Citizens Memorial Hospital | Vitality | Fall 2024

FALL 2024 Start the conversation How to talk to your kids about vaping Matters of the heart What to know about heart failure Check in on your child’s mental health Be aware of signs of anxiety and depression

2 VITALITY Fall 2024 Citizens Memorial Hospital Citizens Memorial Health Care Foundation 1500 N. Oakland Ave. Bolivar, MO 65613 417-326-6000 CEO/Executive Director Michael Calhoun Marketing Director Tamera Heitz-Peek Marketing Department Tessa Arnold Jennifer Stegner Charlotte Marsch Aaron Tallant Mission Providing compassionate care for all generations by leading physicians and an exceptional health care team. Vision Be the first choice for health care by delivering the safest, highest quality and best experience for the communities we serve. Values I am Safe, Engaged, Respectful, Valued and Empowered. Together, we make a difference by serving others. For permission to reprint any portion of this magazine, call 417-328-7245. If you wish to be removed from the mailing list, please email theitz@citizensmemorial.com or call 417-328-7245. VITALITY is published as a community service for the friends and patrons of CITIZENS MEMORIAL HOSPITAL. Information in VITALITY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. 2024 © Coffey Communications, Inc. All rights reserved. Citizens Memorial Hospital complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. CMH has arranged for language assistance services free of charge. Call 417-326-6000. (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 417-326-6000. (Chinese) 417-326-6000. We’d love to hear from you on social media facebook.com/citizensmemorial x.com/cmhbolivar instagram.com/cmhbolivar linkedin.com/company/citizens-memorial-healthcare Growing to serve you After months of site preparation, construction progress on the CMH expansion is becoming more visible. You can follow the progress online at cmhbolivar.info/ construction. Our expansion project is just one facet of CMH’s growth. Several of our specialty clinics are adding physicians and expanding their services. The CMH Dermatology Clinic is adding Mohs surgery to treat highrisk skin cancers. New physicians are joining CMH in orthopedics, general surgery and cardiology. This fall, we are adding a new specialty—nephrology—to provide complete kidney care. CMH’s continual growth means that we can better meet your health care needs. For the start of a new school year, this issue of Vitality focuses on children’s health. On pages 6–9, you’ll find valuable insights on supporting children with depression and talking to kids about the dangers of vaping—a growing concern among teens. You can also learn about Stephens Pharmacy’s new tobacco cessation classes to help anyone who wants to quit using tobacco. Annual checkups are so important for maintaining optimal health for both children and adults. Discover tips on how to make the most of your annual visits on pages 12–13. Thank you for your ongoing trust in CMH. We are committed to growing and expanding to meet your health care needs now and in the future. Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital and the Citizens Memorial Health Care Foundation

citizensmemorial.com 3 Surgery clinic has a new name The CMH Surgical Services Clinic has changed its name to the CMH General Surgery Clinic. The clinic remains in the same location at Douglas Medical Center with the same medical staff. A new surgeon, Rachel Pruett, M.D., joined the staff on Aug. 1. For more information, call 417-326-8700. SBJ Health Care Champions Congratulations to our 2024 Health Care Champions at CMH! Tregg Geren, Chief Operating Officer (shown above at far right), accepted an award for the organization alongside the three honorees (shown above, at left) who received their awards at the Springfield Business Journal’s annual Health Care Champions ceremony. ● Specialty Provider: Mandi Brantley and Robert Baker, physical therapists. ● Health Care Professional: Jarrett Finnell, director of materials management. Plus, Citizens Memorial Hospital/Citizens Memorial Health Care Foundation received the award for Top Health Care Organization (500‑plus employees).

4 VITALITY Fall 2024 The Citizens Memorial Health Care Foundation Soirée, presented by SGC Foodservice, is set for Saturday, Sept. 28, at the Tim and Nancy Erickson farm near Bolivar. The fundraiser will benefit the Birth Place at Citizens Memorial Hospital. The event will include a fine dining experience by Chef Curtis Adams, sunset carriage rides, musical entertainment, silent and live auctions, and a live art performance by Mike Debus. In celebration of the event’s fundraising focus, the CMH Foundation has selected Steve Meents and Shelly Meents, M.D., as honorary chairs for the 2024 event. Dr. Meents has practiced obstetrics and gynecology at Citizens Memorial for nearly 20 years. The Meentses were selected for their years of dedication, involvement and service to the Birth Place families and to the community. CMH marketing receives national awards The marketing team for Citizens Memorial Hospital and the Citizens Memorial Health Care Foundation received national awards for numerous projects in 2024. The honors are from the Healthcare Advertising Awards and the Aster Awards. Healthcare Advertising Awards ● Gold—CMH Blog Sites ● Gold—Website Refresh ● Gold—Imprinted Materials: Citizens Memorial Fall Sweatshirt Collection ● Silver—Special Video (Over 2 Minutes): Groundbreaking Ceremony Highlights ● Silver—Special Event: Expansion Groundbreaking Ceremony Aster Awards ● Bronze—Health News Email ● Bronze—Hospital Expansion Invitation Shelly Meents, M.D., and Steve Meents will serve as honorary chairs for the inaugural Soirée on Saturday, Sept. 28. The event is presented by SGC Foodservice. For more information on event sponsorship opportunities or ticket details, contact Wren Hall, director of community relations and development, at 417-328-6318 or register online at cmhbolivar.info/SoireeRSVP. Inaugural Soirée benefits the Birth Place

citizensmemorial.com 5 Flu vaccines will be available soon to protect you against influenza during the winter months. Louis B. Harris, M.D., a longtime family medicine physician at Bolivar Family Care Center, recommends the annual flu vaccination. Here are some points to consider. 5 reasons Louis B. Harris, M.D., is a family medicine physician and the chief medical information officer at Citizens Memorial Hospital. Protect yourself The vaccine is the best way to protect yourself against influenza. Protect others If you don’t get the flu, others around you won’t get it either. to get a flu vaccination Reduce your likelihood of serious illness The flu can make some people very sick, and there is no way to predict with certainty who might become very sick. 1 2 3 Reduce your likelihood of hospitalization If you get very sick, you may need to be hospitalized. You might even die. 4 Vaccines are safe Flu vaccines have been used for years and are proven to be generally safe. 5 Who needs a flu vaccine? Everyone 6 months and older, with rare exceptions, should get a flu vaccine. People who are at higher risk of developing serious flu complications include: ● Adults 65 years and older. ● Adults with certain chronic health conditions, including asthma, heart disease and stroke, diabetes, and chronic kidney disease. ● Children younger than 2 years old. ● People who have had a stroke. Learn more about who is at a higher risk of flu complications at cdc.gov/flu/highrisk. If you have questions about the flu vaccine, talk to your doctor or other health care provider.

6 VITALITY Fall 2024 Kids have a lot on their minds. It’s normal for them to feel troubled, sad and negative at times. However, if these feelings persist longer than usual or seem especially intense for your child, you may wonder if they are experiencing depression. What is depression? Depression is a common disorder. In fact, 1 in 5 teens has depression at some point. It’s less common in younger children, but it’s still a serious condition at any age. Symptoms of depression in children and teens include: ● Feeling sad and irritable most of the time. ● Losing interest in activities. ● Eating or sleeping a lot more, or a lot less, than usual. ● Having trouble concentrating. ● Being more withdrawn and quieter than usual. ● Lacking motivation for homework, chores or other tasks. ● Feeling hopeless or worthless. ● Crying frequently. ● Using drugs or alcohol. ● Showing signs of self-harm, such as cuts, burns or bruises. Depression symptoms typically occur every day and last longer If you suspect that your teen is at risk for suicide, dial 988 to reach the and depression Children

citizensmemorial.com 7 Anxiety: Different than depression Anxiety is another common mood disorder, but it has different symptoms. Children and teens who have anxiety feel extreme fear and may worry about certain things or situations, such as: ● Social situations and school. ● Being separated from their parents. ● The future in general. ● Specific things, like test-taking, certain animals or vaccination. Feelings of anxiety can be overwhelming. They also can cause physical symptoms, like a pounding heart, sweating, dizziness, stomachaches or trouble breathing. Anxiety disorders are treatable. If you suspect your child has anxiety, talk to them about what they’re going through and enlist their doctor’s help. Sources: American Academy of Pediatrics; Centers for Disease Control and Prevention; U.S. Food and Drug Administration than two weeks. Be aware that kids may try to hide their symptoms. What parents can do Talk to your child. Ask them what they are feeling. Help create trust by listening more than you talk and avoiding judgment. Be patient if your child isn’t ready to open up yet. Get help from your child’s doctor. It’s important for your child to be evaluated for depression. The doctor can guide you toward an effective course of treatment. Treatment can include therapy, medication or both. The U.S. Food and Drug Administration has a warning about the increased risk of suicidal thoughts and actions in kids who are treated with antidepressants. Talk to your child’s doctor about this risk. Suicide & Crisis Lifeline, text TALK to 741741 or visit 988lifeline.org. Need to see a behavioral health specialist for you or your child but don’t know where to start? Ask your primary care provider for a referral or search CMH’s behavioral health provider directory at cmhbolivar.info/ BHDirectory. CMH’s behavioral health team includes psychiatrists, psychologists, counselors and licensed clinical social workers. You can search for providers based on: ● Location. ● Age range treated. ● Specific services they provide. Help is here For more information about behavioral health services at CMH, go to cmhbolivar.info/ BehavioralHealth. Find a CMH behavioral health provider

8 VITALITY Fall 2024 and is extremely addictive. Plus, nicotine and other toxic chemicals in e-cigarettes may severely damage the heart, lungs and brain in growing children, as well as in adults. What exactly are e-cigarettes? These battery-powered devices heat up a fluid that creates an inhalable mist. That liquid goes by many names: E-juice. E-liquid. Vape juice. Vape liquid. The solution is flavored, so it tastes good. Most flavors were banned nationally in 2019, but mint How to talk to your kids about As a parent, you probably have a running list in your mind of “things to talk to the kids about.” Here’s one more important item to add to that list: vaping. As many as 16.5% of high school students and 4.5% of middle schoolers report having used vape products (e-cigarettes) each month. It’s illegal to sell these products to kids under age 21, but they are easy to get online. Smoking e-cigarettes is a serious health threat—especially for kids and teens. Nearly all contain nicotine, which is made from tobacco Ask your child what they think about vaping to kick off the conversation. Listen to their answers and any questions they may have. ?

citizensmemorial.com 9 Tobacco cessation group classes now available Stephens Pharmacy at Citizens Memorial Hospital offers help for people who want to quit smoking or other tobacco use. Bailey Sherry, PharmD, a clinical staff pharmacist, is certified to facilitate the American Lung Association’s Freedom From Smoking® program. The in-person program helps people quit all tobacco products, including e-cigarettes and vaping devices. The class meets for eight sessions over seven weeks. Meetings are weekly (except for the fourth week, when there are two sessions). The cost is $60 per participant. “At the fourth session, everyone quits together. Two days later, everyone meets again for additional support and accountability,” Sherry says. “Quitting in this supportive environment increases the likelihood of success.” and menthol are still allowed. And any flavor is allowed in inexpensive, disposable e-cigarettes. This makes them particularly popular with kids. Start the conversation If you suspect your child is vaping—or is tempted to start—bring up the topic when it’s a natural fit. For instance, when you’re together, do you see someone using an e-cigarette; spot a vape shop; or discover an ad for e-cigarettes in a store, a magazine or on the internet? Ask your child what they think about vaping to kick off the conversation. Listen to their answers and any questions they may have. Talk about the risks, and tell them you care about their health. Here are some facts to know and share: Using nicotine at a young age may make it harder to concentrate and learn or even control your mood and your impulses. The brain keeps developing until age 25. When you create a new memory or learn a new skill, your brain builds stronger connections (synapses) between brain cells. Young people’s brains build synapses faster than adult brains. Nicotine changes the way these synapses are formed. Using nicotine when you’re young may also increase the risk for future addiction to tobacco and other drugs. The vapor from e-cigarettes contains harmful chemicals like propylene glycol or ethylene glycol (also known as antifreeze), diethylene glycol, and aldehydes (such as formaldehyde), which is ranked as one of the most significant cardiovascular toxins also found in cigarette smoke. Secondhand vapor is harmful too. So even if your child doesn’t vape, it’s potentially risky for them to be around any friends who do. Finally, e-cigarettes and traditional cigarettes also hurt adults’ health. If you use these products, quitting can be hard, but it is possible. Setting a good example for your kids can make a world of difference in whether they use e-cigarettes or traditional cigarettes. Sources: American Academy of Physicians; Centers for Disease Control and Prevention Register online Visit cmhbolivar.info/QuitTobacco. For more information, email bailey.sherry@citizensmemorial.com or call Bailey Sherry at 417-328-4759.

10 VITALITY Fall 2024 Protect your health Call the CMH Urology Surgical Clinic at 417-326-2550 for more information about prostate cancer screening, diagnosis or treatment. Prostate cancer is one of the most common cancers in men, but there is good news. Regular PSA screenings can detect cancer early. Screening and diagnosis A prostate-specific antigen (PSA) test measures the PSA level in the blood. Your primary care physician can run this test. All men ages 50 to 70 should have yearly PSA screenings. “Those with increased risk should begin screening at a younger age,” says Mark Walterskirchen, M.D., a board certified urologist with the CMH Urology Surgical Clinic in Bolivar. “High risk includes a family history of prostate cancer or breast cancer. We also recommend screening at a younger age for African American men.” A urologist will do a biopsy to confirm a diagnosis. The procedure takes about 10 minutes, and patients can resume normal activities the next day. Results usually are available in three to five days. Treatment options Because prostate cancer comes in many forms, treatment options will vary. Each patient has a specialized treatment plan. Common options include: No treatment. Continued monitoring includes blood tests every three to six months and a periodic biopsy. Robotic laparoscopic removal of the prostate. The two-hour procedure uses five tiny incisions to remove the prostate. Patients will go home the same day or the next morning after the surgery. Recovery is from two to four weeks. “The surgery allows us to remove the entire prostate, and in some cases the lymph nodes, to identify exactly what’s going on with the cancer,” Dr. Walterskirchen says. Radiation therapy. This is an option for patients who are not interested in surgery. Cryoablation. The procedure freezes the prostate to destroy the cancer. Dr. Walterskirchen is one of the few physicians in Missouri who perform this procedure. “It involves placing six small needles in the prostate, freezing it with argon gas and then removing the needles,” Dr. Walterskirchen says. “We usually monitor folks overnight and send them home the next day.” REGULAR PSA SCREENINGS Key to detecting prostate cancer early

citizensmemorial.com 11 CMH is adding kidney care with the opening of the CMH Nephrology Clinic this fall. Russell “Rusty” Davis, D.O., is an expert in diagnosing and treating a variety of kidney disorders: ● Acute kidney injury. ● Chronic kidney disease. ● Cystic kidney disease. ● Diabetic nephropathy. ● Glomerulonephritis. ● Glomerulopathy. ● Electrolyte disorders. ● End-stage renal disease. ● Hypertension (high blood pressure). ● Kidney infections. ● Kidney stones. ● Microscopic hematuria (blood in the urine). ● Nephrotic syndrome. ● Proteinuria/albuminuria (high levels of protein in urine). ● Urinary tract infection. Services offered at the clinic also include: ● Hemodialysis. ● Peritoneal dialysis. Your kidneys play a key role in keeping your body balanced by filtering your blood. They remove waste and extra fluid, control blood pressure, and keep bones healthy. Chronic kidney disease (CKD) affects more than 37 million American adults. Untreated CKD worsens over time and can progress to kidney failure and early cardiovascular disease. Although kidney disease can affect anyone, some people may be at a higher risk of developing this disease. Risk factors for CKD include: ● Diabetes. ● High blood pressure. ● Heart disease or heart failure. ● Obesity. ● Age over 60. ● Family history of kidney disease. ● Tobacco use or smoking. Early detection is important Many people may think their symptoms are related to another condition, so knowing what to watch for is key. Early symptoms include: Feeling tired. Nausea or loss of appetite. Unexplained weight loss. Peeing more than usual. Itchy or dry skin. Foamy or bloody urine. Symptoms that can indicate advanced stages are: N umbness or swelling in your arms, legs, ankles or feet. Cramping muscles. Trouble concentrating or sleeping. Is it kidney disease? Learn to spot the symptoms Nephrology Clinic opening this fall! Welcoming new patients The CMH Nephrology Clinic is in the Douglas Medical Center at 1155 W. Parkview St., Suite 2J, in Bolivar. Ask your physician for a referral. Sources: Centers for Disease Control and Prevention; National Kidney Foundation Keeping your kidneys healthy is essential to your overall health. Talk to your primary care provider if you experience any symptoms.

12 VITALITY Fall 2024 Your annual physical is an opportunity to talk face-to-face with your health care provider. You may have a lot on your mind before this important annual wellness checkup. But when you finally get to the appointment, you may have only a few minutes to ask all your questions and address your concerns. It can be stressful, and it’s easy to forget what you wanted to discuss. Here are six ways to get the most out of your annual exam, with tips on how to prepare for it, what to do during it and how to use the information after it’s over. 1 Plan your questions. In the weeks before your checkup, identify your three or four most important questions—and write them down. General questions might include: ● Am I due for any vaccines? ● What can I do to help prevent common health conditions? ● Where can I get help for a mental health issue? ● What changes can I make to eat healthier? ● How can I be more physically active? If you’re having any screenings or tests, you might ask: ● What’s the purpose of this test? ● What are the risks or side effects? ● When should I expect the results, and how will I get them? 2 Set goals. It’s a good idea to go into an annual exam with health goals to discuss with your provider. Establish a baseline Your provider can more easily identify future changes in your health so you can address them quickly. Prepare for your Why annual wellness visits are important Improve health Your provider can help you identify ways to improve your health and give you resources to help. Annual wellness visits and physical exams focus on prevention. You and your primary care provider (PCP) will review your overall health, identify risks and determine ways to stay healthy. Here are a few reasons to see your provider annually. These goals should be related to your most important concerns. Common health goals can include: ● Losing weight. ● Quitting smoking. ● Overcoming a specific symptom, like getting dizzy on walks. 3 Invite someone you trust. Consider bringing a trusted family member or friend. They can help remind you of your concerns or take notes during the visit. 4 Pack a bag. Gather all your prescription and over-the-counter medicines and supplements in case you are asked about them. If you’re seeing a provider for the first time, bring as much information about your Things to ask your provider

citizensmemorial.com 13 checkup Reduce health care costs By identifying health issues sooner rather than later, you can save money on future medical treatment. Medicare and most health insurance policies cover an annual wellness visit at no cost to you. Update vaccinations Your PCP will keep immunization records, ensure that you stay current on vaccinations and answer questions. Get guidance You can trust your PCP to advise you and coordinate your care with specialists and other medical services. health history as you can gather, including any X-rays, test results and medical records. Throw a pen and notebook in your bag so you can take notes. 5 Prep an update. If anything has changed since your last checkup, say so. Did you start exercising? Move to a new house? Lose a job? Has there been a death in the family? Any of these things can affect your health, and your health care provider needs to know. 6 Calm your anxiety. Nerves are common before an annual checkup. While you wait for your provider, try taking a few deep breaths. Doing so can calm anxiety and help you focus during the visit. Sources: American Academy of Family Physicians; HelpGuide; National Institute on Aging; U.S. Department of Health and Human Services Stay well If you have any questions about your health or if it’s time for your annual exam, make an appointment with one of our providers by visiting citizensmemorial.com or calling 417-328-6010.

14 VITALITY Fall 2024 If you or someone you love has heart failure, the diagnosis can be scary. The condition is serious, but many people learn how to manage heart failure and live normal lives. What is heart failure? It might surprise you to learn that heart failure doesn’t mean that the heart has stopped working. When someone is diagnosed with heart failure, it means their heart’s ability to pump blood is impaired. Heart failure is a chronic condition that worsens over time—if it’s not managed. There are two types of heart failure. Left-sided heart failure usually happens first. Congestive heart failure is a kind of heart failure that calls for fast treatment. The terms heart failure and congestive heart failure are often used interchangeably. With heart failure, the heart isn’t pumping blood out of the heart as vigorously as it should. When this happens, your cells can’t get enough oxygen. Heart failure symptoms come on gradually. It’s a chronic condition. If you’re diagnosed with heart failure, your health care provider will talk to you about treatment options. Lifestyle changes are almost certain to be among their recommendations. You’ll be encouraged to adopt a healthy eating pattern, stay physically active and reduce stress. Experts in heart care The medical providers at the CMH Heart Institute Clinic are experts in heart care: John F. Best, M.D., FACP, FACC, FSCAI Dishang Bhavsar, M.D. Stephen Davis, M.D. Haris Riaz, M.D. Kyla Inman, FNP-C What to know about heart failure Ask your primary care provider any questions you have about heart failure. Your provider may refer you to the CMH Heart Institute Clinic. Call 417-328-6040 to learn more. Sources: American Heart Association; Centers for Disease Control and Prevention; National Heart, Lung, and Blood Institute Symptoms of heart failure Symptoms vary depending on what kind of heart failure you have and how severe it is. Mild heart failure may have no noticeable symptoms outside of hard exertion. Symptoms to watch for include: S hortness of breath. S welling in the legs. F atigue. E xcessive coughing. W eakness. T rouble concentrating. D ifficulty walking. S udden weight change.

citizensmemorial.com 15 SHAWNDEE KNIGHT, WHNP, is a women’s health nurse practitioner at the CMH OB/GYN Clinic. She holds a Master of Science in Nursing, Women’s Health Nurse Practitioner, from Frontier Nursing University, Versailles, Kentucky. She is certified by the National Certification Corporation for Women’s Health Nurse Practitioner. To schedule an appointment, call 417-777-8131. SCOTT GIBBS, PA-C, is a behavioral health physician assistant who now sees patients at Bolivar Family Care Center in Bolivar and Pleasant Hope Family Medical Center. He previously worked at CMH’s Parkview Geriatric Wellness. He is certified by the National Commission on Certification of Physician Assistants. Call Bolivar Family Care Center at 417-326-6021 or Pleasant Hope Family Medical Center at 417-267-2001 to schedule an appointment. —Continued on back page new providers JESSICA LOCKE, PMHNP-BC, is a psychiatric mental health nurse practitioner at Humansville Family Medical Center and Ash Grove Family Medical Center. She holds a Master of Science in Psychiatric Mental Health Nurse Practitioner from Walden University, Minneapolis. She is certified by the American Nurses Credentialing Center Certification of Psychiatric-Mental Health Nurse Practitioner. To schedule an appointment, call 417-754-2223 in Humansville or 417-751-2100 in Ash Grove. KARONA PASCHKE, FNP-C, is a family nurse practitioner at the CMH Institute of Pain Management. She holds a Master of Science in Nursing, Family Nurse Practitioner, from Walden University, Minneapolis. She previously worked as a registered nurse in CMH’s intensive care unit and at Dallas County Family Medical Center. She is certified by the American Academy of Nurse Practitioners Certification Board. Call 417-326-7246 for more information. CASSIE VIETS, FNP-C, is a family nurse practitioner at Dallas County Family Medical Center and Walk-In Clinic. She now sees patients as a primary care provider. Previously, she provided care to long-term care residents. She is certified by the American Academy of Nurse Practitioners Certification Board. Call 417-345-6100 to make an appointment. On the move NEED A DOCTOR? Check out the CMH provider directory on our website: cmhbolivar.info/providers.

Nonprofit Org. U.S. Postage PAID Walla Walla, WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 Need a primary care provider? Call the CMH Health & Wellness Clinic at 417-328-7887. For tips on prepping for your checkup, turn to page 12! FRANCO AGUILAR, M.D., is a family medicine physician at Willard Medical Center and Walk‑In Clinic. He received his medical degree from the Atlantic University School of Medicine, St. Lucia. He completed a family medicine residency at the University of North Dakota School of Medicine and Health Sciences. He is board eligible in family medicine. To schedule an appointment, call 417-761-6655. DISHANG R. BHAVSAR, M.D., is an interventional cardiologist with the CMH Heart Institute Clinic. He received his medical degree from B.J. Medical College, Ahmedabad, India, and completed his internal medicine residency at The Brooklyn Hospital Center, in Brooklyn, New York. He completed a fellowship in cardiovascular medicine at the Icahn School of Medicine at Mount Sinai and a fellowship in interventional cardiology at the Mount Sinai Morningside Hospital/Mount Sinai Beth Israel Hospital. He is certified in cardiovascular disease by the American Board of Internal Medicine and board eligible in interventional cardiology. To schedule an appointment, call 417-328-6040. RUSSELL “RUSTY” DAVIS, D.O., is a nephrologist with the CMH Nephrology Clinic. He received his medical degree from the Liberty University College of Osteopathic Medicine in Lynchburg, Virginia. He completed a residency in internal medicine-pediatrics at the University of South Alabama, Mobile, and a fellowship in nephrology at Maine Medical Center in Portland, Maine. He is certified in internal medicine by the American Board of Internal Medicine. For more information, call 417-328-7300. —Continued from previous page new providers

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