Spring 2009

www.boonehospital.com

Community
Dont Clown Around with Diabetes
Im a loyal fan of BCH and the local healthcare providers. T he Diabetes Center is a real plus for our community. Darlene McCoy, Diabetic Patient
Education is the key to empowering people with diabetes to manage the disease and minimize the complications of it while achieving a healthy lifestyle. The growing number of individuals in the United States with diabetes is startling. Currently, there are over 23.6 million people with diabetes17.9 million are diagnosed with the disease, 5.7 million are undiagnosed, and 57 million are pre-diabetic or have symptoms that could lead to diabetes. In 2007, 175 billion dollars was spent on diabetes. Statistics show 86 percent of the United States will be overweight or obese by 2030 which substantially increases the risk of type 2 diabetes. And, the growing number of children with diabetes is on the rise. The Boone County Hospital (BCH) Diabetes Center provides individuals with diabetes the personalized care they need while offering them diet, exercise and medication education. In 2008, we saw 156 new individuals in our diabetes education classes, says Connie Buss, RN, CDE (Certified Diabetes Educator).
Diabetes continued on page 2 Pictured: Darlene McCoy looks over her blood glucose record book with Connie Buss. By recording her daily test results, Darlene can look for patterns and make decisions regarding her care. 1015 Union Street G Boone, Iowa G 50036 (515) 432-3140

Newsletter

Diabetes continued from page 1

Diabetes Educator). With a growing diabetic population, the need for an established diabetes program was evident. In 2002, the Diabetes Center was established at BCH with the knowledge and diabetic leadership of Connie and Cathy Addy, RN, CDE. With diabetes on the rise and such a need in our community for more personalized diabetes healthcare, it was obvious that a center dedicated to diabetes would benefit the Boone community, says Connie. Darlene McCoy of Boone has had diabetes for the past 20 years. She discovered she had it through a wellness program at the high school. Darlene was not surprised when she was diagnosed with the disease. Diabetes can be hereditary, and her mother and her fathers brother both had it. I was grateful to be diagnosed so I could deal with it, she says. If you have a family history of it, its important you keep an eye out for it. At the time of her diagnosis, there was no Diabetes Center at BCH, so her doctor referred her to an endocrinologist and a diabetes educator at what was then the McFarland Clinic, now Boone County Family Medicine. For Darlene keeping her diabetes under control keeps her feeling good and able to do the things she enjoys. To many people Dar2

lene is known as Mud Hen the Klown (pictured to the right). After retiring from 38 years as an art teacher, she wondered what was next for her. I thought, dont retire from something, retire to something, she says. So, she went to clown college in Wisconsin and for the past 18 years has brought smiles to the faces of many. I have to be active because my schedule demands it, Darlene says. Through the one-on-one counseling she receives from the Diabetes Center staff, and the free monthly support groups and classes she attends, Darlene has learned how to keep a handle on her diabetes. Im a loyal fan of BCH and the local healthcare providers, she says. The Diabetes Center is a real plus for our community. They have a lot to offer and variety in their support groups and educational programs. The BCH Diabetes Centers commitment to quality is evident. The program is recognized by the American Diabetes Association (ADA). Their team consists of a diabetes nurse, dietitian, physician, and other health care professionals. They will work with each patient to develop a treatment plan that will normalize blood glucose levels, and help them to live a long and healthy life with diabetes. Self management is the key to improving healthy outcomes and

quality of life. The focus needs to be self care behaviors such as healthy eating, activity and monitoring blood sugars, says Connie. Individuals that participate in our program work collaboratively with us to gain the knowledge and problem solving skills they need to manage the disease and its related condition. Darlene agrees and feels walking is so important to her health and her diabetes. She walks throughout the year, and is thankful to have the hospital halls to walk in during bad weather. Exercise is important in reducing the risk of diabetes and managing it, says Connie. I was able to keep my diabetes under control with diet, exercise and medication until recently when I had to start using insulin, says Darlene. She was hesitant to start using insulin, but Cathy helped her get started and feel comfortable with it. Darlenes lack of energy was noticeable before taking the insulin and once she started taking it she saw an
Diabetes continued on page 6

Medical Staff Spotlight

N EW FA C E S
Tammy Chance, D.O. Emergency Medicine Dr. Chance joined Boone County Hospital (BCH) in April as the Medical Director of the Emergency Department. She received her Medical Degree from the University of Osteopathic Medicine and Health Sciences, Des Moines, and completed an Internship and Residency at Des Moines General Hospital, Des Moines. Dr. Chance is Certified by the American Osteopathic Board of Family Practice. Prior to joining BCH, Dr. Chance was the Emergency Department Medical Director, and Vice President and Chief Medical Officer at Skiff Medical Center, Newton. Rickie Des Camps, D.O. Emergency Medicine Dr. Des Camps joined the BCH Emergency Department in April. He received his degree from the College of Osteopathic Medicine and Surgery, Des Moines, and completed a Rotating Internship at Des Moines General Hospital, Des Moines. Prior to joining BCH, he worked for Acute Care for 10 years; prior to that, he worked in Family Practice. Margaret Evans, D.O. Family Medicine Dr. Evans joined the Boone County Hospital Medical Staff in February, and provides family medicine at Boone County Family Medicine, Boone, and at the Madrid Family Practice Clinic, Ogden. She received her degree from Des Moines University-Osteopathic Medical Center, Des Moines and completed a Residency at Iowa Lutheran Hospital, Des Moines. Prior to joining BCH, Dr. Evans worked at Chippewa County Montevideo Hospital, Montevideo, Minnesota. Her specialties include obstetrics and womens health. To schedule an appointment with Dr. Evans in Boone, call 432-2335 and in Madrid, call 7954300. Nicole Goliber, PA-C Family Medicine Nicole Goliber joined Boone County Hospital in November of 2008 as a Physicians Assistant at Boone County Family Medicine, Boone, and the Madrid Family Practice Clinic, Madrid. Nicole received her Physicians Assistant Degree from the University of Nebraska Medical Center, Omaha, Nebraska. Prior to joining BCH, she worked at the Fort Dodge Community Health Center, Fort Dodge. To schedule an appointment with Nicole in Boone, call 432-2335 and in Madrid, call 795-4300.

As Close as the Wound Clinic at BCH

Wound care has been offered by wound care specialists at Boone County Hospital (BCH) for nearly 25 years. Nurses from the Wound Clinic, Ruth Anderson, CWS (Certified Wound Care Specialists) and Cathy Wetzeler, CWOCN (Certified Wound Ostomy Continence Nurse), perform wound assessments and determine treatment plans under the direction of Dr. Richard Unger,Wound Clinic Medical Director. They work closely with other hospital departments including physical therapy, diabetes educators, podiatry and the Specialty Clinic. Wounds can be caused by a number of things including accidents, burns, traumatic injuries, various ulcers, and surgery. Types of wounds treated at the BCH Wound Clinic include: diabetes ulcers, pressure ulcers, arterial ulcers, venous ulcers, trauma, cellulitis and/or any wound that has not healed in one month.

Wound Care

Types of wounds treated at the BCH Wound Clinic include: diabetes ulcers, pressure ulcers, arterial ulcers, venous ulcers, trauma, cellulitis and/or any wound that has not healed in one month.
Through the years, the Wound Clinic nurses have become nationally known. Each year, they are asked by a medical device company to make an abstract and present their findings at a national wound care conference. The abstract includes information on a specific product they are using on several of their patients, the objectives, the rationale, case studies and a conclusion, as well as before and after pictures of the wounds. Researchers and companies at the national conventions share information on the latest evidencebased research related to new and existing wound care products. Individuals with wounds are often referred to the Wound Clinic by their physician. Patients can be seen in the clinic on Monday afternoons and Thursdays. For more information, contact the Wound Clinic at 433-8337.

Pictured left to right: Ruth Anderson, RN, CWS, Dr. Richard Unger,Wound Clinic Medical Director, Cathy Wetzeler, RN, BSN, CWOCN

New Management Service

Benefit for Patients Taking Coumadin
tient in the clinic every three to six months for routine visits, but the INRs were still done at least monthly. Today, with the AMS Clinic, the patient comes in to get their lab work done and then sees myself or Melissa Vandepol,AMS nurse, right away. Each time the patient is seen, the nurse will check their pulse and blood pressure, discuss the signs and symptoms of bleeding and blood clots, and educate them. Patients are educated on how the medication works in the body, why they are on Coumadin, diet, and how other medications, vitamins and herbal supplements can affect the INR. Due to the fact that individuals on Coumadin are at a higher risk A new Anticoagulation Management Service (AMS) is now available at Boone County Family Medicine (BCFM). The service is available for the convenience and safety of patients taking Coumadin (or Warfarin) who need to be checked on a regular basis. Coumadin is used to lower or prevent blood clots. Individuals may be taking Coumadin for an irregular heart beat (atrial fibrillation), brain attack or stroke, heart attack (myocardial infarction), stent placement in arteries, artificial heart valves, or blood clots in the legs, lungs or other organs. BCFM currently has over 200 patients on Coumadin, and due to the high risk for bleeding, patients need to be monitored closely, says Pam Pardun,AMS nurse at BCFM. A lab test called an International Normalizing Ratio (INR) is performed on each patient at least once a month to see if the patients blood is too thick, too thin, or within the target range. If its not within the normal target or therapeutic range, an AMS nurse will discuss changing the dosage with the patients physician. The BCFM doctors have been working on opening an AMS Clinic for over a year. The doctors felt the patients needed closer monitoring, says Pam. Previously, the doctors would see the pafor bleeding and need to be monitored closely,AMS Clinics are opening up all over the nation. By seeing these patients more frequently, we are able to decrease any risk of complications, trips to the Emergency Room and admissions to the hospital, says Pam. The cost to go to the clinic is far less than the cost of complications. The AMS Clinic is staffed by a Registered Nurse (RN) with special knowledge and training in taking care of people on Coumadin. The clinic is open Monday and Tuesday from 8:30 a.m. to noon, Wednesdays and Thursdays, 8:30 to 11:45 a.m. and 1 to 4 p.m. at BCFM, 1115 South Marshall Street, Boone. For more information or to schedule an appointment, call 432-2335.
Pictured: Boone County Family Medicine Anticoagulation Management Services nurses Melissa Vandepol (standing), Pam Pardun (sitting)

Features New Emergency Command System

Diabetes continued from page 2

BCH Website

she started taking it she saw an immediate difference. My energy level is so much better and its a relief to see good numbers again. Dont clown around with high numbers, she says. It was my choice to start using insulin. I wanted to be proactive and with my doctors approval, I moved forward, Darlene says. Its important to have a good attitude and be ready to use it (insulin). At the BCH Diabetes Center, each individuals treatment plan is suited to fit their needs and will include food planning, exercise, selfmonitoring of blood glucose, medication knowledge and stress management. I like the convenience and personal attention I receive from the Diabetes Center, says Darlene. The personnel are so approachable. Just like being a clown and always learning something new, the same goes for diabetes. Im always in training with my diabetes. Its a balancing act, she says. Diabetes is a life-long learning process. There is always something new to learn because things are always changing. Its kind of like juggling. You have to juggle your food, medication and your exercise. If you would like more information about the BCH Diabetes Center, please call 433-8624.

Boone County Hospital has implemented a new feature on their website that will benefit hospital employees and the community in the event of a community or statewide disaster. FastCommand is a centralized communication service that is web-based and accessible through your computer. Fast Command is available for use during disasters to provide timely, accurate emergency and disaster information to the staff of BCH, the Boone community and the state Iowa. In the event of a disaster, a banner will be added to the top of the BCH website home page. The color of the banner depicts the severity of the disasterred = warning, orange = watch, dark violet = advisory, and green = announcement. A message will scroll across the banner stating what the disaster is and a link will be available to click on for additional information. Once the disaster is over, the red banner will be taken off of the website. Even when the banner is no longer available, FastCommand can still be accessed by clicking on the icon on the right hand side of the home page. The red banner was added to the BCH website during the recent Influenza A outbreak. Information about the flu, what you need to know, symptoms of the flu, precautions, and links to other helpful

sites were just a few of the informational items available to access. Additionally, the red banner was used during the recent telephone failure in the Boone community that affected the ability of the hospital to send and receive telephone calls. The banner was activated to advise the staff and community of the failure and what actions needed to be taken until the failure was resolved. For more information about FastCommand or to learn more about BCH, log on to www.boonehospital.com.

To your
Anticoagulation Management Monday & Tuesdays, 8:30 a.m. to noon, Wednesdays & Thursdays, 8:30 to 11:45 a.m. & 1 to 4 p.m., BCFM. This service is offered to patients taking Coumadin who need checked on a regular basis. To schedule an appointment, call Boone County Family Medicine, 432-2335. Baby Care 101 Obstetric nurses cover topics such as bathing, safety & newborn care. This free class is for parents in their 7th or 8th month of pregnancy. Call the Family Birth Center, 433-8400. Beckwith Family Adult Day Open Monday through Friday, 8 a.m. to 4:30 p.m. The program offers a home-like environment with fun activities, noon meals & individualized care for adults 55 years of age & older who do not need 24 hour care, but cannot be left alone for long periods of time. For more information, call 432-2275. Big Brother/Big Sister This free sibling class helps children prepare & accept the arrival of a newborn. Call the Family Birth Center, 433-8400. Blood Pressure Checks Every Friday, 8 a.m. to Noon, Specialty Clinic, BCH. Free. Boone Community Blood Drive For dates, times & locations, call the Blood Center of Iowa at (800) 287-4903. The drive is sponsored by the Boone County Hospital Auxiliary.

HEALTH
Programs & Services
First Aid Classes This OSHA approved course will teach participants how to initially respond to medical emergencies & injuries. For more information, call 433-8190. Gifts Galore Gift Shop Open Monday through Friday, 9 a.m. to 4 p.m., & Saturday & Sunday, 12 to 4 p.m. For more information, call 433-8190. Hospice Rooms Family and Friends Patient Comfort Rooms are available for individuals diagnosed with a life-limiting illness. For more information, call 433-8170. Outpatient Nutritional Services A BCH dietitian can provide you with a nutritional needs assessment, help you develop healthier eating habits, plan healthy menus & lose weight. For an appointment, call 433-8624. SHIIP A SHIIP (Senior Health Insurance Information Program) volunteer is available to assist you with your Medicare Prescription Drug Plan. To schedule an appointment, call 432-1127. Summer Solstice Party June 18, 9 a.m. to 3 p.m., BCH Atrium. Silent bids will be accepted on the decorated chairs & bird houses on display in the Atrium until 3 p.m. Refreshments will be served. Enjoy a discount in Gifts Galore. Valet Services Monday through Friday, 8 a.m. to noon & 1 to 3 p.m, BCH.

Boone County provides meals to individuals 60-plus & older throughout the county. For more information on the Home Delivered Meal & Congregate Meal Programs, call 432-1127. Breastfeeding Class for New Moms This free class is taught by a breastfeeding educator who will help you prepare for breastfeeding & the arrival of your new baby. Call the Family Birth Center, 4338400. CPR Classes CPR classes are provided as requested. Call 433-8190. Childbirth Preparation June 27, 8 a.m. to 4 p.m., 4th Floor Conference Room, BCH. This free class is for parents on the go & is recommended for expectant mothers & their companion the last trimester of pregnancy. To pre-register, call the Family Birth Center, 433-8400. Diabetes Education Classes If you have diabetes & would like to attend our education classes, please talk to your physician about referring you to the BCH Diabetes Center. Call 433-8624. Educating & Empowering U June 16, Noon, 4th Floor Conference Room, BCH. The program topic will be Getting to the Heart of Healthy Eating presented by Connie Buss, BCH Dietitian. Learn about the life changing effects of healthy eating, preventing diabetes, the risks of heart disease, & tips on lowering your cholesterol & blood pressure. Lunch will be served. Call 433-8470 to RSVP. Sponsored by the BCH Foundation. Family Birth Center Tours Call the Family Birth Center at 433-8400 if you would like to schedule a tour.

Boone County Nutrition Programs

BOONE COUNTY HOSPITAL G Joe Smith, CEO ..................433-8481 G Main Hospital Number ....432-3140 G Beckwith Family Adult Day Services ..............................................432-2275 G Boone County Family Medicine (Boone)................................432-2335 (Ogden) ..............................275-2417 G Boone Orthopedic Center......433-8500 G Business Office ..................433-8142 G Cardiac Rehab ....................433-8120 G Comprehensive Specialty Care..433-8700 G Diabetes Education ..........433-8624 G Family Birth Center ..........433-8400 G Foundation ..........................433-8470 G Gifts Galore Gift Shop ....433-8180 G Home Care Services ........432-1127 G Madrid Family Practice Clinic ....795-4300 G Medical/Surgical Floor ......433-8230 G Rehabilitation Services Occupational Therapy ......433-8686 Physical Therapy ................432-7729 Speech Therapy ..................433-8625 G Sleep Disorders Center ..433-8260 G Specialty Clinic ..................433-8300 G Wound Clinic ....................433-8337 BOONE COUNTY HOSPITAL PHYSICIANS Anesthesia G John Murphy, M.D. ............433-8358 Clinical Psychology G William Martin, Jr., Ph.D. ..433-0343 Emergency G Tammy Chance, D.O., Emergency Medical Director ..............433-8150 G Rick DesCamps, D.O. ......433-8150 Family Practice G Frank Downs, M.D. ..........432-2335 G Margaret Evans, D.O. ..............................432-2335 (Boone) ..............................795-4300 (Madrid)

Family Practice (continued) G Brian Mehlhaus, M.D. ........432-4444 G Laura Moeller, M.D. ..........432-4444 G Sascha Parsons, M.D. ........432-4444 G Eric Peterson, D.O.. ..........432-2335 G Jerald Phipps, M.D. ............432-2335 G Scott Thiel, M.D. ................432-2335 G Richard Vermillion, D.O. ..275-2417 G Paul Volker, M.D. ................432-4444 G Nicole Goliber, PA-C ..............................432-2335 (Boone) ..............................795-4300 (Madrid) G Kris Shaver, PA-C ..............432-2335 General Surgery G Richard Unger, Jr., D.O. ....432-7766 Internal Medicine G David Koenig, M.D. ............432-4444 OB/Gyn G Tracey McIntire, D.O.........432-7766 Orthopedic Surgery G James Mueller, M.D. ..........433-8500 Pathology G John Cook, M.D. ................433-8173 Podiatry G Todd Miller, D.P.M. ............432-7766 Radiology G Tom Gleason, D.O. ............433-8160 BCH SPECIALTY CLINIC PHYSICIANS, 433-8300 Allergy G Jay Brown, M.D., McFarland Clinic Cardiology G Jeffrey Boyd, M.D., Iowa Heart Dermatology G Kathy Cook, M.D., Skin Solutions Dermatology Ear, Nose, Throat G Matt Morgan, M.D., Mercy ENT Eye G Daniel Vos, M.D.,Wolfe Clinic

Nephrology G Jacob Alexander, M.D., McFarland Clinic G Jobinson Thomas, M.D., Des Moines Kidney Assn. Neurology G Michael Kitchell, M.D., McFarland Clinic G Seldon Spencer, M.D., McFarland Clinic Oncology G Joseph Merchant, M.D., McFarland Clinic Orthopedic Surgeons G Craig Mahoney, M.D., Iowa Orthopaedic Center G Daniel McGuire, M.D., Iowa Spine Care Pain Management G Christian Ledet, M.D., Des Moines Orthopaedic Surgeons, P.C. Podiatry G Charles Gilarski, D.P.M., McFarland Clinic G Mark Wetzel, D.P.M., Foot & Ankle Center Physical Medicine and Rehab G Todd Troll, M.D., Iowa Clinic Plastic/Reconstructive Surgery G Kyle Ver Steeg II, M.D. Pulmonary Medicine G Katrina Guest, M.D., Iowa ClinicIowa Lung G Steven Wanzek, M.D., McFarland Clinic Urology G Stephen Piercy, M.D., Urology Associates, P.C. Vascular Surgery G Doug Massop, M.D., Iowa Clinic

1015 Union Street Boone, Iowa 50036

NON PROFIT ORG US POSTAGE PAID FORT DODGE, IA PERMIT #4