Spring 2009

Cancer—from
diagnosis through
surgery and chemo—
teamwork counts

• Winona Health Celebrates Women

• Help your children find balance in
this fast-paced world
• Healthy Kids Club Step into Summer
 Committed to you—always
Spring is a hope-filled season, with the daylight hours
Healthy Connections is published by growing longer … the first flowers peeking up in our
Winona Health to provide you with
information about health, wellness gardens … and students planning ahead to graduations
and the many healthcare resources and new beginnings. But, this spring, many families
available to you, close to home. and businesses are traveling through uncertain times.
Sending you Healthy Connections
is just one example of how we’re As our economy has slowed, families and businesses
working to fulfill our mission of are cutting expenditures and saving their dollars for
improving the health and well-being their most critical needs.
of our family, friends and neighbors.
We welcome your questions, As this community’s healthcare system, it is important
suggestions or comments about to let you know that Winona Health remains
Winona Health and this publication.
Please visit winonahealth.org and committed to your care. We have seen many changes Rachelle H. Schultz
President/CEO
click on Contact Us or call Winona in health insurance status and plans for patients who
Health Marketing/Communications seek healthcare services, and I suspect that we will continue to experience more
at 507.457.4157.
changes over the next few years. How we are able to deliver services to you may
If you no longer wish to receive undergo some changes. Whether it is through e-visits or via phone or telemedicine
Healthy Connections, please call
507.457.4157 or send an e-mail, using new technologies, healthcare of the future offers many potential options.
noting your address as it appears These options can greatly benefit our community and each individual—and we
on the back of the publication, to have prepared for years to be in a position to offer these opportunities.
info@winonahealth.org.
Like other organizations and businesses, Winona Health is dealing with our current
In this issue... economy by becoming a more efficient enterprise. But our focus remains on
providing customer value. Winona Health exists to improve the health and well-
2 Committed to you—always
being of each of you—our family, friends and neighbors. Throughout the process
3 Winona Health Celebrates Women
4 Step into Summer with of healthcare reform that is underway, we remain focused on that mission. We
Healthy Kids Club have systems in place to care for you now, when the economy is down, and we’ll
5 Need oral surgery? “Not to worry” continue to care for you in the years ahead.
says nine-year-old Maddie
6 Help your children find balance in As we all experience the downturn in the economy and make the decisions
this fast-paced world necessary to weather the times, the longer-term reform and recovery measures
7 Q & A with Joan M. Krueger, MD
hold promise and hope. It will take time, energy and commitment, and at Winona
8 From the cover: When the
diagnosis is cancer, teamwork
Health we intend to do our part to bring the promise of the future to those in our
counts community every day—one day at a time.
10 A team of experts devoted to
surgical care and safety
11 Foundation & Auxiliary News
12 Winona Health News & Notes
15 Winona Health directory
16 Upcoming classes & events Rachelle H. Schultz
President/CEO
On the cover: Diane Filzen-Larson
depended on her Winona Health team to
provide care through her breast cancer
diagnosis and treatment.

2 Healthy Connections • Spring 2009

 Winona Health Celebrates Women
‘‘
Thanks for planning such a
great and important event!
—2008 event attendee
T he third annual Winona Health Celebrates Women
is an event for women of all ages, so register early
and bring your mother, sister, daughter or friends to the
Winona Health campus on Saturday, April 25, from 8 a.m.
to 1 p.m. Enjoy a positive message by Lisa Warsinske,
reminding us to keep our “happy file” full during trying
times while refreshing our attitudes.
Registration is required and includes a delicious
breakfast, keynote presentation by Lisa Warsinske, your
choice of informational breakout sessions, optional health
screenings, informational booths and a chance to win
door prizes.
Breakout sessions highlight topics for women such
as easy ways to maintain a healthy lifestyle, diabetes
prevention, child development, keeping a balanced
life and surgical services, such as the VNUS® Closure®
procedure to eliminate varicose veins.
Three easy ways to register: winonahealth.org/women • return registration form below • or call 507.457.4161
Registration: Winona Health Celebrates Women
Please register early, as space is limited. Register by
Friday, April 17, for the early bird discount price of
$15 per person. Cost after April 17 will be $20. If you
have any questions, please contact Community Relations at
507.457.4161 or jolson@winonahealth.org.
Name(s)_____________________________________________
Address_____________________________________________
City___________________________ State____ Zip_________
Phone number________________________________________
e-mail_ _____________________________________________
Saturday, April 25
Winona Health campus • Winona Clinic entrance • 859 Mankato Ave. • Winona
8 a.m. Registration and breakfast
8:30 a.m. Welcome by Rachelle Schultz,
Winona Health president/CEO
8:40 a.m.
Keeping the Focus on What’s Truly
Important by Lisa Warsinske,
humorist, speaker and actress
9:45 a.m. Breakout sessions
10:30 a.m. Refreshment break
10:45 a.m. Breakout sessions
11:30–1 p.m. Informational booths and free
health screenings
Noon Door prize drawing
If you’d like to receive more details about this event via e-mail, please
send your name and e-mail address to jolson@winonahealth.org.
Register early and save! Cost is $15 per person or $20
after April 17 and at the door if space allows. Donations
to the Women’s Resource Center are encouraged to
support women in our community who are victims of
domestic violence. Donations requested include personal
care items and diapers. Items must be new.
Payment Method:
1. Check enclosed made payable to Winona Health
2. Please charge my:  Visa  MasterCard
 Discover  American Express
Card Number_________________________________________
Exp. date (month/year)____________________________________
Please complete and mail this form with your payment to:
Winona Health Community Relations
855 Mankato Avenue
Winona, MN 55987
 Please check box if you have special dietary requirements
Healthy Connections • Spring 2009 3
Step into Summer with Healthy Kids Club
W inona Health’s Healthy Kids Club invites children
ages 6-11 and their families to Step into Summer
on May 30. This is a casual and non-competitive walk
Registration is required for this free event, and children
must be accompanied by an adult. To register, please visit
winonahealth.org/HKC or call 507.457.4161.
with some fun along the way. Walkers will start at the
bike path near Lake Winona Manor, walk to the Jaycee Strollers and wheelchairs are welcome, but please leave
Pavilion for a healthy snack, and walk back to the Winona your bikes, skateboards, rollerblades and pets at home.
Health campus. Total distance is almost two miles. Listen to Winona Radio for event cancellation in case of
threatening weather.
“Step into Summer is Healthy Kids Club’s third special
event of the school year, and we’re excited to again be Help keep families in our community healthy
offering this activity for children and their families,” As part of HKC’s Step into Summer, we encourage you to
Jennifer Olson, Winona Health community relations donate canned fruits, peanut butter and juices for Winona
manager, said. “This event encourages physical activity Volunteer Services Food Shelf.
while helping kids understand the importance of
developing healthy habits such as walking and other
exercise.”
Step into Summer
For children who register and finish the walk, the event Saturday, May 30, 2009
will end with inflatables (the Ironman is back!). Project
Get Outdoors and the Upper Mississippi River National • Registration is required—it’s free!
Wildlife & Fish Refuge/U.S. Fish & Wildlife Service
• Walk begins at 9 a.m. sharp.
also will provide activities for kids, including a scavenger
hunt with digital photography and building a bird house.
• Celebration activities after
the walk, until noon, for walk
participants.
Help children explore the outdoors • Children must be accompanied by
The Upper Mississippi River an adult.
National Wildlife & Fish
To register, please call 507.457.4161 or
Refuge/U.S. Fish & Wildlife
visit winonahealth.org/HKC.
Service generously donated 15
Let’s Go Outside backpacks to
Healthy Kids Club. Families Begin at the bike path by the Winona Health
campus, walk to the Jaycee Pavilion and back.
are invited to check out activity
Total walking distance is almost two miles.
backpacks for up to two weeks
at no charge. Two backpacks may be checked out per Please park in the northwest parking lot
family by calling 507.457.4161. between the hospital and Lake Winona Manor.

4 Healthy Connections • Spring 2009

Need oral surgery? “Not to worry” says
nine-year-old Maddie
“I ’m not a big fan of getting teeth pulled,” confessed
Maddie Walters, age 9, of Wabasha. “I was kind of
scared because it was my first surgery, but then I found
out I’d be asleep, and I wasn’t so scared.”

Maddie’s oral surgeon, Gary Hayes, DDS, at Winona

Health, understands. “Obviously nobody likes having
oral surgery—whether you’re nine or 99—so we offer
different levels of sedation up to and including general
anesthesia. The level of sedation is based on your
health, anxiety level and the procedure being done. We
personalize the plan for each individual.”

According to Dr. Hayes, older people with more

complicated cases usually can use an IV sedation that is
adjusted according to the patient’s anxiety level. He said
that more adults are requesting oral sedation. “While
these options require the patient to have a driver with
them, it makes the procedure much more tolerable,”
Dr. Hayes added.

In Maddie’s case, general anesthesia made the most
sense. She had seven teeth removed to help prepare for
orthodontia. “Having teeth extracted is fairly typical
pre-orthodontia work,” said Dr. Hayes. “The logic is to
remove teeth at an easy and safe time and then allow
Mother Nature to move the remaining teeth into the
empty space. Since Mother Nature is doing what comes
naturally, with a little timely guidance from us, there is
less orthodontia time, less risk of root resorption and
fewer visits to the orthodontist.”
Maddie’s mom, Monica, said, “Dr. Hayes asked Maddie
if she had any questions and she had many! She was very
curious, and he was very thorough in explaining to her
what was going to happen. He and the nurses took such
good care of Maddie. We had stopped at the gift shop to
get a stuffed animal on the way in and the nurses gave her
and her animal special attention. They were so gentle and
caring; they made her feel very special.”
Special care for all—Maddie Walters, age 9, holds her
River Otter, named “Otta.” Otta, Dr. Hayes and the nurses in the
Oral Surgery Department helped Maddie through having seven
teeth pulled to help prepare for orthodontia.
Asked if she had any advice for other people who might
need to have oral surgery and were feeling a little nervous
about it, Maddie said, “I’d tell them not to worry because
surgeons are pretty nice people. And they won’t feel a
thing because they’ll be asleep. The other thing I’d tell
them is that they can bring their favorite stuffed animal
and keep it in their lap the whole time. Dr. Hayes is a
great surgeon—and he’s pretty funny, too!”
Dr. Hayes also provides dental implants and mini titanium
implants to secure loose dentures. When your dentures
fit securely, you’ll enjoy meals more, speak more clearly
and you’ll laugh and smile with confidence. For more
information about oral surgery, call 507.457.7700.

Healthy Connections • Spring 2009 5

Help your children find balance
in today’s fast-paced world
W ith television, video games, the Internet, toys
that sing and flash, complex playgrounds and
the world at their fingertips, children are surrounded by
constant stimulation. Often it can be too much. Over-
stimulation can cause stress in your child’s life, so it is
important to provide a balance for them.
Winona Health pediatrician Craig H. Anderson, MD,
advises parents to help their children find balance in their
lives by promoting calm, creative activities. “Activities
that promote listening, focusing on direction and learning
by watching are great ways to help a child learn to focus
and practice patience,” Dr. Anderson said.
Dr. Anderson recognizes that children who learn how to
entertain themselves—instead of always expecting to be
entertained—develop self-confidence and independence.
“Letting children just play and use their imagination is
best,” Dr. Anderson said. Even a simple activity like
drawing is a great way to foster creativity and focus in
your child’s life. “Give your child a blank sheet of paper
and watch their creativity blossom. Drawing and building
promote creative thinking and independent working.”
6 Healthy Connections • Spring 2009
Reading, according to Dr. Anderson, is also one of the
best activities for children. Reading aloud at a young age
promotes further exploration into reading and learning
as they grow. “Children who develop a love for reading
significantly increase their potential for academic and
life-long success,” he noted. “Plus it promotes quiet,
relaxed time which helps balance out their busy lives and
opens up a world of imagination.”
Dr. Anderson encourages families to enjoy calm activities
together. “Spend time together as a family; enjoy the
outdoors; walk; ride bikes and promote an overall healthy
lifestyle,” Dr. Anderson said. “I also encourage parents
to get their children involved in extra-curricular activities
they will enjoy into adulthood. Golf, tennis, biking and
skiing are good examples of lifetime sports.”
For achieving balance in your child’s life, Dr. Anderson’s
advice is simple: “Limit television and video games and
get children outdoors. Encourage reading, writing and
drawing. Let kids be the creative beings that they are.”
 Q & A with Joan M. Krueger, MD:
Managing cold symptoms all year long
E ven though spring is upon us, your child still can catch a cold. Cold viruses stay around
year-long, so it is important to understand the best way to care for your child through
the sniffles and coughing spells. Winona Health pediatrician Joan M. Krueger, MD, answers
commonly asked questions about caring for a child with a cold.
Q: What is the best care to provide for children
when they are suffering from cold symptoms?
A: When children catch a cold, their symptoms can last
up to a few weeks. It is important during this time that
they get plenty of rest and support from their parents.
Their fluid intake should be increased either with water,
if the child is eating well, or Pedialyte, to make sure they
are still receiving proper electrolytes if their appetite
subsides. Avoid sugary juices and sodas, as those can
actually make diarrheal symptoms worse.
To help relieve congestion, a humidifier can be placed in
their bedroom at night or use a bulb syringe to help clear
the nostrils of an infant. Using nasal saline drops prior
to suctioning can help break up the congestion and make
suctioning easier. Gargling with salt water can provide
some relief of sore throats in older children; “grandma’s”
chicken noodle soup always seems to help. For relief
of nighttime cough, try giving your child a spoonful of
honey (ONLY if he or she is over the age of one).
Q: What medications are safe to give children
when they have cold symptoms?
A: If your child is under the age of four, I do not
recommend giving them any kind of cold medications.
I still recommend using caution with cold medicines if
your child is four or older, as there is no solid proof that
the medications actually work, even in adults. If you
are going to use medication, I recommend using single-
ingredient medication. If multiple medications are used,
check to make sure their active ingredients are different.
Always follow proper dosing instructions and please call
your care provider if you have any questions.
Q: When should children be seen by a doctor?
A: If your child has had cold symptoms for more than a
week and then suddenly spikes a fever (100.4 degrees or
higher), call the doctor, as this could indicate a secondary
infection—like an ear infection. Any time your child
is wheezing, has shortness of breath or any difficulty
breathing you should see your doctor. During flu season,
if your child experiences a high fever of 102 degrees or
higher, is achy and/or has a sore throat, bring them to a
doctor within the first 48 hours of symptoms. If not used
within that 48-hour timeframe, antiviral drugs will not be
effective in treating flu symptoms.
Q: What is the best way to prevent cold
symptoms?
A: Handwashing, handwashing, handwashing! Soap
and water are the best defense against viruses. I do not
recommend using antibacterial soaps, as they offer no
extra protection and are bad for the water supply.
To contact the Pediatric/Adolescent Medicine department
at Winona Health, call 507.457.7607. For information on
children’s health, visit winonahealth.org/children.
Influenza vaccine recommended
Getting a yearly influenza vaccine is recommended
for ALL children age six months to 18 years. The
intranasal vaccine is typically available in August; a
good time to protect children coming in for back-to-
school physicals. Not only does this vaccine protect
children for longer—and without a needle—but
it actually provides better protection than the
traditional shot. It also has been shown that when
a higher percentage of children in a community
are vaccinated, it decreases influenza-related
complications among the elderly.
—Joan M. Krueger, MD
Healthy Connections • Spring 2009 7
 From the Cover

When the diagnosis is cancer, teamwork counts

From discovery through surgery and chemotherapy, it’s nice to stay close to home

“I t’s a scary diagnosis, but it’s a

do-able diagnosis,” said Diane
Filzen-Larson, 49, of Winona. “I felt
like there was a cohesive and caring
team involved in my care, and it was
wonderful that everything could be
taken care of right here at Winona
Health.”

Diane learned she had breast cancer

last April. “I found a lump, and at first
I dismissed it. Then I decided I better
have it checked out.”

After a mammogram at Community

Memorial Hospital, Diane had an
ultrasound that indicated a needle
biopsy was necessary. “It was so
helpful to get all that taken care of
working as a team—(L–R) Matthew Broghammer, DO; Diane Filzen-Larson;
during the same appointment,” recalls
Richard C. Ferris, MD; and Angie Seberg, RN, worked together to ensure Diane received
Diane. “And the results of the needle the best comprehensive care right here at Winona Health.
biopsy were back the next day, so I
didn’t feel like there was any waiting.”
Dr. Broghammer explained, “Using a team approach
Although the results of the needle biopsy came back allows us to give patients a more complete preview
negative, the radiologist “was concerned enough to say of their diagnosis and the treatment options. This is
we need to pursue this further,” said Diane. Because of particularly important in breast cancer because there
the size of the lump, they decided to surgically remove a are different surgical options, including mastectomy or
portion for further testing. lumpectomy, and a multitude of medical therapies.”

A few days after that surgery, Diane had a follow-up
appointment with surgeon Matthew Broghammer, DO.
“I was in Dr. Broghammer’s office to get the results and
learned that it was cancer. He arranged for me to see Dr.
[Richard] Ferris that same afternoon,” she said. “They
moved quickly, and I was very reassured when they laid
out the treatment plan so I understood what was going
to happen. They knew what the plan should be and they
quickly put it in motion.”
Diane started chemotherapy treatment at Winona Clinic
on April 14 and had four rounds of chemotherapy before
surgery. “In Diane’s case, we discussed and recommended
neoadjuvant therapy—chemotherapy before surgery—in
attempt to shrink the tumor and provide better surgical
margins,” said Dr. Ferris, an Internal Medicine physician
with board certification in oncology.

8 Healthy Connections • Spring 2009

‘‘
It’s reassuring to know that I can
get cancer treatment right here in
Winona with wonderful personalized
care. I felt like I was in good hands.
—Diane Filzen-Larson
Added Diane, “The nurses were very thorough in doing
my prechecks to make sure I could handle the chemo. The
chemo treatment room is very comfortable and private,
and everyone made sure I was comfortable. I could watch
TV, listen to my iPod or read a book—or even sleep.”
Diane noted that she never realized she’d be able to stay
right here in town for her entire treatment. “It was so nice
to be able to do everything right here in Winona.

Diane had surgery in June to remove the tumor and 12 “A cancer diagnosis is difficult for everyone, but I think
lymph nodes for testing. Fortunately, the lymph nodes the care I received made it so much easier,” she said. “It’s
showed that the cancer had not spread. reassuring to know that I can get cancer treatment right
here in Winona with wonderful personalized care. I felt
“The surgery nurses and anesthetist were wonderful and
like I was in very good hands.”
Dr. Broghammer came in to check on me before the
surgery. I felt like there was a whole team involved in my
care.”

Because the cancer had not spread, no radiation was

required. After recovering from the surgery for six weeks,
Diane completed her treatment with four more rounds of
chemotherapy.

“Although all detectable cancer had been removed,

because of the statistical risk of relapse, Diane underwent
an additional four chemotherapy treatments after
recovering from surgery,” noted Dr. Ferris. “Large-
scale clinical trials have shown significant benefit from
healing with family—Diane and husband, Marty, on a
adjuvant (post-surgical) treatment in reducing the risk of
family vacation in Wisconsin Dells two weeks after Diane’s breast
the cancer returning.” cancer surgery. She and Marty have two children.

Personal care for your personal concerns

Today, women no longer have to live with common
physical issues that may come with age—or just with
being a woman. Healthcare providers at the Winona
Center for Women’s Health listen to your concerns
and offer options that are much simpler than you
might think—including in-office procedures that
require little or no recovery time.
Said one patient, “I had a very simple procedure done;
very little recovery time was required; and it’s such
a relief. I wish I had talked to my doctor about my
symptoms sooner.”
So whether you’re concerned about issues related to
your cycle, bladder control or birth control, women’s
health experts are right here with the latest solutions.
Learn more by visiting winonahealth.org/women
or call 507.457.7701.
Winona Health Celebrates Women
Saturday, April 25
Winona Clinic • 8 a.m.–1 p.m.
see page 3 for more info.
winonahealth.org/women

Healthy Connections • Spring 2009 9

A team of experts devoted to surgical care and safety
S urgeons are key in determining whether a surgical
procedure is necessary and explaining the benefits
and potential risks involved, but they don’t operate alone.
The Surgical Assistant serves as the surgeon’s extra
hands, following instructions and anticipating the
surgeon’s needs.

“Any surgical procedure is a complex process requiring
a large support team. The staff-to-patient ratio is higher
during surgery than at any other time throughout a
healthcare experience,” said Sara Gabrick, Winona
Health’s vice president of patient care. “Minimally, there
are five staff on the surgical team—in addition to the
surgeon. That number may be higher depending on the
procedure.”
Surgeons are assisted by a skilled team—each one
dedicated to their special role in your care. These
professionals are part of a typical surgical team:
The Anesthesiologist and Nurse Anesthetist review
your medical information and discuss your options for
anesthesia care. During the procedure, they make you as
comfortable as possible, while also monitoring your vital
signs and watching for reactions to the medications given.
Following surgery, they continue to monitor you to ensure
your comfort and safety.
The Scrub Nurse is a specially trained nurse who ensures
that instruments and supplies are ready for the procedure,
anticipates what will be needed and hands instruments to
the surgeon and assistant at the appropriate times.
The Circulating RN serves as an advocate for you
throughout the surgical procedure and is responsible for
patient safety in the operating room. This RN ensures
that equipment used has been tested and is functioning
properly prior to the start of the procedure. He or she is
responsible for documentation —for everything from
fluid loss or output to the number of instruments used for
the procedure.
In addition, a more behind-the-scenes team is responsible
for sterilizing equipment, cleaning and disinfecting
surgical areas and managing the surgery schedule. All
members of a surgical team work to ensure your safety
and comfort. For information about surgical services at
Winona Health, visit winonahealth.org/surgery.

Winona Health surgeons here for you

Anesthesiology Oral/Maxillofacial Surgery
• Satya S. Gorty, MD • Gary W. Hayes, DDS
• Ruth L. Moes, MD
Orthopaedic Surgery
General Surgery • Tim Gabrielsen, MD
• Matthew J. Broghammer, DO • Richard Romeyn, MD
• J. David Rowekamp, MD
Obstetrics/
• Hans Zinnecker, MD
Gynecology
Ophthalmology • Scott B. Birdsall, MD
• Laurel Quinn, MD • Troy J. Shelton, MD

winonahealth.org/surgery

Surgery physicians pictured: (clockwise from front left)

Matthew Broghammer, DO; Gary Hayes, DDS; Laurel Quinn, MD;
Hans Zinnecker, MD; J. David Rowekamp, MD; Troy Shelton, MD;
Richard Romeyn, MD; Tim Gabrielsen, MD; Satya Gorty, MD
Scott Birdsall, MD; not pictured: Ruth Moes, MD

10 Healthy Connections • Spring 2009

 Foundation & Auxiliary News

Auxiliary provides strong

support for Winona Health

L ast year, Winona Health Auxiliary volunteers

provided 36,245 hours of service to Winona Health.
Using the current U.S. average hourly value for volunteer
time, that amounts to a gift equivalent to $707,139.95 in
service time to Winona Health.

In addition, Auxiliary gifts in 2008 totaled $113,463

including $90,700 to be used to replace dialysis machines
and for pediatric physical therapy equipment; $20,000
for healthcare scholarships; and $2,763 to benefit Winona
Health’s Watkins Manor, Lake Winona Manor and Adith
Auxiliary officers for 2009—standing (l-r)
Miller and Roger Metz Manors. Pat Nolan, vice-president; Kim Schwab, treasurer and WH board
representative; Candi Kohner, assistant treasurer; Ruth Dalleska,
For a list of upcoming Auxiliary events, secretary. Sitting (l-r) Edna Loughlin, outgoing president; Grace
please see back cover. Welle, president; Grace Pendleton, president-elect.

Gift to Foundation enhances Healthy Living Center

T hanks in part to the generosity of one of the many
clients it serves, the Winona Health Cardiac
improvements said, “Coming here has helped me a lot.
I feel better, and I also enjoy the staff and the people

‘‘
Rehabilitation Department’s Healthy Living Center I’ve met over the years. I just wanted to help where I
recently received a makeover. could.” This kind donor also has
made contributions through the
“Cardiac Rehab has been in its
Coming here has helped me Foundation to benefit Physical
current Parkview Office Building Therapy Services located at
location for about 14 years,” said a lot...I just wanted to help Sarnia Square.
Lynn Sprain MS/RCEP. “We see where I could.
nearly 150 patients every week, and
—Anonymous donor The Cardiac Rehabilitation
each of them uses our services two Department’s Healthy Living
or three times a week—they all will Center, which includes treadmills,
appreciate the fresh paint and carpeting along with a few stationary bikes, arm bikes, Nu-Steps and strength
new furnishings.” building equipment, is available to all community
members with physician permission. Punch cards are
Wishing to remain anonymous, one of the people who $38 for eight visits and $56 for 12 visits. For more
donated to the Winona Health Foundation for these information, call 507.457.4419.

Has someone at Winona Health touched your life? Honor them as a Guardian Angel.
Visit winonahealth.org/foundation for more information.

Healthy Connections • Spring 2009 11

 Winona Health News & Notes
Bob Giese, PA, joined the
medical team at the Winona
Health Urgent Care Clinic. He has
a special interest in emergency
and acute care situations and
he is committed to providing
compassionate care for people of
all ages. Giese earned his Master
of Science in Physician Assistant Studies from the
University of Iowa in Iowa City.
Sue Haug, RD, LD, a registered
and licensed dietitian provides
nutrition education to patients
including those who are managing
diabetes. Haug’s experience
includes being a consulting
dietitian, dietary director and
clinical dietitian in a variety of
settings, including long-term care and acute care settings
and in college food service.
Elie Richa, MD, joined the
medical team at Winona Health
and serves as a part-time
hospitalist. He completed his
Internal Medicine residency at
Staten Island (NY) University
Hospital and a Fellowship in the
Division of Transfusion Medicine,
Department of Laboratory Medicine and Pathology, at
Mayo Clinic.
Laurie Stenseth, MSW/LICSW,
a mental health therapist with
expertise in individual, family and
group counseling, has joined the
staff at Winona Health Psychiatric
& Counseling Services. Her
experience includes completing
mental health assessments,
Employee Assistance Programs, emergency mental health
services and facilitating individual therapy.
12 Healthy Connections • Spring 2009
Hans Zinnecker, MD, a board
certified general surgeon, joined
the Winona Health medical team.
Dr. Zinnecker previously served
as chief of surgery at Genesis
Medical Center in DeWitt, Iowa.
He also served as medical director
for the Center for Breast Health
in Davenport, Iowa, and earned his medical degree at the
University of Nebraska School of Medicine in Omaha.
If you would like to make an appointment with a
healthcare provider, view the directory on page 15 for
phone numbers and clinic hours. For more information,
visit winonahealth.org—click on Find a Provider.
Rachelle Schultz, Winona
Health president and CEO, was
recently named to the Minnesota
Hospital Association (MHA)
board of directors. Schultz is a
member of the American College
of Healthcare Executives and also
serves on the Institute for Clinical
Systems Improvement (ICSI) board. Schultz has been
president/CEO of Winona Health since 2002.
Autumn Herber, Winona
Health Volunteer Services
coordinator, passed the American
Hospital Association’s Certified
Administrator of Volunteer
Services examination. She is the
second individual in Minnesota to
earn this credential. In addition,
Herber received the Heart of Minnesota Award from the
Health Care Auxiliary of Minnesota in October.
Residents give high ratings to Winona Health
assisted living communities
A survey of residents and family members in Winona
Health assisted living communities showed that 100
percent of respondents would recommend Adith Miller
Manor, Roger
Metz Manor and
Watkins Manor to
others. The survey
was conducted by
an independent,
third-party research
company. Surveys
were mailed to residents and/or family members, and
results were benchmarked against about 950 other
residences nationwide. Comments received from residents
include: “Meals are great,” “It is like home to me,” I love
it here,” and “Everyone is warm and friendly.”
The report also shared that 100 percent of residents
surveyed rate Adith Miller Manor, Roger Metz Manor
and Watkins Manor as “excellent” or “good” in areas
such as overall satisfaction, safety, competency of staff
and care and concern of staff. For a personal tour or for
more information about Winona Health Assisted Living
residences, call 507.494.7496.
Drivers’ Screening program available
The Winona Health Foundation awarded a grant to the
Lake Winona Manor Rehabilitation Department for a
drivers’ screening program to perform a comprehensive
evaluation of driver safety. All community members have
access to this valuable tool.
The computer-based driving simulator consists of a
steering wheel, brake/gas pedal system and a software
program that records reaction time. Another component is
the Useful Field of View software which assesses visual
processing speed, visual attention and visual memory.
Most insurance companies will cover this screening
with a physician referral. If interested in a driving skills
assessment, talk with your primary care provider.
Rushford Clinic renovations underway
The renovation of Rushford Clinic’s new location at
109 West Jessie Street in Rushford is underway. Onsite
construction began in February and it’s anticipated that
the majority of the renovation will wrap up in late spring
for early summer occupancy. Schwab, LLC is the general
contractor for the project. Since the 2007 flood, Rushford
Clinic staff has been providing services in a temporary
location at 901 Home Street in Rushford. Clinic hours
are 8 a.m. to 5 p.m. Monday through Friday. To make an
appointment at Rushford Clinic, call 507.864.7726.
Serving the community and its children
Winona Health’s mission is to improve the health and
well-being of our community. We demonstrate our
commitment to the community through providing health
screenings at community events, staff hours for home
delivered meals, community
education classes, charity
care, educational
opportunities for students
and through programs
such as Healthy Kids Club.
Since launching Healthy Kids Club in fall 2007, Winona
Health has served 2,462 children and family members.
Evaluating drivers’ safety—A Winona Health
Foundation grant helped provide access to a drivers’ screening
program for community members.
Healthy Connections • Spring 2009 13
 Winona Health News & Notes
Grant received for palliative care initiative
The Winona community was one of only ten rural
Minnesota communities selected to participate in Stratis
Health’s Minnesota Rural Palliative Care Initiative.
Thirty-five communities applied to participate in the
initiative, indicating a strong interest and need to develop
palliative care services to support rural communities.
“Palliative care is an approach to managing chronic
disease and other serious and advanced illness that centers
on relieving suffering and improving quality of life for
patients and their families,” Mary Miller-Hyland, Winona
Senior Services administrator, said. “It differs from
hospice in that it is appropriate at any point in a serious
illness and can be provided at the same time as curative
treatment.”
Community Memorial Hospital, Winona Area Hospice,
Winona Area Home Care and Lake Winona Manor
will work together to develop and implement an action
plan for developing a palliative care program in our
community. This initiative was made possible by funds
provided by UCare, an independent, non-profit health
plan providing healthcare and administrative services to
more than 140,000 members.
Notes from the community—
I had oral surgery under general anesthesia. I want
to thank Dr. Hayes and his superlative crew for their
professionalism. I had no qualms in entrusting myself to
their care. I came away with a very positive outlook for a
successful surgical outcome. Thank you!
—Oral Surgery patient
Thank you to a very kind and competent staff!
—Mammography patient
Kara [Nelsestuen] is really wonderful. She’s gentle and
always asks if you’re doing okay. Thanks for having great
people like her on your staff.
—Women’s Imaging patient
14 Healthy Connections • Spring 2009
Welcome to the new winonahealth.org
View our new website—open 24 hours a day!
The Winona Health website is new and improved. Visitors
will find information in an updated and easier-to-navigate
environment.
Visit the online nursery; sign up for a free e-newsletter
for new parents; use our convenient messaging tools
to send greetings
to patients or
comments to staff;
read about services
and healthcare
providers; find
information about
the Winona Health
Foundation and
Volunteer Services; learn about clinical departments;
shop at our online gift shop; sign up for Winona’s Health
Online; and explore Healthy Kids Club.
Looking for something and you don’t find it? Let us
know: webmaster@winonahealth.org.
Thank you! I was in and out and I couldn’t believe they
ever did anything—these are all good points!
—Colonoscopy patient
I couldn’t have asked for more. Thank you for great care.
—Surgery patient
I was scared and everybody was so nice. Thanks to all!
—Surgery patient
All of you were my lifesavers. I received wonderful care at
your hands. God will bless you for doing his work.
Thank you.
—Community Memorial Hospital patient
 PO Box 5600 • 855 Mankato Ave. • Winona, MN • main number: 507.454.3650 • toll free: 800.944.3960
Departments and Services
Allergy & Asthma 474.7830
Auxiliary 474.3328
Behavioral Medicine (inpatient) 457.4362
Business Office/Billing Information 457.4369
Cardiopulmonary Rehabilitation 457.4419
Community Memorial Hospital 454.3650
Community Relations 457.4161
Counseling Services 454.2606
Dermatology 457.7670
Dialysis 457.4391
Emergency (in emergency call 911)
Eye Care 474.4760
Family Birth Center 457.4345
Family Practice 457.7648
Gift Shop 457.4450
Health Information Management 457.4476
Healthy Kids Club 457.4161
Internal Medicine 457.7622
Human Resources 457.4490
Laboratory (outpatient) 457.4323
Massage Therapy 457.4329
Medical Records 457.4476
Nutrition & Diabetes Education 457.4329
Obstetrics/Gynecology 457.7701
Occupational Therapy 457.4329
Ophthalmology/Optometry 474.4760
Oral/Maxillofacial Surgery 457.7700
Orthopaedic Surgery/
Sports Medicine 474.6600
Pastoral Care 457.4382
Pediatric/Adolescent
Medicine 457.7607
Physical Therapy 457.4329
Psychiatric & Counseling Services 454.2606
Radiology/ Imaging Services 457.4320
Bone Densitometry, CT, Digital X-ray, Echocardiography, MRI,
Nuclear Medicine, Ultrasound & Women’s Imaging/Mammography
Rehabilitation Services 457.4329
Respiratory Care 457.4326
Sleep Lab 453.3789
Speech–Language Pathology 457.4329
Sports Medicine 474.6600
Surgery/General 457.7670
Telecare 457.4466
Urgent Care 474.7830
Volunteer Services 474.3328
Winona Health Foundation 474.3328
Winona’s Health Online Helpline 888.287.1024
Women’s Health 457.7701

Community Memorial Clinics Rushford Clinic • 864.7726

Hospital • 454.3650
855 Mankato Ave. • Winona, MN
Parkview Pharmacy • 454.4925
825 Mankato Ave. • Winona, MN
Winona Senior Services
Adith Miller & Roger Metz
Manors • 454.0179
885/875 Mankato Ave. • Winona, MN
Home Care & Hospice • 457.4468
175 E. Wabasha St. • Winona, MN
Allergy & Asthma Clinic • 474.7830 901 Home St. • Rushford, MN
420 E. Sarnia • Winona, MN Mon.–Fri: 8 a.m.–5 p.m.
Mon: 8 a.m.–noon; Wed: 1:30–5 p.m. Sports & Orthopaedic
Eye Care Center • 474.4760 Specialists • 474.6600
859 Mankato Ave. • Winona, MN 859 Mankato Ave. • Winona, MN
Mon.–Fri: 8 a.m.– 5 p.m. Mon.–Fri: 8 a.m.–5 p.m.
Lewiston Clinic • 523.2127 Urgent Care Clinic • 474.7830
100 Harrison St. • Lewiston, MN 420 E. Sarnia • Winona, MN
Mon.–Thurs: 8 a.m.–5 p.m. Mon.–Thurs: 8 a.m.–8 p.m.
Fri: 8:30 a.m.–1 p.m. Fri.–Sun: 8 a.m.–5 p.m.

Lake Winona Manor • 457.4366
865 Mankato Ave. • Winona, MN
Watkins Manor • 494.7400
175 E. Wabasha St. • Winona, MN
Winona Area Hospice • 457.4468
175 E. Wabasha St. • Winona, MN
Occupational Health • 474.3212 Winona Clinic • 454.3680
420 E. Sarnia • Winona, MN 859 Mankato Ave. • Winona, MN
Mon.–Fri: 8 a.m.–5 p.m. Mon.–Fri: 8 a.m.–5 p.m.
Psychiatric & Counseling
Services • 454.2606 Learn more at
825 Mankato Ave. • Winona, MN
Mon.–Fri: 8 a.m.–5 p.m.
winonahealth.org
Healthy Connections • Spring 2009 15

PO Box 5600 • 855 Mankato Ave. • Winona, MN 55987 • winonahealth.org
Events, classes & support Groups
For a complete calendar of events by
date and for more information about our
services and programs, please visit our
website: winonahealth.org. We welcome
your questions and comments.
Alzheimer’s and Related Dementia
Support and Education
2nd Wednesday of the month, 6–7 p.m.
CMH, Parkview Conference Room
No registration required: 507.457.4560
Breastfeeding Class
May 26, 6:30–8:30 p.m.
CMH, 3rd Floor B.A. Miller Auditorium
Cost is $10
Childbirth Education Classes
Six week program options:
Wednesdays, April 8–May 13
Thursdays, May 7–June 11
Wednesdays, June 3–July 8
6:30-8:30 p.m.
Weekend (two day) program options:
Friday, April 17, 6–8 p.m.
Saturday, April 18, 8 a.m.–3 p.m.
Friday, June 26, 6–8 p.m.
Saturday, June 27, 8 a.m.–3 p.m.
CMH, 3rd Floor, B.A. Miller Auditorium
Registration required: 507.457.4338
Community Health Talks
Watch local media for details on
upcoming programs. These programs are
free to the community, but registration is
encouraged to help us plan.
Visit winonahealth.org/health_talks or
call 507.457.4374 for more information.
Crohn’s & Colitis Support Group
Last Tuesday of every month
6:30–7:30 p.m.
CMH, Parkview Conference Room
Diabetes Prevention Class
Four-session class
Tuesdays: May 5, 12, 19, 20
6:30-7:30 p.m.
Winona Clinic Conference Room
$40 for individual, $60 for couples
Registration required: 507.457.7700
Healthcare CPR Certification
May 19, 4–9 p.m.
CMH, 3rd Floor B.A. Miller Auditorium
Registration required: 507.457.4491
Cost is $40
Healthcare CPR Recertification
April 7, 5–8 p.m.
April 16, 7:30–10:30 a.m.
April 20, 5–8 p.m.
May 5, 5–8 p.m.
May 21, 7:30–10:30 a.m.
June 2, 5–8 p.m.
June 18, 7:30–10:30 a.m.
June 30, 7:30–10:30 a.m.
July 7, 5–9 p.m.
CMH, B.A. Miller Auditorium
Registration required: 507.457.4491
Cost is $30
Healthcare Directives
Informational sessions:
May 18, 6:30–7:30 p.m.
Working sessions:
June 1, 6:30–7:30 p.m.
CMH, Parkview Conference Room
Call: 507.474.3328
CMH = Community Memorial Hospital • 855 Mankato Ave. • Winona, MN
Nonprofit Org
U.S. Postage
PAID
Winona, MN
Permit No. 72
Healthy Kids Club (see p. 4)
Step into Summer
Saturday, May 30, 9 a.m.–Noon
Registration required: 507.457.4161 or
visit winonahealth.org/HKC
Little Ones Remembered
Outreach Group
3rd Tuesday of every month
6:30–8 p.m.
Watkins Great Hall, 175 E. Wabasha St.
Call for more information: 507.474.3042
MOM Support Group
(Mother’s Own Milk)
Wednesdays, 1:30–3:30 p.m.
Women’s Health Library
3rd floor Winona Clinic
Call for more information: 507.453.3700
Winona Health Celebrates
Women (see p. 3)
Saturday, April 25, 8 a.m.–1 p.m.
Winona Clinic, 859 Mankato Ave.
Registration required: 507.457.4161 or
visit winonahealth.org/women
Winona Health Foundation &
Auxiliary Events
Auxiliary Garage Sale
Friday, May 1 and Saturday, May 2
Tandeski Center Warehouse
Donations accepted
Victorian Tea
May 9, Reservations at 12 & 2 p.m.
Watkins Great Hall, 175 E. Wabasha St.
For more information about Foundation
and Auxiliary events, call 507.474.3328.