further care.”

For more information about Saint Francis Breast Health Services and/or to schedule your mammography, please call 918-4949270 or visit saintfrancis.com/breastservices.

• For women at average risk, screening mammograms should be performed annually beginning at age 40 to check the breasts for any early signs of breast cancer.

Women with a strong family history of breast cancer (mother or sister) are advised to start having mammograms 10 years younger than the age that relative was diagnosed—OR at age 40—whichever is younger. For example, if your sister had breast cancer when she was 44, you should start having your mammograms at age 34.

• ABUS is complementary to mammography and is recommended for patients with heterogeneously or extremely dense breast tissue.

“You’ve heard it before, and you’ll hear it again—early detection is key.”

Oklahoma Law Requires Breast Density Notification On November 1, 2016, a new Oklahoma law requiring breast density notification went into effect. Patients now receive additional information in their mammogram letters if they have dense breast tissue stating they may need additional screening.

The statement included in patient letters from the House Bill #2601 is as follows: "Your mammogram indicates that you have dense breast tissue. Dense breast tissue is common and is found in more than 50 percent of women and is not abnormal. However, dense breast tissue may make it more difficult to detect breast cancer and may be associated with an increased risk of breast cancer. This information is being provided to raise your awareness and to encourage you and your healthcare provider to discuss this and other breast cancer risk factors. Together, you and your healthcare provider can decide if additional screening options may be right for you.

A report of your results was sent to your healthcare provider."

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Warren Clinic Plastic and Reconstructive Surgeons Utilize New Technology to Help Breast Cancer Patients

Dr. Paul Berry, Dr. Wyatt Ho and Dr. Kevin Kunkel, Warren Clinic Plastic and Reconstructive Surgery 10

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For some women who receive a breast cancer diagnosis, mastectomy surgery may be the next step in treatment process.

Approximately 70 percent of the women undergoing this type of surgery do opt for reconstructive surgery and part of that includes tissue expansion to prepare a space for breast implants.

AEROFORM

While little progress has been made with regard to tissue expanders over the last 40 years, the U.S. Food and Drug Administration (FDA) recently approved a new device, known as Aeroform, which is now an option for some patients at Saint Francis Hospital.

And for Warren Clinic plastic and reconstructive surgeon, Dr. Kevin Kunkel, he says this new technology was something that would certainly be a benefit for many patients.

What is a Breast Tissue Expander?

Prior to breast reconstructive surgery, a traditional tissue expander is temporarily implanted and slowly inflated to gradually stretch the skin and muscle to make room for a future, more permanent implant. It is a balloon-like device that has a soft expandable polymer shell that is injected with saline over time, allowing time for breast tissue and muscle to stretch prior to undergoing breast reconstruction.

While saline-filled tissue expanders are typically expanded by a surgeon and require a needle to pierce the skin and inject saline through a port or injection area, the new tissue expander does not require use of a needle and allows the patient to have control over slowly expanding the device at home.

“The new breast tissue expander is activated by a handheld wireless controller that administers small amounts of carbon dioxide (CO2) up to three times a day to gradually stretch the tissue to prepare for a

breast implant,” Dr. Kunkel says. “With the push of a button from a remote controller, the programmed amount of CO2 is delivered in seconds, allowing the patient to continue with her daily activities.”

Patient Power!

As soon as Warren Clinic Plastic and Reconstructive Surgery began offering this new technology to patients last May, it wasn’t long before the physicians noticed something important.

“A really great additional benefit of this device is how much patients appreciate playing an active role in recovering their body after breast cancer,” he says. “It’s been wonderful to see them feel empowered and in control of their own bodies. For instance, if a patient isn’t feeling well, she can skip the process that day and do it the next instead. It’s totally her call—on her time, in her home!”

Less Pain, More Convenience Due to the incremental nature of the expansion process, most patients have minimal pain or only mild discomfort associated with the traditional expansion procedure. The air tissue expander results in fewer office visits for patients by allowing them to control their breast tissue expansion while in the comfort of their homes.

Tina Rae, a patient of Dr. Kunkel’s—and incidentally, a phlebotomist at Saint Francis Hospital—can certainly attest to this. “Hav-

ing a sense of control during this process was wonderful. That’s the beauty of it! After all, we know our own bodies best. It’s very gradual since you add a little air every day, rather than a larger amount once a week.

So, throughout the process, I didn’t notice any discomfort. I would do it at night before bedtime and had no issues with sleep or pain,” she says. “I had no idea something like this even existed and am betting many other women don’t either. I’m so glad to help in getting the word out about this amazing technology. As for me, it made the process smooth and easy.”

At this time Warren Clinic and Saint Francis Hospital are the only healthcare providers in the region to offer Aeroform for breast reconstruction. “Saint Francis is proud to offer patients this amazing new option,” Dr. Kunkel says. “We’ve been really pleased and the satisfaction rates show our patients are too. And, of course, that’s what really matters.”

For more information about this story and other services provided by Warren Clinic Plastic and Reconstructive Surgery, please call 918-502-7175 or visit warrenclinic.com.

Note: A surgeon must determine whether a patient is a suitable candidate for treatment with the new Aeroform tissue expanders. Patients must not have any residual tumor at the expansion site and must not undergo magnetic resonance imaging (MRI) while the device is in place. Patients with another electronic implant, such as a pacemaker, defibrillator, or neurostimulator device, are not eligible for treatment with the tissue expander.

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W H AT ’S I N A NA M E?

T H E F E A S T DAY OF

St. Francis Xavier THE THIRD OF DECEMBER IS FAR MORE THAN JUST ANOTHER DAY AT SAINT FRANCIS HEALTH SYSTEM. RATHER, IT IS A SPECIAL DAY RESERVED FOR HONORING THE HEALTH SYSTEM’S NAMESAKE, ST. FRANCIS XAVIER, AND HONORING THE MEMORY OF ITS FOUNDER, WILLIAM K. WARREN, SR.

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Natalie and William K. Warren, Sr.

W H Y DECEM BER 3?

THERE ARE SEVERAL REASONS: CELEBRATED WITHIN THE CATHOLIC CHURCH AS THE FEAST DAY OF ST. FRANCIS XAVIER, DECEMBER 3 IS THE DAY ON WHICH ST. FRANCIS XAVIER DREW HIS LAST BREATH IN 1552. IT IS ALSO THE DAY SAINT FRANCIS HEALTH SYSTEM FOUNDER, MR. WILLIAM K. WARREN, SR., WAS BORN.

“We celebrate December 3 as a memorial of St. Francis Xavier’s life because on this day, he received his last call from the Lord and came to stand face-to-face before Christ, whom he had so well loved in all his missions and service. It is a day of victory and triumph, and a sort of heavenly birthday for the priest, who could confidently say, ‘I have fought the good fight; I have finished the race.’ (2 Timothy 4:7),” says Sister Brigid Mary Meeks. “Three hundred and fortyfive years later, on December 3, 1897, Mr. William K. Warren, Sr. was born in Nashville, Tennessee. These two men—separated by a vast number of years and locations in the world—are joined together on this particular day in honor of an ongoing mission in Tulsa, Oklahoma.”

C H E R ISH E D T R A DI T ION In celebration of the sacred day, the Bishop of the Tulsa Diocese, Bishop David Konderla, leads the Holy Sacrifice of the Mass for the Feast Day of St. Francis Xavier in the Saint Francis Hospital Chapel. During the Mass, prayers are offered for all patients and staff of Saint Francis Health System and the Warren Family—particularly in gratitude for Mr. William K. Warren, Sr. on the anniversary of his birth. This has been a long-standing and cherished tradition at the health system.

I N H I S OW N WOR D S Selected quotes from St. Francis Xavier

“It is not the physical exertion that counts towards one’s progress, nor the nature of the task but by the spirit of faith with which it is undertaken.”

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HOLY NA M E SA K E

“No one can ever excel in great things who does not first excel in small.”

– St. Francis Xavier

Francis Xavier, the “Apostle of the Indies,” was born Francisco de Jaso y Azpilicueta in Xavier Castle near Pamplona, Spain, on April 6, 1506.

His education—indeed his very mission— began at the University of Paris under the tutelage of Ignatius Loyola. Francis Xavier was among the seven original Jesuits who, on August 15, 1534, at Montmartre, took vows of poverty and chastity to enter upon hospital and missionary work in Jerusalem, or to go without questioning wherever the pope might direct.

E X T E N DI NG T H E PR E SE NC E A N D H E A L I NG M I N IS T RY OF C H R IS T

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St. Francis Xavier was a missionary; in fact, it is said he was one of the greatest missionaries since St. Paul. He was also a priest, ordained of 15 years. Over the course of 15 years, St. Francis Xavier baptized over 30,000 people, cared for the sick and dying, served the poor and proclaimed the Lord—extending the presence and healing ministry of Christ in all he did.

He was a co-founder of a Religious Order—the Jesuits (the same Order in which Pope Francis was ordained a priest in 1969).

Also within the course of 15 years, Francis Xavier’s missionary zeal led him first from Spain, to Paris, to Italy, to Portugal, to India and finally to Japan. In India and Japan, he established churches, hospitals, schools, translations of sacred texts and seminaries for formation of the priesthood.

On December 3, 1552, on the shores of an island off of China, St. Francis Xavier took his last breath after having been seriously ill for 13 days. He died praying between bouts of delirium. He was only 46 years old. Only four people attended his funeral.

Francis Xavier was canonized by Gregory XV in 1622 and was named the patron saint of all foreign missionaries by Pope Pius X in an apostolic letter of 1904.

I N T H E SPI R I T OF S T. F R A NC IS X AV I E R Centuries later, W.K. Warren, Sr. was destined to embark on a life of giving back and of serving others. Like St. Francis Xavier, Mr. and Mrs. W.K. Warren, Sr. had a concern for the sick and vulnerable and felt a responsibility to do and give what they could to share the abundant mercy, tenderness and providence of God. Mr. and Mrs. Warren’s son, William K. Warren, Jr., a trustee of Saint Francis Health System and Chairman Emeritus of The William K. Warren Foundation, recalls what St. Francis Xavier’s work meant to his parents. “As a missionary, St. Francis Xavier did outstanding work going into some difficult areas of the world at that time. He also ministered to the sick and hospitals and I think that connection made a lot of sense to them. I think it made my dad very proud that he was born on December 3, and so our family has a great, great following of St. Francis Xavier,” “Grateful to the Lord and desirous to serve Oklahoma, Mr. Warren and his wife, Natalie, funded and built Saint Francis Hospital in 1960—and even paid for their employees’ first year salaries!” Sister Brigid says. “The Warrens seemed to embody St. Francis Xavier’s devotion to God and neighbor—and drew even closer to the Saint’s spirit by traveling to India, where they spent time discussing service of the poor and sick with Mother Teresa, and where they visited the burial site of St. Francis Xavier in Goa, India.

Saint Francis Hospital

Saint Francis Hospital South

“If you sometimes find yourself so distracted by a number of duties that you cannot manage them all, do as much as you can and be content with that, and even give thanks to God for the particular blessing that He has led you to work in a place where there are so many sacred duties to be performed that you cannot be idle, however much you might wish it, for this is in truth one of the greatest blessings that God bestows.”

– St. Francis Xavier

L A S T I NG I NSPI R AT ION Throughout Saint Francis Health System today, staff members often pray before meetings and blessings are offered over patients, families and staff; and just as St. Francis Xavier gazed upon a crucifix in his time of illness, every room within the health system is furnished with a crucifix.

“By selecting St. Francis Xavier as a patron for this health system, Mr. and Mrs. Warren provided us with a guide to emulate—one who served the sick with the same tenderness as if he were caring for the very body of his Lord; who showed in word and deed the love of God for all mankind and who dedicated his life, talents and deeds to the service of God. ‘Lord,’ St. Francis Xavier would say, ‘I am here. What do you want me to do?’”

Sister Brigid says. “Indeed, it is small wonder that Mr. Warren placed this great saint as a model, patron and intercessor in Christ for the patients and staff of Saint Francis Health System.”

“May God make known to you His most holy will, and give you at the same time strength and courage to carry it out.”

– St. Francis Xavier

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Right place, right time

EMERGENCY ROOM

Urgent care

Knowing the difference between emergency and urgency.

Many of us, at one time or another, have visited an emergency room (ER) or an urgent care location as a patient or to support a family member or friend. And with the increased availability of after hours medical care facilities in our area, would you know where to go if, for example, you broke your wrist? What about a sprained ankle? A high fever? Intense abdominal pain? Extreme dizziness?

Because of the wide range of sudden illnesses and injuries that can happen to anyone at any given time, it’s not always clear which location, an ER or an Urgent Care, is right for the situation. Many people automatically assume that a trip to the ER is best for handling any type of sudden illness or injury, but the truth is that ERs and urgent care locations are equipped to handle specific situations.

“More than 80 percent of patients who visit the ER actually could also be treated in an urgent care facility,” says Dana K. Davis, M.D., an emergency medicine specialist

“Urgent care fills a vital gap for people who become ill or injured and their primary care physician is unavailable or cannot take an immediate appointment.”

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who is part of the Warren Clinic Urgent Care team. “Urgent care fills a vital gap for people who become ill or injured and their primary care physician is unavailable or cannot take an immediate appointment. We have x-ray equipment, an on-site lab and very experienced personnel who can treat closed (non-compound) fractures, minor lacerations, urinary tract infections, flu, fever, rashes, animal bites and more.” Should a higher level of care be required, urgent care physicians coordinate care with the receiving physician in the ER. Along with saving you from pain and discomfort, urgent care can save you time and money. “Urgent care wait times are shorter, on average, than the ER,” says Dr. Davis.

“And while insurance plans vary, the urgent care costs are generally in line with your primary care co-pay, while the co-pay for an ER visit can be much higher.”

For added convenience, patients can make an urgent care appointment online by visiting warrenclinic.com/urgentcare.

When to visit the ER When it’s a life- or limb-threatening situation, of course, the cost of treatment should never be the first consideration.

Major trauma, severe chest pain, stroke symptoms, sudden vision changes, uncontrollable bleeding, drug overdoses, head injuries and complications of chronic illness are among the many conditions that demand immediate attention by skilled trauma and emergency room personnel.

Saint Francis Health System offers emergency services 24 hours a day, seven days a week at several hospital locations including Saint Francis Hospital's Trauma Emergency Center and Pediatric Emergency Center as well as Saint Francis Hospital South and Saint Francis Hospital locations in Vinita and Muskogee.

COMMONLY TREATED IN AN

COMMONLY TREATED IN AN

urgent care:

urgent care: emergency ROOM:

Call

9-1-1 when you experience:

• General cold and flu symptoms: cough, sore throat, fever, aches and pains • Cuts and minor wounds that require stitches • Breathing difficulties, including mild to moderate asthma • Minor accidents or falls • Muscle sprains and strains • Minor burns, insect bites, rashes and mild allergic reactions • Fractures (not compound) of wrist, hand, ankle or foot • Abdominal pain and/or symptoms of gastrointestinal illness • Rash without fever

Successful patient care With every Saint Francis Health System patient, the objective is to provide each person with the most appropriate, highest-quality care. To help achieve this, medical staff system-wide utilize Epic, the electronic medical record designed to streamline communication within healthcare organizations. Epic enables primary care and specialty physicians—including urgent care and emergency room personnel—to see and deliver patient information in real time. This includes a patient’s ongoing medical history, which can ultimately aid in emergency treatment.

“With Epic, Warren Clinic Urgent Care providers can, for example, see health records of patients who are presented for acute care,” says Dr. Davis. “It also allows primary care physicians to view patient lab and x-ray results as well as the treatment plan that was provided in urgent care.”

• Broken bones and dislocated joints • Deep cuts that require stitches • Head or eye injuries • Severe flu or cold symptoms • Sudden change in mental state • High fevers • Fevers with rash • Fevers in infants • Fainting or loss of consciousness • Severe pain (especially in the chest, abdomen or lower back) • Bleeding that won’t stop • Vaginal bleeding with pregnancy • Repeated vomiting • Serious burns • Seizures without a previous diagnosis of epilepsy • Overdoses • Loss of vision

• Shortness of breath/difficulty breathing • Symptoms of heart attack, including: • Chest pain • Pain in left arm • Pain in jaw • Sudden weakness or dizziness • Symptoms of stroke, including: • Slurred speech • Severe headache • Weakness or numbness on one side of face or body • Loss of consciousness • Anaphylaxis • Any other life- or limb-threatening injury

SAINT FRANCIS HEALTH SYSTEM EMERGENCY LOCATIONS

WARREN CLINIC URGENT CARE LOCATIONS

Saint Francis Trauma Emergency Center 6161 South Yale Avenue, Tulsa, OK (Southwest side of Saint Francis Hospital – main emergency entrance)

TULSA Springer Building 6160 South Yale Avenue

Saint Francis Pediatric Emergency Center 6161 South Yale Avenue, Tulsa, OK (Southwest side of Saint Francis Hospital – pediatric emergency entrance) Saint Francis Hospital South 10501 East 91st Street South (91st & Hwy 169), Tulsa, OK Saint Francis Hospital Muskogee 300 Rockefeller Drive, Muskogee, OK Saint Francis Hospital Vinita 735 North Foreman, Vinita, OK

Tulsa Hills 7858 South Olympia Avenue South Memorial 10506 South Memorial Drive

BROKEN ARROW Elm Place 2950 South Elm Place, Suite 120 (101st Street & Elm Place) Kenosha 1801 East Kenosha Street (71st Street and OK-51)

If you have doubts about your or another person's condition, always visit the closestSaint emergency roompresence for care.17 Francis Health System

Thanks for

Giving For nearly five years, Holly Benningfield has wanted to thank some very special people.

Now—thanks to the Oklahoma Blood Institute’s partnership with Saint Francis Health System and the new Thank-The-Donor™ program—she can do just that.

Five years ago, Benningfield was diagnosed with leukemia at the age of 14.

During the course of the next three years, she received extensive treatments including chemotherapy and radiation at The Children’s Hospital at Saint Francis.

Today, the 19-year-old is cancer-free and looking ahead to a bright and healthy future.

“While chemotherapy targets cancer cells, it can also damage healthy cells, which weakens your immunity and causes fatigue. Throughout the entirety of my treatment, I received over 20 units of blood,” she says. “Receiving the blood was an amazing experience in and of itself. Within 20 minutes or so of when the process started, my mom said my cheeks began to brighten and I could literally feel my energy return.”

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First-of-its-Kind Program

Physicians, nurses and other clinical staff at Saint Francis know the importance of blood donations and how they truly make a difference in the lives of patients. “When you give blood, it gives someone another smile, another hug, another chance. It truly is the gift of life.

Your donation is truly appreciated by the blood recipients, their loved ones and all of us at Saint Francis Hospital,” says Dr. Nathan Powell, Saint Francis Hospital trauma surgeon. To emphasize the importance of live-saving donations, Oklahoma Blood Institute and Saint Francis Health System have teamed up to pioneer this first-of-its-kind program that will enable blood recipients to thank their individual blood donors. The program will boost blood supplies by allowing donors to know the personal impacts they make on the lives of others.

And, this is how it works: Patients are now able to send a note, photo or video to their actual blood donor using their smart phones, tablets or computers on the ThankTheDonor.org website. Step-by-step instructions make the process easy to follow and a patent-pending process maintains anonymity for both the blood donors and recipients, thus preserving important privacy protections.

“Thank-The-Donor breaks the communication barriers and offers a new and different way to share a ‘thank you!’ We know this personal connection will inspire our wonderful donors to keep saving lives through their irreplaceable gift of themselves,” says John Armitage, M.D., president and CEO of Oklahoma Blood Institute. “Saint Francis is the first hospital in Oklahoma to give patients who receive blood this unique option to Thank-The-Donor. Because of their unwavering commitment to service and their forward-thinking approach to healthcare, Saint Francis is a natural partner for Oklahoma Blood Institute to publicly launch this health and humanitarian innovation.”

Spreading Awareness

In addition to studying radiation therapy at Tulsa Community College with future aspirations to work at The Children’s Hospital at Saint Francis, Benningfield serves as a spokesperson for Oklahoma Blood Institute’s Thank-The-Donor program. “I’m always happy to promote awareness about this new program and the importance of blood donations in any way I can,” she says. “That’s because I know if it wasn’t for my blood donors, I would not be here today. To now have the opportunity to thank them means the world to me.”

For more information about donating blood or the Thank-The-Donor Program, please visit ThankTheDonor.org.

Steven Feher, M.D., gives blood at a Saint Francis Hospital South blood drive.

“When you give blood, it gives someone another smile, another hug, another chance.

It truly is the gift of life.”

–Nathan Powell, D.O.

To learn more about making a blood donation, please visit obi.org or call 1-877-340-8777.

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Vinita

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A SPOTLIGHT ON THE REGION:

169

SAINT FRANCIS HOSPITAL VINITA

44

82

28 69

44

Claremore 412

244

Tulsa

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It’s been one year since the former Craig General Hospital in Vinita and its affiliated clinics joined the Saint Francis Health System. Now these facilities, renamed Saint Francis Hospital Vinita and the Saint Francis Health Centers in Monkey Island and Langley, are part of the largest healthcare network serving eastern Oklahoma.

Saint Francis Health System has had a presence for many years in Vinita through its Warren Clinic location at 715 North Foreman Street. “We look forward to the opportunity to further serve the medical needs of this community and provide a more full continuum of care to complement the services provided by the existing Warren Clinic Vinita,”said Barry Steichen, executive vice president and chief operating officer of Saint Francis Health System.

“We believe that the people of Vinita and the surrounding areas deserve quality healthcare close to home. Saint Francis’ hospitals are consistently ranked among the best hospitals in the region, and we look forward to continuing this legacy as we integrate Saint Francis Hospital Vinita into the health system,”said Todd Schuster, vice president of regional services and operations of Saint Francis Health System.

Saint Francis Health Center Monkey Island location

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Muskogee

SAINT FRANCIS HOSPITAL VINITA 62

735 North Foreman Street Okmulgee 62 Vinita, Oklahoma 74301 44 69 918-256-7551

WARREN CLINIC VINITA

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715 North Foreman Street Vinita, Oklahoma 74301 918-256-8731

SAINT FRANCIS HEALTH CENTER LANGLEY 36488 South Highway 82 Vinita, Oklahoma 74301 918-782-1881

SAINT FRANCIS HEALTH CENTER MONKEY ISLAND 26300 South Highway 125 Afton, Oklahoma 74331 918-257-8585

Services provided at Saint Francis Hospital Vinita and/or its affiliated locations: 24/7 emergency services Cardiology Diabetes education Electrophysiology Gastroenterology Geriatric psychiatry (inpatient and outpatient care) Home medical equipment Imaging and radiology Inpatient acute care Laboratory services Mammography Occupational therapy Orthopedics Pain medicine Physical therapy Primary care (family medicine, pediatric care) Podiatry Pulmonology Skilled nursing beds Sleep medicine Speech therapy

For more information about healthcare services provided at Saint Francis Hospital Vinita or its affiliated clinics, please call the location near you or Saint Francis HealthLink at 918-488-6688 or visit saintfrancis.com/vinita.

Earlier this year, Bishop David Konderla blessed various departments of Saint Francis Hospital Vinita

On Thursday, June 29, 2017, Saint Francis Hospital Vinita sponsored and hosted Summer Fest.

The free community event featured live music, health screenings, refreshments and giveaways for the whole family. It was a celebration of fun, health and safety.

Lauren Landwerlin, Executive Director Corporate Communications, Carol Austin, Vinita City Commissioner, Ronnie Starks, City of Vinita Mayor, Eric Schick, Chief Financial Officer/Executive Vice President, Todd Schuster, Vice President of Regional Services and Development, Edgar Morgan, Administrative Intern Saint Francis Health System

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BILL SULLIVAN, DR. CARLA SULLIVAN, DR. MARTI LEVINSON, ANDREW LEVINSON

MORE THAN 1,000 GUESTS ATTENDED THE 2017 PAINTED PONY BALL GALA ALL TO BENEFIT THE CHILDREN’S HOSPITAL AT SAINT FRANCIS. WITH ENTERTAINMENT PROVIDED BY GRAMMY-AWARD WINNING LITTLE BIG TOWN, A LIVE AUCTION AND DINNER PREPARED

BY CHEF DEVIN LEVINE AT THE COX BUSINESS CENTER, THE EVENING WELCOMED CORPORATE AND COMMUNITY PARTNERS WHO HAVE GENEROUSLY GIVEN TO SUPPORT EASTERN OKLAHOMA’S ONLY PEDIATRIC HEALTHCARE FACILITY, THE CHILDREN’S HOSPITAL AT SAINT FRANCIS.

CATHEY BARKLEY, MIKE BARKLEY, SUZANNE WARREN, WILLIAM K. WARREN, JR., PAT CASE, MIKE CASE JAKE HENRY JR., KATHY HENRY, SUZANNE WARREN, WILLIAM K. WARREN, JR.

CHRIS WEGNER, CADE WEGNER

ELIZABETH STIDHAM AND SCOTT STIDHAM 22

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LITTLE BIG TOWN

THANK YOU TO OUR GENEROUS DONORS AND TO THE MANY VOLUNTEERS WHO GAVE THEIR TIME AND RESOURCES TO THIS EVENING

PRESENTING SPONSORS ANONYMOUS SAINT FRANCIS AUXILIARY SAINT FRANCIS HEALTH SYSTEM DIAMOND PATRONS THE MARY K. CHAPMAN FOUNDATION THE WILLIAM K. WARREN FOUNDATION SILVER PATRONS AMERICAN BANK AND TRUST COMPANY CO. ANONYMOUS CATHEY AND MIKE BARKLEY THE ANNE AND HENRY ZARROW FOUNDATION BRONZE PATRONS ACROBAT ANT ANDERSON-REMCHUK WEALTH MANAGEMENT GROUP OF WELLS FARGO ADVISORS ANONYMOUS BANK OF AMERICA BANK OF OKLAHOMA BROADHURST FOUNDATION PAT AND MIKE CASE ERIN AND DON CHAPPEL AND WILLIAMS CROSSLAND CONSTRUCTION COMPANY, INC. HARDESTY FAMILY FOUNDATION MIDFIRST BANK

TABLE PATRONS JULIE BLANKENSHIP TIFFANY AND STUART CAMPBELL COMMUNITYCARE CORETZ FAMILY FOUNDATION LISETTE COSTON DIRECT ENERGY LARRY D. FLEMING FAMILY CHARITABLE FUND FLINTCO, LLC FRED DANIEL & SONS, INC. MARGE AND JOHN GABERINO, JR. ELIZABETH AND ROGER HAGANS HALL ESTILL KATHY AND JAKE HENRY JR. NANCY AND PAUL HINCH IBC BANK AND MARTI AND ANDREW LEVINSON JACKIE COOPER IMPORTS JOHNSON PROPERTIES, LLC JPMORGAN CHASE JEANETTE AND THE HONORABLE TERENCE KERN CAROLYN AND WAYNE LANDWERLIN MABREY BANK MESHRI FAMILY MONTEREAU NABHOLZ CORP. EVELYN RAYZOR NIENHUIS OIL CAPITAL ELECTRIC

OKLAHOMA BLOOD INSTITUTE OSU CENTER FOR HEALTH SCIENCES OU PHYSICIANS-TULSA AND OU-TU SCHOOL OF COMMUNITY MEDICINE THE OXLEY FOUNDATION ROBERT PATTERSON PERKINS+WILL PHYSICAL THERAPY OF TULSA PROSPERITY BANK RADIOLOGY CONSULTANTS OF TULSA RIBCRIB MALLORY AND ALAN ROARK AND ROARK LANDSCAPING CORP. SHARON AND JIM RULEY SENIOR STAR SIGNAL FACTORY SKANSKA TULSA WORLD MEDIA COMPANY THE UNIVERSITY OF TULSA US ACUTE CARE SOLUTIONS WARREN CLINIC NEONATAL SPECIALISTS STEPHEN K. WARREN MONICA WILLIFORD, STEVE BAYLES, RICHARD WILLIFORD, JR. AND MOLLIE WILLIFORD

CAMILLE FAZEL AND DR. POORYA FAZEL Saint Francis Health System

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The Health Zone Community

LONGTIME MEMBERS ACHIEVE GOALS

and Gain Support Every Step of the Way Not only has longtime Health Zone member Charles Monroe shed 170 pounds, he’s also ditched a diagnosis of diabetes— plus the seven pills he was required to take on a daily basis.

“There was a time I couldn’t even make it around the block.

Today, I run marathons,” he says. “As far back as I can recall, I’d been

fighting my weight—and more recently, diabetes, which I was told was largely ‘weight-related.’ I’m happy to say my blood sugar is now perfect.”

Charles vividly remembers the turning point that inspired him to reboot his eating habits and commit (110 percent) to an active lifestyle. “Years ago, I was at church one day, and the minister said something that really spoke to me. He said, ‘If you are not where you want to be in your life, it’s not God’s fault.’ That’s when I decided to take things in hand.”

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THE GAME PLAN

“It was time to say goodbye to fried foods, hello to vegetables, hit the track and take it one step at a time.”

First, he drastically changed his eating habits—then, he began packing his gym bag and setting his alarm for 4:45 a.m. in order to report to Health Zone bright and early every weekday morning.

“Before that, I hadn’t fully committed to getting healthy and taking off the weight,” he says. “It was time to say goodbye to fried foods, hello to vegetables, hit the track and take it one step at a time. And, I’m well aware the ‘Health Zone community’ was a huge factor in my motivation and transformation. The staff members, class instructors—as well as the many friends who are fellow Health Zone members—made a huge difference. Somebody was always offering a word of encouragement. Health Zone provides such a warm and supportive environment. I couldn’t have achieved my goals without it.”

HEALTH & WELLNESS HEALTH & WELLNESS “Health Zone is a very special place with a unique sense of community.”

PARTNERS IN FITNESS As Charles began to drop pounds, someone very near and dear to him was taking note. “I began to see his level of commitment and all of the positive changes he was making. So, it wasn’t long before I joined him on this journey,” says Charles’ wife, Sondra.

Today, Sondra is 65 pounds lighter and can achieve things she never once dreamed possible. “Health Zone is a very special place with a unique sense of community. Everyone knows your name!” she says. “It is wonderful to be surrounded by instructors who are always on-hand and other friends and like-minded people who are there for the same reasons you are. It’s so much more than just a gym.”

JOIN FOR FREE.

FOR KEEPS

One could safely say the Monroes are a common sight at the Health Zone and enjoy just about all the 70,000 square-foot fitness facility has to offer. From Valid January 6 – 13, 2018.

Zumba and spin to the therapy pool and Pilates studio, they definitely make the rounds and are healthier and more fit for it.

“Going to Health Zone not justRY about13, going2to a gym to work out. It’s about SATURDAY, JAisNUA 018 receiving personal instruction and building bonds that last,” Charles says. “And, Valid January 6 – 13, 2018. of course on top of that, the facility is absolutely incredible.

It is a pleasure to go Whatever you have promised yourself to do this year—trim down, tone up, eat healthier, exercise more— SATURDAY JANUARY 13, 2018 to Health Zone.

For Sondra me, a wayus of life.

SATURDAY, JAN UAand RY 13,it is 2Join 018 now is the time to get started. on” Saturday, January 13 from 9 a.m. to 1 p.m. and sample everything

JOIN HEALTH & WELLNESS FOR FREE. EXPO 9 AM –1 PM

the Health at Saint yourself Francistohas to offer.

Thedown, eventtone is free and open exercise to the public include Whatever youZone have promised do this year—trim up, eat healthier, more— and Samplewill everything Health Zone at Saint Francis Has to offer! now is the time to get started.

Join us on Saturday, January 13 from 9 a.m. to 1 p.m. and sample everything fitness classes, cooking classes, free health screenings and wellness education.

HEALTH ZONE FEATURES HEALTH ZONE FEATURES AND ANDSERVICES: SERVICES:

the Health Zone at Saint Francis has to offer. The event is free and open to the public and will include fitness classes, cooking classes, free health screenings and wellness education.

• Year-round swimming lessons • Parents’ night out • 70,000 square-foot fitness facility

• Fullsquare-foot schedulefitness of classes • 70,000 facility

• Indoorlessons cycling • Year-round swimming

• Indoor cycling • Full • • Premier schedule of classesweight training and cardio,

strength • Premier cardio,equipment weight training and strength equipment

• Parents’ night out

• Annual kids’ triathlon

Zumba, barre and yoga • Annual kids’ triathlon • Cooking classes for kids and adults

• Zumba, barre • and yoga

•

adults Basketball and racquetball Cooking classes for kids•andKids Zone activity center

• Basketball and racquetball • Kids Zone activity center • A dedicated Pilates equipment studio • Massage services • Indoor walking track • Massage services • Indoor walking track • Boot camp, suspension training • Boot camp, suspension training • Grab-and-go deli with smoothies, lossclasses and life balance classes deli with smoothies, • Weight loss • • Grab-and-go andWeight life balance CrossFit andand CrossFit wraps and sandwiches wraps and sandwiches • Locker rooms•with steamrooms room, with steam room, Locker • Two indoorindoor saltwater pools pools • Two saltwater • sauna and towelsauna serviceand towel service Summer programs for kids teens programs for kids and teens • and Summer • A dedicated Pilates equipment studio

5353 East 68th Street South | Tulsa, OK 74136 | 918-494-1671 saintfrancis.com/healthzone 5353 East 68th Street South | Tulsa, OK 74136 | 918-494-1671 saintfrancis.com/healthzone

JOIN FOR FREE JANUARY 6 – 13, 2018!

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Health and Nutrition

Understanding

Gluten

“Gluten” Defined by Merriam-Webster

ˈɡlo͞otn: a tenacious elastic protein substance especially of wheat flour that gives cohesiveness to dough

Gluten-Related Disorders For centuries, bread has been known as the “staff of life.” However, while most people tolerate gluten without problems, there are millions of others affected by gluten-related disorders such as celiac disease, gluten intolerance and wheat allergy.

Celiac Disease Celiac disease, the most severe form of gluten intolerance, is an autoimmune disorder in which the body’s immune system mounts an attack against its own tissues.

Dr. Aaron Fieker, specialist with Warren Clinic Gastroenterology says, “This activation of the immune system causes other widespread problems such as abnormal liver function tests, malabsorption with iron deficiency anemia, and in some cases, bone loss and skin disease. Symptoms often associated with celiac disease are bloating, abdominal pain, distention, upset stomach and rash.”

Gluten Intolerance Dr. Aaron Fieker Warren Clinic Gastroenterology

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Also known as non-celiac gluten sensitivity (NCGS), gluten intolerance has many of the same symptoms as celiac disease, bloating, abdominal pain, distention and upset stomach, however ingestion of gluten does

not involve the immunological response that occurs in those who have celiac disease.

Wheat Allergy Like most allergies, a wheat allergy causes the immune system to respond to a food protein it considers dangerous to the body.

This immune response is often temporary and does not cause lasting harm to the small intestine, unless it produces anaphylaxis (a severe, potentially life-threatening allergic reaction). Unlike celiac disease, wheat allergies can be outgrown. Symptoms include skin rash, nasal congestion, headache, difficulty breathing, abdominal cramps, nausea or vomiting, and can be avoided with a wheatfree diet.

Dispelling Misinformation While Improving Lives “Clearly, there are many discussions—as well as misperceptions—when it comes to the subject of gluten and the ill effects it can have on certain people. One of our primary goals is to advance awareness of celiac disease and other conditions caused by gluten to improve the quality of lives of those affected by them,” says Dr. Lynn A. Wiens, allergy and immunology specialist with Warren Clinic.

“Gluten-free.”

It’s a label that has become a common sight along grocery aisles. As familiar as it is, a great deal of confusion still surrounds what exactly gluten is and does.

“It’s important to understand that celiac disease and gluten sensitivity are two unique conditions. Gluten sensitivity is not a precursor to celiac disease, nor a mild form of it. Celiac disease is an autoimmune disease where the body triggers an attack on the intestines every time gluten is eaten; whereas there's not enough research about gluten sensitivity to fully understand it,” Dr. Wiens says. “What we do know is that gluten sensitivity is not an autoimmune disorder. Gluten antibodies* are not produced, as in the case with celiac disease, and the intestines are not damaged. The similarity lies only in the symptoms."

Diagnosis As awareness and understanding of celiac disease and gluten have increased over the past several years, so has the availability of effective testing. “There is likely a wide variety of overlap in symptoms, particularly in relation to the gastrointestinal tract. Gluten or wheat allergy will cause similar symptoms as celiac disease. A key difference is the absence of celiac disease specific antibodies, such as tissue transglutaminase and gliadin antibodies. Wheat allergy will often have the presence of IgE antibodies and will be positive for allergy on skin testing,” says

Dr. Fieker. “We now have widely available antibody testing to give further information about celiac disease and help us classify someone as having celiac disease or being in the other categories of gluten intolerance or wheat allergy.”

Treatment In terms of treatment, the only way to effectively control celiac disease—and other gluten-related conditions—is a strict adherence to a gluten-free diet. Celiac disease or allergy should be differentiated from nonceliac gluten sensitivity in order to identify the risk for nutritional deficiency, complications of celiac disease and to determine the necessary degree and duration of adherence to a gluten-free diet.

It is important to keep in mind that gluten is found in unexpected sources. While bread, cake, pasta, pizza crust and other wheatbased foods are easy to target, other foods and sauces with roux bases, for instance, are not as easy to identify. Some medications and cosmetics use gluten as binding agents, so it’s best to check all nutrition information and labels.

Dr. Lynn Wiens Warren Clinic Allergy and Immunology

*Antibodies are proteins made by the immune system. Normally, antibodies bind to foreign substances, such as bacteria and viruses, and cause them to be destroyed.

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Health and Nutrition

Gluten-free RECiPES Gluten-Free Pumpkin Bread Ingredients 1 box Betty Crocker™ Gluten Free yellow cake mix 1 (15 oz) can pure pumpkin ½ cup canola oil 1 teaspoon ground cinnamon ½ teaspoon ground ginger ¼ teaspoon ground cloves 2 teaspoons gluten-free vanilla ½ cup gluten-free semisweet chocolate chips (dairyand nut-free)

Directions

Quinoa and Black Beans Ingredients 1 teaspoon vegetable oil 1 onion, chopped 3 cloves garlic, chopped 3/4 cup quinoa 1 ½ cups vegetable broth 1 teaspoon ground cumin 1/4 teaspoon cayenne pepper Salt and ground black pepper to taste 1 cup frozen corn kernels 2 (15 ounce) cans black beans, rinsed and drained ½ cup chopped fresh cilantro

Directions Heat oil in a saucepan over medium heat; cook and stir onion and garlic until lightly browned, about 10 minutes.

Mix quinoa into onion mixture and cover with vegetable broth; season with cumin, cayenne pepper, salt, pepper.

Bring the mixture to a boil. Cover, reduce heat, simmer until quinoa is tender and broth is absorbed, about 20 minutes.

Stir frozen corn into the saucepan, and continue to simmer until heated through, about 5 minutes; mix in the black beans and cilantro.

(From allrecipes.com)

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Heat oven to 350°F. Grease bottom only of 9x5-inch or 8x4-inch loaf pan with oil.

In large bowl, stir all ingredients except chocolate chips until well mixed. Stir in chocolate chips. Spread evenly in pan.

Bake 9-inch loaf 55 to 65 minutes, 8-inch loaf 60 to 70 minutes, or until toothpick inserted in center comes out clean. Cool 10 minutes. Loosen sides of loaf from pan; remove from pan to cooling rack.

Cool about 2 hours before slicing.

(From bettycrocker.com)

Naturally Gluten-Free Food Groups: Fruits Vegetables Meat and poultry

Fish and seafood Dairy Beans, legumes and nuts

The following grains and other starch-containing foods are naturally gluten-free: Rice Cassava Corn (maize) Soy Potato Tapioca Beans Sorghum Quinoa Millet

Common Foods that Contain Gluten

Buckwheat groats (also known as kasha) Arrowroot Amaranth Teff Flax Chia Yucca Gluten-free oats Nut flours

(From celiac.org)

There has been some research that some naturally gluten-free grains may contain gluten from cross-contact with glutencontaining grains through harvesting and processing. If you are concerned about the safety of a grain, purchase only versions that are tested for the presence of gluten and contain less than 20 ppm.

(From celiac.org/live-gluten-free)

Pastas Noodles Crackers Baked goods Cereal and granola Breading and coating mixes

Croutons Flour tortillas Sauces and gravies (many use wheat flour as a thickener) Beer Anything with “wheat flour” as an ingredient

Gluten-Containing Grains and Their Derivatives Wheat Varieties and derivatives of wheat such as: • wheatberries • durum • emmer • semolina • spelt • farina • farro • graham • KAMUT® khorasan wheat • einkorn wheat

Rye Barley Triticale Malt (malted barley flour, malted milk or milkshakes, malt extract, malt syrup, malt flavoring, malt vinegar) Brewer’s yeast Wheat starch (that has not been processed to remove the presence of gluten)

Read more at celiac.org/live-gluten-free

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6161 South Yale Avenue • Tulsa, Oklahoma 74136

a publication of Saint Francis Health System

MISSION

To extend the presence and healing ministry of Christ in all we do

VISION

Saint Francis Health System will be the leading integrated Catholic healthcare system providing high quality, comprehensive and innovative care across our regional continuum of services.

VALUES EXCELLENCE Promoting high standards of service and performance DIGNITY Respecting each person as an inherently valuable member of the human community and as a unique expression of life JUSTICE Advocating for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and that promote a sense of community among all persons INTEGRITY Encouraging honesty, consistency and predictability in all relationships STEWARDSHIP Ensuring prudent use of talents and resources in a collaborative manner

SAINT FRANCIS HOSPITAL | THE CHILDREN’S HOSPITAL AT SAINT FRANCIS | WARREN CLINIC | HEART HOSPITAL AT SAINT FRANCIS | SAINT FRANCIS HOSPITAL SOUTH | LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL SAINT FRANCIS HOSPITAL MUSKOGEE | SAINT FRANCIS HOSPITAL VINITA | SAINT FRANCIS BROKEN ARROW | SAINT FRANCIS CANCER CENTER | SAINT FRANCIS HOME CARE COMPANIES

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