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“Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan New era begins Better health now Heart to heart College installs President Elizabeth MacLeod Walls Tim Sweeney says LifePointe saved his tomorrows Winter 2011 Two paths, one destination

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Statesman William Jennings Bryan, one of theoriginal benefactors of BryanLGH, said:“Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved.”Journeys tells our story of how BryanLGHchooses to achieve. This free publication ismailed quarterly to our employees, physicians, volunteers and the communities we serve.

TRANSCRIPT

Page 1: Journeys, Winter 2011

“Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan

New era begins

Better health now

Heart to heart

College installs President Elizabeth MacLeod Walls

Tim Sweeney says LifePointe savedhis tomorrows

Winter 2011

Two paths, one destination

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Page 2: Journeys, Winter 2011

1 FROM OUR PRESIDENT

2 PEDIATRICS Her next steps

4 BryanLGH HEART INSTITUTE Heart to heart

8 MEDICAL STAFF UPDATE New faces at BryanLGH

10 MEDICAL STAFF SPOTLIGHT Ask the doctor: Why you need a medical home

12 NEW AT BryanLGH Hypothermia stops potential brain damage cold

14 CRETE AREA MEDICAL CENTER CAMC fi rst to earn Medical Home recognition

16 COLLEGE OF HEALTH SCIENCES New era begins

18 ALUMNI CALENDAR

19 COLLEGE OF HEALTH SCIENCES Benefi ting from Hollamon’s vision

21 BryanLGH FOUNDATION New ventures and 2010 Employee Campaign

22 VOLUNTEER UPDATE Young volunteers prep for future

24 INDEPENDENCE CENTER She celebrates recovery

26 55PLUS 55PLUS Advisory Board member links Independence Center with Boys’ State

28 LIFEPOINTE Seamless care in action

30 MENTAL HEALTH SERVICES Meeting needs in crisis

W inter 2011

IN THIS EDITION

JOURNEYS

ALL ABOUT JOURNEYS

Statesman William Jennings Bryan, one of the original benefactors of BryanLGH, said:

“Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved.”

Journeys tells our story of how BryanLGH chooses to achieve. This free publication is mailed quarterly to our employees, physicians, volunteers and the communities we serve.

In memoriamHerbert Reese, MD1929-2010On the cover: The late Dr. Herb Reese, one of the region’s pioneers of heart surgery, is featured in an article beginning on page 4.

STAY IN TOUCH

We welcome your comments. For more information about Journeys, please contact the Advancement team by calling (402) 481-8674.To learn more about BryanLGH programs and services, visit us at www.bryanlgh.org.

OPPORTUNITIES TO SUPPORT

Your contributions help us care for those who come to BryanLGH at every stage of life. To fi nd out how you can participate, please contact the BryanLGH Foundation by calling (402) 481-8605.

President & CEO, BryanLGH Health SystemKimberly Russel

President & COO, BryanLGH Medical CenterJohn Woodrich

Chief of Staff, BryanLGH Medical StaffRyan Whitney, MD

Vice President of AdvancementBob Ravenscroft

Director of Public RelationsEdgar Bumanis

EditorPaul Hadley

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Welcome to Journeys from BryanLGH. This new publication is just one way we’ll connect with the BryanLGH family — our staff and volunteers, medical staff, students and alumni, donors and

community leaders who share their time and guidance on our board of directors.

Most importantly, Journeys is the crucial link to our patients and their family members.

That’s why each issue will feature stories from your friends and neighbors — people who turn to BryanLGH for expertise and care.

This month our cover story features the late Herb Reese, MD, a true pioneer and champion of Lincoln’s medical community. Dr. Reese and businessman Blake Whitney recall the early years of heart care in Lincoln and share their insights about the evolution that has positioned BryanLGH and Lincoln on the forefront of future heart care. Today, we are fortunate to have their sons, David Reese and Ryan Whitney, MD, on our leadership team. Enjoy this wonderful recount of how two dynamic pioneers passed that same spirit on to their sons.

On page 16, you’ll enjoy an interview with Elizabeth MacLeod Walls, PhD, who was installed as president of the BryanLGH College of Health Sciences last summer. Learn what she has

planned for one of Lincoln’s fastest-growing colleges.This edition also contains our annual community benefit report.

During fiscal year 2010, BryanLGH contributed more than $78 million in quantifiable community benefits. Please take a moment to learn how BryanLGH, your comprehensive, locally owned and governed health system, is making our communities better.

In 2011, BryanLGH celebrates a significant anniversary. For 85 years, we’ve looked forward, anticipated needs and built the region’s most comprehensive health network. We’ve taught, mentored and passed on our knowledge to next generations. While uncertainty hovers over national healthcare reform efforts, I promise you one thing: Backed by an unparalleled, collaborative team of physicians and health and wellness professionals, BryanLGH always will be here to deliver a better future for the communities we serve.

Helping you prepare for what’s next in your life will always be what’s next in ours. Thank you for being part of this journey.

Kimberly A. RusselPresident and Chief Executive OfficerBryanLGH Health System

F R O M O U R P R E S I D E N T

BryanLGH President Kimberly Russel (left), Celerion Vice President Philip Bach and BryanLGH Vice President

of Patient Care Kathy Campbell at the announcement of a new relationship between the organizations.

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Her next stepsThanks to life-saving measures in the BryanLGH pediatrics unit, Olivia’s progress is right on track

Olivia is becoming more independent every day,

according to her parents, Jason and Michelle

Grieser of Lincoln.

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Two-year-old Olivia Grieser teaches us every day about purpose and possibilities as she learns to walk and to talk. A year ago, such accomplishments seemed remote as she battled pneumonia and complications from life-

threatening heart and respiratory conditions.Michelle and Jason Grieser of Lincoln praise our pediatrics staff

and intensive care specialists for helping save their youngest child.She was just a toddler on Oct. 27, 2009, the day her parents

rushed Olivia to the Institute for Women’s & Children’s Health at BryanLGH East.

“We came to the pediatrics unit that evening because she was quivering and had bluish lips and wasn’t holding her oxygen satura-tion,” Michelle said. “She had been diagnosed the day before with strep, but even after three doses of antibiotics, her condition had worsened.”

Olivia struggled to breathe. It proved to be a restless night for the whole family.

The next morning, pediatrician Robert Koch, MD, showed the Griesers chest X-rays that revealed how incredibly sick she was. Olivia had pneumonia, and, concerned about further deterioration, the doctor recommended moving her to the pediatric intensive care unit at Children’s Hospital in Omaha.

“In order to make this trip, she needed to be hydrated and possibly receive a blood transfusion,” Michelle says. “What happened next was a complete shock.”

Olivia suffered respiratory distress and ultimately cardiac arrest — twice.

Her mother remembered, “I was in the waiting area and heard ‘Code Blue, Room 214,’ over the intercom and realized it was the room of our little girl! I was thinking, Father in heaven, what is your plan? I don’t understand.”

With tiny, blond-haired Olivia amidst a roomful of care givers using life-saving measures and another contingent of experts in the wings, the Griesers relied on faith as they resigned their child’s care to others.

“There was a point when Olivia stabilized enough for Jason and me to be allowed into the room. There was an opening for me to lay a hand on her as I prayed for the team surrounding her,” Michelle said. “I’d describe the scene as organized chaos, but it was strangely quiet to me as I tried to make sense of it.

“I learned that day that when lots of people in medical garb come charging into your room, it usually isn’t good. Thank God they were prepared and executed their best.”

Olivia was cleared to travel later that afternoon, and Michelle

accompanied her on the emergency helicopter flight to Omaha. Besides pneumonia, she was treated for septicemia, sepsis, cardiac

dysrhythmia, respiratory failure, cardiomyopathy and other condi-tions. MRI scans revealed Olivia had survived a form of stroke, and later her lungs began to worsen.

Gradually her health improved. Olivia was able to return home to Lincoln and begin physical, occupational and speech therapies. In June, she celebrated her second birthday, and she continues to amaze by achieving what textbooks state is improbable.

Michelle says Olivia, with the help of a special walker, is taking steps and gaining her independence. And she’s beginning to string words into short sentences.

Addressing a group of managers from throughout BryanLGH last summer, Michelle emphasized that everyone has a hand in success.

“We are created unique, so it is only fitting that every outcome requires many various talents,” she said. “Even if you work behind the scenes, you are a part of the process.”

Michelle added, “The perseverance I have witnessed in Olivia inspires me to be a better mother. We believe she lives to fulfill God’s purpose for her, and we believe in you at BryanLGH and your part in that day’s miracle — the survival of our little girl.” n

For information on how you can support pediatric care at BryanLGH, contact the BryanLGH Foundation at (402) 481-8605.

P E D I AT R I C S

Aquatherapist Michelle Wiggins helps Olivia during a water therapy

exercise at Madonna Rehabilitation Hospital.

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Retired cardiovascular surgeon Herb Reese,

MD, and his youngest son, BryanLGH

Vice President David Reese, shared fam-

ily memories while leafi ng through a book

about University of Nebraska sports.

Dr. Reese was an All-American wrestler, and

he and his father (also named Herb) lettered

for the Cornhuskers in football.

4 Winter 2011 4 Winter 2011

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Forty-fi ve years of medical breakthroughs in Lincoln, Neb., have profoundly changed how broken hearts are mended.

Herb Reese, MD, was on the front line when it all started.

“After graduating from the University of Nebraska Medical Center College of Medicine and gaining experience in chest and general surgery at Fitzsimmons Army Hospital in Colorado, I moved to Lincoln in 1966,” said the thoracic and cardiovascular surgeon. “I was beginning my practice at the dawn of a new era.”

In that era, the organization then known as Bryan Memorial Hospital was much smaller — but its doctors and administration had big plans. Th ey embodied the inspirational words of the institution’s namesake, William Jennings Bryan, who noted, “Destiny is not a matter of chance, it is a matter of choice …”

Eager to be recognized among the elite facilities, surgical teams at BryanLGH chose to try the latest innovations.

Dr. Reese said doctors were poised to do this and could count on full backing from President Eugene Edwards.

“Th ere were very few specialists committed to heart surgery, but Gene would fi nd out what people needed and make the eff ort to get it — that’s what really got things rolling,” he pointed out.

Another Nebraska pioneer, businessman Blake Whitney, concurs.In 1969, fresh out of college, this Massachusetts native was a

surgical instrument salesman for a national medical supply company.“I was a skinny kid in awe of the doctors and of Gene,” he

recalled. “Th e O.R. was the doctors’ workshop, so he made sure they had the best tools available. A hospital is just a building — it’s people that make an organization great — and Gene created an atmosphere that helped recruit the best doctors and staff .

“BryanLGH was an early adopter, and they were better organized to support the physicians and deliver care. I was in Nebraska until 1996, and Bryan Memorial continued to grow the entire time because it has always had a spirit of innovation and excellence.”

Historic EventsDr. Reese teamed up with surgeon Steve Carveth, MD, cardiolo-

gist Walt Weaver, MD, and other pioneers in introducing history-making care, such as cardiac catheterizations and heart valve repairs. Nebraska’s fi rst vein bypass was performed here in January 1970.

“Th e whole fi eld of cardiac bypass surgery was brand-new — and we had one of the fi rst intensive care units, which was essentially a large room with patients separated by curtains,” said Dr. Reese. “Th is new surgery proved very eff ective, so the patient load kept increas-ing until the hospital had to catch up by adding new rooms, labs, recovery areas and so forth. Bryan was by far the leader in these types of innovations, by embracing all the new technology.”

In 1986 Lincoln’s fi rst heart transplant was performed at Bryan

B r y a n L G H H E A R T I N S T I T U T E

Heart toheartGenerations refl ect on and affi rm cardiac excellence

Editor’s note: Interviews for this article were conducted in October and November 2010. On Dec. 17, Dr. Herb Reese passed away, with his family by his side. He is greatly missed, but the legacy he left ensures he will be remembered always.

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Memorial Hospital.Th e team, as it had when introducing heart valve and bypass

procedures, prepared for this life-sustaining surgery by operating on dogs in a special O.R. in the hospital basement.

“It took a lot of practice, but fi nally the opportunity arose: We had a match between donor and patient, and we did the transplant,” Dr. Reese said matter-of-factly. Th e whole hospital knew the fi rst transplant could happen at any time, but the surgeons didn’t announce it until the procedure was completed — which left the administration “a little sore,” he added, laughing a bit at the memory.

And how did he share the big news with his family?BryanLGH Vice President David Reese, the youngest of Herb

and Ginny Reese’s eight children, says his father behaved that evening as if it had been just another day!

“After supper we probably watched TV or played our ‘Stampede’ video game, but that was about it. He was just ‘Dad’ and very low-keyed about what we’d later realize was a landmark accomplishment,” David Reese said.

During the next decade, about 85 heart transplants and a dozen lung transplants were performed at BryanLGH, making the BryanLGH program one of the most distinguished in the country.

Th ose were heady times, introducing technology and skills that would set the stage for implanting mechanical hearts and using robots in surgery.

As much as Dr. Reese cherished practicing medicine, “faith, family and friends” trumped his vocation. Th roughout 25 years as a surgeon in Lincoln, and two stints as chief of staff , he always made

time for loved ones.David Reese remembers many skiing and scuba adventures as a

family — followed by obligatory slide shows — and how even with a busy schedule his father somehow managed to attend his children’s activities. As a father of four children himself, David marvels at how his parents were able to raise eight.

“It’s a running joke in our house that every day’s a party for Dad, that he always wants people to have fun and enjoy themselves,” he continued. “Seeing that side of him while recognizing the sacrifi ces he and Mom made have provided an example of how we should try to live our lives.”

Making connectionsWhitney was based in Omaha for his fi rst job, with a sales terri-

tory covering Nebraska, South Dakota and part of Iowa.He became friends with many physicians. Th ree included cardi-

ologists Scott Coatsworth, MD, and Robert Hibbard, MD, and heart surgeon David Hughes, MD, at Omaha’s Bishop Clarkson Hospital.

His son, Ryan Whitney, MD, recalls those doctors frequently visiting the Whitney home.

Such early connections would have a big impact on this future interventional cardiologist.

When Ryan Whitney was in junior high school, his father arranged to bring him to see an open heart surgery.

“I was tall for my age,” Dr. Whitney refl ected. “Th ey gowned me up, and I stood in the back until the operation began. Th en I moved closer until I could see down into the operating fi eld — which was pretty amazing.”

Blake Whitney said, “Afterward, I asked Ryan what he thought, and he said, ‘Wow — I’d like to do that.’ He ended up being a cardi-ologist instead of a surgeon, but he was always very interested in heart care and credits that experience for helping fi nd his calling.”

New leaders emergeWhitney ran a company that sold medical devices throughout

the Midwest, then was recruited to lead businesses in Arizona and then Georgia. Th at third stint created an Internet sensation known as webMD.

“We kind of backed into it,” he recalled. His Atlanta-based company was using fax machines to send thousands of reports to heart centers each month but had no guarantee physicians could quickly receive the information. Th at company developed a web presence which allowed clients to easily access and print data from practically anywhere.

Dr. Reese (left) was a major player in introducing heart transplants and

other new surgical procedures to the Midwest.

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Eventually, webMD grew from a target audience of mainly physicians to excelling at providing health information for the general public.

Dr. Whitney says, “I was a medical resident at the University of Iowa when webMD was fi rst getting started in the late 1990s. Dad would ask me to go onto the site to try its features or review text and give my opinion. So, technically, I was the fi rst MD on webMD.”

Th e younger Whitney had his eyes on one institution during his car-diology fellowship in Omaha and jumped at the opportunity to join Drs. Coatsworth, Hibbard and Hughes at the BryanLGH Heart Institute.

“Th at was in 2003, and clearly it was the best option possible,” he said.

Now he’s the chief of staff at BryanLGH.“I told Ryan, despite the extra work load that comes with being

the chief, it’s a fantastic, irreplaceable education,” Blake Whitney pointed out.

Like Herb Reese, Blake Whitney balances work and family. Th is hard-working executive divides time between homes in Georgia and Florida and enjoys visiting his children and grandchildren.

“In recent years, I’ve consulted a number of companies, made investments and served on some boards. I’m launching a new com-pany involved in the sleep obstructive breathing area. As I look back, what may have seemed like a misstep at the time usually led me to other things that I found really interesting, so I’ve absolutely enjoyed

it all,” he said.Added Dr. Whitney, “I look up to him quite a bit. He’s been an

inspiration and a valuable resource to me during my professional career and in life in general.”

Giving backHerb Reese was on the faculty at the University of Nebraska

Medical Center later in his career. He retired in 1991 but continued to socialize with colleagues from those earlier years.

He also stayed true to BryanLGH. A couple years ago, he helped the BryanLGH Foundation raise funds to build the new BryanLGH College of Health Sciences facility.

“It’s important to give back, especially in the education fi elds. I enjoyed that project, and when you visit local hospitals and physician offi ces, you see so many Bryan-trained nurses because of their great

Ryan Whitney, MD, grew up around physicians, such as cardiologists

Scott Coatsworth, MD, (left) and Robin Hibbard, MD, and thoracic and

cardiac surgeon David Hughes, MD, and was pleased to eventually have

them as mentors and then partners in the BryanLGH Heart Institute.

BryanLGH Chief of Staff Ryan

Whitney, MD, (left) and his father,

businessman Blake Whitney, had a

front row seat to the evolution of

heart care.

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training and abilities,” Dr. Reese said. “Th e hospital made another big, right decision in expanding the school.”

Herb and Ginny Reese can boast about children and grandchildren who found niches in health care. Besides David at BryanLGH, son Chuck Reese, MD, is a pathologist and chief of staff at Saint Elizabeth Regional Medical Center; granddaughter Sara Copple, RN, is a Bryan School of Nursing grad who’s an intensive coronary care nurse; and grandson Nathan DeNell, DO, is a family practice specialist in Lincoln.

David Reese was promoted to a senior manager for BryanLGH Medical Center about three years ago and in the summer of 2010 became vice president of clinical and support services.

He recalled, “When I said I wanted to go into healthcare administra-tion, one of the very fi rst things Dad told me was, ‘Make sure you take care of the doctors, because you won’t have any patients without them.’ Th at’s stuck with me, that the relationships and the collaboration between hospitals and physicians are so key to success.”

On the horizon

Expect continuing changes in heart care, as even less-invasive proce-dures are introduced, and shorter recovery times become the norm.

Dr. Reese has witnessed many trends in recent years — stents com-monly hold vessels open; many patients are benefi ting from bypass grafts using mammary arteries instead of veins; and doctors are foregoing open surgery to repair heart valves by threading instruments through arteries.

“Technology has advanced so much,” he said. “And drugs have been developed to help reduce cholesterol problems and actively reduce the risk of heart attacks.”

Dr. Whitney pointed out, “When Herb Reese and Dad started, surgery was pretty much the option for heart patients. We’ve since moved to less-invasive procedures, such as percutaneous procedures like angio-plasty and stenting. We’ve also seen quite an advancement in the way we treat things medically, and the next big frontier is prevention of heart disease through societal changes — diet, lifestyle and activities.”

Blake Whitney sees more government regulations and less reim-bursement as major challenges unless providers can be effi cient as well as patient centered.

But the Old Guard of Dr. Reese, Blake Whitney and other pioneers has confi dence that the next generation, like David Reese and Dr. Whitney, will provide the leadership and adopt the innovations to keep BryanLGH in command of its destiny.

“New dynamics are in play, but strategists say uncertainty creates opportunities,” Blake Whitney concluded. “It’s been BryanLGH’s his-tory, and it’s the BryanLGH future.” n

For information on how you can support heart care at BryanLGH, contact our BryanLGH Foundation staff by calling (402) 481-8605.

Ghazala Ahmed, MD, psychiatry, joined Plaza

West Psychiatrists, (402) 474-1511. Dr. Ahmed

graduated from Fatima Jinnah Medical

College, Lahore, Pakistan, in 1990 and com-

pleted a psychiatry residency at John Peter

Smith Hospital, Fort Worth, Texas.

She has practiced in Scottsbluff, Omaha,

and Marion, Ind., and at Veterans Affairs

Clinics in Fayetteville, Ark., and Conroe,

Texas. Before joining Plaza West Psychia-

trists, Dr. Ahmed was a staff psychiatrist at Richard Young Hospital,

Kearney.

Amy Barker, MD, psychiatry, joined

BryanLGH Heartland Psychiatry,

(402) 483-8555.

Dr. Barker graduated from the

University of Nebraska Medical Center College

of Medicine, Omaha, in 2005 and completed a

UNMC/Creighton University Medical Center

psychiatric residency and a child and adoles-

cent psychiatry fellowship.

New faces atBryanLGHWelcome these physicians to the Medical Staff of BryanLGH

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M E D I C A L S TA F F U P D AT E

Kelli Bremer, MD, psychiatry, joined BryanLGH

Heartland Psychiatry, (402) 483-8555. Dr. Bremer

graduated from the University of Nebraska Medical

Center College of Medicine, Omaha, in 1994 and com-

pleted post-graduate training at the Medical University

of South Carolina, Charleston, and the University of

Iowa Hospitals and Clinics, Iowa City. She is board

certified and practiced at Cedar Rapids, Iowa, before

moving to Lincoln in 1999. Dr. Bremer has been in

private practice in Lincoln, and served as a consulting

psychiatrist for the PIER Program, Directions Employee Assistance Program,

Touchstone and University of Nebraska-Lincoln Student Health.

Daniel Chruscicki, MD, ophthalmology, joined Eye

Surgical Associates, (402) 484-9000. In 2004,

Dr. Chruscicki graduated from SUNY (State Univer-

sity of New York) Stony Brook School of Medicine,

then completed a residency at Mount Sinai Hospital,

Manhattan, N.Y., and a vitreoretinal surgery fellowship

at the University of Nebraska Medical Center, Omaha. He is board certified in ophthalmology and practiced in

New York before moving to Nebraska. Dr. Chruscicki

also served as an associate adjunct surgeon at New York

Eye and Ear Hospital and was a clinical instructor at Mount Sinai Hospital.

Jude Cook, MD, physiatry, joined Midwest

Rehabilitation, (402) 488-3766. Dr. Cook graduated

from the University of Nebraska Medical Center

College of Medicine in 1992 and completed a residen-

cy at the Loyola University Medical Center, Maywood,

Ill. He is a fellow and diplomate in the field of physical

medicine and rehabilitation.

Dr. Cook was the stroke rehabilitation program

director at Immanuel Rehabilitation Center, Omaha;

practiced in Lincoln; and since 1999 has been medical

director of Methodist Rehabilitation Center, Omaha.

Carrie Dell, MD, pediatrics, joined the Lincoln

Pediatric Group, (402) 489-3834. While enrolled at

Hastings College, where she earned a bachelor’s in

biopsychochemistry, Dr. Dell was a certified nursing

assistant and physics teaching assistant.

She graduated from the University of Nebraska

Medical Center College of Medicine, Omaha, in 2007

and completed a pediatric residency at Children’s

Mercy Hospital, Kansas City, Mo.

Robert Rentfro, MD, MPT, physiatry, joined

Neurological and Spinal Surgery, (402) 488-3002. He

earned a Master of Physical Therapy at Loma Linda

(Calif.) University and graduated in 2003 from the

American University of the Caribbean School of

Medicine, St. Maarten, Netherlands Antilles.

Before enrolling in medical school, he was a staff

physical therapist at BryanLGH. Dr. Rentfro completed

the Lincoln Medical Education Partnership’s family

practice residency program, as well as a residency in

physical medicine and rehabilitation at the National Rehabilitation Hospital/

Georgetown University, Washington, D.C., and an interventional pain medicine

fellowship at the Florida Spine Institute, Clearwater, Fla.

Satya Thippareddi, MD, family practice, joined

Urgent Care at LifePointe, (402) 481-6343. She

graduated from Siddhartha Medical College, India,

in 1990. Dr. Thippareddi also earned a post-graduate

medical diploma in obstetrics & gynecology at

Kasturba Medical College, Manipal, Karnataka, India,

and completed the Lincoln Medical Education Part-

nership’s family practice residency program.

She is a staff physician at the University of

Nebraska Medical Center Clinic at Shenandoah, Iowa,

as well as an emergency room physician and medical director of Gardenview

Care Center.

Andrew Bohart, MD, FACP, internal medicine and primary care, joined the BryanLGH Physician

Network, (402) 483-8500. Dr. Bohart graduated

from the Creighton University School of Medicine in

1993 and completed an internal medicine residency at

Northwestern University, Saint Joseph’s Hospital and

Health Centers, Chicago, Ill. He is board certified in

internal medicine.

He returns to Lincoln after practicing in

Minnesota. He is a former department chairman at

BryanLGH, chief of staff at Saint Elizabeth Regional Medical Center and vice

president and chief medical officer at Madonna Rehabilitation Hospital.

BryanLGH

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Ask the doctor:Q: What is the primary role of a family physician? Th e family physician personalizes and provides high-quality care through every phase of the patient’s life. In family medicine, we extend our care to people of all ages, backgrounds and health situations. We provide a full range of services, from routine health screenings and examinations to comprehen-sive, continuous care.

Q: Why is it important to have a family practice physician?Studies have shown that people who have access to frequent care tend to not get sick as much, and having a personal family physician can help prevent trips to the emergency department. An ongoing relationship is another advantage to having a family physician; patients who already are comfortable with a doctor are able to communicate better. Doctors maintaining such relationships are able to factor in personal issues such as stress or life changes when creating your individual care plan.

Q: What should I ask when looking for a family physician?It is important to make sure the doctor will be able to assist with personal health needs. Background, education, personal beliefs and the doctor’s general philosophy all are relevant questions to keep in mind when searching for a physician. Every family physician practice is unique, and you should know what services are provided so that your needs will be accommodated.

Q: What is a medical home and why should I have one?In the medical home concept, patients receive comprehensive, primary care which serves as an aid in improving their health. You have access to one physician for continuous, long-term care, so a relationship is created over time between that doctor and you. It is important to have a medical home, where all aspects of your health are incorporated, and specialty care is available when needed.

Q: How can having a medical home (family physician) help prevent future health problems?People who have a medical home receive vaccinations regularly, identify health problems earlier and learn the steps to prevent potential diseases and illnesses. In a patient-centered medical home practice, a physician-led team coordinates treatment and assures healthcare needs are addressed. Compared to a typical healthcare system — which is geared toward reacting to an immediate health concern — a medical home looks at the patient’s overall condition, incorpo-rates health education and emphasizes preventing future issues. For example,

Why you need a medical home

M E D I C A L S TA F F S P O T L I G H T

Michael Sayers, MD,

Family Medicine of Lincoln,

part of the BryanLGH

Physician Network

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Page 13: Journeys, Winter 2011

a hypothetical 50-year-old man who smokes, is overweight and has higher than normal blood sugar goes to the emergency department and, after receiving treatment for his immediate concern, returns home; in a few years, he may develop diabetes and conditions related to his smoking and obesity. But in the medical home practice, that patient could find out right away he’s on the road to diabetes. Before leaving, he receives tips for managing weight, blood sugar and quitting smoking; he’s scheduled for diabetes education and nutrition appoint-ments; and there will be follow-up calls or visits. The difference? Later that patient will be active, able to work — and diabetes may have been avoided. (Please see page 14 for a related article about medical homes.)

Q: How can I spend fewer medical dollars?People who have a family or primary care physician may spend fewer medical dollars overall because they are receiving annual exams to ensure the quality of their health. By seeing a physician regularly, illnesses and diseases can be prevented or treated early, before health conditions become more severe.

Q: What is the advantage of urgent care after hours?Urgent care is a necessary part of the medical team. It is important for you to have a medical home and to also be aware of access to short-term, acute care. Facilities such as BryanLGH’s Urgent Care at Life-Pointe provide great medical care when you need to be treated right

away, but they don’t serve as a medical home and should be used only for immediate care. Urgent Care at LifePointe, with your approval, provides information about an urgent care visit to your primary care physician. This supports the medical home concept and helps ensure that your primary care doctor has a complete overview of your care.

Q: What are the advantages of electronic medical records?There are many advantages to having electronic medical record systems linking hospitals and physician offices. That’s why Urgent Care and primary care offices in the BryanLGH Physician Network have electronic medical records, to support the highest quality of care for our patients. Capturing data and sharing necessary information becomes an immediate and efficient process. Multiple facilities can access information, so you don’t have to wait for each provider to re-ceive your records from previous visits. Electronic records also yield searchable information, which is a real benefit. For example, if there is a national medication recall, doctors can search the electronic files and immediately notify affected patients. n

BryanLGH Physician Network includes many primary care physicians and specialists, who are accepting new patients. To learn more, go to www.bryanlghphysiciannetwork.com.

Meet the new residentsEight 2010 medical school graduates have begun

residencies at the Lincoln Family Medicine Program.

BryanLGH supports this three-year program through the

Lincoln Medical Education Partnership.

The new residents are, from left: Sarah Morgan, DO,

Kirksville (Mo.) College of Osteopathic Medicine; Sara

O’Connell, MD, Creighton University School of Medicine,

Omaha; Christopher Strong, DO, Kirksville (Mo.) College

of Osteopathic Medicine; Brenda Simon, DO, Des Moines

(Iowa) University Osteopathic Medical Center; Cameran

Grange, MD, Saint George’s University Medical School,

Grenada, West Indies; Leslie Dempsey, MD, New Mexico

School of Medicine, Albuquerque; Bradley Dempsey, MD,

New Mexico School of Medicine, Albuquerque; and Jamie

Vitamvas, MD, University of South Dakota Sanford School

of Medicine, Sioux Falls.

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Hypothermia stops potential brain damage cold

Unusual protocol saves Michael’s life

In the midst of last summer’s heat wave, 48-year-old Michael Cates found hypothermia to be his best option for surviving the eff ects of a

life-threatening cardiac arrest.On July 16, Michael was getting ready

to leave for Pershing Elementary School to begin his shift as custodial supervisor.

Michael’s wife, Christina, and daughter Mariah were inside, beginning their own routines.

But what was shaping up as a typical Friday morning suddenly changed. Michael’s enlarged heart had given him problems off and on for years; this time would be the worst.

He grabbed the arm of the love seat to brace himself. Christina asked him if he was feeling dizzy. He said, “I think so,” so she told him he’d better sit down for a min-ute. She walked into the kitchen and soon sensed something was very wrong by the way their 10-year-old daughter cried out, “Mom!”

Michael’s head had fallen against the

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N E W AT B r y a n L G H

no one knew how much of the old Michael remained.Christina kept the faith, praying for her husband’s recovery,

as did many others. She reminded him that Sunday was their anniversary and gently chided, “Don’t try to get out of it; you need to wake up.”

Michael opened his eyes the next day. He was back, sharing his sense of humor and thankful to be surrounded by family and friends.

“I was pretty out of it from the medication, I guess, but I’m so grateful to be here,” he added.

Michael also received an internal defibrillator to address his heartbeat issue. Now he’s back at work and back to his duties as a church officer. He also returned to BryanLGH to thank his care providers and share his story with the local media.

“I can’t express how well I was treated here,” Michael said. “All of the nurses and doctors were great, and the intensive care manager, Mona Reynolds, was inspirational for my family.”

He concludes by noting, “Never take life for granted, because you can be gone in five minutes. I’m blessed to be here, and I’m feeling great.” n

back of the couch, his eyes bulged and rolled back in his head, and his chest was pressed out away from the back of the couch. His body appeared very stressed. Air was leaving his body, so Christina called 9-1-1 and sent Mariah to a relative’s nearby home for help.

Michael’s heart had stopped beating. The emergency dispatcher told Christina — who had CPR training — to begin cardiopulmo-nary resuscitation. A nephew and Christina stretched Michael out on the floor, and the dispatcher explained the new breath-to-chest compression ratio and the importance of letting the chest rise and fall in between compressions. Michael’s heart didn’t begin beating again until paramedics shocked his heart back into rhythm. An ambulance whisked him off to BryanLGH East.

Michael has little memory of how those measures helped him.

“Christina had me sit down; the next thing I knew, it was four days later,” he said with a smile. “I only know what she and my doctor told me went on.”

Pulmonologist Doug Fiedler, MD, notes that restarting a person’s heart after cardiac arrest is only half the battle — the bigger problem is damage to the patient’s brain cells, which begin dying soon after blood stops circulating to them.

At BryanLGH, the medical team explained to Christina that Michael’s brain had been deprived of oxygen for more than seven minutes during his cardiac arrest, so brain cells already were beginning to struggle, endangered by toxins given off by suffocated cells.

The team suggested Michael would benefit from hypothermia protocol. It involves pumping cold saline into the aorta to drop body temperature below 93 degrees for 24 hours. This creates a stable environ-ment to help vital organs survive.

“Cooling the body reduces the amount of re-profusion injury to the brain,” said Dr. Fiedler. “The brain is the most delicate organ in terms of possible damage from being deprived of oxygen. Once a brain cell dies, it doesn’t come back; so by slowing the metabolism, we reduce the amount of oxygen the brain needs.”

After the 24-hour chilling period, Michael remained unresponsive. His doctors wouldn’t be certain if the treatment had been effective for at least 48 hours. Less than 10 percent survive such cardiac arrests, and

While waiting to share his story with local TV crews in the cardiac catheterization lab, Michael

Cates, right, jokes with his physician, Doug Fiedler, MD, that he loves BryanLGH but hopes he

never has to be in that room again. Hypothermia protocol lowered Michael’s body tempera-

ture to slow his metabolism and save brain cells.

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Partners inHEALTHIn the summer of 2006, a blood thinner became a part of life for

John and Anna Mae Buser.Both were in their late 60s and in separate incidents had atrial

fi brillation, a feeling like the heart was quivering out of the blue — Anna Mae as she sat in the living room after dinner and John (a few months later) just after he went to bed.

Th e long-term treatment prescribed was coumadin, an anti- coagulation therapy that decreases the clotting ability of blood and helps prevent blood clots and strokes.

BryanLGH Health System’s Crete Area Medical Center Physician’s Clinic is the fi rst rural health clinic in Nebraska to earn Physician Practice Connections-Patient Centered Medical Home (PPC-PCMH) recognition from the National Committee for Quality Assurance (NCQA).

Th e NCQA is a private, not-for-profi t organization dedicated to improving healthcare quality.

CAMC Chief of Medical Staff Russell Ebke, MD, noted, “In a patient-centered medical home practice, a physician-led team oversees each patient’s care. Th is team coordinates the patient’s treatment and ensures all healthcare needs are addressed, from preventative to acute care.”

Th e patient-centered medical home is a promising model of healthcare delivery that aims to improve the quality and effi ciency of care.

PPC-PCMH recognition identifi es practices that promote partnerships between individual patients and their personal clinicians. Instead of treating patient care as the sum of several episodic offi ce visits, clinician-led care teams coordinate treatments across the healthcare system. Medical home clinicians demonstrate the bench marks of patient- centered care, including open scheduling, expanding hours and appropriate use of proven health information systems.

“Th e patient-centered medical home promises to improve health and health care,” says NCQA President Margaret O’Kane. “Th e active, ongoing relationship between a physician and a clinician in a medical home fosters an all-too-rare goal in care: Staying healthy and preventing illness in the fi rst place.

“PPC-PCMH Recognition shows that Crete Area Medical Center Physician’s Clinic has the tools, systems and resources to provide their patients with the right care at the right time.” n

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CAMC fi rst rural clinic to achieve medical home recognition

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It’s a far cry from a two-week antibiotic or typical prescription. The Busers will take coumadin, also known as Warfarin,® for

the rest of their lives, and that means close monitoring of their blood to keep levels within an appropriate range. Medication levels too low can put a patient at risk for blood clots and side effects of heart disease; levels too high pose a risk for bleeding.

The Coumadin Clinic at BryanLGH’s Crete Area Medical Center Physician’s Clinic makes monitoring easy and convenient.

For CAMC, the clinic is just one example of enhancements that complement their recent designation as a medical home facility. CAMC was the first rural health clinic and one of three statewide to earn Physician Practice Connections-Patient Centered Medical Home recognition from the National Committee for Quality Assurance (NCQA). The Coumadin Clinic demonstrates one way of embracing the medical home model of healthcare delivery that aims to improve the quality and efficiency of care.

“Just like diabetes care, coumadin is something that has to be kept on top of. The clinic helps with long-term outcomes and that’s what a medical home is supposed to do — give preventative and planned care and make it more complete,” said Ronda Erway, CAMC director of pharmacy.

For patients such as the Busers, a medical home means they can save time and money.

According to the National Institutes of Health, a patient receiving coumadin therapy can save $1,600 annually due to fewer emergency room visits or hospital admissions due to complica-tions, and the Coumadin Clinic at CAMC could save that patient another estimated $600 a year due to less lab draws.

To the Busers, who use the clinic once or twice a month, the most important thing is that it’s convenient.

Before the clinic opened, checking levels meant lab visits. A doctor would call with the levels and correct dosage, but that sometimes meant waiting by the phone or wondering if they would hear back in time to fill the prescription before the pharmacy closed or before they left town to visit one of their five children.

“With the new clinic, it’s so much faster,” John said. It’s as simple as a finger stick and a machine that reads the levels. Before they leave the clinic, they speak with a pharmacist to learn if medi-cation adjustments are needed.

“We know how we stand before we walk out,” Anna Mae added.It means a lot in a household that has dealt with its share of

health issues. In the living room of their Crete home, the couple pulls out journals of their health history. Entries chronicle John’s hip replacement surgeries, bypass surgery and the malignant mela-

noma on his heel that resulted in amputation of his foot in 2008. The journals contain notes on medicine and doctors’ visits

and are a symbol of one other important feature of medical home facilities, such as CAMC.

Medical homes promote partnerships between individual patients and their personal clinicians. Each patient’s care is tended to by a team that coordinates treatments across the healthcare system.

Almost all of the Busers’ medical care for major illness began at Crete. When it continued with other physicians or specialists, CAMC physicians remained in the loop.

“It’s nice to know all our records are in one place and that our care givers are aware of our health history,” Anna Mae said.

They have a long history with local providers who have been a part of their lives since they moved to Crete in 1986. Now retired from several careers, including veterinarian and dispatcher for John, and many years of working for Immigration and Naturalization Services in Lincoln for Anna Mae, CAMC remains their primary health facility.

They always will need care to keep on top of coumadin levels, but now that care is more convenient, Erway concludes. n

To learn more about programs at BryanLGH’s Crete Area Medical Center, contact Jody Vondra at (402) 826-6581.

C R E T E A R E A M E D I C A L C E N T E R

John and Anna Mae Buser proudly call CAMC their medical home.

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C O L L E G E O F H E A LT H S C I E N C E S

New era begins

College of Health Sciences President Elizabeth MacLeod Walls, PhD, addresses the audience during her installation at

Saint Paul United Methodist Church. Among the participating dignitaries are the Rev. Rex Bevins (left); former College

President Phylis Hollamon; BryanLGH College Board Chair Marilyn Moore, PhD; the Rev. Dr. Ann Sherer-Simpson, Bishop

of the Nebraska Area Methodist Church; and BryanLGH Health System President Kimberly Russel.

College installs President Elizabeth MacLeod Walls in historic ceremony

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ugust 20 was a highlight on the

BryanLGH time line of signifi -cant achievements. On that date, we offi cially installed

Elizabeth MacLeod Walls, PhD, as president of BryanLGH College of Health Sciences.

“It was a beautiful day and an exciting series of events that allowed the com-munity and alumni to interact with our faculty, staff and the administration. I’m very grateful for the support,” said Dr. MacLeod Walls.

According to this Lincoln native, it was an honor to retell the story of benefactors William Jennings Bryan and his wife, Mary Baird Bryan.

“Th e donation of their home and surrounding farmland in 1922 essentially founded not only the hospital but also the college,” she explained. “We’re called to extend their mission of being civic-minded and caring for our fellow human beings. To have the privilege to present that message was the best moment of the entire installation for me.”

She also appreciated having the ceremony in Saint Paul United Methodist Church, because the Methodist Conference was the original caretaker of the Bryans’ gift and shepherded the process for establishing Bryan Memorial Hospital and Bryan School of Nursing.

“What a rich history there is between these institutions,” she added.Th e new president succeeded Phylis Hollamon, who retired in

2009 after four decades of affi liation with BryanLGH, including the last 15 years as head of the college.

“Th e installation was a mountaintop experience for me,” Hollamon refl ected. “Th e long transition to becoming a fully accred-ited institution of higher learning had at last come to a resounding conclusion. As I sat at the front of the church watching the faculty proceed down the aisle, I could see their pride of accomplishment. But I restrained myself from shouting, ‘Th e transition is over — you have prevailed!’”

Family traditionsDr. MacLeod Walls was born at Bryan Memorial Hospital to

parents steeped in academia.Th ey (as well as Elizabeth and her

sister, Dr. Jennifer Cognard-Black) are teachers. Elizabeth’s father, Dr. Roger Cognard, taught English at Nebraska Wesleyan University for 35 years. Her mother, Dr. Anne Cognard, commuted to Omaha to work at the College of Saint Mary when Elizabeth and her sister (now an associate professor of English in Maryland) were girls. Anne Cognard later taught at Lincoln East High School for 20 years and was the 2001 Nebraska Teacher of the Year.

“Mom is my hero and role model as an educator and an innovator. She’s an immigrant from Scotland, she’s bright and creative, and she’s incredibly supportive. I found teaching was in my blood, too,” Dr. MacLeod Walls said.

Th e new president earned an un-dergraduate degree at Hiram College (Ohio), where she planned to go into public policy or politics but majored in history and eventually reset her sights on a career as an educator.

She entered a doctoral program at Texas Christian University — her parents’ alma mater — and her husband, the Rev. Dr. Craig MacLeod Walls, enrolled in TCU’s seminary.

A

Faculty Senate Chair Theresa Delehoyde, EdD, enters

with the college mace during the academic procession.

Kim Leighton, PhD, (left) and Phylis Hollamon share a moment before

the installation ceremony.

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“By the time I graduated, I was teaching mid-level courses and fully expected to become a professor,” she said. “In fact, I was off ered a tenure track position at an Indiana university, but Craig was presented a phenomenal opportunity to come to Lincoln to begin a new church.”

She recalled, “It was an absolute adventure for us to move back to my hometown, with Craig starting a congregation but me with-out a job. I was fortunate to be hired by Nebraska Wesleyan, which provided a wonderful academic apprenticeship.”

Th ere she learned about the administrative side of academia, fi rst working in university communications and teaching in the liberal arts seminar curriculum, then moving to academic aff airs.

Change of plans“I was recruited away to be the executive director of a Lilly

Endowment grant, which provided educational opportunities for clergy, and I was happy doing that for several years,” the president continued. “But I got a call from a former Nebraska Wesleyan colleague, who had been recruited by Phylis to help get the college accredited.”

Th at colleague, Bette Olson, was leaving BryanLGH to return to Nebraska Wesleyan; she recommended Dr. MacLeod Walls as her replacement.

“My fi rst year here as director of institutional eff ectiveness meant working almost exclusively on the assessment and accreditation

process,” said MacLeod Walls. “In my second year, Phylis had me take over as dean of general education, and I served as interim presi-dent while she was on leave. It was a good fi t, and I learned a lot.”

In 2009, the College Board of Trustees elected her interim president upon Hollamon’s retirement and, after a national search, named Dr. MacLeod Walls president.

Th e rest is history.

Looking ahead“I’m so fortunate to have had mentors who have nurtured me,”

Dr. MacLeod Walls said. “Phylis was the most recent of those and in many ways the most profound.”

Hollamon is equally enthusiastic in her support for Dr. MacLeod Walls.

“I knew that my hopes and dreams for the college were safe with Elizabeth,” said Hollamon. “During the accreditation process, she played an invaluable role and converted challenges into stepping stones. I knew she was right for the tasks ahead.”

Th e college’s newest president is focusing on enhancing the college’s public profi le, program off erings and endowment.

“We’re looking strategically at new program development so that our curriculum evolves based on changing patient care needs,” Dr. MacLeod Walls said. “I’m blessed to work with a fantastic team, and the education available at the college is exceptional.” n

2011 Alumni CalendarTuesday, March 1 — Alumni Award nominations due. See www.bryanlghcollege.edu for more information.

Wednesday, March 16 — Alumni gathering, 4:30-6 p.m., Old Chicago, SouthPointe, 2918 Pine Lake Road, Lincoln.

Tuesday, April 5 — Autoimmune Syndromes, by Amy Garwood, MD. Social hour and tours of Simulation Cen-ter from 6-7 p.m., and Dr. Garwood’s presentation begins at 7 p.m. in the Conference Center at BryanLGH West. Register for this free event by calling (402) 481-8692 or e-mail [email protected].

Wednesday, April 20 — Alumni gathering, 4:30-6 p.m., Old Chicago, SouthPointe, 2918 Pine Lake Road, Lincoln.

Save the date: Friday-Saturday, June 10-11 — Alumni Weekend. Watch your mail for more details.

For more information on events or tickets, contact Brenda Neemann at (402) 481-8692 or e-mail her [email protected].

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Benefiting from

C O L L E G E O F H E A LT H S C I E N C E S

Hollamon’s visionOur new president of BryanLGH College of Health

Sciences says today’s record enrollment, unique learning experiences and inspired faculty can be traced directly to her predecessor’s vision and drive.

“During her 15 years as director and then president, Phylis Hollamon was remarkably innovative and forward-thinking,” noted Elizabeth MacLeod Walls, PhD. “It was her vision to seek degree-granting status and accreditation.

“If not for Phylis, we probably wouldn’t have our baccalaure-ate degrees in nursing and health professions, the flagship master’s program in nurse anesthesia or our associate degrees.”

The North Central Association of Colleges and Schools in

2008 accredited the college, which is composed of the School of Nursing, School of Nurse Anesthesia, School of Health Professions, a full general education division and a Research and Professional Practice Center.

“Phylis set us up to do great things, and as the new president, I benefit from the team she enlisted for that journey,” Dr. MacLeod Walls said.

Lifelong lessons“Our faculty, staff and administration are committed to our

mission; they’re optimistic; and I marvel every day at what they accomplish,” the president continued. “We encourage each other to

Retired Vice President of Nursing Phyllis Bovee (left), retired College

President Phylis Hollamon, Elizabeth MacLeod Walls, PhD, and retired

School of Nursing Director Elaine Garrison gather on the porch of Fairview.

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really push boundaries, because that’s the culture Phylis established.”

Dr. MacLeod Walls points out that the college’s traditions stretch back 84 years to its very first nursing school directors.

“We get to build upon that history, and I can count on a wonderful, rich relationship with Phylis that helps me and the faculty and resonates with alumni. I hope it’s comforting for them to know that the person at the helm is someone Phylis mentored,” she said.

Hollamon graduated from Bryan School of Nursing in 1965 and was a staff nurse at the hospital for three years before beginning a 41-year career at her alma mater. During that span, she went from assistant instructor to medical-surgical coordinator, then from associate director to assistant administrative director, president and dean of the college.

“I continue to be humbled by the recognition given to me for my role in the life of the school,” Hollamon said. “Like Yankees’ manager Casey Stengel pointed out after winning the World Series, ‘I couldn’t have done it without my players.’

“I’m most proud of the graduates who claim that their education was the launching pad for successful careers. We have more than 4,600 living alumni, and I encourage them to continue to actively participate in the work of the college.”

Preparing for tomorrowThis year’s enrollment is 528 — the largest in the college’s history.Dr. MacLeod Walls asserted, “It was inevitable we would grow

as we became accredited and word got out that we were a four-year, degree-granting institution.”

According to the president, our reputation for prepping students for real world careers is key.

The faculty strives to ensure that the curriculum is appropriate. Students have lecture and research opportunities without sacrificing

high clinical expectations. “Clinical competency is

at the heart of what we do, but I’m also a firm believer in making sure our students are well educated across several disciplines, including the social sciences, humani-ties and fine arts,” she said. “Our students graduate as critical thinkers who also are outstanding clinicians.”

Ready for successEstablishing the

Center for Excellence in Clinical Simulation with BryanLGH and South- east Community College reinforces how the college embraces trend-setting

teaching. It’s one of the largest hospital-based programs of its kind and features a nationally known leader in the simulation field, classrooms in an actual patient care unit, and a family of simulation mannequins to provide a wide range of challenges. (See page 21 for more details.)

Everything about the college, from textbooks and facilities to its curriculum, is geared to address continually changing patient care needs. On top of that, students volunteer to help at local benefit events because Hollamon and her colleagues emphasized the im-portance of blending hands-on learning experiences with commu-nity service. Graduates can claim: You get more from an education at BryanLGH.

“Phylis and I and our alumni would agree that having a broad base of knowledge helps our graduates be effective providers. Look-ing ahead, we’re interested in sustaining our reputation for academic and clinical excellence, but we also want to serve the evolving needs in the community,” said Dr. MacLeod Walls.

“That’s why volunteering and good citizenship are emphasized at the college, and students see very early that they’ll use their de-gree to truly make a difference in the world.” n

For information on how you can support BryanLGH College of Health Sciences, call the BryanLGH Foundation at (402) 481-8605.

Former Bryan Memorial Hospital President Gene Edwards and College President

Elizabeth MacLeod Walls (center) unveil a portrait of Phylis Hollamon (left) during the

installation week events. The artwork will hang in the college library.

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B r y a n L G H F O U N D AT I O N

New ventures benefi t future care giversGifts to the BryanLGH Foundation facilitated a unique collaborative eff ort this year —

establishment of the Center for Excellence in Clinical Simulation, which opened on the West site in January 2010. Th is joint venture among BryanLGH College of Health Sciences, Southeast Community College and BryanLGH Medical Center is just one way your gifts to the Foundation benefi t the community through excellence in healthcare education.

Th is collaboration allowed the two colleges to create the Center, a feat that neither could have done alone. BryanLGH is now home to a full complement of patient simulators available in one location, which greatly enhances our ability to teach students and other healthcare professionals about the diverse health needs of those in our community.

Th e Center houses three adult simulators, one of which has software specifi c for anesthesia students, and a pediatric simulator — all purchased with the help of generous people like you. Th e Center provides a higher level of learning, which translates to excellent patient care for those we have the privilege to serve.

To see the Center in action, go to the video gallery at www.bryanlghcollege.edu. n

To discuss how you can make a diff erence by supporting the BryanLGH Foundation, call (402) 481-8605 today!

Cliff Carlson,planned giving offi cer

Carlson joins BryanLGH after working the past four years at Kenexa, where he was director of the Global Talent Management Division. Before that, he worked at his alma mater, Nebraska Wesleyan University, where he was a major gift offi cer.

He also received a post-baccalau-reate certifi cate from the CASE Summer Institute at Dartmouth College, N.H.

Heidi Cuca, major giving offi cer

Cuca has served on the BryanLGH Foundation Board and has been vice president of development for the Arbor Day Foundation and develop-ment offi cer for the Nebraska Children and Families Foundation. She was the statewide fi eld director of the Osborne for Governor Committee and served

as legislative aide to State Sen. Ed Schrock and special assistant to Gov. Kay Orr. Cuca also was assistant athletic director of marketing for the University of Nebraska Athletic Department for 13 years. n

BryanLGH Foundation welcomes new offi cers

Thanks to the many BryanLGH co-workers who contributed to last fall’s “Be a Difference Maker” 2010 Employee Campaign. Their gifts to the BryanLGH Foundation totaled $367,000 and will support many capital and programmatic needs at BryanLGH.

BryanLGH Employee Campaign exceeds expectations

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Drew Smith, a student at Southeast Community College in Lincoln, has been a volunteer in the emergency department at BryanLGH West for

more than a year. He’s pursuing a nursing degree — he’s been accepted to the School of Nursing at BryanLGH College of Health Sciences — because this diverse profession offers a variety of career paths, such as obstetrics, emergency medicine and forensics.

Smith heard about BryanLGH volunteer opportunities through a school e-mail. He wanted to get hospital exposure to see how physicians and nurses interact while caring for patients. He requested to volunteer in the Trauma Center at BryanLGH West, where he knew there would be

22 Winter 2011

Nursing student Drew Smith volunteers in the

BryanLGH Trauma Center so he will be exposed to a

wide variety of procedures and treatments.

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age volunteers bring us eagerness, enthusiasm, knowledge and ideas. The students offer the connections to colleges and in the end, their services as healthcare providers to BryanLGH.” n

The BryanLGH volunteer program offers a comprehensive, educa-tional experience for students who are pursuing a medical career.

For more information about volunteer opportunities for all ages and abilities, contact BryanLGH Volunteer Resources at (402) 481-3032 or visit our web site, www.bryanlgh.org.

a variety of procedures and treatments performed, and he would receive a diverse education. “I wanted to get a feel for the area that I hope one day to be working in,” he said.

The BryanLGH Volunteer Resources department has 115 college students committed to volunteering.

This past summer Smith was invited to observe an emergency medical case during his night shift.

“I was able to be in the room from start to finish. I could see and hear everything the physicians and nurses were doing,” he said. “It was a privilege to be in the room and watch everything that was going on.”

Smith enjoys working in the hospital environment and with the nurses in the ED. He would like to have a greater idea of how things operate in the department and wants to gain as much expe-rience now as possible, so that he knows what to expect when he receives his nursing license.

Director of Volunteer Resources Ellen Beans stated, “College-

V O L U N T E E R U P D AT E

BryanLGH Volunteer Resources offers many opportunities for

students to participate — these are just a few of the 115 college

students volunteering at BryanLGH.

BryanLGH offers college students volunteer opportunities to work in a healthcare setting and create relationships with professionals. Volunteering also assists them in graduate or medical school applica-tions and opens doors to shadowing and observation experiences.

Students serve in many areas, such as the emergency department, nursing units, lobby services, escort, admissions, mental health, cardiac and vascular services, and radiology.

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24 Winter 2011

Pam Handy shares her story to give hope to others struggling to recover from alcoholism

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Pam Handy hasn’t had a drink in 23 years. “That was quite a while ago,” she stated. “But rather than call myself a recovering alcoholic, I prefer saying I’m in long-term recovery.”

In September she represented Nebraska in the National A&E Pro-Act Recovery Walk in historic Philadelphia, Pa., where thousands celebrated independence in America’s birthplace of freedom.

“I was part of the Honor Guard, helping cheer on 11,000 who walked that day — it was so energizing!” she said.

The walk covered less than two miles, but for Handy it represented a much longer journey.

Personal issues? Besides alcoholism, she’s survived cancer and is being treated for bipolar disorder and multiple sclerosis.

“My early recovery from alcoholism was an uphill battle — I’d crest that hill only to find I had to work just as hard to not slide back,” she says. “On top of that, I was divorced, and I chose to leave a job I’d had for 20 years.”

When her older son was in enough trouble that it appeared the teen would be removed from home, Handy admitted him into a Youth Intensive Outpatient program at the BryanLGH Independence Center and joined the ranks of many other parents in the family care program.

She didn’t count on getting admitted to a treatment program for herself, but that’s what happened.

“I’m sitting there with women young enough to be my daughters and thinking I couldn’t possibly learn anything from them,” Handy remembered. “But I soon learned an invaluable lesson: It doesn’t matter what your age is, we are truly more alike than different.”

It was time for change.Handy completed the treatment and became a volunteer at the

front desk. Later, she became a volunteer group leader.She was starting over, first going through a treatment program,

then getting a divorce and leaving her job.

“That environment wasn’t a healthy place for me because there was drinking among the employees before, after and sometimes even dur-ing work. There had to be something better,” she explained.

Handy wanted to be a counselor. Although she didn’t have enough credits for a college degree, she logged plenty of experience in the

School of Life.As she and her older

son worked on resolving their addictive behaviors, she suddenly found herself in a familiar setting.

Now it was her younger son who was in treatment for behavioral problems.

“Today, when talking to groups at the Independence Center, I share that our first therapy session was one of the most painful experiences I ever had,” she said. “I had to sit quietly while he talked about how he’d been hurt by things I said and did.

“The ‘old me’ would have screamed, but after going

through the program, I was able to tell him that he had every right to be hurt and angry. We couldn’t change what had happened, but we could learn to do things differently as we go forward.”

That’s proved to be a map to success for Handy.At the Independence Center, she was an on-call patient activity

technician before accepting a full-time position at the front desk.“When Jerome Barry became director 10 years ago, he asked me to

be his secretary, and I’ve been that ever since,” she said.“At the Independence Center, I get more than I give. Although

people often come here beaten down, in just a week or so they begin to smile and respond. One of my co-workers says we work in a miracle factory, and I’m sure that’s true. I’m reminded every day of how blessed I am,” Handy added.

“I hope my story shows others that they, too, can enjoy being in recovery.” n

For information about programs at the BryanLGH Independence Center, please call (402) 481-5268. To learn how you can support the BryanLGH Independence Center, contact the BryanLGH Foundation staff by calling (402) 481-8605.

I N D E P E N D E N C E C E N T E R

Pam Handy (wearing ball cap, fourth from the left in the second row) was in the

Honor Guard at the National A&E Pro-Act Recovery Walk last summer in Philadelphia.

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26 Winter 2011

55PLUS Advisory Board member links BryanLGH Independence Center with Boys’ State

When Bob Craig joined the BryanLGH 55PLUS Advisory Board he didn’t realize his new role would benefit another organization very close to his heart. Bob served 30 years

on the American Legion Cornhusker Boys’ State Board, and he remains an active supporter of its mission.

After hearing a presentation about the BryanLGH Independence Center at an Advisory Board meeting, Craig was so impressed with what the Center has to offer to the community that he asked director Jerome Barry if he would present to the students at Boys’ State. “He gave a wonder-ful overview of what happens in drug and alcohol abuse situations. I was enthralled with how much it encompassed and how many adolescents the Independence Center serves,” said Craig.

“Students do not always know how to handle peers who are in these situations, and Jerome’s presentation enabled them to see a different perspective and learn how to deal with their surroundings,” he added. Boys’ State focuses pri-marily on developing outstanding students’ leadership skills.

“These are future leaders who are role models to other adolescents in their communities,” Craig said. He hoped Bar-ry’s presentation would make these students more aware of the overall problem of alcohol and substance abuse and learn steps for addressing such issues within their peer groups.

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5 5 P L U S

Th e Independence Center off ers a variety of services and levels of care for adults and adolescents who are suff ering from substance dependence and abuse.

“I love the opportunity to share with others how to better un-derstand addictions and the impact addictions have on individuals, families and our communities,” said Barry. A few of the topics dis-cussed at Boys’ State were how to understand the nature of addic-tions; how to defi ne addictions; the top three drugs that lead people to treatment; and the role of intervention/treatment/recovery.

Barry was invited to speak again next year on Understanding Addiction Treatment and Recovery.

“Th e students were very attentive, had relevant questions and appeared genuinely interested in the topic,” Barry recalled. “Th is is a great opportunity for BryanLGH to be involved in the community.”

Craig, a 55PLUS Board member of two years, enjoys being a part of the program because it is an excellent way to be involved in the medical center and meet new people who are proactive in main-taining and promoting a healthy and active lifestyle.

“We are so pleased when people like Bob volunteer to be on the Board. Th ey value the program and are great advocates for both 55PLUS and BryanLGH,” said Kathy Wolf, manager of 55PLUS.

Th e 55PLUS Advisory Board has 20 dedicated members who are actively involved. It off ers opportunities to collaborate and share ideas on how to improve 55PLUS benefi ts, and it’s a place where they can advance their knowledge about BryanLGH. n

If you are interested in becoming a member of 55PLUS and its Advisory Board, please contact Kathy Wolf at (402) 481-3155.

Day Trips• All About Hastings – Tuesday, May 17, or Thursday, May 19.• Life is Sweet – LeMars, Iowa, Thursday, June 16.• Brownville Village Theatre & Spirit of Brownville Dinner Cruise – Tuesday, Aug. 9, or Thursday, Aug. 11.• Mahoney State Park Melodrama – Friday, Sept. 16 or 23.• Amelia Earhart and Haunted Houses – Tuesday, Oct. 4, or Thursday, Oct. 6.

Multiple-Day Trips• Branson Music Express – Wednesday-Saturday, April 27-30 (four days).• Yellowstone and Grand Teton National Parks and Black Hills Adventure – Thursday-Wednesday, July 7-13 (seven days).• Tennessee Valley Railroad featuring Nashville and Memphis – Tuesday- Tuesday, Oct. 18-25 (eight days).• Kansas City Christmas – Friday-Saturday, Dec. 2-3 (two days).

The 55PLUS Advisory Board includes (front row, from left) Kathy Will, Janice Sammet, Marilyn Duven, Shirley Wimmer and Shirley Barnell; (2nd row) Bob Lundberg and Harold Monismith; (3rd row) Gary Smith, Bob Craig and Kathy Wolf; (4th row) Beverly Wakely and Connie Doehring; (5th row) Don Mehring and Tish Loomis; and (back row) Robert Mitchell, Bob Matoush, Connie Svik, Betty Place and Lori Lee. Marci Albert, Marvin Friend, Ron Futrell, John Kuntz and Rich Oehlerking also are on the Board.

Learn all about it!Call (402) 481-8355 to register for these 55PLUS educational programs, which

are offered at no charge from 7-8:30 p.m. in the Bryan Plaza Conference Center:

• Disorders of the GI Tract – James Sorrell, MD, on Tuesday, March 8.• Eating Out Healthfully – Thursday, March 24, with nationally known speaker Madhu Gadia of Connecticut.• A Sneezer’s Guide to Hay Fever – Vinjay Mehta, MD, on Tuesday, April 12.• Physiatry: A Surgery Alternative – Robert Rentfro, MD, on Thursday, April 28.

Join us for adventures! We have an exciting year of travel planned for 2011. 55PLUS promises wonderful attractions, great food and the camaraderie of fellow members. But act soon — tours sell out quickly, and reservations are on a fi rst-come, fi rst-served basis.

To request a brochure, call (402) 481-3355 or (800) 742-7844 and ask for 55PLUS; or visit www.bryanlgh.org and click on “55PLUS” under “Join Our Clubs.” Select “Travel” to download brochures.

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28 Winter 2011

Tim Sweeney was, by his own admission, out of shape. Like many middle-aged folks, the demands of work and life got in the way of taking care of himself. “I was overweight and not exercising,” the 57-year-old said.

When he and wife Jody were out walking their dog one day, they happened past LifePointe, then still under construction. “We should join when it opens,” Jody said. In December 2006, they did. They bought their workout gear, eager to make some positive, healthy changes. Then, by way of a dog’s trip-up, Jody broke her ankle. This brought them to Urgent Care — also, incidentally, at LifePointe.

While Jody’s ankle healed, which included physical therapy at LifePointe, Tim got cracking on his new exercise regimen. He started feeling really good, losing 30 pounds in the process. The former marathoner rekindled his passion for running and started training hard for the Lincoln Half-Marathon.

Meanwhile, Jody — with the help of LifePointe classes such as yoga and use of the spa facilities — got back into her own exercise groove.

The couple had planned a trip to Texas, where Tim was going to continue his marathon training. But he noticed during his more recent runs that he was labored, feeling fatigued. As someone with a history of irregular heartbeats, Tim, at Jody’s insistence, checked in with his cardiologist, Steven Krueger, MD, at the BryanLGH Heart Institute the Friday before they planned to leave. Tim didn’t get the results that day, but he was told not to leave town. On the follow-

Seamless care in actionTim Sweeney sees first-hand why a hospital-

based wellness facility is a good thing

Heart patient Tim Sweeney says LifePointe

was a big factor in his recovery.

28 Winter 2011

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ing Monday, he got the results of his echo and CT scan — Tim had a large aortic aneurysm. Doctors also found that he needed mitral valve repair, aortic valve replacement and a procedure to help with his arrhythmia.

Tim, a partner in Dental Designs in Lincoln, spent five days in the hospital and about a month at home to recover. The couple admits that many people might view this sort of thing as a major setback. But they focused on the positive: A life-threatening health issue was diagnosed and successfully treated, before the unthinkable could happen.

The Sweeneys are unabashed fans of LifePointe and the BryanLGH Heart Institute.

“It’s a seamless entity,” Tim said. “Everyone knew what was go-ing on with my situation and my care at every step. We are lucky to have facilities that are connected like this, that can provide someone with surgery, rehabilitation and then ongoing wellness.”

Being a member of LifePointe was a major factor in Tim’s recovery, he added.

“First of all, since I had started getting into shape, I went into the surgery weighing less. But the whole program — going from surgery at BryanLGH into rehab and then back into my exercise routine — was flawless,” he said.

Today, Tim and Jody regularly go to LifePointe for workouts

and spa treatments. The parents of three and grandparents of four plan to stay active and well for a long time.

Tim notes, however, that his views on exercise and working out have changed just a bit. He still runs, but not as far. And through LifePointe personal trainer Jonathan Cook, he’s learned the impor-tance of cross training — most notably Tim has added weight lifting to the mix.

“He’s been great,” Tim said of Jonathan. “He keeps me motivated. He showed me the importance of using a heart moni-tor and how it helps manage my workouts. I also really learned the importance of watching my diet and burning more calories.”

Tim is a big proponent of the FitLinxx system of weight training offered at LifePointe. “Jonathan set it all up for me, showed me how the machines keep track of all my work-outs and how much I should be lifting. You can’t cheat with this system,” he said with a grin.

The couple, sweethearts since high school, count their blessings. “It’s not a stretch to say LifePointe saved my life. We’re totally

commited to this facility,” Tim said. n

For more information about LifePointe’s program and facilities, call (402) 481-6300 or log onto www.bryanlgh.org. For a listing of related events, see the calendar on page 33.

L i f e P o i n t e

Tim Sweeney is so passionate about the health advice he gets at LifePointe, that he and his partner in Dental Designs, Doug Barrett (far right), bring

LifePointe to the lab. On an occasional basis, exercise physiologist and health coach Kristi Beyer (in blue jacket), visits the lab during lunch to talk about the

importance of stress management, diet and other lifestyle topics that Tim hopes his staff will take to heart.

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Meeting needs in crisisMental Health ED helps thousands

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M E N TA L H E A LT H S E R V I C E S

Every year thousands come to the BryanLGH Mental Health ED, seeking a safe haven from personal chaos.

Th is program — housed in the emergency department at BryanLGH West and coordi-nated by mental health services — provides

emergency care for all ages, as well as crisis assessment for deciding if hospitalization is needed.

It’s available every day, around the clock, at 2300 S. 16th St. A mental health nurse assesses each patient, then consults with an emergency room physician and an on-call psychiatrist to plan the next step. During a typical month, they have more than 500 visits.

“Th is is a component of the emergency department, although we provide care for everyone presenting to the hospital with possible mental health needs,” explained Larry Widman, MD, medical director for adult mental health and the Independence Center at BryanLGH. “In the Mental Health ED we determine the level of evaluation needed, and our goal is to triage each person to determine if they should be hospitalized.”

Dr. Widman and four other psychiatric hospitalists from the BryanLGH Heartland Psychiatry group join local psychiatrists in providing follow-up help for those admitted as inpatients.

BryanLGH has provided a full range of mental health services in Lincoln for more than 70 years, and manager David Miers, PhD, says the Mental Health ED and related programs for emergency and trauma patients are examples of BryanLGH’s commitment to continuing this legacy.

“Our staff is very active in suicide prevention issues, and we also worked with our Trauma Center team to develop a screening tool to detect post traumatic stress,” Dr. Miers added.

“Trauma medical director Dr. Reginald Burton was instru-mental in helping us get this started. Patients go to our specialty clinic for screening and then could be referred to the Counseling Center. It’s all part of the larger picture of patient care at BryanLGH.”

Dr. Miers notes that mental health issues touch every area of a medical center, from trauma to heart patients and women’s and children’s health.

Th at means practically any patient might someday need the Mental Health ED.

“Th ese hospital-based programs are so important because they add to the full array of care off ered at BryanLGH,” he said. n

For more information about mental health services, please call the Counseling Center at (402) 481-5991.

David Miers, PhD, (left) accepts a Suicide Prevention Awareness Week

proclamation from Lt. Gov. Rick Sheehy on behalf of the Nebraska

State Suicide Prevention Coalition.

David Miers, PhD, says the Mental Health ED at

BryanLGH West is a valuable starting point to

successful treatment.

Larry Widman, MD,

medical director for adult

mental health and the

Independence Center

Reginald Burton, MD,

director of trauma and

surgical critical care

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32 Winter 201

A C H I E V E M E N T S

Heartland Health Alliance salutes Foster for service

Ken Foster, BryanLGH vice president of regional develop-ment and strategic planning, received this year’s Excellence in Service Award Nov. 2 during the annual Nebraska Hospital Asso-ciation (NHA) Convention.

The NHA honored Foster for his work with the Heart-land Health Alliance, which is composed of BryanLGH and 39 other hospitals.

He was instrumental in creating the Diabetes Education Consortium, which brings certi-fied diabetes educators to com-munities throughout the region, and Foster has helped Alliance member hospitals secure more than $2 million in grants to fund a telehealth network, cardiac monitoring, defibrillators, ambu-lances and other projects. n

State cheersBryanLGH for Olympic support

BryanLGH Health System and the Cornhusker Chapter of the American Red Cross together received this year’s Be Prepared Award for joint efforts on behalf of Special Olympics athletes during last summer’s USA Games in Lincoln.

The annual award from Lt. Gov. Rick Sheehy recognizes organizations for excellence in emergency preparedness and disaster response. BryanLGH Medical Center President and Chief Operating Officer John Woodrich accepted the award on behalf of the system during a Sept. 30 presentation at the Capitol. n

They’re goingBeyond Expectations

Beyond Expectations is a new program that allows patients and family members to make a gift and recognize staff members, physicians and volun-teers who go beyond expecta-tions to provide excellent care.

Zymrite Memeti, environ-mental services, and anesthesi-ologist Ron Hachiya, MD, are among the first to be honored by grateful patients. They received special pins that signal this achievement to others.

Recognizing care givers with a note of thanks and a gift in their honor is a meaningful way to celebrate their work, and your gifts can make a difference in the lives of others.

A patient’s daughter wrote, Memeti “… went way beyond the call of duty to help find a

lost cell phone. What a great employee and friendly smile to have at BryanLGH.”

Referring to the surgery staff and Dr. Hachiya, a patient said, “From making me laugh to holding my hand while I went to sleep, thanks for everything.”

To learn more about the Beyond Expectations program, please contact Kathy Wolf at (402) 481-3155. n

NHA Board Chair Daniel Griess

(left) presents Ken Foster with the

Excellence in Service Award.

John Woodrich (left) accepts the Be

Prepared Award from Lt. Gov. Rick

Sheehy on behalf of BryanLGH.

55PLUS manager Kathy Wolf, Vice President Bob Ravenscroft, Zymrite

Memeti and environmental services supervisor Mike Hanigan and man-

ager Paul Maize celebrate Memeti’s Beyond Expectations recognition.

Ron Hachiya, MD, left, received a

Beyond Expectations pin from Vice

President Bob Ravenscroft.

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C A L E N D A R O F E V E N T S

Women’s DayLife Balance in 67 Easy StepsSaturday, March 19, 8:30 a.m. - noon.Bryan Medical Plaza Conference Center, BryanLGH East.Cost: $22.

The goal of the annual Women’s Day is to honor women from all walks of life whose accomplishments distinguish them as exceptional individuals worthy of our praise and admiration. It is a celebration that also educates the public on the cultural, social and economic diversity of women’s lives and work, as well as an opportunity to network with other women and create long-lasting relationships.

To register online, go to www.bryanlgh.org. For more details about this event, call (402) 481-8886.

We salute Trauma Champs

BryanLGH Trauma Center Tribute to Trauma ChampionsThursday, April 28, 5:30 p.m.Rococo Theatre, 140 N. 13th St.

BryanLGH is hosting this very special evening to honor the hundreds of professionals dedicated to saving lives and to recognize two of the year’s remarkable trauma survivors — Jason Kort and Cody Van Pelt.

For more information, contact the BryanLGH Foundation at (402) 481-8605.

BryanLGH Kids Health & Safety Fair

Saturday, June 11, 10 a.m. - 2 p.m.Zone B Parking Garage at BryanLGH East.It’s free!

This annual event provides families with opportunities to learn about the many children’s health and safety programs offered at BryanLGH Medical Center and other Lincoln organizations.

With a multitude of interactive exhibits, demonstrations and en-tertainment, this will be an opportunity for kids and parents to learn valuable health and safety lessons in a fun and festive atmosphere.

For more information, call (402) 481-5643.

BryanLGH Diabetes Fair

Small Steps. Big Rewards: Prevention, Treatment and ControlSaturday, Aug. 27, 9 a.m. - noon.LifePointe, 7501 S. 27th St., south of Pine Lake Road.Cost: See below.

If you have diabetes, you can make simple changes to your life to reduce your risk for heart disease and stroke. Could someone you care about have diabetes and not know it? This event, featuring cooking demonstrations, helpful speakers, screenings, vendors and new specialty products, could improve your life!• Bloodpressurescreeningsandfootassessmentsarefree.• Lipidpanelandbloodsugarscreening,withnofastingrequired. Get instant results for cholesterol, triglyceride, LDL, HDL and blood sugar levels. Cost: $30.• Peripheralarterialdisease(PAD)screening.Therearelimited appointments available, so you must pre-register. Cost: $10.

For more information about the BryanLGH Diabetes Fair, please call (402) 481-6305.

BryanLGH Run to Overcome

2011 Adam’s RaceSunday, Oct. 9, 12:30 p.m.5K, 10K and Kid’s Fun Run.LifePointe, 7501 S. 27th St., south of Pine Lake Road.

Be part of this inaugu-ral event! This year’s run is in memory of critical care nurse Adam Zetterman, RN.

For more information or to register for the Run to Overcome, contact Justin Pfeifer by calling (402) 481-5643.

Jason Kort Cody Van Pelt

Come to the BryanLGH Diabetes Fair on Aug. 27. A variety of screen-

ings will be available from 9 a.m. - noon at LifePointe.

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PRSRT STDUS POSTAGEPAIDPERMIT # 1249LIBERTY MO

1600 S. 48th St., Lincoln, NE 68506

Address service requestedwww.bryanlgh.org

www.bryanlgh.org

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