Académique Documents
Professionnel Documents
Culture Documents
Cancer—from
diagnosis through
surgery and chemo—
teamwork counts
‘‘
Thanks for planning such a
Saturday, April 25
Winona Health campus • Winona Clinic entrance • 859 Mankato Ave. • Winona
great and important event! 8 a.m. Registration and breakfast
—2008 event attendee 8:30 a.m. Welcome by Rachelle Schultz,
Winona Health president/CEO
Winona Health campus on Saturday, April 25, from 8 a.m. 9:45 a.m. Breakout sessions
to 1 p.m. Enjoy a positive message by Lisa Warsinske, 10:30 a.m. Refreshment break
reminding us to keep our “happy file” full during trying 10:45 a.m. Breakout sessions
times while refreshing our attitudes. 11:30–1 p.m. Informational booths and free
health screenings
Registration is required and includes a delicious
Noon Door prize drawing
breakfast, keynote presentation by Lisa Warsinske, your
choice of informational breakout sessions, optional health If you’d like to receive more details about this event via e-mail, please
send your name and e-mail address to jolson@winonahealth.org.
screenings, informational booths and a chance to win
door prizes.
Register early and save! Cost is $15 per person or $20
Breakout sessions highlight topics for women such after April 17 and at the door if space allows. Donations
as easy ways to maintain a healthy lifestyle, diabetes to the Women’s Resource Center are encouraged to
prevention, child development, keeping a balanced support women in our community who are victims of
life and surgical services, such as the VNUS® Closure® domestic violence. Donations requested include personal
procedure to eliminate varicose veins. care items and diapers. Items must be new.
Three easy ways to register: winonahealth.org/women • return registration form below • or call 507.457.4161
In Maddie’s case, general anesthesia made the most Special care for all—Maddie Walters, age 9, holds her
River Otter, named “Otta.” Otta, Dr. Hayes and the nurses in the
sense. She had seven teeth removed to help prepare for Oral Surgery Department helped Maddie through having seven
orthodontia. “Having teeth extracted is fairly typical teeth pulled to help prepare for orthodontia.
pre-orthodontia work,” said Dr. Hayes. “The logic is to
remove teeth at an easy and safe time and then allow
Asked if she had any advice for other people who might
Mother Nature to move the remaining teeth into the
need to have oral surgery and were feeling a little nervous
empty space. Since Mother Nature is doing what comes
about it, Maddie said, “I’d tell them not to worry because
naturally, with a little timely guidance from us, there is
surgeons are pretty nice people. And they won’t feel a
less orthodontia time, less risk of root resorption and
thing because they’ll be asleep. The other thing I’d tell
fewer visits to the orthodontist.”
them is that they can bring their favorite stuffed animal
Maddie’s mom, Monica, said, “Dr. Hayes asked Maddie and keep it in their lap the whole time. Dr. Hayes is a
if she had any questions and she had many! She was very great surgeon—and he’s pretty funny, too!”
curious, and he was very thorough in explaining to her
what was going to happen. He and the nurses took such Dr. Hayes also provides dental implants and mini titanium
good care of Maddie. We had stopped at the gift shop to implants to secure loose dentures. When your dentures
get a stuffed animal on the way in and the nurses gave her fit securely, you’ll enjoy meals more, speak more clearly
and her animal special attention. They were so gentle and and you’ll laugh and smile with confidence. For more
caring; they made her feel very special.” information about oral surgery, call 507.457.7700.
Q: What is the best care to provide for children Q: When should children be seen by a doctor?
when they are suffering from cold symptoms? A: If your child has had cold symptoms for more than a
A: When children catch a cold, their symptoms can last week and then suddenly spikes a fever (100.4 degrees or
up to a few weeks. It is important during this time that higher), call the doctor, as this could indicate a secondary
they get plenty of rest and support from their parents. infection—like an ear infection. Any time your child
Their fluid intake should be increased either with water, is wheezing, has shortness of breath or any difficulty
if the child is eating well, or Pedialyte, to make sure they breathing you should see your doctor. During flu season,
are still receiving proper electrolytes if their appetite if your child experiences a high fever of 102 degrees or
subsides. Avoid sugary juices and sodas, as those can higher, is achy and/or has a sore throat, bring them to a
actually make diarrheal symptoms worse. doctor within the first 48 hours of symptoms. If not used
within that 48-hour timeframe, antiviral drugs will not be
To help relieve congestion, a humidifier can be placed in effective in treating flu symptoms.
their bedroom at night or use a bulb syringe to help clear
the nostrils of an infant. Using nasal saline drops prior Q: What is the best way to prevent cold
to suctioning can help break up the congestion and make symptoms?
suctioning easier. Gargling with salt water can provide A: Handwashing, handwashing, handwashing! Soap
some relief of sore throats in older children; “grandma’s” and water are the best defense against viruses. I do not
chicken noodle soup always seems to help. For relief recommend using antibacterial soaps, as they offer no
of nighttime cough, try giving your child a spoonful of extra protection and are bad for the water supply.
honey (ONLY if he or she is over the age of one).
To contact the Pediatric/Adolescent Medicine department
Q: What medications are safe to give children at Winona Health, call 507.457.7607. For information on
when they have cold symptoms? children’s health, visit winonahealth.org/children.
A: If your child is under the age of four, I do not
recommend giving them any kind of cold medications. Influenza vaccine recommended
I still recommend using caution with cold medicines if Getting a yearly influenza vaccine is recommended
your child is four or older, as there is no solid proof that for ALL children age six months to 18 years. The
the medications actually work, even in adults. If you intranasal vaccine is typically available in August; a
good time to protect children coming in for back-to-
are going to use medication, I recommend using single-
school physicals. Not only does this vaccine protect
ingredient medication. If multiple medications are used,
children for longer—and without a needle—but
check to make sure their active ingredients are different.
it actually provides better protection than the
Always follow proper dosing instructions and please call
traditional shot. It also has been shown that when
your care provider if you have any questions.
a higher percentage of children in a community
are vaccinated, it decreases influenza-related
complications among the elderly.
—Joan M. Krueger, MD
A few days after that surgery, Diane had a follow-up Diane started chemotherapy treatment at Winona Clinic
appointment with surgeon Matthew Broghammer, DO. on April 14 and had four rounds of chemotherapy before
“I was in Dr. Broghammer’s office to get the results and surgery. “In Diane’s case, we discussed and recommended
learned that it was cancer. He arranged for me to see Dr. neoadjuvant therapy—chemotherapy before surgery—in
[Richard] Ferris that same afternoon,” she said. “They attempt to shrink the tumor and provide better surgical
moved quickly, and I was very reassured when they laid margins,” said Dr. Ferris, an Internal Medicine physician
out the treatment plan so I understood what was going with board certification in oncology.
to happen. They knew what the plan should be and they
quickly put it in motion.”
Diane had surgery in June to remove the tumor and 12 “A cancer diagnosis is difficult for everyone, but I think
lymph nodes for testing. Fortunately, the lymph nodes the care I received made it so much easier,” she said. “It’s
showed that the cancer had not spread. reassuring to know that I can get cancer treatment right
here in Winona with wonderful personalized care. I felt
“The surgery nurses and anesthetist were wonderful and
like I was in very good hands.”
Dr. Broghammer came in to check on me before the
surgery. I felt like there was a whole team involved in my
care.”
“Any surgical procedure is a complex process requiring The Scrub Nurse is a specially trained nurse who ensures
a large support team. The staff-to-patient ratio is higher that instruments and supplies are ready for the procedure,
during surgery than at any other time throughout a anticipates what will be needed and hands instruments to
healthcare experience,” said Sara Gabrick, Winona the surgeon and assistant at the appropriate times.
Health’s vice president of patient care. “Minimally, there
are five staff on the surgical team—in addition to the The Circulating RN serves as an advocate for you
surgeon. That number may be higher depending on the throughout the surgical procedure and is responsible for
procedure.” patient safety in the operating room. This RN ensures
that equipment used has been tested and is functioning
Surgeons are assisted by a skilled team—each one properly prior to the start of the procedure. He or she is
dedicated to their special role in your care. These responsible for documentation —for everything from
professionals are part of a typical surgical team: fluid loss or output to the number of instruments used for
the procedure.
The Anesthesiologist and Nurse Anesthetist review
your medical information and discuss your options for In addition, a more behind-the-scenes team is responsible
anesthesia care. During the procedure, they make you as for sterilizing equipment, cleaning and disinfecting
comfortable as possible, while also monitoring your vital surgical areas and managing the surgery schedule. All
signs and watching for reactions to the medications given. members of a surgical team work to ensure your safety
Following surgery, they continue to monitor you to ensure and comfort. For information about surgical services at
your comfort and safety. Winona Health, visit winonahealth.org/surgery.
winonahealth.org/surgery
‘‘
Rehabilitation Department’s Healthy Living Center I’ve met over the years. I just wanted to help where I
recently received a makeover. could.” This kind donor also has
made contributions through the
“Cardiac Rehab has been in its
Coming here has helped me Foundation to benefit Physical
current Parkview Office Building Therapy Services located at
location for about 14 years,” said a lot...I just wanted to help Sarnia Square.
Lynn Sprain MS/RCEP. “We see where I could.
nearly 150 patients every week, and
—Anonymous donor The Cardiac Rehabilitation
each of them uses our services two Department’s Healthy Living
or three times a week—they all will Center, which includes treadmills,
appreciate the fresh paint and carpeting along with a few stationary bikes, arm bikes, Nu-Steps and strength
new furnishings.” building equipment, is available to all community
members with physician permission. Punch cards are
Wishing to remain anonymous, one of the people who $38 for eight visits and $56 for 12 visits. For more
donated to the Winona Health Foundation for these information, call 507.457.4419.
Has someone at Winona Health touched your life? Honor them as a Guardian Angel.
Visit winonahealth.org/foundation for more information.
Grant received for palliative care initiative Welcome to the new winonahealth.org
The Winona community was one of only ten rural View our new website—open 24 hours a day!
Minnesota communities selected to participate in Stratis The Winona Health website is new and improved. Visitors
Health’s Minnesota Rural Palliative Care Initiative. will find information in an updated and easier-to-navigate
Thirty-five communities applied to participate in the environment.
initiative, indicating a strong interest and need to develop
Visit the online nursery; sign up for a free e-newsletter
palliative care services to support rural communities.
for new parents; use our convenient messaging tools
“Palliative care is an approach to managing chronic to send greetings
disease and other serious and advanced illness that centers to patients or
on relieving suffering and improving quality of life for comments to staff;
patients and their families,” Mary Miller-Hyland, Winona read about services
Senior Services administrator, said. “It differs from and healthcare
hospice in that it is appropriate at any point in a serious providers; find
illness and can be provided at the same time as curative information about
treatment.” the Winona Health
Foundation and
Community Memorial Hospital, Winona Area Hospice,
Volunteer Services; learn about clinical departments;
Winona Area Home Care and Lake Winona Manor
shop at our online gift shop; sign up for Winona’s Health
will work together to develop and implement an action
Online; and explore Healthy Kids Club.
plan for developing a palliative care program in our
community. This initiative was made possible by funds Looking for something and you don’t find it? Let us
provided by UCare, an independent, non-profit health know: webmaster@winonahealth.org.
plan providing healthcare and administrative services to
more than 140,000 members.
Thank you to a very kind and competent staff! I was scared and everybody was so nice. Thanks to all!
—Mammography patient —Surgery patient
Kara [Nelsestuen] is really wonderful. She’s gentle and All of you were my lifesavers. I received wonderful care at
always asks if you’re doing okay. Thanks for having great your hands. God will bless you for doing his work.
people like her on your staff. Thank you.
—Women’s Imaging patient —Community Memorial Hospital patient
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Watkins Manor • 494.7400
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Services • 454.2606 Learn more at
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