Citizens Memorial Hospital | Vitality | Summer 2024

SUMMER 2024 Stay free of injury Enjoy the outdoors playing pickleball and other activities with these safety tips Protect yourself from two killers Surprising links between diabetes and heart disease Tour Costa Rica Join CMH for a tropical trip of a lifetime!

2 VITALITY Summer 2024 Citizens Memorial Hospital Citizens Memorial Health Care Foundation 1500 N. Oakland Ave. Bolivar, MO 65613 417-326-6000 CEO/Executive Director Michael Calhoun Marketing Director Tamera Heitz-Peek Marketing Department Tessa Arnold Jennifer Stegner Charlotte Marsch Aaron Tallant Mission Providing compassionate care for all generations by leading physicians and an exceptional health care team. Vision Be the first choice for health care by delivering the safest, highest quality and best experience for the communities we serve. Values I am Safe, Engaged, Respectful, Valued and Empowered. Together, we make a difference by serving others. For permission to reprint any portion of this magazine, call 417-328-7245. If you wish to be removed from the mailing list, please email or call 417-328-7245. VITALITY is published as a community service for the friends and patrons of CITIZENS MEMORIAL HOSPITAL. Information in VITALITY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. 2024 © Coffey Communications, Inc. All rights reserved. Citizens Memorial Hospital complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. CMH has arranged for language assistance services free of charge. Call 417-326-6000. (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 417-326-6000. (Chinese) 417-326-6000. We’d love to hear from you on social media Construction begins If you have been by the hospital recently, you have seen demolition on the south end of the hospital. The north parking lot expansion is open, and cafeteria service is now in the Community Rooms. With these preparation projects complete, we are finally starting construction and plan to open the expansion in 2026. We continue to focus on improving the CMH experience for our patients, residents and their families. The CMH Health & Wellness Clinic opened in March. You can read more on page 5 about this new approach to helping patients who don’t have a primary care provider. We also opened a new memory care unit at Community Springs Healthcare Facility in El Dorado Springs. It provides specialized care for residents with dementia. We now have 130 memory care units in five communities. Read more on page 14. Summer starts with our annual Medical Excellence Scholarship Golf Tournament on June 6. We have two more fundraising events in September: the Sporting Clay Shoot on Sept. 20 and the Soiree on Sept. 28. This new, outdoor, formal evening features dinner, live music, entertainment and an auction. Contact Wren Hall at 417-328-6318 or for event details. Learn more about protecting yourself from ticks and tickborne illnesses this summer on pages 6 and 7. With the growing popularity of pickleball, be aware of common injuries and how to prevent them on pages 8 and 9. Enjoy the fresh air and sunshine during your summer adventures! Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital and the Citizens Memorial Health Care Foundation 3 SBJ honors Finnell with 40 Under 40 award Heather Finnell, director of finance, received the 40 Under 40 award from the Springfield Business Journal during a ceremony on April 2. The award was presented to 40 accomplished and stillrising professionals in southwest Missouri for their professional and civic work. Finnell oversees $660 million in annual revenue for the hospital and foundation. Health Quality Innovators chose Citizens Memorial Hospital as a Health Quality Innovator for 2023. CMH was a runner-up in the Collaboration category for the Patient and Family Advisory Council (PFAC). CMH used PFAC insights to add a waiting room attendant/concierge in the emergency department. Following the PFAC’s recommendations, the hospital’s CEO advocated for the establishment of a dedicated position. The attendant improves communication about wait times, updates families on the status of patients and addresses immediate patient needs like blankets and refreshments. The result is improved communication on wait times and patient needs. The hospital’s survey response score for communication about wait time increased from 33.2% to 40.8% in six months. “We recognize that effective communication in health care results in enhanced care for our patients,” says DeAnna Hedger, director of quality and medical staff services. “This collaborative effort reinforces our commitment to our mission and values to serve.” Health Quality Innovator of the Year Enhancing your health care: Learn more about the 2023 Health Quality Innovators of the Year at CMH earns an ‘A’ Hospital Safety Grade from The Leapfrog Group Citizens Memorial Hospital earned an “A” Hospital Safety Grade from The Leapfrog Group, a national independent watchdog that sets the highest standards for patient safety in the United States. Leapfrog assigns an “A,” “B,” “C,” “D” or “F” grade to general hospitals across the country based on over 30 measures of errors, accidents, injuries and infections as well as the systems hospitals have in place to prevent them. To learn more about the Leapfrog Safety Grade, visit

4 VITALITY Summer 2024 CMH Auxiliary donates $19,800 for HME vehicle The Citizens Memorial Hospital Auxiliary donated $19,800 to Citizens Memorial Home Medical Equipment. HME purchased a cargo minivan to deliver and service power mobility equipment. “We run a lot of service calls for power mobility equipment across a large geographic area,” says Jim Russell, HME director. “Our current vehicle was at its end of life, with almost 300,000 miles. We appreciate the Auxiliary’s donation that allows us to provide exceptional service.” CMH Auxiliary hosts fundraisers and operates the CMH Gift Garden gift shop to buy needed items for CMH. Auxiliary members also serve in many volunteer positions throughout CMH. “Our volunteers work so hard to raise money for great causes at CMH,” says Shantelle Posten, director of volunteers. “They are so generous in giving their time and talents. CMH is thankful for all they do to help our patients and residents.” Long-term care leadership changes Rachel Wilhite, R.N., is the director of long-term care nursing operations for the Citizens Memorial Health Care Foundation. She supports nursing practice and operations in all CMH Foundation long-term care facilities. Wilhite has 28 years of longterm care experience. She was the director of nursing at Parkview Health Care Facility for eight years. She has 17 years of experience as a director of nursing at skilled nursing and rehabilitation facilities in the region. Retiring administrator Tammie Callaway Administrator at Butterfield Residential Care Center for 17 years and a total of 36 years at CMH New administrators Ash Carrel Butterfield Residential Care Center Roy Pace Colonial Springs Healthcare Center Ryan Skopec Parkview Health Care Facility Know your options Learn more about CMH senior living options at seniorliving. Are you interested in becoming a CMH volunteer? Contact Shantelle Posten at 417-328-6432 or Learn more online at 5 Citizens Memorial Hospital launched a new medical clinic in March. The clinic provides wellness visits for patients without a primary care provider and hospital transitional care services for patients without primary care support. The CMH Health & Wellness Clinic is at 2520 S. Springfield Ave., Suite A, in Bolivar. Tropical Costa Rica tour Sign up now for a Tropical Costa Rica tour, organized by CMH, from Jan. 28 to Feb. 5, 2025. Highlights include: ● San José, the capital city. ● Coffee plantation tour. ● Arenal Volcano. ● Caño Negro Wildlife Refuge. ● Lake Arenal cruise. ● Farm tour and lunch. ● Monteverde Cloud Forest. ● Your choice: the World’s Largest Butterfly Garden and the Hanging Bridges Walking Tour or an exhilarating ride on one of the longest Canopy Zip Line Tours in Costa Rica (or both). ● Guanacaste (beach). The overall activity level of this tour is level 3. You will walk and stand for longer periods (two to three hours). Walking tours are moderately paced, lasting several hours and covering several miles, hills and uneven surfaces. View the full itinerary and cost and sign up at gateway Reservations are on a first-come, first-served basis. The deposit is due July 21. For more information, contact Tamera Heitz-Peek at or 417-328-7245. Family nurse practitioner Shelby Bailey leads the clinic’s medical services. Bailey has extensive experience as a family nurse practitioner in various care settings. She previously worked as a family nurse practitioner hospitalist at Mercy Hospital in Springfield. Most recently, she worked in a critical access hospital in Iowa. The facility does not provide walk-in clinic services. For more information about the CMH Health & Wellness Clinic, call 417-328-7887. CMH Health & Wellness Clinic now open The CMH Health & Wellness Clinic held a ribbon-cutting ceremony on April 4.

6 VITALITY Summer 2024 When you’re heading outside, be ready for ticks. Ticks will hitch rides on animals and humans, and a tick bite can lead to illness. How to avoid ticks and bites ● Don’t walk through high grasses, brushy areas or fallen leaves. Stay on the center of trails. ● Go outdoors often? Treat your clothing with a tick repellent that has permethrin. That way you don’t have to put a bug repellent like DEET on your skin. ● Check your clothing for ticks when you come inside. Remove unattached ticks and throw your clothes into a hot dryer for at least 10 minutes. ● Check your dog and other outdoor-venturing pets daily. Ask your vet to recommend tick-protection products. ● Shower to wash off unattached ticks. ● Check your body for ticks. Use a mirror to make it easier. Tick-proof your property Many people get ticks from their own yard. Mow often and reduce tall grasses, brush and leaf piles. Remove old furniture and other trash items where ticks can hide. Check with local officials to weigh the benefits and risks of pesticides. If you get a tick bite Seek care soon if you: ● Can’t remove the tick. ● Haven’t had a tetanus shot in 10 years. ● Get a rash or fever within 2 to 14 days after the bite. ● See swelling or redness that spreads. ● Feel weak and your face, eye or mouth droops. ● Have an attached, swollen deer tick for more than 36 hours. For help treating a tickborne illness, ask your doctor for a referral to Eric Fulnecky, M.D., an infectious disease specialist at the CMH Infectious Disease Clinic in Bolivar. Protect yourself from ticks Meet our infectious disease expert Eric Fulnecky, M.D., is a board certified and fellowship-trained infectious disease physician. He manages IV antibiotic treatments and immunosuppressive therapies. He also diagnoses and treats a variety of illnesses, including: ● Bloodstream infections. ● Bone and joint infections. ● C. difficile. ● Central nervous system infections. ● Unknown fevers. ● Fungal infections. ● Hepatitis C. ● HIV disease and AIDS. ● Infections in patients on immunosuppressive therapy. ● Malaria. ● Mycobacterial infections. ● Parasitic diseases. ● Post-operative infections. ● Tuberculosis. For more information, go to or contact the CMH Infectious Disease Clinic at 417-328-7985.

Talk to your doctor Ask your primary care physician for help treating alpha-gal. If you don’t have a primary care physician, call 417-326-7676 to schedule an appointment with Dr. Courtney De Souza. The sugar molecule called alphagal is found in most mammals. But it is no friend to humans. It can cause a severe allergic reaction in people. Alpha-gal syndrome is associated with tick bites and certain foods. Common symptoms Alpha-gal syndrome symptoms usually appear two to six hours after exposure. They include: ● Hives or itchy rash. ● Nausea or vomiting. ● Heartburn or indigestion. ● Diarrhea. ● Cough, shortness of breath or difficulty breathing. ● Drop in blood pressure. ● Swelling of the lips, throat, tongue or eyelids. ● Dizziness or faintness. ● Severe stomach pain. Not feeling well after a tick bite? Record your symptoms and see your doctor right away. “People often start feeling ill during the night after eating meat in their evening meal,” says Courtney De Souza, M.D., a family medicine physician at Butterfield Park Medical Center. Two tests are used to confirm an alpha-gal diagnosis: ● A blood test that looks for antibodies specific to alpha-gal. ● An allergy skin test showing sensitivity to one or more meats or certain derived products. As with other allergies, the best treatment is avoiding the triggers, including: ● Gelatin. ● Pork, beef and lamb. ● Cow’s milk and milk products. “You should have an epinephrine auto-injector in case you have a severe reaction,” says Dr. De Souza. “The good news is that many people become tolerant to alpha-gal over time. They can slowly add meat and dairy products back into their diet.” 7 How to remove a tick Sometimes, tick bites happen. To remove one: Alpha-gal is not your pal Grasp the tick as close to the skin’s surface as possible with clean tweezers or a tick-removal device. Use steady, even pressure to pull the tick up and out of your skin. Don’t twist or jerk the tick. That can cause part of the tick to stay in the skin. If that happens, use the tweezers to remove it. If you can’t, it’ll heal if you leave it alone. Use rubbing alcohol or soap and water to clean the bite area. Don’t crush a live tick. Put it in alcohol or a sealed bag or container or flush it down the toilet. 1 2 3 4

8 VITALITY Summer 2024 Preventing and managing pickleball injuries America’s fastest-growing sport, pickleball, is also a growing source of injuries. From sprains and strains to fractures, pickleballrelated injuries are on the rise. Pickleball is similar to tennis but is played with a paddle and a plastic ball with holes, similar to a Wiffle ball. The game is known for its ease of learning and accessibility, making it popular among people of all ages and skill levels. The low-impact sport is easy on the joints, but injuries are possible, especially among older adults. From 2010–2019, 86% of emergency department visits due to pickleball injuries were in people older than 60. Play smart, stay safe Pickleball injuries Common injuries while playing pickleball include: ● Ankle and wrist fractures. ● Muscle strains. ● Tennis elbow. “Younger patients are more likely to have muscle-related injuries and sprains,” says S. Craig Morris, M.D., a board eligible orthopedic surgeon and sports medicine physician with the CMH Orthopedic & Spine Center. “Fractures are almost exclusively in older patients.” Tips for preventing injuries If you’re ready to join the pickleball craze, play it safe with these tips: ● Stay hydrated. ● Warm up before vigorous play. Follow along with CMH physical therapist John Klass as he shows some stretches in a video at pickleballstretch. ● Wear appropriate shoes. ● Ease into the sport. Don’t go too hard, too fast. ● Listen to your body. Take a break when you need it. If you end up with an injury, treat it with rest, ice, compression and elevation. “If you are unable to bear weight on an extremity, see a doctor,” Dr. Morris says. “Soreness the day of and into the next day is likely fine. Severe pain or pain that lingers for days warrants evaluation.” Benefits outweigh risks Physicians say the benefits of playing pickleball—improved cardiovascular health, strength and agility, balance and coordination, and joint health— outweigh the injury risks. 9 S. Craig Morris, M.D. (left), is a board eligible orthopedic surgeon and sports medicine physician. Juris Simanis, M.D., is a board certified sports medicine physician. They work with athletic trainers to provide complete sports medicine care. Orthopedic walk-in care Have an injury that isn’t healing quickly? The CMH Orthopedic & Spine Center Walk-In Clinic provides non-emergency care for orthopedic injuries for children and adults, including: ● Fractures. ● Minor dislocations. ● ACL injuries. ● Overuse injuries. ● Foot, ankle, leg, knee, hip, shoulder, wrist and hand injuries. The clinic is in the Douglas Medical Center at 1155 W. Parkview St., Suite 2D, in Bolivar. Hours are 8 a.m. to 4:30 p.m. No appointment is necessary, but you can use Save My Place to hold your place in line. Go to savemyplace for details. For more information about the CMH Orthopedic & Spine Center Walk-In Clinic, visit or call 417-777-2663. Safety first Stretching properly before exercising helps prevent injuries. It helps prepare your muscles and joints for being active. Physical therapist John Klass, with the CMH Willard Rehabilitation Clinic, demonstrates stretches to use before playing pickleball—or any sport. Visit “The benefit that comes from the cardiovascular workout and joy of playing exceeds the risk of injury,” Dr. Morris says. “So go play and have fun. If you do get injured, we will be here for you.” The experts at CMH Orthopedic & Spine Center treat orthopedic and spine conditions in people of all ages. Walk-in care is available from 8 a.m. to 4:30 p.m., Monday through Friday. The Center is in the Douglas Medical Center at 1155 W. Parkview St., Suite 2D, in Bolivar. Call 417-777-2663 for more information.

10 VITALITY Summer 2024 Online mammogram scheduling Book your next mammogram appointment at CMH online at 1. Log in to your CMH Patient Portal and click “Schedule Appointment.” 2. Select “Mammogram Screening” and click “Next.” 3. Answer a few questions.* 4. Select the date and time that work best for you. *If you answer “Yes” to any of the questions, you must call 417-328-6261 to schedule your appointment. Mammograms: Make time for the test In today’s busy world, it’s easy to put off screening tests like mammograms. But if you’re a woman, it’s crucial to remember this: Breast cancer is typically easier to treat when found early. And while mammograms aren’t perfect, these X-rays still are the best tool we have for finding breast cancer in its beginning stages. They can detect breast tumors that are even too tiny to feel. Who should get a mammogram? The American College of Radiology recommends annual mammograms for women age 40 and older. Women who are at high risk for breast cancer may need to start screening earlier or have screenings more often. Factors that are considered high risk include: ● Having a family history of breast cancer. ● Inheriting a mutation in either the BRCA1 or BRCA2 genes. ● Having had radiation therapy to the chest area between the ages of 10 and 30. ● Having breasts with a lot of dense tissue. “Breast self-exams are very important, too, but they are no substitute for annual mammograms,” says Jana Horner, M.D., with the CMH Breast Care Center in Bolivar. “They help you learn how your breasts normally look and feel and can alert you to any lumps or changes in your breasts. Let your primary care doctor know if you see or feel anything different or unusual.” Don’t delay If it’s been a while since you’ve had a mammogram, take the time right now to schedule a test. Sticking to a recommended screening schedule is key to early detection of the disease, which helps save lives. Talk to your primary care provider about when and how often you should be screened. Additional sources: American College of Obstetricians and Gynecologists; Centers for Disease Control and Prevention 11 Ease your arthritis fatigue Arthritis and fatigue often go together. Arthritis pain can disturb your sleep and sap your energy to the point where you have trouble functioning during the day. Experts in arthritis care You can trust the board certified rheumatologists at the CMH Rheumatology and Osteoporosis Center to provide the best in arthritis diagnosis and treatment. Ask your primary care doctor for a referral, or call 417-328-7000 to learn more. If you have arthritis pain, ask your doctor for a referral to the CMH Rheumatology and Osteoporosis Center in Bolivar. Call 417-328-7000 or go to to learn more. Fight fatigue These arthritis fatigue-fighters can help you feel your best. Get your arthritis under control. Inflamed joints and arthritis pain can contribute to fatigue. Working with your doctor to manage arthritis and any underlying conditions is the first step to getting your energy back. Move more. Exercise builds muscle mass and strength, increases circulation, and enhances flexibility, all of which can help combat arthritis fatigue and boost your overall sense of well-being. Get your ZZZs. A good night’s sleep can help ease arthritis pain and help you accomplish your daily to-do list with less effort. Make your bedroom cool and dark, power down your electronics, and go to bed at the same time every day. Fuel up. For long-lasting energy, eat plenty of fruits and vegetables, lean proteins, and healthy fats. Avoid energy-zapping processed, high-salt and sugary foods. For added support, consider taking a vitamin supplement to help fill in nutrient gaps in your diet. Talk to your doctor about medication. Some medications for arthritis can cause drowsiness. Your doctor can help you manage medication side effects. Ask if any medications might help reduce fatigue. “You need to be honest with your doctor about your eating, exercise and sleeping habits,” says Justin Reed, D.O., a rheumatologist with the CMH Rheumatology and Osteoporosis Center. “Then we can work together to create the best plan to help you manage your arthritis fatigue.” Additional source: Arthritis Foundation Mark J. Jarek, M.D. Justin W. Reed, D.O. Anthony T. Tay, M.D.

12 VITALITY Summer 2024 Diabetes and heart disease are more connected than you might think. A person with diabetes is twice as likely to have a heart attack or stroke compared to someone without diabetes. That’s because high blood sugar can damage the blood vessels and nerves around your heart. Here are some other connections between diabetes and heart disease that you should know. People with diabetes are more likely to have: ● High LDL. That’s the “bad” cholesterol that causes plaque to build up in arteries. ● High blood pressure. Having both diabetes and high blood pressure dramatically increases heart disease risk. ● High triglycerides and low HDL (“good” cholesterol). This is a type of fat that builds up in—and stiffens—arteries. Luckily, there is a lot you can do to help prevent both diabetes and heart disease. It starts with managing the diabetes ABCS: A Get your A1C tested regularly to track your average blood sugar over time. B Watch your blood pressure, and keep it in the zone your health care provider recommends. C Stay on top of your cholesterol levels. Control them with lifestyle changes and medication your provider may prescribe. S Don’t smoke. If you smoke, find a smoking cessation program and stick to it. CEO update: Heart care at CMH The CMH Heart Institute Clinic is a Level II STEMI Center with 24/7 cardiology availability. New catheterization lab equipment installed in fall 2023 increases the quality of the X-ray pictures and reduces radiation levels. The new hospital expansion will include two cardiac cath labs for shorter wait times and more emergency access. Learn more in “CEO update: Heart care at CMH” on the CMH Blog at 13 Heart attack? Know the signs If a heart attack happens to you, getting help right away is key to recovery. That’s why it’s important to know the signs of a heart attack. Men and women can experience heart attack symptoms differently. Many of the symptoms overlap, but not all. Symptoms for both men and women ● Chest pain. ● Arm pain. ● Shortness of breath. ● Feeling weak. ● Jaw, neck or back pain. Symptoms for women ● Unexplained tiredness. ● Nausea or vomiting. ● Back pain or pressure. ● Other body pain, such as in the lower chest, stomach, jaw or neck. If you experience any of the signs, call 911. Getting care quickly can reduce damage to the heart. Sources: American Heart Association; Centers for Disease Control and Prevention Expert diabetes care Brian Robinson, D.O., is fellowshiptrained in endocrinology and board certified in endocrinology, diabetes and metabolism. Dr. Robinson; Julia Magdici, FNP-C; and Hannah Schumann, PA‑C, provide expert diabetes care at the CMH Endocrinology Center. They treat endocrine disorders, including advanced diabetes, obesity, osteoporosis, and thyroid and parathyroid disorders. New to the clinic is radioactive iodine (I-131) therapy for treating hyperthyroidism or thyroid cancer. Go to or call 417-328-7000 to learn more. The medical staff at the CMH Heart Institute Clinic includes, from left: John Best, M.D.; Haris Riaz, M.D.; Stephen Davis, M.D.; and Kyla Inman, FNP-C. “Keeping your blood sugar levels within a healthy range lowers your risk of other complications and leads to a healthier life,” says Brian Robinson, D.O., an endocrinologist with the CMH Endocrinology Center. “Follow your diabetes management plan and ask your doctor about any challenges you might have.” If you have questions, or to make an appointment with one of our providers, visit or call 417-328-6010. Here are some other things that cut your heart disease and diabetes risks: Manage stress. Stress can increase blood pressure and make you want to do things that raise your risk, like overindulge in sweets. Eat right. Choose lots of produce, lean proteins and whole grains. Skip processed foods as much as you can. Exercise. Regular physical activity helps lower blood sugar and can help prevent or manage diabetes. Lose weight. If you’re overweight, losing even a few pounds can help reduce triglycerides and blood sugar. Consider medicine. Ask about drugs that can reduce blood pressure, lower cholesterol, manage blood sugar or help you lose weight. Get tested. Talk with your provider about tests that can evaluate your heart’s health and heart disease risk.

14 VITALITY Summer 2024 Community Springs Healthcare Facility opens memory care unit Citizens Memorial Health Care Foundation now has memory care units in five communities. Community Springs Healthcare Facility in El Dorado Springs recently opened a 15-bed, highfunctioning unit. Caring for a loved one with dementia can be tough, but you don’t have to go through it alone. Memory care units (MCUs) inside CMH Foundation skilled nursing facilities provide specialized care. Our caregivers make sure residents receive kind and gentle assistance with daily activities. We also offer custom care plans that focus on maintaining dignity, promoting independence and enhancing quality of life. CMH has 130 MCU beds in these facilities: ● Ash Grove Healthcare Facility (Ash Grove)—20 beds. ● Colonial Springs Healthcare Center (Buffalo)—34 beds and a 16-bed, high-functioning MCU. ● Community Springs Healthcare Facility (El Dorado Springs)— 15 beds (high-functioning MCU). ● Lake Stockton Healthcare Facility (Stockton)—30 beds. ● Parkview Health Care Facility (Bolivar)—15 beds. Our memory care units provide around-the-clock support so families can rest easy knowing their loved ones are in good hands. Senior living options at CMH Citizens Memorial can help you live with joy and purpose in a safe environment with the help you need. Independent living. An independent living apartment at CMH allows you to keep your independence with the comfort of nearby health care services. You’ll still cook your own meals and come and go as you please. Available in Ash Grove, Bolivar, Buffalo and El Dorado Springs. Residential care. Keep your privacy in an apartment without the worries of living alone. Enjoy group activities and dining with neighbors. Residents receive some daily help from trained staff. Available in Bolivar. Skilled nursing facilities. Receive routine help from trained staff 24 hours a day. Private and semiprivate rooms, short-term rehabilitation, longterm stays and memory care are available. Available in Ash Grove, Bolivar, Buffalo, El Dorado Springs and Stockton. Learn your options and decide the best fit for your care needs with a quick survey at CMHCareOptions. To speak with a CMH long-term care representative, call 417-328-6731 or email cmhltcadmit@ Memory care unit amenities ● Family areas for spending time with loved ones. ● ADA-compliant assistive devices. ● Handrails. ● Physical, speech and occupational therapy. ● TV hookups available. ● Memory care dining room with individual meal planning. ● Laundry services. ● Daily planned activities. ● Full-service salon. ● 24-hour security system. 15 KENDIKA ABRAMS, M.D., is a geriatrician at Bolivar Family Care Center and works in CMH long-term care facilities. Dr. Abrams received her medical degree from the Faculty of Health Sciences, Guyana. She completed a residency in internal medicine at Canton Medical Education Foundation, Canton, Ohio, and a fellowship in geriatric medicine at Harvard Medical School Multicampus, Boston. She is board eligible with the American Board of Internal Medicine. To schedule an appointment, ask for a referral from your primary care provider. new medical staff! On the move JOHNNA BROTHERS, FNP-C, now sees patients at Dallas County Family Medical Center and Walk-In Clinic. She previously worked at the CMH Walk-In Clinic in Bolivar. She is certified by the American Academy of Nurse Practitioners. For more information, call 417-345-6100. RACHEL PRUETT, M.D., is a surgeon at CMH General Surgery Clinic. She earned her medical degree at the University of Arkansas for Medical Sciences, Little Rock. She completed a residency in general surgery at Memorial Regional Hospital in Hollywood, Florida. To make an appointment, call 417-326-8700. JOSH MCCUTCHEON, P.A., is a physician assistant at Southside Medical Center in Bolivar. He sees patients in the clinic and long-term care residents in Bolivar. He has a Master of Science in Physician Assistant Studies from Missouri State University, Springfield. He is certified by the National Commission on Certification of Physician Assistants. To make an appointment, call 417-326-7814. NICHOLAS LOCKE, FNP-C, is a family nurse practitioner at Dallas County Family Medical Center and Walk-In Clinic. He has a Master of Science in Family Nurse Practitioner from Cox College, Springfield. He is certified by the American Academy of Nurse Practitioners. For more information, call 417-345-6100. CHAD LAW, D.O., is a family medicine physician at Ash Grove Family Medical Center. He earned his medical degree at the Kansas City University of Medicine and Biosciences. He completed a residency in family medicine at Saint Louis University Scott Air Force Base. Dr. Law is certified by the American Board of Family Medicine. To make an appointment, call 417-751-2100. KEISHA HOOPER, FNP-C, is a family nurse practitioner at the El Dorado Springs Medical Center and Walk-In Clinic. She has a Master of Science in Family Nurse Practitioner from the University of Central Missouri, Warrensburg. She is certified by the American Academy of Nurse Practitioners Certification Board. To make an appointment, call 417-876-2118.

Nonprofit Org. U.S. Postage PAID Walla Walla, WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 Freezer breakfast sandwiches Makes 6 servings. Ingredients 6 whole-grain English muffins 6 eggs 6 turkey sausage patties or Canadian bacon slices 6 thinly sliced cheese slices 1 cup spinach 1 cup diced tomatoes and onions Directions ● Preheat oven to 350 degrees. ● Whisk together eggs, spinach, diced tomato and onion. ● Spread in a 9x9 baking pan. ● Bake for 10 minutes or until eggs are cooked. ● Slice egg mixture into 6 squares. ● Let cool. ● Assemble your breakfast sandwiches: Add one egg patty, one meat patty and one cheese slice to each English muffin. ● Wrap each tightly in plastic wrap to avoid any air exposure and freeze. Refrigerate if you are eating the sandwiches within four days. ● When you are ready to eat, remove from plastic wrap and microwave for about 1 minute until hot. Source: CMH Dietitian Newsletter START THE DAY STRONG with commute-friendly breakfasts Sometimes sitting at home for breakfast is just not realistic. You should always have more options than grabbing something at the drive-thru along the way. These make-ahead breakfast sandwiches have a nice balance of recommended food groups. Plus, they have plenty of protein and fiber to keep you satisfied as you start the day. Hungry for more? Go to our website for more great info and another tasty, healthy recipe. Just scan the QR code to find it.