Citizens Memorial Hospital | Vitality | Spring 2023


2 VITALITY Spring 2023 Building strong community partnerships In this issue of Vitality, we continue to highlight our valuable community partnerships that create positive change in our communities. Please read about our new nurse apprenticeship program with area nursing programs on page 5. Our partnership with area school districts to provide athletic training services dates back more than 20 years. On page 8, a local high school athlete shares about the expert care he received from Citizens Memorial Hospital on the field and in the operating room after a football injury. Additionally, we have two significant community events coming up soon. The CMH Heroes for Hospice 5K/10K Run in May benefits patients in our hospice program and their families. The Medical Excellence Golf Classic is set for June 1, with proceeds providing college scholarships for students pursuing a career in health care. Find details on page 6. April is Donate Life Month, and we have more information about organ donation on page 12. Please take a few minutes to learn about registering to be an organ and tissue donor. We continue to look for new services we can provide for our patients. One example is our new dermatology clinic’s medical-grade skin care products. Learn more on page 13. You will also find stories to help you stay healthy—from the importance of having a primary care provider to boosting your calcium intake for healthy bones. We appreciate the community’s support of CMH. Thank you for entrusting our leading physicians and exceptional health care team with your health and wellness needs. 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 Charlotte Marsch Amy Gimpel 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. 2023 © Coffey Communications, Inc. All rights reserved. 5 Well-prepared The first nurse apprentice graduates bring extra experience and knowledge to their new roles at CMH. 7 Ban those bug bites Here’s how to avoid those annoyingly itchy mosquito bites this summer. 10 Heart failure: What is it? The name itself is confusing. Now you can learn the basics with these five simple facts. 13 New! Expert skin care Available only at CMH Dermatology Clinic, MD Ultra Skin Care products help you keep your glow. Michael Calhoun, CEO/Executive Director WELCOME citizens-memorial-healthcare 3 CMH NEWS CMH updates mission, vision, values As part of Citizens Memorial’s commitment to quality patient care, a team of CMH employees updated the organization’s mission, vision and values. The new guiding principles began to cascade through the organization in January. “Now that we have celebrated our 40th anniversary, we are looking toward the future and the type of organization we want to become for the next 40 years,” says Michael Calhoun, CEO/Executive Director of Citizens Memorial Hospital and the Citizens Memorial Health Care Foundation. “A team of individuals from across the organization, from front-line staff to leaders, worked on updating the MVV and Guiding Service Principles for the past six months. They reflect who we are now as an organization and our aspirations for the future.” The updated mission, vision and values are: Mission: Providing compassionate care for all generations by leading physicians and an exceptional health care team. (Purpose) Vision: Be the first choice for health care by delivering the safest, highest quality and best experience for the communities we serve. (Goal) Values: I am Safe, Engaged, Respectful, Valued and Empowered. Together, we make a difference by serving others. (How we achieve our mission) “The most significant update is changing the acronym in our values statement from PRIDE to SERVE because serving others is at the core of what we do in health care,” Calhoun says. “Providing exceptional service every day is fundamental to achieving our mission and vision.” CMH FOUNDATION ANNOUNCES BOARD TRANSITIONS Citizens Memorial Health Care Foundation announces recent changes to its board of directors. Three new board members were added in 2021 and 2022, including James Ashworth, Trina Banner and Gary Fulbright. Brad Johnson, former vice president for institutional advancement at Southwest Baptist University, resigned from the CMH Foundation board in summer 2022. Johnson became president of the College of the Ozarks, Point Lookout, and moved out of the service area. Banner and her husband, Dwain, own and operate Creator Designs and Creator Delights in Bolivar. They have been business owners for more than 30 years. Banner attended SBU and has served as a board member of the Bolivar Area Chamber of Commerce and Alpha House. She was appointed to the CMH Foundation board in November 2022. Ashworth has been the chief executive officer/general manager of Southwest Electric Cooperative, with headquarters in Bolivar, since 2008. He has worked for Southwest for 33 years since graduating from Missouri State University in Springfield with a degree in agriculture education. He was appointed to the CMH Foundation board in June 2021. Fulbright is a graduate of SBU with a degree in accounting and is a certified public accountant. He worked for Citizens Memorial Hospital and the CMH Foundation for more than four decades, serving his last two years as chief executive officer/ executive director from January 2020–December 2021. He was appointed to the CMH Foundation board in February 2022. Other CMH Foundation board members are Janieca Hancock, president; John Kallenbach, vice president; Donald J. Babb; William S. Donnell, M.D.; D. Micheale Meents, M.D.; and Michael Calhoun, ex-officio member. Learn more about the CMH Foundation at James Ashworth Trina Banner Gary Fulbright CMHBehavioral HealthTransitional Clinic now open The CMH Behavioral Health Transitional Clinic opened Feb. 1 as a part of Butterfield Park Medical Center at 1300 N. Oakland Ave., Bolivar. The clinic is open Monday through Friday, 8 a.m. to 4:30 p.m. The mental health clinic cares for patients ages 6 years and older who are unable to have an immediate appointment scheduled with a CMH behavioral health provider. A medical provider referral is required. Tara Billingslea, PMHNP-BC, is a mental health nurse practitioner with more than 10 years of mental health experience in outpatient and inpatient psychiatry settings. She supports patients by providing counseling, medication management and education services until patients are established with a CMH behavioral health provider. For more information, call 417-328-6131. Michael Calhoun, CEO, and Tara Billingslea, PMHNP-BC

4 VITALITY Spring 2023 CMH NEWS Garner is new director of hospital nursing services Chad Garner, R.N., BSN, CEN, is the new director of hospital nursing services at Citizens Memorial Hospital. Garner has more than 20 years of business management and nursing experience, including 12 years in health care leadership. He most recently worked at Saint Francis Healthcare System in Cape Girardeau as the director of nursing. At CMH, Garner works closely with hospital nurse leaders, providing direct support for inpatient nursing, emergency and respiratory therapy departments. Garner earned a Bachelor of Science in nursing from Missouri State University, in Springfield, and is certified by the Board of Certification for Emergency Nursing. Missouri Gov. Michael Parson visited Citizens Memorial Hospital Dec. 12, 2022, to learn more about the hospital’s plans to expand and upgrade its facilities. CMH CEO Michael Calhoun gave an update on pre-building progress and gave Gov. Parson a tour through the current hospital. The USDA Office of Rural Development announced in May 2022 its agency’s investment through a lowinterest loan of $57.7-plus million to the Hospital District for expansion and upgrades. The project will cost $77 million and includes improvements to inpatient nursing units, surgery, emergency room, cardiac cath lab, laboratory, and facilities and other infrastructure enhancements to improve road access, patient parking and visitor experience. DR. SCHREIBER APPOINTED TO ALZHEIMER’S STATE PLAN TASK FORCE Missouri Gov. Michael Parson appointed and commissioned Curtis P. Schreiber, M.D., to the Alzheimer’s State Plan Task Force. Dr. Schreiber is a board certified neurologist and headache medicine specialist in practice at CMH Neurology & Headache Center and CMH Missouri Memory Center in Bolivar. Dr. Schreiber’s term began Oct. 6, 2022, and he is one of 15 members appointed to the group. The task force includes people from health care, nonprofit organizations and state agencies; lawmakers; a researcher; and a person with Alzheimer’s disease. Missouri Lt. Gov. Mike Kehoe is the chair of the task force. FOR MORE INFORMATION about the Alzheimer’s State Plan Task Force, go to Missouri Gov. Michael Parson and Michael Calhoun, CMH CEO/Executive Director Missouri governor visits CMH, learns more about hospital expansion Curtis P. Schreiber, M.D. Chad Garner, R.N., BSN, CEN 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. 5 CMH NEWS Four Bolivar Technical College students who graduated in December 2022 are the first cohort to complete Citizens Memorial Hospital’s new LPN/R.N. apprenticeship program. “I am so proud of these students and am excited to see them working for CMH after graduation,” says Heather Mills, MSN, R.N., clinical coordinator at CMH. “They have been able to gain additional experience while also being paid for doing their clinicals.” The four graduates—Rachael Hargus, Adam Kinnard, Chanceler Pemberton and Taylor Townsend— began as apprentices in June 2022. “It offered the perfect opportunity to be able to work and show the community what I was made of,” Pemberton says. “It is a good program to see where you want to work when done with school.” The apprentices gain experience at the hospital, clinics and longterm care facilities. Kinnard already worked for CMH before starting the apprenticeship program and saw the program as an opportunity to work at other facilities and help facilitate a transition into another department. “There are better opportunities to network and possibly slide into a position in any given department,” Kinnard says. Erin Mock, director of nursing education at BTC, worked with CMH staff to develop the program that she says is “out-of-the-box thinking and like no other.” “When a student learns the people and the culture of the organization, they are truly able to improve each clinical day and at every patient contact because they are not concerned about trying to find things or learn new policies from week to week,” Mock says. “This makes better nursing students and, therefore, better graduate nurses.” As apprentices, student nurses at CMH are paid while completing clinical hours, and students are eligible to work shifts in a long-term care facility or the hospital. The students agree to work for CMH after the apprenticeship. CMH also has started the yearlong R.N. residency program that provides additional training and support for licensed registered nurses with less than 12 months of experience. The first cohort began in June 2022 and will graduate in May 2023. About CMH’s nurse apprenticeship and internship programs Citizens Memorial Hospital supports new nurses through our Nurse Residency Program and LPN/R.N. apprenticeships. CMH staff help new nurses and student nurses navigate the transition from student to professional nurse by building confidence and providing hands-on experiences. Nurse residency program The one-year paid nurse residency program helps new graduates experience the transition from students to confident bedside nurses. A community of experienced nurses surrounds the residents. Our goal is to ensure that the new graduate nurse never feels alone. LPN/R.N. apprenticeship program This earn-as-you-learn program, in partnership with area nursing programs, creates an exceptional clinical experience for pre-licensure professional nursing and practical nursing students. They work and are paid as student nurses while enrolled in the nursing education program. The student nurse receives academic credit toward clinical requirements. LEARN MORE about these programs at First cohort completes CMH nurse apprenticeships Adam Kinnard, Rachael Hargus, Taylor Townsend and Chanceler Pemberton are the first cohort of nursing students from Bolivar Technical College to complete LPN nurse apprenticeships at Citizens Memorial Hospital.

6 VITALITY Spring 2023 CMH NEWS CMH news inyour email inbox Keep up with the latest happenings at CMH with the CMH Health News email newsletter. Delivered to your email box twice a month, the newsletter includes information about upcoming events, the newest services at CMH and current health news. Sign up for the latest CMH news and information at Upcoming events Heroes for Hospice 5K/10K Run: May 6 CMH Heroes for Hospice 5K/10K Run, presented by Craig Lehman-Shelter Insurance, is scheduled for Saturday, May 6. Register now at Early bird registration is $30 per person ($15 for youth 12 and under) on or before April 16 and includes a T-shirt. Registration after April 16 is $35 per person ($15 for youth 12 and under) and does not include a T-shirt. Runners can also register on the day of the event until 8:30 a.m. Online registration closes May 3. Virtual participation is $30. The option is perfect for those who still want to support the event and get a T-shirt but can’t make it on race day. Participants can run/walk anywhere and anytime. Proceeds from the race will provide donations in our area to ensure that all terminally ill patients and their families receive physical, emotional, spiritual and bereavement care. For more registration or sponsorship information, contact Wren Hall, director of community relations and development, at 417-328-6318 or wren.hall@ Annual golf tournament: June 1 The 33rd annual Citizens Memorial Health Care Foundation Medical Excellence Golf Classic, presented by SGC Foodservice, is scheduled for Thursday, June 1. The tournament features two shotgun starts, at 8 a.m. and 1:30 p.m. The classic is an 18-hole, fourperson scramble at Silo Ridge Golf and Country Club, Bolivar. Prizes will be awarded for first-, second-, third- and fourth-place finishes in four flights. Team entries are accepted on a first-come, first-served basis with a maximum of 55 teams. All money raised goes to the Medical Excellence Scholarship, which provides financial assistance to individuals from CMH’s eightcounty service area who are working toward careers in health care. To donate or to register a team for the tournament, contact Wren Hall, director of community relations and development, at 417-328-6318 or register online at Breakfast Club Breakfast Club features CMH experts who share the latest in health and wellness topics. The free events include a light breakfast. To learn more about upcoming Breakfast Club events, sign up to receive the CMH Health News email newsletter at CMHNews. 7 SAFETY LESSONS IN LADDER SAFETY Get mosquitoes to bug off! Take these steps to avoid mosquito bites this season and beyond In warm weather, mosquitoes are a hot topic. Generally, these insect bites are just itchy and uncomfortable. In rare instances, though, mosquitoes can carry disease, such as West Nile virus, which can cause flu-like symptoms. In other cases, mosquito bites can cause a serious allergic reaction. To prevent your skin from becoming a mosquito picnic—and reduce the chances of mosquito-borne illness—limit your contact with mosquitoes as much as you can. Start by putting these pestfree pointers into practice. Use bug spray. Before heading outside, apply sunscreen, then bug repellent. Check bug repellent labels for active ingredients—such as DEET, picaridin, IR3535, 2-undecanone, oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD)—that have proved to be effective and safe, even for pregnant and breastfeeding women. Apply according to label directions. Avoid bug repellents with OLE and PMD for children 3 years of age and younger. Cover up. Tight-knit clothing, such as jeans and long-sleeved shirts, can act as a physical mosquito barrier. Similarly, cover baby strollers with mosquito netting. Debug your yard. Standing water is a mosquito breeding ground. Pour water from buckets, toys and any other open containers. Also, empty and change the water in birdbaths and wading pools at least once a week. WHEN TO SEE A DOCTOR ABOUT A BUG BITE If you get munched on by mosquitoes, wash your bites with soap and water. Apply an icy compress to the area, followed by anti-itch cream to take away the itch and the red bump. Some people develop large bumps. See a doctor if the bite worsens; if you develop a skin rash, fever, headache, nausea, vomiting, diarrhea, loss of appetite or swollen glands; or if you feel achy. Get to the emergency department immediately if you have signs of a serious allergic reaction, such as swelling in your lips, face or tongue; dizziness; or vomiting. A ladder may look like a simple enough contraption. But to use it safely, you need to use your smarts. Follow this advice to help ensure that your next ladder-linked project remains injury free. » Give a ladder the once-over before using it. Never use one that is damaged, broken or bent. Check it for any loose screws, hinges or rungs. » Always set a ladder on stable ground. » Before using a stepladder, make sure it’s fully open and that the spreaders or braces between the two sections are fully extended and locked. » Never use a ladder in high winds. » Wear lace-up shoes or boots when climbing a ladder. » If you’re going to climb onto a roof, the ladder should extend 3 feet higher than the roof. » Face the ladder while climbing, and stay in the center of the rails. Grip both rails securely while climbing. » Remember: It’s always better to move a ladder than to overreach. » Don’t ask someone to climb up behind you to hand you something. Only one person should use a ladder at a time. » Don’t use a ladder or its pail shelf as a seat.

8 VITALITY Spring 2023 SPORTS MEDICINE William Murray is a year-round athlete: football in the fall, basketball in the winter, baseball in the spring and travel sports in the summer. And when he isn’t competing as an athlete, he probably is smoking some chicken for a barbecue competition. With that much competition, injuries are likely to happen. William does have a history of broken bones, after all. He broke his collarbone when he was 5, his arm in fifth grade and his pinky in seventh grade. He added another broken bone to the list while playing Archie High School last fall during week three of his inaugural S. Craig Morris, M.D., removes the cast from William Murray’s leg to take an X-ray to evaluate the healing as William’s mother, Pleasants Murray, watches. Back in ACTION Dr. Morris helps Osceola athlete recover from sports injury high school football season for Osceola High School. “I was going out to get a pass, and I caught it. Then I got hit by one dude,” he says. “He landed on top, made my ankle go inside, and then the other dude hit me from the other side and made it go the other way. So it broke on both sides. I thought I just sprained it. I tried to walk, but I couldn’t.” His mother, Pleasants Murray, says it didn’t take long for her to realize he was injured. “As soon as I saw him get up and take a few steps and then face-plant into the ground, I knew that he was hurt,” she says. “Of course, he didn’t want to leave the game. He wanted to stay there and support his team.” SIDELINE SPECIALISTS Citizens Memorial Hospital has partnerships with area schools to have athletic trainers present at sporting events in case of injury. Morgan Simpson, certified athletic trainer and director of sports medicine at CMH, was at the Osceola game. “Morgan is amazing,” Pleasants says. “As soon as he saw Will was hurt, he was over there, working on him, making sure he was comfortable.” After evaluating William, Simpson determined that his ankle likely was broken. He recommended seeing S. Craig Morris, M.D., an orthopedic surgeon specializing in sports medicine at the CMH Orthopedic & Spine Center. William went to an emergency room on Friday night and followed up with Dr. Morris on Monday. “We didn’t know it was as bad as it was until Morgan got us in down here at CMH to visit Dr. Morris, and then we found out that it was actually broken on both sides,” Pleasants says. CARE JUST FOR ATHLETES Dr. Morris has experience working with sports-related injuries at all levels of competition, from high school to professional athletes. His fellowship training in orthopedic sports medicine at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles included working with members of professional sports teams. 9 Athletic trainers support high school student-athletes CMH Sports Medicine Center partners with area school districts to provide the medical services of an athletic trainer for the schools’ athletics programs. The athletic trainers work under the direction of CMH’s sports medicine physicians. Athletic trainers provide primary and emergency care during athletic events. Other services they provide include: » Assistance with injury and illness prevention. » Injury care recommendations. » Collaboration with other health care professionals. » Concussion management. » Physical rehabilitation. » Helping student-athletes return safely to sports after an injury. CMH athletic trainers currently work with student-athletes in seven area school districts: Bolivar, El Dorado Springs, Osceola, Stockton, Marion C. Early Schools in Morrisville, Pleasant Hope and Dallas County Schools in Buffalo. CMH started the service in 1998. Meet the docs Sports medicine physicians S. Craig Morris, M.D., and Juris Simanis, M.D., FAAFP, CAQSM, RMSK, provide world-class care for area athletes and active adults. Dr. Morris is a fellowship-trained orthopedic surgeon and sports medicine specialist. He’s worked with elite athletes of professional sports teams, including the Los Angeles Rams, Angels, Dodgers and Galaxy and the Anaheim Ducks, as well as community college and high school athletes. He is now providing the same level of care to local high school and college student-athletes and active adults. In addition to sports medicine, Dr. Morris’ specialties include reconstruction surgery for ACL, PCL, MCL and PLC; arthroscopy for shoulder, hip, knee, elbow and ankle; total joint replacement for hip, knee and shoulder; shoulder instability repair; rotator cuff repair; foot and ankle surgery; hand and wrist surgery; fracture care; carpal tunnel repair; nerve decompression; trigger finger release; tennis elbow repair; Achilles repair and more. Dr. Simanis is a board certified physician with extended fellowship training in sports medicine and musculoskeletal ultrasound. He has more than a decade of experience using the latest, most advanced treatments and protocols for his patients in the treatment of concussion and physical injuries. In addition to sports medicine, he treats work-related and overuse injuries; plantar fasciitis; joint, muscle, tendon and ligament injuries; and more. Both physicians work closely with athletic trainers to provide holistic care to the area’s student-athletes. FOR MORE INFORMATION or to schedule an appointment with Dr. Morris or Dr. Simanis, call 417-777-2663. With the confirmation of a broken ankle, Dr. Morris scheduled William for surgery a week and a half later, giving time for the swelling to go down before operating. William’s total recovery time for returning to sports after the surgery was four to six weeks—just in time for basketball season. “I really like Dr. Morris,” Pleasants says. “As soon as Will’s surgery was over, he came into the room and explained to me what he did, how he felt that the one part of his ankle would be OK and it started healing on its own. The other part, he had to put the plate and pins in. From the time we got here to the time we left, the entire staff was very nice and very supportive.” Between William and a younger son, Pleasants says she expects more sports injuries in the future. “I really appreciate Dr. Morris and everything he’s done for us,” she says. “He’s a great person, and he really cares about his patients. I would recommend the facility in general. From start to finish, everybody’s been extremely amazing and great. In the future, if we need a hospital provider, we will be back to CMH.” S. Craig Morris, M.D. Juris Simanis, M.D. CMH sports medicine physicians and athletic trainers

10 VITALITY Spring 2023 HEART AND LUNGS If you are at risk for heart failure, you might be overwhelmed with information. Here are five simple facts to help you understand the basics. to know about heart failure Heart failure is common. About 6.2 million adults in the United States have heart failure. By 2030, that number is expected to be 8 million adults. If you have experienced heart failure, you are not alone. Blood tests can diagnose and monitor heart failure. Your primary care provider (PCP) may ask about your medical and family health history during your physical exam. If heart failure is suspected, a brain natriuretic peptide test may be ordered. This blood test measures the hormone levels released in your blood if the heart is damaged. You may then be referred to a cardiologist for further testing, depending on the results. Heart failure symptoms change over time. These are some of the common symptoms, which may not be noticeable at first but worsen over time: » Shortness of breath while active, at rest or lying down. » Weight gain with swelling in the legs and stomach. » Feeling tired and weak. » Coughing or wheezing that persists. Heart failure can also slowly develop from chronic medical conditions, such as: » Irregular heartbeat. » Coronary artery disease. » High blood pressure. » Diabetes. » Severe lung diseases. » Obesity. Heart failure can also occur suddenly, following a heart attack or other event. Treatments for heart failure are effective. Lifestyle changes, including reducing sodium and liquid intake and getting daily exercise, can help manage symptoms. A treatment plan can include medication, medical devices and surgeries. Healthy choices can prevent or delay heart failure. Keep your heart healthy by: » Eating healthy foods. » Exercising daily. » Reducing your daily stress. » Avoiding nicotine and alcohol. 1 3 4 5 2 Work with your PCP to manage health conditions if you are at risk for heart failure. 5 facts 11 HEART AND LUNGS What is cardio-pulmonary rehabilitation? Cardio-pulmonary rehabilitation helps improve your health and reduces the risk of future cardiovascular disease so you can live your life more fully. Cardiac rehab is specifically geared toward people with a history of: » Heart attack. » Stable angina. » Coronary artery angioplasty or stents. » Open-heart surgery. » Valve surgery. » Congestive heart failure. » Heart transplantation. » Long COVID-19 or long-haul COVID-19. Pulmonary rehab is specifically geared toward people with a history of: » Asthma. » COPD. » Emphysema. » Chronic bronchitis. » Bronchiectasis. » Sarcoidosis. » Pulmonary fibrosis. » Pulmonary hypertension. » Interstitial lung disease. » Lung cancer. » Lung transplantation. When you’re living with chronic obstructive pulmonary disease (COPD), it’s important to remember these two truths: 1. The disease doesn’t go away, even with treatment. 2. You can learn to live better with COPD and slow the damage to your lungs. Here are some suggestions on how to take good care of yourself: » If you smoke, commit to quit. Even if you’ve smoked for many years, it’s never too late to quit. Stopping now is the best way to help slow the progression of the disease. Ask your doctor about medicines or products that could help you. » See your doctor. Regular checkups are especially important when you’re managing a chronic condition. Your health care team can answer questions you have about your condition and help you overcome any obstacles to staying healthy. » Take your medicines as prescribed. They can help you feel better—if you use them correctly. Again, talk to your doctor if you have questions about your medicines or experience bothersome side effects. » Get a yearly flu shot. Catching the flu can be much more serious when you have a lung disease. Find out from your doctor if you need a pneumonia shot too. » Pace yourself. COPD can make you feel tired. To help conserve energy so you don’t get worn out: » Take your time with chores. » Put often-used items in easy-to-reach places, such as a lower shelf. » Use a cart with wheels to move laundry around. How to live your best with COPD » If your home has a second floor, move some items to the first floor to cut down on climbing stairs. » Wear clothes and shoes that are easy to remove. » Ask family or friends for help. » Manage stress. Feeling stressed can make it harder to breathe. Find ways to relax—perhaps listening to music or sitting quietly—that work for you. But tell your health team if you feel overwhelmed, anxious or depressed. » Talk with your doctor about lung rehab. Pulmonary rehabilitation may improve your ability to do activities without getting out of breath. Classes typically include support, coping tips and exercise. » Know when to seek help. If you have severe symptoms, like difficulty talking or catching your breath, you need emergency care. Sources: American College of Chest Physicians; American Lung Association; American Thoracic Society; National Heart, Lung, and Blood Institute Is it for you? For more info, call CMH CardioPulmonary Rehab at 417-328-6574.

12 VITALITY Spring 2023 ORGAN DONATION Organ donation: Your questions answered Becoming an organ donor is one of the most generous things you could ever do. But you might wonder what’s involved—and why you should consider it. If so, here’s the information you need. Q: How can I become a donor? A: Designate your decision on your driver’s license and state donor registry (if available) . Also talk to your family and ask them to carry out your wishes. Q: Can I become a donor if I have a medical condition? A: Chances are, yes. Only a few medical conditions—such as having active cancer—absolutely rule you out as a donor. Doctors will examine your organs and determine if they are suitable for donation at the time of your death. Q: Are there any costs to my family for donation? A: No. Your family pays for your medical care and funeral costs— not for organ donation. Q: How can I learn more about being an organ donor? A: Go to Lifesaving nurse receives life-giving organ donation Shawna Miller, R.N., has devoted her life to providing lifesaving care as a nurse. She continues to save lives because of an organ donor who gave her new life with a liver transplant 6 years ago. Miller has worked as a nurse for 34 years—14 in the intensive care unit, 16 in the emergency room and the past four years at the CMH Infusion Center. Receiving a liver transplant gave Miller a new perspective on life and her profession. “God has given me this second chance,” Miller says. “I always felt like I was a good nurse, but I wanted to be a great nurse. I wanted to nurse from empathy and not from sympathy.” Doctors diagnosed Miller with primary biliary cirrhosis almost 20 years ago. While treatment slowed the disease’s progression, doctors said she eventually would need a liver transplant. In late 2016, she began the process of being put on a transplant list. After completing an extensive testing process to ensure that she was a good candidate for a transplant, she was placed on the list in May 2017 and received a donation in just 2½ weeks. Her daughter, Jamie Jones, R.N., is a nurse in CMH’s intensive care unit, where Miller once worked as the director for four years. Through her work in the ICU, Jones offers patients a unique perspective from her personal connection to organ donation. “I always encourage patients to consider organ and tissue donation,” she says. “I have even shared my mom’s story a few times. If you could save someone’s life, why wouldn’t you want to give it? “My mother would not be here today if it was not for organ donation. It was such an amazing gift. There are so many people who have so much life left to live. I have loved watching her live life and seeing all she has gotten to experience because of organ donation.” More than 75 lives can be saved and healed by one donor, according to Mid-America Transplant, and yet 17 people die each day while waiting for a transplant. “It changes more than just the life of the recipient,” Miller says. “It changes the family and the community. It’s the largest gift that anyone can make.” Before her transplant, Miller had two grandsons. Now, she has three grandsons and five granddaughters. “I would have never met them,” she says. “I feel blessed every single day.” Shawna Miller, R.N. APRIL IS DONATE LIFE MONTH. Learn more about organ and tissue donation and register as a donor at Jamie Jones, R.N. 13 SKIN CARE Introducing MD Ultra medical-grade skin care products Keep your skin healthy and glowing with MD Ultra Skin Care. The medical-grade, technology-based skin care line was developed by board certified dermatologist Murphy R. Mastin, M.D., with CMH Dermatology Clinic in Bolivar. Dr. Mastin completed an internship and residency at the prestigious Mayo Clinic Medical School in Rochester, Minnesota. MD Ultra products contain highly concentrated active ingredients, or actives, to improve the skin’s overall health and appearance. Purchase MD Ultra Skin Care at the CMH Dermatology Clinic at 1125 N. Butterfield Road in Bolivar. MD ULTRA SKIN CARE PRODUCTS: » Advanced Eyelash Growth Serum. » Age Reversal Neck Cream. » GA-10 Cleanser. » Gentle Foaming Cleanser. » HydraGlow Tanning Foam. » HydraPlump Lip Serum. » Intensive Recovery Cream. » Micronized BPO Gel Cleanser 10%. » NeutralEyes+ Eye Complex. » Purely Physical SPF 47. » Radiant-C Cream. » Sheer Defense Tinted SPF 46. » Tretinol 0.5%. » Vita-CE with Ferulic Acid. Citizens Memorial employees are making a difference in the lives of our patients and residents every day. “I have always felt a greater purpose than to just ‘exist.’ Working in health care I can make a difference not only in the patients’ lives, but also in the lives of the employees. To be able to help people is my total passion!” APPLY TODAY | 417-328-6509 We’re passionate about helping people. Scan for a list of job openings. Sarah Swearingin CMH Director of Nutritional Services FIND MORE INFORMATION about MD Ultra products at

14 VITALITY Spring 2023 One of the best things you can do for your health is to have an ongoing relationship with a primary care provider (PCP), experts say. In fact, people who see a PCP regularly have better health outcomes, lower death rates and lower total costs for health care than people who don’t routinely see a doctor, according to the American Academy of Family Physicians. A PCP is the lead person on your health care team. He or she helps you prevent disease and maintain good health. Your PCP is able to diagnose and treat a wide variety of illnesses. When more specialized care is needed, he or she works with other types of doctors. There are a number of different types of health care providers who fall into the primary care category. For example: Family physicians. These doctors diagnose and treat problems that occur anywhere in the body and deal with most kinds of diseases. They treat people of all ages. Internists. Like family physicians, they also treat a wide variety of medical problems. The difference is that internists focus entirely on adults. Pediatricians. These doctors are experts in children’s health. They work on preventing and managing health problems among newborns, infants, children and teens. In addition to those mentioned, other medical professionals can also serve as PCPs. These may include nurse practitioners, physician assistants and some other health care providers. They often work in conjunction with a primary care physician. SIGN UP FOR YOUR PATIENT PORTAL AT CMH The CMH Patient Portal is a secure, convenient place to view your personal health information and communicate with your health care team. What can I do in the CMH Patient Portal? You can access: » Information about recent visits with your provider. » Discharge summaries from visits with your provider. » A list of your current medications. » Immunization records. » Notes about any allergies you have. » Medical test results. Other features include: » Send a secure message to your provider. » Request prescription refills. » Schedule a virtual visit or request a future appointment. » Pay your bill. » Grant proxy access to family members so they can help you manage your health care. How do I sign up for the CMH Patient Portal? Complete the Patient Portal account request form at patients-and-visitors/patient-portal .html to set up an account. Once our Health Information Management staff has verified your information, you will receive a welcome email with details on how to log in for the first time. PRIMARY CARE PROVIDERS A good health must-have FIND YOUR FIT Our primary care providers are accepting new patients. Give us a call: 417-328-6010. PRIMARY CARE 15 AGING WELL Bone up on calcium and vitamin D These essential nutrients can help strengthen your bones one meal and snack at a time Are you getting enough calcium and vitamin D? Your bones depend on it. About 99% of the calcium in your body is in your bones and teeth. Your body can’t make its own calcium. It has to come from what you eat. Without enough calcium—and vitamin D, which helps your body absorb calcium—your bones can weaken over time, putting you at risk for osteoporosis, the brittle bone disease that affects millions of older adults. Take action now to strengthen your skeleton. MAKE THE CALCIUM CONNECTION Low-fat and nonfat versions of dairy products—including milk, cheese and yogurt—are loaded with calcium and fortified with vitamin D, offering roughly 300 milligrams of calcium per 1-cup serving. Other sources of calcium include tofu; fortified cereal; and orange juice, soy or rice milk, and other nondairy beverages that are fortified with calcium and vitamin D. Note: If you buy a fortified beverage, shake the container before pouring yourself a glass. Added calcium can settle at the bottom. Read labels and choose foods with 20% to 30% daily value (DV) of calcium, which means that a food contains 200 or 300 milligrams of calcium per serving. Aim for three servings of calcium-rich foods or beverages per day. CONSIDER A SUPPLEMENT How much calcium and vitamin D you need each day depends on your age and gender. Women age 50 and younger and men 70 and younger need 1,000 milligrams of calcium daily. At age 51 if you’re a woman and 71 if you’re a man, you need to bump up your calcium intake to 1,200 milligrams per day. All adults should aim for 600 international units (IU) of vitamin D daily until age 71, when your needs increase to 800 IU daily. If you’re pregnant or breastfeeding, try to get 1,000 milligrams of calcium and 600 IU of vitamin D daily. You might want to take a supplement if you can’t get enough of these nutrients from food alone. For best calcium absorption, take a supplement with a meal or snack. STRONG BONES FOR LIFE Don’t let broken bones sneak up on you. Talk to your primary care provider about your calcium and vitamin D needs. The steps you take now can pay off for a lifetime. Sources: Bone Health & Osteoporosis Foundation; National Institutes of Health Need to know senior care options? Options for senior care can be overwhelming, especially if you don’t know the level of care you or your loved one needs. Our quick 4- to 5-minute survey will provide you with a personalized care fit report based on your responses. Results will show you the suggested care level needed and the best options to meet your care needs. You can print this report, save it for later or send it to a family member or friend. Types of care settings include: » Home with no help. » Home with light help. » Home with moderate help. » Home with around-the-clock help. » Independent living community. » Residential living. » Memory care community. » Skilled nursing facility. LEARN MORE ABOUT YOUR OPTIONS and decide the best fit for your care needs with this quick survey at 3CyqLoc. TO SPEAK with a CMH long-term care representative about care options at CMH facilities, call 417-328-6731.

WELCOME ALLYSSA DEDMON, LPC, is a licensed professional counselor at Dallas County Family Medical Center and Pleasant Hope Family Medical Center. She earned a bachelor’s degree in psychology from Drury University, Springfield, and master’s degrees from the University of Missouri, Columbia, and Evangel University, Springfield. To schedule an appointment, call 417-345-6100 or 417-267-2001. GINA DILL, FNP-C, is a nurse practitioner at Dallas County Family Medical Center. She earned a bachelor’s degree in nursing from Southwest Baptist University, Bolivar, and a Doctor of Nursing Practice from Missouri State University, Springfield. She is certified by the American Academy of Nurse Practitioners. To schedule an appointment, call 417-345-6100. BENJAMIN E. NELSON, D.O., is a hospitalist at Citizens Memorial Hospital. He received his medical degree from A.T. Still University–Kirksville College of Osteopathic Medicine and completed a residency in internal medicine at University Hospitals Osteopathic Consortium, Parma, Ohio. He is board eligible in internal medicine. For more information, call 417-326-6000. new medical staff L. MICHELLE SHOEMAKER, FNP-C, is a nurse practitioner at Osceola Medical Center & Walk-In Clinic. She earned a bachelor’s degree in nursing from Western Governors University, Millcreek, Utah, and a master’s degree in nursing from Maryville University, St. Louis. She is certified by the American Academy of Nurse Practitioners. To schedule an appointment, call 417-645-5075. SHERRIE AMENT-STURTEVANT, FNP-BC, is a nurse practitioner at Willard Family Medical Center & Walk-In Clinic. She earned bachelor’s and master’s degrees in nursing from the University of Missouri, Columbia. She is certified by the American Nurses Credentialing Center. For more information, call 417-761-6655. COURTNEY BRUMMEL, NP-C, is a nurse practitioner with CMH Addiction Recovery. Previously, she was on the medical staff at Southside Medical Center. She is certified by the American Association of Nurse Practitioners. To schedule an appointment, call 417-328-4201. ON THE MOVE NEED A DOCTOR? Check out the CMH provider directory on our website: citizensmemorial .com/search/providers/ index.html.