Citizens Memorial Hospital | Vitality | Summer 2023


2 VITALITY Summer 2023 Compassionate care for patients, residents and co-workers at CMH The show of support by our CMH family and the local community to help fund a lifesaving heart surgery for Moxie Garrison, daughter of CMH employee Don Garrison, is genuinely heartwarming. It also reflects the compassionate care for our patients, residents and co-workers at CMH. A new employee giving program, Club 1982, is a vehicle through which all our employees can give back and make a lasting impact. We named the program in honor of the spirit of giving by the community members who made it possible for the hospital to open in 1982. Learn more on page 4. Planning continues for our hospital expansion and renovation project, and we anticipate a fall groundbreaking. Learn more about the progress on page 3. I will also share regular updates through our new blog at While working on this large project, we continue looking for other opportunities as part of our strategic planning process. This year, our general focus areas are: » People: growing and investing in our engaged workforce. » Quality: delivering the safest and highest-quality health care. » Service: providing the best experience for the communities we serve. » Growth: positioning CMH for future growth and expansion opportunities. » Finance: ensuring long-term financial sustainability. Finally, summer has arrived, so we will spend more time outdoors, soaking up the sunshine and having fun with family and friends. We have some helpful safety tips on pages 6 through 9. Have a great summer! Sincerely, Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital/Citizens Memorial Health Care Foundation We’d love to hear from you on social media 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 Amy Gimpel Aaron Tallant Charlotte Marsch 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 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. 2023 © Coffey Communications, Inc. All rights reserved. 5 Ready for an exciting career change? Consider becoming an EMT or a community paramedic. 7 Your place in the sun Expert advice to keep your skin protected from the sun’s burning and aging rays. 10 Preventing cancer Learn the latest about HPV and Pap tests for women and PSA screenings for men. 12 What should you do with old medications? Here’s how to get rid of them safely. Michael Calhoun, CEO/Executive Director WELCOME citizens-memorial-healthcare 3 JE DUNN JOINS CMH EXPANSION PROJECT AS CONSTRUCTION MANAGER The Citizens Memorial Hospital board of directors entered into a construction management contract with JE Dunn Construction for the hospital expansion and renovation project. The company operates out of Kansas City, with an office in Springfield. “We are really excited about partnering with JE Dunn to build our new hospital expansion,” says Michael Calhoun, CEO/executive director of CMH and the Citizens Memorial Health Care Foundation. “This is a big step in the process. We have our whole team assembled to build it.” JE Dunn Construction is the 13th largest general contractor in the United States, with 26 offices nationwide. The company’s portfolio within the health care industry includes more than 400 projects in the past 10 years. JE Dunn will provide preconstruction and construction services. Pre-construction includes a project constructability review, setting the project budget at a guaranteed maximum price and preparing the construction site. Calhoun says he anticipates breaking ground on the project in fall 2023. JE Dunn will manage the construction process. More information is available at Introducing the CMH Blog! Visit the new CMH Blog for expanded insights into what is happening at CMH and in our communities. Michael Calhoun, CEO/ Executive Director, will provide monthly updates highlighting CMH news. In addition to chronicling progress on the hospital expansion and renovation project, the blog will feature extraordinary happenings throughout our service area. CHECK IT OUT! Visit Sarah Hanak named SBJ 40 Under 40 honoree Springfield Business Journal named Sarah Hanak, CMH chief nursing officer, as a 40 Under 40 honoree. She received the award for her leadership, inspirational attitude and dedication to serving others. CMH NEWS Governor appoints Francka to MSU Board of Governors Tim Francka, administrative director of long-term care for Citizens Memorial Health Care Foundation, was appointed to the Missouri State University Board of Governors by Missouri Gov. Michael Parson. Francka has worked for CMH since 1989. He also serves as a member of the Missouri Health Care Association board of directors and as the Missouri delegate to the American Health Care Association. Francka is a graduate of MSU and holds a Bachelor of Science in finance and business. Tim Francka 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.

4 VITALITY Summer 2023 CMH NEWS Caring for our own Moxie Garrison, daughter of Don Garrison, R.T., of the CMH Missouri Sleep Institute, recently needed funding for a lifesaving open-heart surgery in London. As part of a broader community effort to raise $110,000 to pay for the surgery, the CMH family contributed $34,500. This donation is one example of the culture of giving and caring for one another at CMH. The new Club 1982 employee giving program is an intentional way for employees to help others within the CMH family. CMH APPOINTS NEW BEHAVIORAL HEALTH LEADERSHIP Citizens Memorial Hospital promoted three employees to new leadership roles in December 2022, as CMH continues to expand behavioral health services. Rachael Swopes, PhD, was promoted to clinical director of Behavioral Health Therapy Services, serving all behavioral health therapy services for CMH. Dr. Swopes is a licensed clinical psychologist and has worked at CMH for eight years. Angela Long, MSN, R.N., was promoted to director of behavioral health operations. Long oversees behavioral health in the clinic setting and at Parkview Geriatric Wellness. She works directly with clinic managers, inpatient nursing and mental health providers throughout the organization to help support, build and bridge gaps in the behavioral health field. She has worked at CMH for 15 years. Suret Thompson, R.N., was promoted to director of nursing for Parkview Geriatric Wellness Department. Thompson has worked at CMH for 10 years. HOW MAY WE HELP YOU? For more information about behavioral health services at CMH, call the CMH Information Center at 417-328-6010 or 888-328-6010. Citizens Memorial Foundation launches an employee giving program CEO/Executive Director Michael Calhoun introduced Club 1982, CMH’s new employee giving program, during the spring employee forums. “When CMH opened its doors in 1982, there were so many people who gave so much of themselves to make CMH what it is today,” Calhoun says. “The spirit of that is why we’re starting Club 1982.” The program has four focus areas for the contributed funds: » Employee crisis care. » Scholarships for children and grandchildren of employees. » Patient and resident compassion. » Special project support. “Our job here at Citizens Memorial is to serve others, and we also want to serve each other,” says Wren Hall, director of community relations and development. “When we are part of Club 1982, we’re part of building a legacy here at Citizens Memorial, and it’s an investment into our organization and to each other.” Donation levels start at $5 per pay period, or $130 a year, for employees to join Club 1982. “If there’s a lot of us giving a little bit, it gives us the resources we need to make a difference in people’s lives,” Calhoun says. “We want CMH to be a family and grow stronger together. This is a way we can do that.” Rachael Swopes, PhD Angela Long, MSN, R.N. Suret Thompson, R.N. 5 CMH’s Mobile Integrated Healthcare (MIH) program is a step closer to full implementation, with the graduation of the first cohort of community paramedics in April. “Having many of our paramedics also licensed as community paramedics gives us depth and flexibility within our EMS services,” says Theron Becker, EMS education program director. “The community paramedic class training is helpful to all paramedics working in any situation.” The next step in program implementation is securing the necessary medical equipment and vehicles. As nonemergency providers, community paramedics will drive SUVs rather than ambulances. However, supply chain issues are delaying the delivery of some of the equipment by months. “We hoped to launch the program on June 1, but we may not have the necessary equipment by then,” says Aaron Weaver, director of CMH EMS. WHAT MIH DOES The MIH program provides inhome, nonemergency care to highrisk patients through community CMH NEWS Bolivar High School Health Occupation students Saige Butler, Jennie Yeargain and Savanah Williamson graduated from the emergency medical technician program at CMH during their senior year of high school. First community paramedic class graduates from CMH Students in the first graduating class of community paramedics at CMH are, from left, Ryan McDonald, Morgan Young, Allison Cantrell, Tom Liberty, Goldie Masters, Michael Ruff, William Walker and Zane Gore, with Theron Becker, instructor. paramedics, who are trained to provide in-home assessment and treatment for patients. Community paramedics work jointly with an integrative care team to coordinate referrals, connect patients to community resources and assist in telehealth access. “We’re trying to keep hospital re-admissions down,” Weaver says. “Knowledge is power. We will reeducate patients after discharge to make sure they understand what they are supposed to be doing. We hope to free up space in the emergency department for the most critically ill patients.” MIH also focuses on prevention. When community paramedics visit a home, they can look for and correct safety hazards, such as loose rugs or a slippery bathtub surface. They can ensure that patients are using home medical equipment correctly. They also can help facilitate telehealth visits with medical professionals. “Maybe they don’t have Wi-Fi or are scared of technology,” Becker says. “We can help them overcome those barriers to access medical care.” CMH received more than $1.84 million in grant funding in 2022 to build and implement the MIH program. This could be you! If you are in high school or college or looking for a career change, consider becoming an EMT. Call 417-328-6355 to learn how.

6 VITALITY Summer 2023 As temperatures rise, humans and animals become meal tickets for ticks. Ticks carry harmful diseases, such as Rocky Mountain Spotted Fever and ehrlichiosis, which are highly prevalent in Missouri, according to the Centers for Disease Control and Prevention (CDC). Transmission of Rocky Mountain Spotted Fever in Missouri is associated with the dog tick. Early symptoms include fever, headache, muscle aches and joint aches, usually appearing between two and 14 days after being bitten by an infected tick. “Rash occurs in approximately 90% of patients, but may not be present in the early phase,” says Eric Fulnecky, M.D., an infectious disease doctor with CMH. “Ticks must be attached for at least 24 hours to transmit infection.” Ehrlichiosis is another bacterial infection, with symptoms including fever, malaise, headache, chills, nausea, vomiting and cough. More than 50% of patients require hospitalization. “These diseases are serious, but the good news is we have treatments available for both of them,” Dr. Fulnecky says. “Seek medical help immediately if you think you might have a tick-borne illness. The sooner you seek care, the better.” April to June is peak time for tick-related emergency room visits, according to the CDC. PROTECT YOURSELVES AND PETS Before going to tick-prone areas, apply a repellent containing DEET, picaridin, IR3535, oil of lemon eucalyptus (OLE), para-menthane-diol (PMD) or 2-undecanone. Do not use products containing OLE or PMD on children under the age of 3. Visit insect-repellents to find a product that fits your needs. Do not use products formulated for humans on pets. Your veterinarian can recommend a prevention product. Treat clothing, footwear and gear with products containing 0.5% permethrin. After being outdoors, remove and examine clothing. Promptly wash clothes in hot water (medium or cold water won’t kill ticks). Dry on high for at least 10 minutes. Shower within two hours of being outdoors. Check underarms, belly buttons, back of knees, around the waist, ears, between legs and around the hairline. Also check pets for ticks. REMOVE TICKS CAREFULLY If you find a tick attached to your skin, remove it promptly and carefully: Specialized care for infectious diseases Tick-borne illnesses may require treatment by a physician specializing in infectious diseases. The CMH Infectious Disease Clinic provides specialized care for infectious diseases, usually with a referral from a primary care physician. Eric Fulnecky, M.D., is certified in infectious disease medicine by the American Board of Infectious Disease. He completed a residency in internal medicine at St. Vincent Hospital in Indianapolis, Indiana, and an infectious disease fellowship at Washington Hospital Center in Washington, D.C. The CMH Infectious Disease Clinic is in the Douglas Medical Center. LEARN MORE. Call 417-328‑7985 for more information or to schedule an appointment. SAFETY Eric Fulnecky, M.D. Guard against tick-borne diseases NEED A DOCTOR? To locate a primary care or infectious disease physician, go to search/providers/ index.html. » Use tweezers to grab the tick as close to the skin’s surface as possible. » Pull straight up when removing the tick. Do not twist or jerk. » Never crush a tick with your fingers. FOLLOW UP WITH A DOCTOR See a doctor if you develop a fever or rash within several weeks of removing a tick. Common signs of infection include fevers, chills, aches and pains, or a rash. Source: University of Missouri Extension 7 Spending time outdoors is great for your physical and mental health. But too much sun exposure can result in sunburn, skin damage and cancer. The sun produces damaging ultraviolet (UV) rays all year round. Even on cloudy days, up to 80% of the sun’s UV rays can reach your skin. Sunscreen is a necessary safeguard. “There may be lower UV radiation levels from the sun during fall or winter, but you still develop sun damage,” says Murphy R. Mastin, M.D., a board certified dermatologist with the CMH Dermatology Clinic. “For your skin, 80% of aging is sun-related damage, and we’re seeing higher levels of that at earlier ages.” CHOOSING SUNSCREEN The best sunscreen to choose is the one you will use. Look for these specific components on the label: Broad-spectrum coverage. This SKIN CARE Protect your skin from the sun protects from UVA and UVB rays. UVA rays (aging rays) can cause wrinkles and age spots, and UVB rays (burning rays) can cause sunburn. Sun protection factor (SPF). If you are indoors most of the day, using an SPF of at least 15 is sufficient. If you spend much time outdoors, aim for an SPF of 30 or higher. Water-resistant. “Water-resistant” is considered effective for up to 40 minutes in water. “Very waterresistant” is generally effective for up to 80 minutes. You must reapply after getting out of the water or sweating. CMH Dermatology Clinic offers dermatologist-approved mineral-based sunscreens in the MD Ultra skin care product line. See related story below. MORE SUN SAFETY TIPS Although sunscreen is a must-have, you can also take other steps to avoid the sun and protect your skin: Seek shade when outside. UV rays from the sun are the strongest between 10 a.m. and 2 p.m. Wear sun-protective clothing. For example: » Tightly woven fabrics. » Pants. » A lightweight, long-sleeved shirt. » Dark or bright colors. » Sunglasses with UV protection. » A wide-brimmed hat without holes. Avoid tanning beds. Instead of tanning beds, consider self-tanning products; however, you still need to take proper precautions and use sunscreen. Inspect your skin regularly. Take note of anything new that appears or any changes, itching or bleeding. Sources: American Academy of Dermatology; National Center for Environmental Health; Skin Cancer Foundation Medical-grade sunscreen options CMH Dermatology Clinic offers two dermatologist-approved sunscreen options in its MD Ultra skin care product line. Purely Physical SPF 47 This rich, waterresistant sunscreen is formulated with chemical-free actives and provides UVA and UVB protection for all skin types. Sheer Defense Tinted SPF 46 An antioxidant-rich, lightweight and oil-free SPF 45 sunscreen is universally tinted and provides broad-spectrum coverage from UVA, UVB and infrared radiation. FIND OUT IF IT’S RIGHT FOR YOU. Learn more at or by calling the clinic at 417-328-4500. HAVE QUESTIONS ABOUT YOUR SKIN? Call the CMH Dermatology Clinic at 417-328-4500 or visit to find a primary care provider. LEARN MORE ABOUT SUN PROTECTION in a video with Dr. Mastin at

8 VITALITY Summer 2023 There is no better way to stay cool, have a fun time with family and be active in hot months than water play. Enjoy the water and stay safe with these tips: Learn how to swim. You and your children must learn to swim. Drowning is one of the leading causes of death in children ages 1 to 4. Supervise children. Stay alert when children are in or around water. Consider safety features such as fences, locks, pool covers and pool alarms. Use the buddy system. Bring a friend when you head into the water. Check for hazards. Be aware of your surroundings. Always keep an eye out for the weather and other potential hazards, like strong currents. Exercise caution. Follow the rules of the beach or pool. Stay within your depth and comfort level in the water, and swim in designated areas only. Wear a life jacket. Flotation devices, such as life jackets, can save lives. Do not rely on air-filled or foam toys, such as water wings, noodles or inner tubes, as these are not safety devices. Know the risks of alcohol. Drinking alcohol or taking drugs can interfere with your judgment and coordination, making swimming very risky. Learn CPR. Knowing how to perform CPR can be a lifesaving skill. Talk to a primary care provider before engaging in any water activity while taking medication for anxiety or other mental health issues. Certain medications may interfere with balance, coordination and judgment, making swimming difficult. Sources: American Academy of Pediatrics; Centers for Disease Control and Prevention; U.S. Department of Agriculture 5 tips for safer cookouts Ah, that mouthwatering aroma. That taste bud-tempting sizzle. Nothing says summertime like a cookout. Before you get the fire started, take a moment to consider a few grilling tips for food that is tasty and healthy: 1 } Pass on charring. Cooking food at higher temperatures produces chemicals linked to cancer. You can reduce these chemicals if you avoid charring and overcooking meat, fish and other food. It helps if you marinate meat, remove any visible fat, or partially microwave or bake meat before you grill it. During grilling, keep meat in the center of the grill and flip often to avoid scorching. 2 } Go lean. Instead of fatty steaks, burgers or hot dogs, try grilling leaner cuts of beef, chicken breasts or turkey burgers. Eating a lot of red meat may raise your risk of colorectal cancer. And regular consumption of processed meats is linked to colon cancer, even when eaten in small amounts. 3 } Pile on the veggies. Try grilling an array of colorful vegetables like zucchini; red, yellow and orange bell peppers; corn; asparagus; broccoli; cauliflower; eggplant; Portobello mushroom caps; and onions. Brush them lightly with olive oil and season with your favorite herbs. Try grilling fruit— such as strawberries, pineapple, peaches and mangoes—too. Let the grilling begin! Water safety 101 NEED A PRIMARY CARE PROVIDER? Go to and click “Find a Doctor.” Under “Search by Specialty,” search for a family medicine provider.

CHICKEN AND POTATO FIESTA GRILL Makes 4 servings. Ingredients 1⁄ 2 cup prepared low-sodium Italian dressing 2 tablespoons lime juice 1 tablespoon chili powder 4 whole chicken legs with thighs, skin removed 5 medium potatoes, cut into 11⁄ 4-inch cubes 2 tablespoons water 1 red bell pepper, cut into 11⁄ 2-inch pieces 2 medium zucchini, cut into 3⁄ 4-inch thick slices 4 to 8 flour or corn tortillas, warmed (optional)* Prepared salsa (optional)* Directions » In a small bowl, combine first 3 ingredients for marinade. » Remove ¼ cup and combine with chicken in resealable plastic bag. Turn to coat. » Marinate in refrigerator 30 minutes or up to 2 hours, turning occasionally. » Meanwhile, in microwave-safe dish, combine potatoes and water. Cover and microwave on high 9 to 10 minutes, or until just tender. Let cool. » When potatoes are cool enough to handle, alternately thread with bell pepper and zucchini onto eight 10- to 12-inch skewers. » Brush with remaining marinade. » Remove chicken from plastic bag, and discard marinade from chicken. » Grill chicken over medium-low to medium heat for 30 to 40 minutes, or until juices run clear, turning occasionally. » About 10 minutes before chicken is done, add vegetables to grill, and reserve marinade. » Grill until tender and lightly browned, turning and basting occasionally with reserved vegetable marinade. » Serve chicken and vegetables with tortillas and salsa, if desired. *Nutrition information does not include optional ingredients. Nutrition information Serving size: 1⁄ 4 of recipe. Amount per serving: 482 calories (27% of calories from fat), 14.4g total fat (2.8g saturated fat), 118mg cholesterol, 56g carbohydrates, 33g protein, 8g dietary fiber, 157mg sodium. Source: Produce for Better Health Foundation 4 } Use a food thermometer. It’s the only way to know when meats are cooked to a safe internal temperature (high enough to destroy any harmful bacteria). That’s 145 degrees for fish and red meat, 160 degrees for ground meats, and 165 degrees for poultry. 5 } Avoid the danger zone. Bacteria grow rapidly at temperatures between 40 and 140 degrees. So always thaw and marinate meats in the fridge—never on a counter or by the grill. You can thaw meat safely in cold water or a microwave if you cook it immediately. Refrigerate leftovers within two hours or one hour on 90-degree days. Sources: Academy of Nutrition and Dietetics; American Institute for Cancer Research MAKE A PLAN. If you’d like help creating a healthy eating plan, ask your doctor for a referral to one of our dietitians. Visit to learn more. 9

10 VITALITY Summer 2023 A little knowledge can go a long way in the fight against cervical cancer. Each of these four facts can help protect you from a cancer that strikes approximately 13,000 women in the U.S. every year. 1 } Human papillomavirus (HPV) is to blame for most cases of cervical cancer. But a vaccine can help prevent this sexually transmitted infection. Experts recommend that most people get vaccinated at age 11 or 12. But if you’re 45 or younger and never had all the necessary HPV shots, ask your doctor about the vaccine. It may still be beneficial. “Both boys and girls can be vaccinated, and it’s really encouraging that in communities with high vaccination rates, we’re starting to see a decrease in cervical cancer,” says D. Shelly Meents, M.D., a board certified obstetrician-gynecologist with the CMH OB‑GYN Clinic. 2 } The HPV vaccine doesn’t replace the need for screening tests. These tests include the HPV test and the Pap test, which are often performed together. The HPV test looks for HPV on a woman’s cervix. The Pap test checks your cervix for abnormal changes that, if not found and treated, can develop into cervical cancer. 3 } The timetable for screening depends on your age and health history. Talk with your doctor about what’s best for you. Most women can safely follow these guidelines from the American Cancer Society: » Screening for cervical cancer should start at age 25. » For women ages 25 to 65, screening is recommended with either a test that combines an HPV test with a Pap test every 5 years or a Pap test alone every 3 years. “Over 25% of women who get cervical cancer are over the age of 65,” Dr. Meents says. “For women who’ve had normal screenings, never had an abnormal Pap smear and are low risk, we can have a conversation with them about discontinuing screening at age 65.” Also, ask your doctor about screening if you’ve had a hysterectomy. The reason for your hysterectomy will determine if you need a test. 4 } Take other steps to lower your risk. Eat plenty of fruits and vegetables—women who don’t may be at increased risk of cervical cancer. Limit your number of sexual partners. And don’t light up: Women who smoke are twice as likely to get cervical cancer as those who don’t. Additional sources: American Cancer Society; American College of Obstetricians and Gynecologists; Centers for Disease Control and Prevention PREVENTION How to help prevent cervical cancer 4 facts to know When was your last Pap test? If you can’t remember, it may be time for another one. Our OB-GYNs are accepting new patients. Sarah Kallberg, D.O.; Ashley Lane, D.O.; Shelly Meents, M.D.; and Kelly Raney, FNP‑BC, at the CMH OB-GYN Clinic in Bolivar, are experts in obstetrics and gynecological services. Call 417-777-8131 for more information or to make an appointment. TO LEARN MORE FROM DR. MEENTS about the importance of regular Pap tests, watch a video at 11 A necessary conversation with your primary care provider When deciding whether to get tested for prostate cancer, it’s important to look at the latest research and expert recommendations. Then you can feel confident that you’re making a decision that is right for you. The best place to start is at your primary care provider’s (PCP) office. Men should have a thoughtful discussion with their PCP about the pros and cons of prostate cancer screening. Here’s a look at some key issues to cover. WHAT IS A PSA TEST? Cells in the prostate gland make a protein called prostate-specific antigen (PSA). Both healthy and cancerous cells make PSA. The protein is found mostly in semen, but it’s also in blood. PSA tests look for possible prostate cancer. They are ordered mainly to screen men who are asymptomatic. They’re also used to test men who exhibit possible cancer symptoms. Although the chance of having prostate cancer increases with a higher PSA level, there is no magic number that determines whether you have prostate cancer. PROS OF PROSTATE CANCER SCREENING Early prostate cancers typically don’t cause symptoms, so most are found as a result of screening. Early-stage cancers are likely to be easier to treat. Men who opt to test for prostate cancer should do so at age 50 if they are at normal risk for the disease. If you are African American or have a father or brother diagnosed with prostate cancer at an early age, start screening at age 45. If you’re at even higher risk, with more than one first-degree relative who’s had prostate cancer, start testing at age 40. Your provider can tell you if you’re at normal or high risk for the disease. CONS OF PROSTATE CANCER SCREENING The PSA test is not a perfect test for early detection. It can result in inaccurate or unclear results. For example, most men who do not have prostate cancer have a PSA level under 4 nanograms per milliliter (ng/mL) of blood, but a level under 4 is not a guarantee that you don’t have cancer. The PSA test can miss some prostate cancers, and it can identify some that don’t need treatment. Some prostate cancers grow very slowly and would never need treatment. The PSA test can lead to overdiagnosis and unnecessary testing and treatments that can have negative side effects. IT’S YOUR DECISION Start a conversation with your PCP to determine if screening for prostate cancer is best for you. Source: American Cancer Society HEAR FROM THE EXPERT. To learn more about prostate cancer screening, diagnosis and treatment, watch a video by Mark Walterskirchen, M.D., a board certified urologist at the CMH Urology Surgical Clinic: PREVENTION Considering the pros and cons of prostate cancer screening Expert care for urologic issues Board certified urologist Mark Walterskirchen, M.D., and physician assistant Jesse Larbey, PA-C, are experts in treating patients with urologic issues. Call 417-326-2550 to schedule an appointment.

12 VITALITY Summer 2023 Which medicines are accepted for disposal at Stephens Pharmacy? The MedSafe® drug collection and disposal receptacle in the Stephens Pharmacy lobby allows for the safe and anonymous disposal of unused or expired medicines and controlled substances. Medications accepted in the MedSafe are: » Prescription controlled medications. » Prescription noncontrolled medications. » Over-the-counter medications. » Liquid medication bottles less than 4 ounces in a resealable bag. Medications that are not accepted are illegal drugs, needles/ syringes or sharps containers, medical devices or batteries, aerosol cans, inhalers, chemicals, mercury-containing devices, radiopharmaceuticals, and liquid antineoplastic agents such as chemotherapy drugs and cytotoxic drugs. Sharps containers are available at Stephens Pharmacy for a small fee. MEDICATIONS Don’t forget the medicine cabinet the next time you clean your bathroom. Unless you are conscientious about disposing of expired and unused medicines, that cabinet probably needs a look. Getting rid of them ensures that they won’t end up with people (or pets) who shouldn’t have them. Although it’s tempting to toss those old meds into the trash or flush them down the toilet, you should take a minute to dispose of them properly. Here are some safe ways to dispose of unused or expired medicines: “Take-back” program. Some pharmacies and other groups collect and dispose of unused and expired medicines. Drop off the old medication you no longer need at the take-back location. Some locations may collect year-round, while others may have specific take-back events. Stephens Pharmacy, in Bolivar, has a yearround drug collection and disposal receptacle in the lobby. See the story below for details. What to do with old 13 Stephens Pharmacy is at 1100 S. Springfield Ave., in Bolivar, and is open from 8:30 a.m. to 6 p.m., Monday through Friday, and from 8:30 a.m. to 2 p.m. on Saturday. GIVE US A CALL. For more information, call 417-326-2416. Your new medicine checklist Your doctor is prescribing you a new medicine. What should you do next? Ask the name of the medicine. This way, you’ll notice if the pharmacy gives you something different. Know why you’re taking it. You’re more likely to use a medicine correctly if you know how it’s helping you. Be clear on how to take it. For example, ask: » What side effects might I have? » Should I take it before, with or after meals? » Is there anything I should avoid while taking this? » What should I do if I forget a dose? M ake sure your doctor knows what else you’re taking. Go over a list of all the medicines you’re taking—including vitamins and herbal products. R ead the label—and take it only as directed. Still have questions? Follow up with your doctor or pharmacy. Never stop taking a medicine without talking with your provider first. Store medicines in a secure location. Keep them out of the reach and sight of kids, visitors and pets. Sources: BeMedWise Program; U.S. Food and Drug Administration “We are happy to offer this service to the community and to provide a safe way to dispose of medications to keep them out of the wrong hands or entering our water supply,” says Mariah Hollabough, PharmD, system pharmacy director at Citizens Memorial Hospital and CMH Foundation. Flush method. Check the flush list of the U.S. Food and Drug Administration (visit to see if you can flush your medicine down the toilet. Flush your medication only if it’s on the flush list. Trash method. Mix the medicines with an unwanted substance, such as cat litter or used coffee grounds. Place the mixture in a sealable bag and toss it in the trash. Remove all personal information from medicine containers before discarding them. SAFE SHARPS DISPOSAL Sharps are objects that can puncture or cut skin with their sharp points or edges, such as auto-injectors, lancets and needles. People and pets are at risk if used needles and other sharps aren’t disposed of safely. They can injure people and pets and spread infections. » Dispose of used sharps with specifically designed containers, available at Stephens Pharmacy, in Bolivar, for a small fee. » Do not put loose needles and other sharps in household or public trash cans or recycling bins. And, of course, don’t flush them either. Source: U.S. Food and Drug Administration Take with care medicines Questions? Call Stephens Pharmacy at 417-326-2416 if you have questions about disposing of your medicines or for more information about purchasing containers for the safe disposal of used sharps.

14 VITALITY Summer 2023 ORTHOPEDICS 15 Stop by Butterfield Residential Care Center (BRCC) on any given holiday, and you’ll likely find a delightful treat: a holiday parade. Residents decked out in holiday-themed hats and attire walk through the facility to show off their festive spirit. On another day, you might find residents painting or playing bingo. Or some of them might not even be in the facility at all. They might be visiting the local art museum, going to a Branson music show, going out for lunch or going to the movies. “If they had told me it would be this much fun, I would have come a year ago,” a resident said just a few days after moving into her private apartment. Residents also participate in service clubs. The Helping Hands Club makes treats for hospital patients during the holidays, and the Crochet Club makes hats for Newborns in Need. Beth and David Dixon have had seven family members reside at Butterfield, spanning the four decades since it opened in 1988. They appreciate how the social activities and sense of community positively impact the residents’ quality of life. “They are free to participate in gentle exercise, walks inside or outside the building, local outings, creative crafts, and games offered by this facility,” they say. “Residents can make new or continue long-term friendships in this ‘community of caring’ that Butterfield truly is.” PEACE OF MIND FOR THE FAMILY Because it is a residential care center, residents at Butterfield have to be able to get out of their chairs and walk to the dining hall independently. Living in the facility helps them maintain independence while receiving enough basic assistance to give their family members peace of mind. “My 91-year-old mother became a resident in June 2022, and the transition was very easy,” says Donna Wells. “I know that my mother is getting the assistance she needs daily with medication dispensed, three meals a day and laundry service.” Residential care services include medication administration, shower assistance, housekeeping services within each apartment, laundry service and meal service. Staff also provide medical observation and work with AGING WELL family members to monitor family concerns. “It comforts families knowing someone is checking on their loved one regularly,” says Tammie Callaway, BRCC administrator. “In addition to seeing residents at meals and during medication distribution, we do a courtesy check in the middle of the night.” Residents also appreciate the assistance of the nursing, kitchen and housekeeping staff. “We can spend our time doing what we want to do because they do all of the work,” says resident Sue Euliss. “It’s almost like a new present every day. At home, I was lonely, but here you don’t get lonesome. There are so many activities and fun things to do. I couldn’t be happier.” MORE OPTIONS The Citizens Memorial Health Care Foundation also operates independent living communities and skilled nursing facilities in Ash Grove, Bolivar, Buffalo, El Dorado Springs and Stockton. For more information about what type of senior living might be best for you or your loved one, call 417-328-6731. BUTTERFIELD RESIDENTIAL CARE CENTER A community of caring SCHEDULE A TOUR: Learn more about Butterfield Residential Care Center by calling Tammie Callaway at 417-328-6380. Residents at Butterfield Residential Care Center join a hat parade.

STEPHEN T. BELK, PsyD, is a licensed clinical psychologist at Bolivar Family Care Center. He completed a Doctor of Clinical Psychology at the Forest Institute of Professional Psychology, Springfield, and a Master of Science in counseling psychology at Angelo State University. To schedule an appointment, call 417-326-6021. JOHNNA L. BROTHERS, FNP-C, is a family nurse practitioner at the CMH Walk-In Clinic. She earned a Bachelor of Science in nursing from the University of Missouri, Columbia, and a Master of Science in family nurse practitioner studies from Cox College, Springfield. She is certified by the American Academy of Nurse Practitioners. For more information, call 417-777-4800. GLENN GARDNER, PA-C, is a physician assistant at the El Dorado Springs Medical Center. He earned a Bachelor of Science in education, biology and general science at John Brown University, Siloam Springs, Arkansas, and completed graduate studies in molecular biology at the University of North Texas, Denton, Texas, and a master’s degree in physician assistant studies from Missouri State University, Springfield. He is certified by the National Commission on Certification of Physician Assistants. To schedule an appointment, call 417-876-2118. AMBER HERRING, PA-C, is a physician assistant at the CMH Orthopedic & Spine Center. She has a bachelor’s degree in biology from Drury University, Springfield, and a master’s degree in physician assistant studies from Missouri State University, Springfield. She is certified by the American Academy of Physician Assistants. To schedule an appointment, call 417-777-2663. Nonprofit Org. U.S. Postage PAID Walla Walla, WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 Welcome, new providers! JULIA MAGDICI, FNP-C, is a family nurse practitioner at the CMH Endocrinology Center. She is certified by the American Association of Nurse Practitioners. Magdici earned a Bachelor of Science in nursing from Wayne State University in Detroit, Michigan, and a Master of Science in nursing from Grand Canyon University in Phoenix, Arizona. To schedule an appointment, call 417-328-7000. RAUL MARTIN, M.D., is a radiologist in the CMH Imaging Center/Radiology Department. Dr. Martin attended medical school at the Universidad Complutense in Madrid, Spain. He completed an internship in radiology at the University of Tennessee College of Medicine in Memphis and a residency in diagnostic radiology and a fellowship in interventional radiology at the University of Tennessee Health Science Center in Memphis. He is certified in diagnostic radiology by the American Board of Radiology. For more information, call 417-328-6261. J. SCOTT SWANGO, M.D., is an orthopedic hand surgeon with CMH Orthopedic & Spine Center. He received his medical degree from the University of Oklahoma College of Medicine and completed a residency in orthopedic surgery at the University of Oklahoma and a fellowship in hand and microsurgery from the University of Florida. He is certified by the American Board of Orthopaedic Surgery. To schedule an appointment, call 417-777-2663.