VITALITY FALL 2022 KEEPING HEARTS STRONG CMH is a top hospital for heart attack treatment IT’S OUR 40TH ANNIVERSARY! CMH CELEBRATES FOUR DECADES OF CARING FOR OUR COMMUNITY
2 VITALITY Fall 2022 WELCOME 4 An exciting expansion Coming soon! See the plans for our multimillion-dollar building project. 10 Women, do you know your No. 1 health risk? The answer may surprise you. 6 Water is essential to your well-being Learn the benefits of staying well-hydrated. 14 Happy feet Are you struggling with foot and ankle issues? Seek relief from our specialists. facebook.com/citizensmemorial We’d love to hear from you ON FACEBOOK WE’RE ALSO ON twitter.com/cmhbolivar 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 Charlotte Marsch Amy Gimpel Aaron Tallant Mission Caring for every generation through exceptional services by leading physicians and a compassionate health care team. Vision Be the first choice for customer-focused health care to every generation. CoreValues I am…positive, respectful, innovative, dedicated, empowered. Together, we are CMH PRIDE. 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 inVITALITY 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. 2022 © Coffey Communications, Inc. All rights reserved. Celebrating 40 years of great care This fall marks 40 years since Citizens Memorial Hospital opened on Sept. 28, 1982. CMH really is an amazing story, and we have a lot to celebrate from the past 40 years. CMH has exceeded everyone’s expectations with the expansive health care services we provide for the community. We opened with three physicians and 90 employees. Now we have close to 200 physicians and more than 2,000 employees. We invite you to help celebrate our 40th anniversary the week of Sept. 26. See page 4 for details. As we plan for the next 40 years and beyond, we recently announced the largest building project in CMH’s history. The $77 million renovation and expansion of the hospital will help CMH meet the growing needs of the communities we serve. As part of our plans for future emergency room expansion, all ER staff are now CMH employees. Read more about these initiatives on page 5. I encourage you to take an active role in maintaining your health. This issue includes information about shopping for healthy foods on a budget, heart-healthy tips for women, lowering your risk for colorectal cancer, how to recognize melanoma and more. If you have been experiencing hip pain, look at page 8 to find out if you need to see one of our orthopedic physicians specializing in robotic arm-assisted surgery. CMH’s tremendous 40-year history would not be possible without visionary leadership and an incredible health care team. On pages 15 and 16, meet our newest medical providers. They are joining an excellent health care team committed to caring for you and your family now and for many years into the future. Sincerely, Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital/Citizens Memorial Health Care Foundation Michael Calhoun, CEO/Executive Director
citizensmemorial.com 3 CMH Senior Health Center adds new equipment Community member donates funds to purchase weight machine CMH Senior Health Center, Bolivar, recently purchased an Inspire Fitness M2 Multi Gym Unit. The new equipment was a gift made possible through the generosity of a community donor. The unit allows users to work multiple muscle groups on one machine. The CMH Senior Health Center is free to area residents 55 and older. The facility provides numerous exercise classes, including chair, floor, tai chi and strength. Exercise equipment includes stationary bikes, NuSteps, treadmills, free weights, seated elliptical and rowing machines, and a therapy pool. Regular physical activity has many health benefits, especially for older adults, including weight loss, lower blood pressure, better balance, increased strength and flexibility, and improved mood. THE CMH SENIOR HEALTH CENTER Located at 1840W. Broadway St., Bolivar. For more information, call 417-777-7171. Springfield Business Journal honors CMH Citizens Memorial Hospital/Citizens Memorial Health Care Foundation was awarded honors by the Springfield Business Journal for Economic Impact (30 to 74 years in business category). The awards recognize businesses for their financial performance, growth, community involvement and overall impact on the Ozarks community. The awards ceremony was held July 28 in Springfield. CMH RECEIVES $100,000 GRANT CMH was awarded a $100,000 grant from the HRSA to train emergency medical services (EMS) staff to be certified community paramedics. Community paramedics care for patients at home or in other nonurgent settings outside of a hospital under the supervision of a physician or advanced practice provider. They can expand the reach of primary care and public health services by using EMS personnel to perform patient assessments. The grant money will enable six CMH EMS professionals to be trained. Read more at cmhbolivar.info/3NDuzr3. 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) 注意：如果您使用繁體中文，您可以免費獲得 語言援助服務。請致電 417-326-6000. CMH NEWS John Klass, DPT, is a physical therapist at CMH Willard Rehabilitation Clinic. SHC member Bob Brown and Jody Pool, Senior Health Center director, demonstrate the Inspire Fitness M2 Multi Gym equipment. Brown has participated in weekly fitness programs at the facility for the past 18 years. NOWOPEN!WELCOME TO THE CMHWILLARD REHABILITATION CLINIC The CMH Willard Rehabilitation Clinic opened July 5 and held a ribbon-cutting ceremony and open house July 8. The 3,200-square-foot physical therapy clinic is located across Highway 160 from CMH Willard Medical Center & Walk-In Clinic in the Prairie View Shopping Center, 520 E. Jackson St., Suites 8–9, Willard. Physical therapist John Klass, DPT, sees patients for pre- and post-surgical care, sports injuries, orthopedics, lower back pain, chronic pain and general rehabilitation. CMH Rehabilitation Services, owned and operated by Citizens Memorial Hospital, provides inpatient and outpatient adult and pediatric occupational, physical, and speech therapy services at locations in Ash Grove, Bolivar, Buffalo, El Dorado Springs, Greenfield, Hermitage, Osceola, Pleasant Hope, Stockton and Willard, Missouri. PATIENTS SHOULD CALL 417-761-6699 for more information or to schedule an appointment.
4 VITALITY Fall 2022 CMH NEWS CMH to expand, upgrade hospital facilities Citizens Memorial Hospital will expand and modernize the hospital in Bolivar with a $77 million building project. “With this building project, we are investing back into our hospital facility, where CMH began in 1982,” says Michael Calhoun, CEO/Executive Director of CMH and the Citizens Memorial Health Care Foundation. “The expansion will allow us to utilize better the latest in medical technology as we provide a great patient experience. We are planning a state-of-the-art facility.” The project includes several upgrades and additions to hospital facilities, totaling 124,750 square feet (including 102,500 square feet of expansion and 22,250 square feet of renovation). CMH plans to break ground in 2023, with construction being completed in phases taking about three years. PLANNED IMPROVEMENTS INCLUDE: » Medical/surgical: Transitioning all rooms from semi-private to private, increasing pediatric rooms from one to six and increasing ICU beds from eight to 12. » Surgery: Adding a third operating room and the shell of a room that could house a fourth operating room in the future. » Emergency room: Increasing beds from 12 to 21 and adding a sixbed unit designed specifically for behavioral health patients. » Cardiac cath: Constructing two cardiac catheterization units and replacing the current modular unit to support planned growth in the cardiology department. » Laboratory: Consolidating off-site locations due to growth in tests performed in recent years. » Cafeteria and dietary: Expanding for an improved experience for patients and visitors. » Facilities: Upgrading ventilation, filtration, air handling, boilers, chillers, water heaters, medical vacuum pumps and fire alarms. A $57.7 million loan from USDA Citizens Memorial Hospital will celebrate its 40th anniversary in September 2022. The hospital opened its doors on Sept. 28, 1982, as a 53-bed not-for-profit hospital district. “Over the last 40 years, it’s been amazing to see how much CMH has grown. The foundation of this organization has been well-established,” says Michael Calhoun, CEO/Executive Director of CMH and Citizens Memorial Health Care Foundation. “CMH has exceeded everyone’s expectations in terms of the health care services we have been able to provide for the community. As we move forward, we want to bring that innovation, growth and great-quality health care into the future.” CMH began with three physicians on staff and 90 employees. More than 5,000 community members attended the grand opening celebration. Today, CMH is licensed for 86 beds, and more than 2,000 CMH and CMH Foundation employees and nearly 200 physicians and midlevel medical providers care for patients in eight counties. A $77 million building project to upgrade and expand the hospital will position the hospital to provide exceptional care for the next 40 years. “The hospital expansion is going to provide a new, state-of-the-art facility,” Calhoun says. “It is going to really show people all across our service area that we’re more than a small rural hospital. CMH TO CELEBRATE 40 YEARS IN SEPTEMBER FOR MORE INFORMATION about CMH, visit citizensmemorial.com or call 417-328-6000.
citizensmemorial.com 5 CMH planning for future with emergency room staffing transition As part of its strategic plan for future expansion of emergency services, Citizens Memorial Hospital assumed staffing and scheduling management for its emergency department as of Aug. 1. CMH previously contracted with Triad Physician Solutions since Aug. 1, 2019, to provide staffing management of the emergency department. “The large majority of our medical staff is employed by CMH. One exception is the emergency department,” says Michael Calhoun, CEO/Executive Director of CMH and the Citizens Memorial Health Care Foundation. “The emergency department is the front door of CMH, and we want to make sure we do a great job serving the community and our patients,” Calhoun says. “Focusing on building our own group of physicians that are aligned with CMH values, we can work together to improve care. It’s an exciting time for CMH to be able to grow our emergency department to better fit the needs of the community. The only change the community should see is improved service.” The physicians and advanced practice providers who will be staffing the CMH emergency department include: Jeffrey K. Smieshek, D.O.; Jordan Gipson, M.D.; Nathaniel Pearl, D.O.; Daniel Barnes, M.D.; Ryan Hunsel, M.D.; Nathan Walter, M.D.; Brandi Hume, PA-C; Jamie Schoolcraft, PA-C; and EstherTrammell, NP-C. Andrew Nicholes, D.O., is the interim medical director. Additional medical staff are being recruited and will be added in the coming months. A new emergency department is part of a $77 million future building project to upgrade and expand the hospital. The new ER will have 21 patient rooms, compared to 12 currently, and will be able to care for more than 70 patients daily. CMH is a Level III Trauma Center, Level II STEMI Center and Level III Stroke Center providing emergency care to patients in its eight-county service area. FOR MORE INFORMATION about events to celebrate the 40th anniversary, go to cmhbolivar.info/40. For more information about CMH history, go to citizensmemorial.com/about/history.html. We provide a large breadth of services at CMH.” CMH’s future includes looking for ways to continue providing services, such as expanded services to other communities within the service area, how to increase dialysis services in Bolivar and the feasibility of a new longterm care facility in Bolivar. “The strength of this organization is in the people,” Calhoun says. “During the last 40 years, we have had visionary leadership. Along with that is an amazing health care team that has a lot of institutional knowledge. We have a great team that is going to be able to move us into the future.” Rural Development and $19.25 million in loans from local banks will fund the $77 million project. “The planned expansion of the hospital facility has been developing over the past several years with hospital leadership, the board of directors and the community,” says Kyle Wilkins, USDA Rural Development state director. “All are supportive of this project, and USDA Rural Development is proud to provide funding.” The hospital opened in September 1982 with funding from the USDA Farmers Home Administration, a predecessor to USDA Rural Development. CMH has partnered with USDA for low-interest loans for several projects during its 40-year history, but this is the largest project. “This funding from USDA is a loan we have to pay back, but it is at a lower interest rate than traditional loans,” Calhoun says. “We are planning for the future to ensure that we can continue providing highquality health care close to home for the next 40 years.” FOR MORE INFORMATION about the emergency department at CMH, visit citizensmemorial.com or call 417-326-6000.
WELLNESS DRINK UP! The benefits of stayingwelldiarrhea or are throwing up. All of that means you need to take in water every day—and plenty of it. When your body doesn’t get the water it needs and there isn’t enough fluid for proper circulation, you become dehydrated. And that can mean big problems. Severe dehydration can damage internal organs—such as the liver, kidneys and brain—and can even cause death. WHO’S AT RISK? Older adults are at high risk of dehydration because they may not easily sense when they are thirsty, or they may have a physical condition that makes it difficult to drink. Individuals with a chronic illness, like diabetes, or certain medical conditions, such as kidney stones or a bladder infection, are also at higher risk. In addition, some medications can increase the risk of dehydration. Adults are also at increased risk if they: » Exercise too hard or too long. » Work or are otherwise physically active outdoors in hot weather. » Are pregnant or breastfeeding. AREYOUDEHYDRATED? Signs and symptoms of mild or moderate dehydration include: Every cell, tissue and organ in the human body contains water. Without water, your body can’t maintain its temperature, get rid of waste or perform a host of other essential functions. At the same time, you are constantly losing water—through urine, sweat and even your breath. And you lose more fluids than usual in hot weather, when exercising, while running a fever, or if you have » Thirst. » Reduced sweating. » Dry or sticky mouth. » Light-headedness. » Small amounts of concentrated, dark yellow urine—or no urine at all. » Dizziness. » Muscle cramps. People who are severely dehydrated may feel light-headed or confused, faint or have a hard, fast heartbeat. Drinking a lot of water may be all that is needed to treat mild dehydration. More severe cases of dehydration require treatment with intravenous solutions that contain sodium chloride. HOW TO STAY WELL-HYDRATED To help prevent dehydration, drink plenty of fluids every day, especially when you are exercising (both during and after activity) and when the weather is hot. Choose water rather than sugary drinks. And carry a water bottle with you so you can sip on water as you go about your day. You can vary your water intake with other fluids, such as flavored or sparkling water; herbal teas; juice; milk and its alternatives; and low-sodium broths. It’s best to limit caffeine, but for most people, moderate amounts of plain coffee or black or green tea are safe. And eating water-rich fruits and vegetables, such as melons and tomatoes, can help you stay hydrated. Sources: American Academy of Family Physicians; Centers for Disease Control and Prevention; National Institutes of Health; U.S. Department of Veterans Affairs
citizensmemorial.com 7 How tomake your next grocery run a success ONA BUDGET 6 tips for healthy food shopping WELLNESS Have you changed your grocery shopping habits in the face of rising food prices? You might find that it’s not always easy to eat healthy on a limited budget. By making strategic changes to how you approach this household chore, however, you can stock your fridge and pantry with healthy foods and still save money while doing it. Start by following these six tips. Plan ahead. This first step is perhaps the most important. Take stock of what you have at home so your produce doesn’t wilt and your pantry items don’t expire before you use them. Look at the upcoming week and think about how much time and energy you’ll have to cook. Then plot out menus, factoring in days for leftovers. Bonus: You’ll waste less food and help the environment! Make a shopping list and stick to it. Always have your grocery list on hand, either on paper or on an app. That way you can add items as you go about your day. When you go to the grocery store, only buy what’s on the list. Don’t go to the store when you’re hungry, so it’s easier to avoid pricey impulse buys like junk food. Look for sales and coupons. Talk to friends and neighbors about where they shop to scout the best deals. Then join the free store loyalty programs and stay updated on sales and coupons. Remember that it may be most cost-efficient to stock up on certain items, such as paper products or meat, at different stores. Keep in mind that your freezer is your secret weapon. It’s wonderful to buy fresh produce in season. But frozen fruits and veggies are usually at least as nutrient-dense as their fresh counterparts—and typically cheaper. Prepare large batches of nutritious meals and freeze them for nights when you’re too busy or tired to cook. Go meatless. Reducing or eliminating your meat intake is great for your wallet, your body and the planet. If giving up meat entirely seems too daunting, start with one dinner a week. Research amazing vegetarian recipes to make it fun! Drink more water. Not only does water have zero calories, it’s essential for optimal physical performance and costs much less than sugary drinks. So drink up! Sources: Academy of Nutrition and Dietetics; U.S. Department of Agriculture 1 2 3 4 5 6
8 VITALITY Fall 2022 If you have hip pain or a hard time moving around, you may wonder if a hip replacement might help. This common surgery is one of the most successful operations in the medical field. It helps many people reduce their pain and improve mobility. Here’s what you need to know. WHAT CAUSES HIP PAIN? Arthritis is the most common cause of hip pain. Osteoarthritis happens when the cartilage between the hip bones wears away. Inflammation from rheumatoid arthritis can also lead to hip pain and stiffness. Other causes include hip injuries and childhood hip disease. ARE YOU A CANDIDATE FOR HIPREPLACEMENTSURGERY? People who get total hip replacement surgery are typically between the ages of 50 and 80, but all ages can benefit from it. If you have hip pain that limits your everyday activities, such as walking, you may be a good candidate. That’s especially true if you’ve already tried things like anti-inflammatory drugs and physical therapy with no improvement. An orthopedic surgeon will help you determine whether you’re a good candidate. The surgeon will look at your medical history, conduct a physical exam, and order X-rays and perhaps other tests. WHAT’S INVOLVED IN THE SURGERY? Before your surgery, you will need to prepare your home environment and plan for the help you will need when you return from the hospital. Your surgeon will choose the type of artificial hip joint that is best for you and how that joint will be put in place. The surgery typically takes about an hour or two. Afterward, it’s very important that you follow your surgeon’s directions for activity and exercise. That way you can have the quickest recovery possible. You should be able to walk with a cane, crutches or a walker soon after surgery. Expect to modify your daily routine and to need help with tasks like cooking and bathing until you fully recover. Sources: American Academy of Orthopaedic Surgeons; American Association of Hip and Knee Surgeons; National Institute of Arthritis and Musculoskeletal and Skin Diseases ORTHOPEDICS Troy Morrison, D.O. What to consider when weighing hip replacement surgery Is knee or hip pain keeping you from activities you love? Mako robotic armassisted surgery at CMH Orthopedic & Spine Center might be right for you. Board certified orthopedic surgeons Jonathan Gray, D.O., and Troy Morrison, D.O., and board eligible orthopedic sports medicine surgeon S. Craig Morris, M.D., create personalized surgical plans unique to your anatomy using Mako’s 3D CT technology for more precise total knee and hip replacement surgeries. The highly advanced robotic technology enables patients to recover faster and more effectively. CMHORTHOPEDIC & SPINE CENTER Services include: » Achilles tendon, carpal tunnel, rotator cuff, shoulder and elbow, and tennis elbow repair. » Anterior hip replacement. » Arthroscopy of the shoulder, hip, knee, elbow and ankle. » Artificial disk replacement and treatment of herniated disks. » Foot and ankle surgery. » Fracture care. » Hand and wrist surgery. » Minimally invasive spine surgery. » Nerve blocks for post-op pain control. » Nerve decompression. » Reconstruction of the ACL, PCL, MCL and PLC. » Sports medicine. » Total replacement of the hip, knee and shoulder. Mako robotic arm-assisted surgery Jonathan Gray, D.O. S. Craig Morris, M.D. LEARNWHY PATIENTS CHOOSE ORTHOPEDIC SURGERYAT CMH. Call 417-777-2663 for more information and to schedule an appointment. Is it time for a new hip?
citizensmemorial.com 9 Care and treatment for gastroenterology concerns Board certified gastroenterologist Ryan E. Denney, D.O., and nurse practitioner Candi Erven, with CMH Gastroenterology Clinic, Bolivar, are experts in treating patients with gastroenterology issues, such as: » Acid reflux and heartburn. » Cancer (gastrointestinal, liver, pancreatic and colorectal). » Celiac disease. » Chronic diarrhea. » Chronic liver disease (cirrhosis). » Clostridium difficile (C. diff) and Helicobacter pylori (H. pylori) infection. » Colitis, including ulcerative colitis. » Colon polyps and other polyps. » Constipation. » Crohn’s disease. » Diverticulosis. » Dysphagia. » Fatty liver disease. » Fecal incontinence. » Gastritis. » Gastroesophageal reflux disease (GERD). » Hemorrhoids. » Hepatitis. » Indigestion. » Inflammatory bowel disease. » Irritable bowel syndrome (IBS). » Nutritional problems. » Pancreatic disease and pancreatitis. » Peptic ulcers. » Rectal bleeding. Call 417-326-8700 to schedule your colonoscopy today! Colorectal cancer is a leading cause of U.S. cancer deaths. So can you do anything to lower your chances of getting the disease? The answer is yes. Keep in mind that cancer prevention rarely comes with guarantees. (One reason is that there are some cancer risk factors, like getting older, that you can’t control.) That said, taking certain steps might make you less likely to get colorectal cancer. Get regularly screened. This is likely the best way to lower your risk. Not only can routine screening find colorectal cancer at an early, more treatable stage, it also might keep you from getting the disease in the first place. How? During a colonoscopy—one of the screening tests available—a doctor can find and remove precancerous polyps (growths) in the colon before they might turn cancerous. Many doctors encourage people at average colorectal cancer risk to start screening at age 45. You may need earlier tests if you have a personal or family history of colorectal cancer or polyps. Know the risks of alcohol. Regular use can up the risk of developing colorectal cancer as well as large noncancerous tumors in the colon. Aim for a healthy weight. Excess weight is linked to an increased risk of colorectal cancer cases and deaths. Keep moving. Being physically active and avoiding too much sitting may help protect against colorectal cancer. Everything from walking to riding a bike counts as movement. The key is to exercise regularly, at a moderate to vigorous pace. If you smoke, commit to quit. Smoking raises the risk of getting and dying from colorectal cancer. The American Cancer Society has a helpline for quitting: 800-227-2345. Consider a plant-based diet. Some studies suggest that eating a lot of red or processed meats increases the risk of getting colorectal cancer. Limiting these foods and increasing your intake of fruits, vegetables and whole grains may help protect against the disease. Have the colorectal cancer conversation. Talk with your doctor about your individual colorectal cancer risk and how you might lower it. That may include making healthy lifestyle choices (such as with diet and exercise) and getting recommended cancer screening tests on time. Sources: American Cancer Society; Centers for Disease Control and Prevention; National Cancer Institute PREVENTION Ryan E. Denney, D.O. Candi Erven, NP-C Lower your risk of colorectal cancer
10 VITALITY Fall 2022 Women: Take good care of your heart It’s your No. 1 health risk Like many women, you might consider breast cancer your top health concern. But there’s an even bigger risk to your health: heart disease. It’s the leading killer of both men and women. Heart disease strikes nearly 1 in 3 women during their lifetime, compared to 1 in 8 women who will get breast cancer. HEART DISEASE RISK FACTORS Some things can make you more likely than the average person to get heart disease, which sets the stage for heart attacks. For instance, your risk rises if you: Are 55 or older or postmenopausal. One reason is the decline in the hormone estrogen (which offers women some heart protection) that occurs after menopause. Have high blood pressure. This damages the heart’s arteries. In addition, women are more prone to heart disease if they had high blood pressure during pregnancy, a condition known as pre-eclampsia. Have high cholesterol. Too much LDL cholesterol (the bad kind of cholesterol) in the blood can clog arteries in the heart, triggering a heart attack. Have diabetes. Or if you have its precursor, prediabetes. Have a family history of early heart disease. If your father or brother had a heart attack before age 55 or your mother or sister had one before age 65, your risk rises too. Are overweight or obese. Extra weight is hard on the heart. Make unhealthy lifestyle choices. These include eating unhealthy foods, smoking or not exercising. Ask your health care provider about your risk for heart disease and what you can do to lower it. HEART HEALTH Take 6 for a healthy heart Your heart works hard every day to help keep you going. Do your part to help it stay strong and working for you with these six heart-healthy habits. MAKE FITNESSYOUR FRIEND. Any physical activity that raises your heart rate—known as aerobic exercise—helps strengthen your heart muscle, which makes it easier for your heart to pump vital blood to your lungs and other parts of your body. Exercise also lowers your risk of developing conditions—like high blood pressure or an unhealthy weight—that are harmful to your heart. Find activities that you enjoy and make them a regular part of your routine. Don’t want to go to the gym? Try walking. Or try digging in a garden, playing basketball, riding a bike, swimming or even dancing around the house. CHOOSE HEALTHY FATS. Monounsaturated and polyunsaturated fats help reduce your risk of heart disease. Monounsaturated fats are typically found in nuts, olive or canola oil, and avocados. Polyunsaturated fats are found in foods like fatty fish, such as salmon or sardines; seeds, such as chia, hemp or flaxseeds; walnuts; and eggs. Choosing lean meats like fish or poultry without skin and cooking with olive oil are easy ways to help lower your risk of heart disease. CUT BACK ON SATURATED FATS. These fats raise the levels of LDL cholesterol in your blood. High LDL cholesterol can cause heart disease. Foods like red meat and full-fat dairy products contain saturated fats. So do tropical oils. John F. Best, M.D., FACP, FACC, FSCAI, interventional cardiology Stephen Davis, M.D., cardiology Haris Riaz, M.D., interventional cardiology MEET OUR TEAM
citizensmemorial.com 11 Excellence in cardiac care CMH is among the nation’s top hospitals for heart attack treatment Citizens Memorial Hospital received the 2022 Gold Performance Achievement Award by the American College of Cardiology (ACC) for excellence in cardiac care, one of only 81 hospitals nationwide to receive the honor. In recognition of this quality achievement, CMH is identified as a Gold hospital and 4/4 Star Urgent Heart Attack Care Center within the ACC’s Find Your Heart a Home patient navigator tool. The Centers for Disease Control and Prevention estimates that almost 800,000 Americans have a heart attack each year. CMH is recognized for its success in implementing a higher standard of care for heart attack patients by meeting aggressive performance measures. HEART CARE AND TREATMENT CMH OFFERS: Coronary angioplasty and stenting. Diagnostic and peripheral angiography. Echocardiography and echocardiology. Electrical cardioversion. Electrocardiogram. Ileofemoral and peripheral stenting. Inferior vena cava filter placement. Invasive/interventional cardiology. Pacemaker and Impella® heart pump implantation. Pericardiocentesis. Stress testing. LIMIT SUGARS. A lot of processed foods contain added sugars. Eating too much sugar increases your risk for heart disease. Read food labels to reduce your added sugar intake. Limit foods with ingredients like corn syrup or sugar or with ingredients ending in -ose. Replace dessert with fresh fruits, use spices like ginger or cinnamon to enhance flavors, and drink unsweetened beverages to cut back on how much sugar you consume. GETTHE RIGHT AMOUNT OF SLEEP. Sleeping less than seven hours or more than nine hours at night may increase your risk of heart disease. To get a better night’s sleep, try going to bed at the same time every night; keeping electronics out of the bedroom; avoiding caffeine, alcohol and large meals close to bedtime; sleeping in a dark and quiet environment; and getting plenty of physical activity during the day. SNUFF OUT ANY SMOKING HABITS. If you smoke, your heart will thank you if you quit. The chemicals in cigarettes can damage your heart. To help you quit, there are nicotine replacement and other medicines that can ease the cravings for cigarettes. Joining a support group may also aid you in quitting. Simply reducing the number of cigarettes you smoke in a day may help you finally stop. With these six simple steps, you can improve your heart health and your life. Talk to your primary care provider for more information about preventing heart disease. Sources: Academy of Nutrition and Dietetics; American Heart Association; Centers for Disease Control and Prevention; U.S. Food and Drug Administration; National Heart, Lung, and Blood Institute ONE OFTHE NATION’S BEST HEART PROGRAMS, right here at home. For more information about cardiovascular services at CMH, call 417-328-6040 or go to citizensmemorial.com. Kyla Inman, NP-C, nurse practitioner
12 VITALITY Fall 2022 SKIN CARE Did you know skin cancer is the most common type of cancer? In fact, 1 in 5 Americans will develop skin cancer by the age of 70. Having five or more sunburns doubles your risk for melanoma, the most deadly form of skin cancer. Though less common than other skin cancers, melanoma can spread to other parts of the body if not caught early. It can even be fatal if diagnosed at a late stage. But if found before it has had a chance to grow, melanoma is very treatable. HOW TO SPOT MELANOMA Melanoma can look different on different people. Often, it’s mistaken for a mole, freckle or age spot. To help recognize it, you can use the ABCDEs of melanoma. If you find a spot on your skin, ask yourself these questions: » Asymmetry. Does one half of the spot look different than the other? » Border. Does it have an irregular or undefined border? » Color. Does it have different shades of tan, brown or black, or parts that are white, red or blue? » Diameter. How big is it? Melanomas are usually bigger than a pencil eraser, but they can be smaller. » Evolving. Has the spot changed shape, size or color? GET TO KNOW YOUR SKIN Here are six simple steps to check your body for melanoma: 1 In a full-length mirror, look over the front and back of your body, raising your arms to check your sides. 2 Closely examine your forearms, underarms and palms. 3 Check in between your toes and the soles of your feet. 4 Use a hand-held mirror to help you see the back of your neck and scalp. 5 Part your hair to get a closer look at the skin on your head. 6 Lastly, use the hand-held mirror to check your back and buttocks. Remember, it’s important to see a dermatologist if you have any spots that you think might be melanoma. Only your medical provider can diagnose skin cancer. So if you find something, make an appointment right away. Get to know a skin care expert Murphy R. Mastin, M.D., is the medical director of the CMH Dermatology Clinic. He is highly trained in diagnosing and treating patients with skin conditions. Dr. Mastin attended medical school at the University of Missouri School of Medicine and was an inaugural member of MU School of Medicine Springfield Clinical Campus, where he spent his final two years of medical school and received clinical training at the two Springfield hospitals. He completed an internship and dermatology residency at the Mayo Clinic School of Graduate Medical Education in Rochester, Minnesota. He is board eligible by the American Board of Dermatology. CMH Dermatology Clinic is located at 1125 N. Butterfield Road in Bolivar. Dr. Mastin is accepting new patients. Could it be melanoma? How to recognize this skin cancer DERMATOLOGYSERVICES CMH offers care that includes: » Acne, warts and psoriasis. » Allergic, photo-induced and pigmentary skin disorders. » Blistering skin diseases. » Cosmetic care: soft tissue fillers and injections. » Cryosurgery. » Dermatopathology. » Full-body skin examinations. » Rashes in adults and children. » Removal and treatment of benign and malignant skin lesions. » Skin cancer, such as melanoma, and precancerous growths. » Skin infections. FOR INFORMATION OR TOMAKE ANAPPOINTMENT, call 417-328-4500 or go to cmhbolivar.info/dermatology.
citizensmemorial.com 13 There’s a lot to consider when it comes to managing diabetes—from making the right lifestyle choices to scheduling your tests. By remembering the ABCs below, you can help keep your disease under control and live a full, healthy life. The A1C test. The hemoglobin A1C test, or A1C, is an essential tool for tracking your diabetes and how well you’re managing it. The test tells you your average blood glucose (sugar) level over the last two to three months. By getting this test at least twice a year, you can make sure you’re controlling your blood glucose to avoid complications from diabetes. Try to keep your number below 7. Blood pressure. Many people with diabetes also have high blood pressure, which makes the heart work extra hard. That’s why when you have diabetes, it’s especially important to get your blood pressure taken every time you go to the doctor. Discuss your results with your doctor to set a blood pressure goal and keep track of your progress. Cholesterol. Check in with your doctor at least yearly on your cholesterol numbers, including total cholesterol, LDL and triglyceride levels. Pay special attention to your LDL, or bad cholesterol, which can build up and block your blood vessels. If your cholesterol result isn’t where it should be, make a plan with your doctor to try to remedy it. For example, you can eat more heart-healthy foods and exercise more often. DIABETES CARE Know the ABCs of diabetes A memory trick to help keep the disease in check B C Heather Corn, M.D. Hannah Ashlock, PA-C CALLTHE CMH ENDOCRINOLOGY CENTER at 417328-7000 for more information or to schedule an appointment. Smoking. If you smoke, do your best to quit. Smoking doubles your risk of heart disease when you have diabetes. Smoking also raises your blood sugar, blood pressure and cholesterol levels. If you need help quitting, talk to your doctor. Sources: American College of Cardiology; American Heart Association; Centers for Disease Control and Prevention; National Heart, Lung, and Blood Institute S MEET OURMEDICAL STAFF Heather Corn, M.D., and Hannah Ashlock, PA-C, with CMH Endocrinology Center in Bolivar, are experts in diagnosing and treating patients with endocrine system issues, including diabetes. They offer care and treatment for reproductive hormone imbalance, pituitary and adrenal disorders, thyroid and parathyroid disorders, advanced diabetes, obesity, osteoporosis, and other disorders of the endocrine system.
14 VITALITY Fall 2022 Are your bunions killing you? Is a nail deformed by toe fungus getting you down? Do you have diabetes and feel worried about the health of your feet? A podiatrist may be just what you need. The prefix “pod-” means “foot” in Greek. These doctors of podiatric medicine (DPM) treat a wide range of conditions involving the foot, ankle and related structures of the leg. Our feet and ankles play a vital role in supporting our overall health and well-being. They let us stand, walk, run, exercise, balance and much more. And we can be hard on them. Most of us log a stunning 75,000 miles on our feet by the time we’re 50 years old. That’s a lot of wear and tear. So it’s not unusual for problems to develop in either the feet or ankles. And when they do, a podiatrist can diagnose the problem and recommend the best treatment. WHEN SURGERY IS NEEDED Conservative treatments, such as medications, orthotics, or taping or strapping can help treat many foot and ankle problems. But sometimes conservative treatments aren’t enough or the right answer to a problem. In those cases, surgery may be recommended. It may be an option for things like: » Addressing skin conditions, including lipomas, fibromas, warts, moles and rashes. Foot health specialists Did you know foot care is an important part of maintaining your health? Podiatrists Brad Jones, DPM, and Creighton Woolsey, DPM, treat patients for podiatry issues including diabetic foot care, toenail problems, bunions, hammertoes, plantar fasciitis, ankle pain, undiagnosed foot pain, foot numbness and foot fractures. PODIATRY CARE ISAVAILABLE in Bolivar, Buffalo, Stockton, Osceola andWillard. Call 417-328-7000 to schedule your appointment today! PODIATRY What is a podiatrist? » Correcting nail damage or deformity due to infections or fungus. » Easing arthritis and metatarsal pain. » Repairing bunions, hammertoes and tendon injuries. » Removing heel spurs. » Removing neuromas, a benign enlargement of a nerve that causes numbness, tingling and burning in the toes. RIGOROUS TRAINING DPMs complete four years of training in a podiatric medical school. They also spend three years in a hospitalbased residency program, just like other physicians. CALL CMH PODIATRY CLINIC at 417-328-7560 to see how a podiatrist can help get you on your feet again, literally. Source: American Podiatric Medical Association Brad Jones, DPM Creighton Woolsey, DPM
citizensmemorial.com 15 New and noteworthy WELCOME, NEW PROVIDERS! BRANDI HUME, PA-C, is a physician assistant in the emergency department at Citizens Memorial Hospital. She earned a Bachelor of Science in biological sciences from the University of Missouri, Columbia, and a Master of Medical Sciences in physician assistant studies from Midwestern University, Downers Grove, Illinois. Hume is certified by the National Commission on Certification of Physician Assistants. For more information, call 417-328-6301. NATHANIEL PEARL, D.O., is an emergency medicine physician at Citizens Memorial Hospital. He received his medical degree from Kirksville College of Osteopathic Medicine, Kirksville, Missouri, and completed his residency in emergency medicine at Aventura Hospital and Medical Center, Aventura, Florida. For more information, call 417-328-6301. JAMIE D. SCHOOLCRAFT, PA-C, is a physician assistant in the emergency department at Citizens Memorial Hospital. He earned a Bachelor of Liberal Arts from the University of Missouri, Columbia, and a Master of Physician Assistant Studies from Missouri State University, Springfield. Schoolcraft is certified by the National Commission on Certification of Physician Assistants. For more information, call 417-328-6301. KYLI A. STUMP, NP-C, is a nurse practitioner at Butterfield Park Medical Center. She earned a Bachelor of Science in nursing and a Master of Science in nursing, family nurse practitioner, both from Cox College, Springfield. For more information, call 417-326-7676. ESTHERTRAMMELL, N P-C, is a nurse practitioner in the emergency department at Citizens Memorial Hospital. She earned a Bachelor of Science in nursing from the University of Missouri, Columbia, and a Master of Science in nursing, family nurse practitioner, from Missouri State University, Springfield. Trammell is certified by the American Association of Nurse Practitioners. For more information, call 417-328-6301. CMH NEWS Get to know more of our new providers on the back page. WE’VE MOVED! KAYLEE ANKROM, NP-C, is a nurse practitioner with Dallas County Family Medical Center & Walk-In Clinic, Buffalo. Previously, she was on staff at Willard Medical Center &Walk-In Clinic and also saw patients at Dallas County Family Medical Center. Ankrom is certified by the American Academy of Nurse Practitioners. To schedule an appointment, call 417-345-6100. JESSE LARBEY, PA-C, is a physician assistant at CMH Urology Surgical Clinic. Previously, he was on staff at Dallas County Family Medical Center &Walk-In Clinic, Buffalo. He is certified by the National Commission on Certification of Physician Assistants. To schedule an appointment, call 417-326-2550.
Nonprofit Org. U.S. Postage PAID WallaWalla,WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 DOYOU KNOWTHE ABCs OF DIABETES? Learn how to keep the disease in check: page 13. Welcome, new providers CYNTHIA APPEL, PMHNP-BC, is a mental health nurse practitioner at Stockton Family Medical Center. She is certified by the American Nurses Credentialing Center. Appel earned a Bachelor of Science in nursing from Oklahoma Wesleyan University, Bartlesville, and a Master of Science in nursing with a concentration in psychiatric mental health nurse practitioner from Maryville University, St. Louis. To schedule an appointment, call 417-276-5131. HANNAH ASHLOCK, PA-C, is a physician assistant at CMH Endocrinology Center. She earned a Bachelor of Science in exercise and movement science from Missouri State University, Springfield, and a Master of Medical Science in physician assistant studies fromWichita State University. She is certified by the National Commission on Certification of Physician Assistants. To schedule an appointment, call 417-328-7000. JENNIFER DAULTON, LCSW, is a licensed clinical social worker at Stockton Family Medical Center. Daulton will provide behavioral health services to patients at the clinic and to Stockton R-1 School District students. She earned a Bachelor of Social Work from Pittsburg State University, Kansas, and a Master of Social Work from Missouri State University, Springfield. To schedule an appointment, call 417-276-5131. JENNIFER DEINES, PsyD, is a licensed clinical psychologist at Southside Medical Center–Behavioral Health in Bolivar and Pleasant Hope Family Medical Center in Pleasant Hope. Dr. Deines is certified in play therapy and previously certified in Dialectical Behavioral Therapy. She graduated fromThe Chicago School of Professional Psychology, earning both a Master of Arts and a Doctor of Psychology in clinical psychology. To schedule an appointment, call 417-326-7840 or 417-267-2001. JORDAN H. GIPSON, M.D., is an emergency medicine physician at Citizens Memorial Hospital. He received his medical degree from the University of Missouri School of Medicine, Columbia, and completed his residency in emergency medicine at San Antonio Uniformed Services Health Education Consortium Emergency Medicine Residency Program, Fort Sam Houston, Texas. Dr. Gipson is a member of the U.S. Army Medical Service Corps. He is board eligible by the American Board of Emergency Medicine. For more information, call 417-328-6301. RYAN KEDZIE, D.O., is a hospitalist nocturnist at Citizens Memorial Hospital. He received his medical degree fromTouro University Nevada College of Osteopathic Medicine, Henderson, and completed his residency in internal medicine at Cape Fear Valley Medical Center, Fayetteville, North Carolina. He is board eligible by the American Osteopathic Board of Internal Medicine. For more information, call 417-326-6000.
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