FALL 2026 Men: Prostate problems? You have options to find relief Dealing with diabetes What it is and how our team can help you manage it Special care for kidneys Answers to common questions
2 VITALITY Fall 2026 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 Braden Rothdiener Katie Duncan 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. 2026 © 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 Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital and the Citizens Memorial Health Care Foundation Working together for a healthier future Building a strong healthcare workforce is essential to meeting the needs of our community today and in the future. That work requires meaningful partnerships and shared commitment. In this issue, you’ll read about local partnerships and resources for students to start exploring healthcare careers in high school. Collaborations with Bolivar Technical College and the Alliance for Healthcare Education are helping support the future healthcare workforce. We are also investing in the next generation through paid summer internships, job shadowing opportunities and employment for high school students. Learn more on pages 5 and 15. Our annual reader survey is also in this issue. Please take a few minutes to fill out the printed version or answer the questions online. We appreciate feedback from our readers. Finally, our annual Soirée fundraising event on Sept. 26 will benefit the Dialysis Center Patient Fund. CMH began offering dialysis services in January, and we are seeing many ways to help these patients. Learn more about the Dialysis Center on pages 8 and 9. Together, we are building a stronger future for the communities we serve. Thank you for your continued support, feedback and generosity. Whether you’re completing our survey, attending the Soirée or simply staying engaged with our mission, you play an important role in advancing care close to home.
citizensmemorial.com 3 CMH Auxiliary volunteer Kent Brummell received the 2026 Lillian Hutcheson Award. The Lillian Hutcheson Award goes to an outstanding volunteer who demonstrates commitment, dedication and compassion to patients, residents and the organization. It is named in honor of Lillian Hutcheson, who founded the Auxiliary program before CMH opened in 1982. Brummell has volunteered 6,887 hours since 2017. He volunteers at the hospital information desk, as a hospital guide, picking up shredding material and as a hospice volunteer. He is also the Auxiliary’s first vice president. “Kent embodies everything the Lillian Hutcheson Award stands for,” says Shantelle Posten, director of volunteers. “I am so grateful for his willingness to fill several roles as both a volunteer and a leader, and I am honored to recognize Kent with this year’s award.” For more information about joining the CMH Auxiliary, visit cmhbolivar.info/auxiliary or call Posten at 417-328-6432. CMH symptom checker helps you make informed decisions bit.ly/CMHCareApp CMH Care app cmhbolivar.info/ symptom-checker CMH website 1 2 CMH honors Kent Brummell with Hutcheson Award When you or a loved one isn’t feeling well, it can be difficult to know what to do. Our symptom checker can help you determine whether you need to get help now, get help soon or can provide care at home. The system also includes practical care suggestions for various illnesses. Two ways to access the symptom checker: Spring 2026 safety grade recognizes commitment to patient safety Citizens Memorial Hospital earned an “A” Hospital Safety Grade from The Leapfrog Group, an independent national nonprofit focused on patient safety. The hospital also received top marks in spring and fall 2024. Leapfrog assigns letter grades of “A” through “F” to general hospitals To learn more about CMH’s safety grade and find tips for staying safe in the hospital, visit hospitalsafetygrade.org. CMH earns “A” Hospital Safety Grade across the country using evidencebased measures of patient safety, including errors, accidents, injuries and infections. “This recognition reflects the commitment of our physicians and staff to provide safe, high-quality care every day,” says Michael Calhoun, CEO and executive director of Citizens Memorial Hospital and Citizens Memorial Health Care Foundation. “Patient safety is at the center of everything we do. We continue to strengthen our processes, invest in our teams and ensure our patients receive the best possible care.”
4 VITALITY Fall 2026 Citizens Memorial Health Care Foundation held its 13th Annual Heroes for Hospice Race presented by SGC Foodservice and associate sponsor Craig Lehman Shelter Insurance on May 2. The event included a 1.5K Fun Run/ Walk, 5K and 10K. The top male finisher was Logan Anderson, and Ashley Raines was the top female finisher. Proceeds from the race support CMH Hospice and ensure that physical, emotional, spiritual and bereavement care is given to all terminally ill patients and their families. Alex Dukes, in the foreground in his wizard regalia, won the Spirit Award. He also won his age division in the 5K. 3rd Annual CMH Soirée Saturday, Sept. 26, 2026 John and Maria Kallenbach Estate 3rd Annual Sporting Clay Shoot Friday, Oct. 23, 2026 Ozark Shooters Sports Complex in Walnut Shade Learn more at citizensmemorial.com. Upcoming CMH Foundation events Heroes for Hospice raises money for CMH Hospice care New administrator Marcella Peck is the new administrator at Citizens Memorial Healthcare Facility. For more information, go to cmhbolivar.info/3T8Hbz3. Long-term care news Golf Classic raises $39,000 Fifty-three teams participated in the 36th annual Citizens Memorial Health Care Foundation Medical Excellence Golf Classic, presented by SGC Foodservice. The tournament raised nearly $39,000 to benefit our Medical Excellence Scholarship program. The program provides financial assistance to individuals in CMH’s eight-county service area who are pursuing careers in healthcare. SGC Foodservice was the tournament’s presenting sponsor and had two teams. Representing SGC on one team are, from left, Shawn Stockton, John Ward, Curtis Adams and Wyatt Larimer. CMH recertified as a Level II STEMI Center through 2029 Citizens Memorial Hospital has been recertified as a Level II STEMI Center by the Missouri Department of Health and Senior Services, extending its designation through May 20, 2029, after surveyors found the hospital to be in full compliance with state standards for emergency heart attack care. CMH has maintained the designation since first earning it in 2018. Read more at cmhbolivar.info/4eQaTBh. Mark your calendar for next year’s tournament on June 3, 2027.
citizensmemorial.com 5 Learn more about how students can get a head start on a nursing career in their communities at cmhbolivar.info/btc-dual-enrollment. Bolivar High School juniors Rosalie Hatfield, Charles Fagan and Nora Fuller will attend school on The Alliance for Healthcare Education campus during the 2026–27 school year. Three Bolivar R-I Schools juniors will participate in The Alliance for Healthcare Education during the 2026–27 school year. Full tuition support is provided by Citizens Memorial Hospital (CMH), a workforce affiliate of The Alliance, through its Medical Excellence Scholarship Fund. Rosalie Hatfield, Nora Fuller and Charles Fagan will attend school on The Alliance campus in Springfield while remaining enrolled as Bolivar students. They will graduate with a high school diploma and up to an associate degree in bioclinical science. “At CMH, we know many students are interested in healthcare careers but may not always see a clear path to get there close to home,” says Michael Calhoun, CEO and executive director of Citizens Memorial Hospital and Citizens Memorial Health Care Foundation. “This partnership with The Alliance and Bolivar Schools helps create that path.” CMH investment opens healthcare career path for three Bolivar juniors Opening doors to healthcare careers Learn more about how this partnership is building the future healthcare workforce at cmhbolivar.info/bhs-alliance. PROVIDING SUPPORT FOR HEALTHCARE EDUCATION Gray Matter Initiative creates nursing pathway in high school Through Bolivar Technical College’s Gray Matter Initiative, juniors and seniors can take college-level Anatomy and Physiology classes while still in high school — and at no cost. Students can save about $5,000 and finish a nursing career sooner. The first group’s success shows how early access, flexible delivery and local support can help students take meaningful first steps toward their nursing career. By finishing these courses early, students can apply to enter a nursing program right after graduation. The program also helps students find jobs close to home through local partners like Citizens Memorial Hospital. Medical Excellence Scholarship Given to students pursuing a healthcare career. Club 1982 scholarship Funded by donations from CMH employees, these scholarships support employees and their children or grandchildren as they pursue higher education or trade programs. Scholarships awarded in 2026 Number of students receiving the scholarship 56 Amount awarded $52,000 Scholarship totals since 2024 Total amount awarded $116,000 Scholarships awarded in 2026 To college students $89,000 To high school seniors $17,000 To all students combined $106,000 Scholarship totals since 1990 Number of students receiving the scholarship 775 Amount awarded $2.7 million
6 VITALITY Fall 2026 Lung cancer screening at CMH Screening CT scans can detect lung cancer at an early stage, before symptoms appear and when it is most treatable. “Early detection through screening has been shown to significantly improve survival rates and reduce the risk of death from lung cancer,” says pulmonologist Jason Bailey, D.O. Screenings are recommended for people who: ● Are between 50 and 80 years old. ● Smoke currently or have quit within the past 15 years. ● Have a 20 pack-year smoking history. (For example, this means smoking a pack a day for 20 years or two packs a day for 10 years.) Want to know if lung cancer screening is right for you? Call the CMH Pulmonology Clinic at 417-328-6055 to connect with an expert who can help. Want to quit smoking? The CMH Medication Management Clinic can give you the support you need to quit smoking. Call 417-328-7880 to make an appointment. 5 facts about lung cancer 1. It’s all too common. Lung cancer is the second most common cancer and the No. 1 cause of cancer deaths. 2. Smoking causes most lung cancers. Up to 9 out of 10 lung cancers are caused by smoking. Other possible causes include exposure to radon (an underground gas that can seep into homes), secondhand tobacco smoke or air pollution, or a family history of lung cancer. 3. You can have it and not even know it. Lung cancer doesn’t always cause symptoms until it has spread. Symptoms may include a chronic or worsening cough, a hoarse voice, frequent lung infections, coughing up blood, or shortness of breath. 4. Screening can spot lung cancer early, when treatment is most effective. If you’re a former or current smoker between the ages of 50 and 80, you may qualify for lung cancer screening with low-dose CT scans. 5. Treatment options vary by lung cancer type. Non-small-cell lung cancer, a more common type, can be treated with surgery, chemotherapy, radiation or targeted therapy. Small-cell lung cancer is often treated with radiation and chemotherapy. Treatment options also depend on whether the cancer has spread and how far. When it comes to lung cancer, knowing a few facts may help you stay informed and protected. Check out these key points:
citizensmemorial.com 7 If you’ve had a hernia, you probably know a bit about what to expect. It’s a common condition that affects people of all ages. But if you’ve never had a hernia—or don’t know someone who has—you may wonder about your risk and what to watch for. Here’s a quick look at the facts. A hernia is a tear in your abdominal muscle or tissue that allows part of your insides to bulge out. The bulging area may be caused by your intestines poking through the tear or by an internal organ. You might even be able to see the hernia, depending on its size and where it’s located. Which type of hernia you have depends on where it is. You might have a: Femoral hernia. Located just below the groin. It’s more common in women than in men. Inguinal hernia. A bulge in the groin. The most common of all hernias. It’s more frequently found in men. Hiatal hernia. This type occurs when the upper stomach pushes up into the chest through the diaphragm muscle. Incisional hernia. A bulge where an existing surgery scar is. Umbilical hernia. A bulge around your belly button. It most often happens in babies. The bulge created by a hernia may be the only sign that something is wrong. It may cause no symptoms. If you do have symptoms, they may include worsening discomfort while standing, straining or lifting heavy objects. If the spot gets sore and grows bigger, the bulging tissues may be trapped, cutting off the blood supply. This is a medical emergency. Go to the hospital right away if you: ● Have pain and swelling at the hernia site. ● Experience nausea and vomiting. ● Can’t pass gas or have a bowel movement. Treatment The only permanent treatment for a hernia is surgery to fix the hole with stitches or a mesh patch. Options include traditional open surgery or minimally invasive techniques, like laparoscopic or robotic-assisted surgery. Even with surgery, hernias sometimes come back. Expert hernia care The CMH General Surgery Clinic provides expert evaluation and treatment for many types of hernias, including inguinal (groin), umbilical, incisional, ventral and hiatal hernias. Our surgeons offer both traditional and minimally invasive surgical options to help reduce pain, repair weakened tissue and get patients back to their daily activities as quickly as possible. Explore the hernia treatment options available at CMH and schedule an appointment by calling the CMH General Surgery Clinic at 417-326-8700. All about hernias You can reduce your chances of developing a hernia—or getting a second hernia—with certain lifestyle changes, including eating smaller meals, losing weight if you’re overweight and using proper lifting techniques when carrying heavy things. Do you have a bulge that’s causing discomfort? Talk to your doctor right away.
8 VITALITY Fall 2026 Kidneys do vital work, including filtering waste products from the blood and keeping minerals in balance. But certain conditions, like high blood pressure and diabetes, can damage them. That can lead to kidney failure (also called end-stage kidney disease). When that happens, machines are used to help with some of the kidneys’ key functions—a process called dialysis. Here are answers to common questions about kidney dialysis. Q: How does dialysis help you? A: Dialysis does some of the work the kidneys did when they were healthy, such as removing excess fluid and waste from your blood. It doesn’t cure kidney failure—it cannot fully replace the kidneys’ function. But it can help you stay healthier. Q: What are the different types of dialysis? A: With hemodialysis, a machine filters your blood outside your body. The filtered blood is then put back into your body. Before starting hemodialysis, a surgeon creates an access site for the What to know about kidney dialysis dialysis needle in a vein or artery in the arm. Peritoneal dialysis uses the lining of your abdomen (peritoneum) to filter your blood inside your body. Before starting peritoneal dialysis, a catheter is surgically placed in the abdomen. It’s used to introduce a special fluid that absorbs waste from the blood. Then the fluid and waste are removed using the same catheter. Q: How often do you have dialysis? A: If you go to a dialysis center for hemodialysis, you will typically have treatments for about four hours, three times a week. Some dialysis centers offer treatments at night while you sleep. Hemodialysis can also be performed at home with a small dialysis machine, usually three to seven times a week. Home dialysis offers a more flexible treatment schedule. With peritoneal dialysis, the process of emptying and filling the dialysis solution happens several times a day. It can be done by hand, or a machine can do it at night while you sleep. This type of dialysis can be done at home or even while traveling. Q: Can you have a good quality of life on dialysis? A: Dialysis changes your life in many ways and requires a time commitment. Still, many people continue working and enjoying activities. What is a nephrologist? A nephrologist is a doctor who specializes in diagnosing and treating kidney diseases. These physicians must take advanced training beyond their four-year medical degree. That may include: ● A three-year approved residency program. ● A two-year fellowship. ● Board certification. Nephrologists deal with many aspects of kidney health. For instance, they: ● Interpret lab and imaging test results. ● Oversee dialysis. ● Perform kidney biopsies. ● Manage blood pressure. ● Assist with transplant surgery and follow-up. ● Treat kidney stones, masses and infections. They also help with bladder issues, urinary tract problems, heart failure, diabetes and high blood pressure. Ask your doctor if this type of care might be right for you.
citizensmemorial.com 9 Patients receiving dialysis at the CMH Dialysis Center can feel confident they are receiving care that meets the highest national standards. The center recently earned accreditation from the National Dialysis Accreditation Commission for its in-center hemodialysis and home peritoneal dialysis programs, making it the only dialysis center in southwest Missouri to receive this distinction. Safety and convenience The accreditation recognizes dialysis centers that provide safe, high-quality care and are committed to continuous improvement. During the review, the CMH Dialysis Center received a deficiency-free survey, meaning it met every standard without any required corrections. Located in Bolivar, the CMH Dialysis Center offers both incenter hemodialysis and home peritoneal dialysis, giving patients throughout southwest Missouri access to expert kidney care close NATIONAL ACCREDITATION Recognizing CMH’s commitment to exceptional kidney care to home. The center also houses the CMH Nephrology Clinic, led by board-certified nephrologist Russell Davis III, D.O., allowing patients to receive dialysis treatments and specialized kidney care in one convenient location. What it means for you The accreditation process included a comprehensive review of patient care, staff training, infection prevention, daily operations and qualityimprovement efforts. The recognition reflects CMH’s ongoing commitment to providing safe, compassionate care and helping patients achieve the best possible outcomes. “For patients and families, this accreditation provides added confidence that they are receiving care from a center committed to excellence,” Dr. Davis says. “We remain focused on delivering outstanding dialysis and nephrology services while improving the health and quality of life of those we serve.” The CMH Dialysis Center accepts most insurance plans and welcomes patients from throughout southwest Missouri. The center is located at 1160 W. Parkview St. in Bolivar. Choose accredited care Discover how nationally accredited dialysis and nephrology care at CMH can support your health by calling 417-328-7373 or visiting cmhbolivar.info/ dialysis-center.
10 VITALITY Fall 2026 If you’re an older man and urinary problems are making life uncomfortable, an enlarged prostate may be the culprit. This condition is also called benign prostatic hyperplasia (BPH). What is the prostate? This male reproductive gland makes fluid that is part of semen. It lies in front of the bladder and surrounds the urethra, the tube that carries urine out of the body. BPH can cause urinary symptoms because: ● The prostate presses against the bladder and pinches the urethra. ● Your bladder muscle gets weaker because it has to work harder to pass urine. BPH symptoms include: ● Frequent urination, day and night. ● Urgent need to urinate. ● Difficulty starting a urine stream. ● A weak or interrupted stream. ● Accidental leakage (urinary incontinence). ● Pain while urinating or ejaculating. ● Dribbling at the end of urination. NOTE: Get medical help right away if you can’t urinate, have a fever or chills, have pain in your belly or urinary tract, or have visible blood in your urine. Know the facts about an enlarged prostate Treatment options For mild cases of BPH, lifestyle changes can help. You can: ● Drink less before bedtime or travel. ● Cut back on caffeinated beverages and alcohol. ● Do training and exercises to control your urine flow. ● Prevent or treat constipation. Medications can treat mild to moderate symptoms of BPH by stopping prostate growth, shrinking it or relaxing muscles to improve urine flow. In severe cases, medical procedures or surgery can provide relief. Aquablation is a minimally invasive procedure performed by Mark Walterskirchen, M.D., urologist at the CMH Urology Surgical Clinic. CMH is the only facility between northwest Arkansas and Kansas City offering aquablation therapy. “What I like about Aquablation is that it uses realtime imaging and a water jet, so we can treat the problem area very precisely,” says Dr. Walterskirchen. “That often means great results with fewer side effects for patients.” If BPH is bothering you, ask your primary care provider for a referral to the CMH Urology Surgical Clinic. For more information about Aquablation or other urological treatments, call the clinic at 417-326-2550 or visit citizensmemorial.com.
DUPUYTREN’S CONTRACTURE Get to know this common hand condition If you’ve never heard of Dupuytren’s contracture, you’re not alone. But this hand condition affects around 10 million Americans. Dupuytren’s happens when fibrous tissues in the hand become too thick. The thickening tissue forms hard cords or lumps that tighten over time, pulling the fingers toward the palm. And while the condition itself is benign and often painless, it can worsen over time and make it harder to do things like wash your hands, hold large objects or wear gloves. If you have Dupuytren’s, you might notice symptoms like: ● Small lumps or thick cords under the skin on your palm. ● Trouble straightening your fingers, especially your ring finger. ● Skin on your palm that looks swollen, thick or puckered. ● Less often: pain, itching, pressure or burning. Can treatments help? The exact cause of Dupuytren’s is unknown, but it seems to run in families. It’s also more common in men, people over 40 and those of Northern European descent. You may be at higher risk if you have diabetes, drink alcohol or smoke, perform heavy hand work, or have experienced a hand or wrist injury. Expert orthopedic hand care Orthopedic hand surgeon Hiba Ibad, M.D., specializes in the evaluation and treatment of conditions affecting the hand, wrist and upper extremity. Her expertise includes arthritis, arthroscopic surgery, carpal tunnel syndrome, Dupuytren’s contracture, fractures and dislocations, tendinitis, tennis elbow, trigger finger, ulnar nerve disorders, and total knee and hip replacement procedures. Find relief For more information or to schedule an appointment, call the CMH Orthopedic & Spine Center at 417-777-2663. Treatments can help unbend your fingers and make it easier for you to use your hand. They can also slow the condition’s progression. But they’re not cures. Over time, many people find that the lumps or cords come back. The right treatment depends on the severity of your symptoms. Your doctor may recommend: ● Corticosteroid injections. These injections can reduce inflammation and pain for mild symptoms. They may help keep your symptoms from getting worse. ● Collagenase injections. Collagenase helps break down your thickened tissue. For some, it can be as effective as surgery. Your doctor can do the injections in their office. ● Aponeurotomy. This procedure involves inserting a small needle into the thickened cords to cut them. ● Surgery. In severe cases, a hand surgeon can remove painful nodules and cut or remove thickened cords. ● Physical therapy (PT). Your doctor may recommend PT after surgery to help your hand get stronger. citizensmemorial.com 11
12 VITALITY Fall 2026 Manage diabetes with your doctor’s help Seeing your primary care physician regularly is essential for good diabetes control. Diabetes is a lifelong condition that requires monitoring, treatment and support. A family physician helps track blood sugar levels over time, often using tests like A1C to see how well your plan is working. Regular visits allow your doctor to adjust medications, review your progress and address concerns before they become serious. They also provide guidance on everyday habits like diet, exercise, sleep, and stress, which all play a major role in managing diabetes. Just as important, your family physician watches for early signs of complications such as heart disease, kidney problems, nerve damage or vision loss. Catching these issues early can prevent long-term health problems and improve quality of life. By building a trusted relationship with your physician, you gain a partner who helps you stay on track, manage changes and live well with diabetes. What is diabetes? Perhaps the first thing to know about diabetes is that it isn’t just one disease. It’s actually a group of diseases characterized by high levels of glucose (sugar) in the blood. It may be that the pancreas doesn’t make enough insulin—a hormone involved in turning food into glucose, which the body uses for energy. Another possibility is that the body isn’t using insulin effectively. Whatever the case, the result is too much sugar in the blood. And excessive amounts of blood sugar can harm organs and lead to serious problems. Diabetes typically strikes in one of three ways: Type 1 diabetes Type 1 usually begins in childhood or young adulthood. It occurs when the pancreas doesn’t make enough insulin—or makes no insulin at all. That’s why people with type 1 need to regularly take insulin, often with daily injections. Only about 5% to 10% of adults diagnosed with diabetes have type 1. Type 2 diabetes This is the most common type of diabetes. About 90% of adults diagnosed with diabetes have type 2. It is diagnosed most often in adults but is increasingly being found in children. Type 2 occurs when the pancreas doesn’t make enough insulin or doesn’t use it properly. Genetics, diet and inactivity are all probable causes. Medicines and sometimes insulin are needed to treat it. Gestational diabetes Some women who’ve never had diabetes before develop it during pregnancy. Gestational diabetes usually resolves once the baby is born. However, it increases the mother’s risk for future type 2 diabetes—as well as the baby’s risk, if the mother isn’t treated. Sources: American Diabetes Association; Centers for Disease Control and Prevention; National Institute of Diabetes and Digestive and Kidney Diseases; UpToDate Don’t have a primary care provider? Visit citizensmemorial.com to find a provider near you.
citizensmemorial.com 13 Citizens Memorial Hospital is pleased to welcome Ladonna Webb, RDN, L.D., CDCES, as a dietitian and diabetes educator. Webb has more than 25 years of experience as a registered dietitian. She also has 11 years of experience helping people manage diabetes. She earned her degree from the University of MissouriColumbia in 1988. She started her career in nutrition and food service in the St. Louis area. Webb has worked in clinics, nutrition programs and long-term care. In recent years, she has focused on metabolic health. She helps patients manage diabetes, improve heart health, lose weight and Ingredients 3 tablespoons olive oil 2 whole potatoes, peeled and diced 2 carrots, peeled and sliced 1 onion, chopped 2 tablespoons flour 1 28-ounce can Keystone beef stew meat 1–2 cups beef broth 1 14.5-ounce can diced tomatoes, drained 1 14.5-ounce can green beans, drained 1 teaspoon salt to taste 1 teaspoon black pepper to taste make healthy choices during menopause. “I enjoy helping people better understand their health and make changes that improve their quality of life,” Webb says. “Nutrition plays an important role in managing many health conditions, and I look forward to supporting patients on their health journey.” Before coming to CMH, Webb led diabetes education programs at CoxHealth and Mercy. At CMH, she works with patients to build healthy habits. She helps them manage long-term health problems and feel their best. To learn more about nutrition counseling and diabetes education at CMH, visit citizensmemorial.com. Diabetes educator joins CMH Keystone beef stew with fall vegetables Created by Ladonna Webb, RDN, L.D., CDCES A hearty, easy and economical beef stew using fresh vegetables. Great for a cool fall evening. This recipe uses a precooked beef with great ingredients: beef and salt. No chemicals or sugar added. Makes 4 servings. Directions ● Heat olive oil in a large pot over medium heat. ● Add chopped potatoes, carrots and onion. Cook until softened. ● Add flour and stir into vegetables. ● Pour in beef broth and diced tomatoes and bring to a boil. ● Add canned beef and green beans. Simmer for another 30 minutes. ● Season with salt and black pepper to taste. Serve hot and enjoy! Nutrition information Serving size: 1/4 of recipe. Amount per serving: 350 calories, 15g total fat (5g saturated fat, 70mg cholesterol, 30g carbohydrates, 25g protein, 30g fiber, 800mg sodium.
14 VITALITY Fall 2026 Have you ever wondered whether your child’s high energy and short attention span are just part of their personality? In many cases, they are. But these challenges can also sometimes point to attentiondeficit/hyperactivity disorder (ADHD). How can you tell the difference between typical childhood behavior and signs of ADHD? Here’s what you need to know. What is ADHD? ADHD is a condition that affects focus, self-control and activity level. It involves one or more of these behaviors: inattention, hyperactivity and impulsiveness. Inattentive behavior is when a child: ● Makes frequent, careless mistakes in schoolwork. ● Overlooks details. ● Is easily distracted or sidetracked. ● Loses things often, like backpacks, jackets or homework assignments. ● Has trouble following instructions or staying organized. ● Resists doing or fails to Behavioral health services for children and teens CMH offers behavioral and psychological health services for children and teens, including: ● Counseling. ● A variety of play therapy approaches. ● Developmental and psychological testing. These services are designed to support emotional well-being, address behavioral or social concerns, and provide families with guidance and care tailored to their child’s needs. Learn more about pediatric behavioral health services at cmhbolivar.info/ pediatric-services. Services are available through the CMH Pediatric Clinic and CMH primary care clinics. School-based counseling is available in some school districts. Find a behavioral health provider at cmhbolivar.info/ BHDirectory. Is it ADHD? finish homework or other tasks. Hyperactive/impulsive behavior is when a child: ● Is constantly fidgeting or squirming. ● Has trouble staying in their seat. ● Runs and climbs in inappropriate places. ● Talks almost constantly. ● Often interrupts or blurts out answers. ● Has difficulty playing quietly. ● Is extremely impatient or can’t wait for their turn. Of course, all kids do these things sometimes. But if these behaviors frequently get in the way at school and at home, it’s worth finding out if it’s ADHD. ADHD can be diagnosed at any age, and it’s a lifelong condition, but signs often become more noticeable when children start school. Managing ADHD ADHD is manageable, and many kids thrive once they get the support they need. Treatment often includes a combination of strategies. Cognitive behavioral therapy can make a big difference in daily routines. Many kids benefit from medication to help with focus and self-control. And at school, accommodations—like extra time on tests or more frequent breaks— can help. If you notice any of the typical signs of ADHD, make an appointment with your child’s healthcare provider.
citizensmemorial.com 15 Students are getting an early look at healthcare careers thanks to Citizens Memorial Hospital’s longterm care facilities. All seven facilities offer ways for high school students to gain real-world experience, whether through jobs, clinical hours or mentoring. Leaders say the programs help students see what a future in healthcare can look like. At Lake Stockton Healthcare Facility, students can work as domestic care technicians. In this role, they support the nursing team by making beds, delivering water, helping at meals and answering call lights. “The position gives them great exposure to care as part of the nursing team,” administrator Chris McBratney says. “Our residents benefit from the extra customer service, not to mention the social aspect of getting to work with younger students.” At Colonial Springs Healthcare Center in Buffalo, students gain experience through a partnership with Dallas County Technical Institute. More than 40 students trained at the facility during the last semester. Administrator Roy Pace says students not Learning to care Students gain real-world experience at CMH facilities Take an early look at a career in healthcare High school students can gain experience through part-time jobs, clinical learning experiences and mentoring at CMH's long-term care facilities. Ready to explore? Learn more about high school opportunities at cmhbolivar.info/3RS23Kt or contact a CMH long-term care facility administrator. Welcometo our new physicians and providers! See more new providers on the next page. only learn skills, but also build relationships with residents. “They learn the life stories of so many of our residents and create memories that will last a lifetime,” Pace says. “Our residents love having the students, and it creates a bond with the community.” Many students go on to become certified nurse aides or continue to nursing school. Billy Brown, PA-C Emergency Medicine Physician Assistant CMH Emergency Department Education: Master’s degree in physician assistant science, Missouri State University, Springfield, Missouri Credentials: Certified by the National Commission on Certification of Physician Assistants Information: 417-326-6000 Briana Gomez, M.D. Obstetrics/Gynecology CMH OB-GYN Clinic Medical school: University of Kansas School of MedicineWichita Residency: Obstetrics and gynecology residency at University of Kansas School of Medicine-Wichita Credentials: Board eligible in obstetrics and gynecology Appointments: 417-777-8131
Help us improve Your feedback helps us create a better Vitality— and you could win a $100 Visa card. Nonprofit Org. U.S. Postage PAID Walla Walla, WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 Welcome to our new physicians and providers! —Continued from page 15 Jacob Podleski, M.D. Anesthesiology Citizens Memorial Hospital Medical school: University of MissouriKansas City School of Medicine, Kansas City Residency: University Hospitals Case Medical Center, Cleveland, Ohio Credentials: Certified by the American Board of Anesthesiology Information: 417-326-6000 Christopher Willis, D.O. Psychiatry Bolivar Family Care Center, Willard Medical Center and Ash Grove Family Medical Center Medical school: Kansas City University of Medicine & Biosciences Residency: Psychiatry residency at Walter Reed National Military Medical Center, Bethesda, Maryland Credentials: Certified in Psychiatry by the American Osteopathic Board of Neurology and Psychiatry Appointments: 417-326-6021 (Bolivar), 417-761-6655 (Willard) or 417-751-2100 (Ash Grove) scan Need a checkup? Visit citizensmemorial.com to find a doctor, location information and more! Noah Ruybal, LCSW Licensed Clinical Social Worker Behavioral Health Transitional Clinic at Bolivar Family Care Center Education: Master of Social Work, University of Colorado, Colorado Springs Appointments: 417-328-6131 Lee Lane, DPM Podiatry CMH Podiatry Clinic Medical school: Western University of Health Sciences School of Podiatric Medicine, Pomona, California Residency: Southern Arizona Veterans Affairs Health Care System Residency Credentials: Board eligible in podiatric surgery Appointments: 417-328-7000 Morgan Kuhn, PA-C Neurology Physician Assistant CMH Neurology and Headache Center Education: Master’s degree in physician assistant science, Gannon University, Erie, Pennsylvania Credentials: Certified by the National Commission on Certification of Physician Assistants Appointments: 417-327-3530
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