Womens Clinic of Lincoln, P.C.

Changes
Volume 23, Number 01.14

INFORMATION FOR THE HEALTH OF YOUR FAMILY

Focus on Menopause

Are you a
person whose
periods have
stopped and
hot flashes
have started?
Are you not
sleeping
because of
night sweats?
Have your
intimate
relations
become painful? Are you confused about information you
hear from the media, your friends and neighbors, or even
your medical care team about what to do or what not to do
during your menopause years? Do you search the Internet
for answers and become even more confused? Dont feel
overwhelmed; consider a conference with our Menopausal
Services at Womens Clinic of Lincoln. Our team will
address your health concerns in a very comprehensive
fashion to improve these special years of your life.
Why is this important? In 1900 in the United States the
average life expectancy of a woman was age 50. Today it is
82 years. On average, thirty-two special years of a womans
life are spent in menopause. Over the past 20 to 30 years
recommendations for menopause have been varied from
do nothing to a great variety of cautions on treatment
for women in this age group. The media controversy and
wealth of information on the Internet have preserved
a confusing collage of misinformation and women are
left to question what they should do for symptoms and
complications during this portion of their life.
Now after 25 years of in-depth studies and input from
science and medical literature driven by the North
American Menopause Society (NAMS), the picture
is beginning to clear providing guidelines on how to
approach menopause in a positive way so women can joy

this special part of life in a healthy manner.

Because of the interest in this area over the past 35-plus
years, Dr. Swanson has had a considerable amount of
experience in dealing with these problems with up-todate knowledge. He has been a member of the North
American Menopause Society for over 15 years and has
gained a lot of knowledge through this organization, as
well as his experience gained by care of women in this age
group. For that purpose, he has developed a program for
counseling women who have concerns about menopausal
symptoms and need additional education on what options
are available.
Our services for menopausal evaluation and treatment
have been developed to address menopausal concerns.
These services address:
1. Evaluation of physical status in early menopause
2. Looking carefully at the pros and cons for hormonal
replacement
3. Monitoring bone health to prevent osteoporosis
4. Evaluation of cardiovascular risk as heart disease is
the number one killer of women in this age group
5. Looking at dietary changes and weight changes and
how to manage those
6. Screening for breast cancer with up-to-date
3D mammography
7. Evaluating genetic risks for disease processes, such
as cancer, through the Myriad genetic evaluation of
cancer genes
8. Dealing with the mental and physical components
of aging
To accomplish this on a personal basis, our program
evaluates your present medical status and needs and then
offers a plan for addressing these issues in an efficient and
comfortable way through planning and education. One

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2015 Womens Clinic of Lincoln, PC

Continued from page 1

of the most important goals is to address your

questions regarding how to deal with this time
of life in a healthy way. We are pleased to work
with you and your medical care personnel to
assist you in answering questions and planning
for your next 35 to 40 years of life.

Now offeriNg

3D Mammography

Everything is clearer in 3D
More Peace of Mind in a New Dimension
earlier detection | greater accuracy | fewer call backs

In summary, these services are available

at Womens Clinic of Lincoln to evaluate,
educate, and add to the goals women have in
these special years of their life. Schedule your
menopausal consultation with Dr. Swanson
today and bring your questions which can be
discussed to help you make the best decisions
regarding your menopause plan. You can reach
our office staff at 402-434-3370 to schedule an
appointment.

Stephen G. Swanson, MD, FACOG | James J. Maly, MD, FACOG | Rachel M. Swim, MD
402-434-3370
220 Lyncrest Drive | Lincoln, NE 68510
womensclinicoflincoln.com

Genetic Screening
Specialists in Obstetrics and Gynecology

Talking about the C word is not at the top of anyones

list,
Knowledge is power when it comes to managing
Molly Snow, APRN | Pam Gillaspie, APRN |
but unfortunately many of us face the diagnosis of cancer
healthcare.
Talk to your provider at your next
Paula Railsback, APRN your
| Jackie Oden,
APRN
Jeri Tegtmeier, APRN | Courtney Sams, APRN |
or are at risk of cancer due to our family and/or personal
appointment
or go to www.mysupport360.com to learn
Jodi Wegner, APRN | Barbara
Morton, APRN
Andrea Davis, APRN
history. The providers at Womens Clinic of Lincoln
more
about myRisk.
and Family Health Care Center are committed to your
healthcare and believe you should have access to genetic
testing that is useful in determining the best healthcare
plan for you.
Although genetic testing is not necessary for everyone,
it may be helpful for some. Five to ten percent of all
cancers result from inherited traits. Persons who carry
such genetic mutations are more likely to develop certain
cancers, often at a much earlier age than the general
population. Womens Clinic and Family Health frequently
use Myriad myRisk Hereditary Cancer test to obtain this
useful information for patients when evaluating cancer
risk.
During your appointment your provider may have
you fill out a short risk assessment to help determine if
genetic testing is a good option for you. If you decide
that you would benefit from this test, they will go over
a short informed consent and draw your blood to be
sent to Myriad Genetic Laboratories. Results will then
come back to your provider and they will discuss with
you the outcome. myRisk identifies elevated risk
for eight important cancers affecting both men and
women. Depending on the results, your provider may
recommend certain screening tests, risk-reducing surgeries
or preventative medication choices. It is important to
remember that your information is kept confidential, and
there are laws protecting you from discrimination by a
health insurance company based on your results.

Is It A Bad Day...Or Is It Depression?

Did you know...

physically sick. People usually are

not aware that foggy thinking and
inability to concentrate are also
Those chronic aches & pains, that
physical symptoms of depression.
headache, the low energy, difficulty
Symptoms lasting more than two
sleeping, tiredness, lack of sexual
interest... even the weight gain or loss, weeks and interfering with your life
may all be sings of clinical depression? need attention. The good news is...
Crabbiness, crying, and sadness might Treatment works! We have a full-time
also be symptoms of depression and/or Nurse Practitioner, Barb Morton,
on our staff to help you sort out
anxiety.
your symptoms and make treatment
decisions.
Depression is not just all in your
head. Its a physical and emotional
Treatment can be medicine (to get
state that is common and responds
the chemicals back in balance) and/
very well to treatment. When brain
or cognitive therapy (talking things
chemicals get out of balance, and
through or how can I help myself).
that can happen to any of us, we feel
Visits are confidential, and most

people do best combining medications

and therapy. Learning new coping
skills will help you continue to feel
better. Barb also helps people with
many emotional issues in addition
to depression. Providing a safe place
to explore emotions and adjust to
living with cancer is an important part
of Barbs practice. Barb is available
Tuesday thru Friday with appointment
times ranging from 8 am to 5 pm.
For more information or to schedule
and appointment, call Melissa at 402484-4225.

Dont wait on holD...

Book your next appointm

in a few easy taps.
Go Mobile with your Patient Portal
We now allow you to request appointments

Are you always on the go? It is now easier than ever before to have your health
viewapp
messages
your smart
phone
information at your fingertips. We now offer aand
mobile
to accessfrom
your Patient
Portal
using
Medfusion
Mobile.
Account! Just download the Medfusion Mobile app on your mobile device by scanning
the code below or search for it on Google Play or the App Store. This app offers all the
same great features:
Request an appointment
Request prescription renewals
Scan the QR code to learn
Ask a nurse or billing question
more about our patient
portal mobile application.
Pay your bill online and view payment history
Update your health history before your appointment
Get results and a summary of your visit from your provider
Dont have a Patient Portal account with us? No problem! Just contact our office and we
will be happy to help you establish an account.

New On-Line Bill Pay Feature

You can now go on-line to pay your bill without creating an account. This quick pay
feature asks for minimal information to identify your patient account, but does not require
a login. There is no history or personal information stored on the site, so you simply make a
payment and get a receipt in your inbox. This quick and easy feature allows you to pay your
bill wherever you have Internet access. Log on to www.womensclinicoflincoln.com or
www.familyhealthcarelincoln.com and click on Quick Pay.

Insurance and
Billing Updates
Our billing department continues to work
with insurance companies to ensure that your
claims are paid timely and accurately. As a
private practice, Womens Clinic and Family
Health continue to be in-network with Blue
Cross Blue Shield of Nebraska. Our providers
recently joined the UniNet Healthcare
Network, so patients with a UniNet plan will
be covered at the Tier 1 benefit level. Our
providers are also in-network with Coventry
Care Link, also referred to as Coventry One,
and QualChoice. We continue to be innetwork providers with most major insurance
plans. For specific information about your
coverage, please refer to your plans website.
Our physicians deliver and perform surgeries
at local hospitals based on insurance
requirements and/or patient preference.
Many insurance companies now require preauthorization for surgery, which our surgery
staff will obtain for you prior to surgery.
For specific information about your plans
coverage for services, please refer to your
plans policy or website. Our billing staff is
also available to help answer questions and
can be reached at 402-434-3378.

3D Mammography is Here
Womens Clinic of Lincoln PC, is proud to offer patients 3D
Mammography, also known as breast tomosynthesis, for breast
cancer screening. 3D mammography is the latest in breast
imaging technology and the Hologic Dimensions 3-D system
is the first and only clinically superior mammography imaging
system to be approved by the FDA. This technology gives
radiologists the ability to identify and characterize individual
breast structures without the confusion of overlapping tissue.
The 3D mammography experience is similar to a traditional 2D
mammogram. There is no additional compression required. The
exposure to x-ray energy remains very low and is well within the
safety standards for mammography.
By using this technology providers expect:
Greater accuracy
Earlier detection
Fewer callbacks for
additional imaging
Reduced false positives
The Mammography Department
Radiologic Technologists L-R Tracy, Lisa, Jody
at Womens Clinic of Lincoln
is accredited through ACR and is committed to providing their
patients with the latest technological advances in breast health.
3D mammography is another powerful tool in early detection of
breast cancer, and we hope all women will be inspired to learn
more about the benefits of 3D mammography and early detection
of breast cancer.

Life Style Intervention and Wellness Center

In the United States, more than one third of women
are obese, more than one half of pregnant women are
overweight or obese and 8 percent of reproductive-aged
women are extremely obese putting them at increased risk of
pregnancy complications.
When people think of risk factors related to obesity, they
often think of hypertension, diabetes and cholesterol. What
many people do not realize is that obesity can also be a
risk for infertility and that weight loss can often improve
success of conception. For males, weight loss may increase
testosterone levels and improve sperm quality.
Nutrition during pregnancy impacts short and long-term
health of mother and baby. The key components of a healthy
lifestyle during pregnancy include appropriate weight gain,
appropriate physical activity, consumption of a variety of
foods in appropriate amounts to allow adequate, but not
excessive, maternal weight gain, appropriate vitamin and
mineral supplementation, avoidance of alcohol, tobacco and
other harmful substances, and safe food handling.
New mothers face a delicate nutritional balancing act.
Because pregnancy and childbirth deplete essential nutrients

from mothers body to provide health and growth for her

developing baby, a woman faces her greatest nutritional
needs in the year after she gives birth. Many new mothers
also struggle to regain their pre-pregnancy figure.
At Womens Clinic of Lincoln and Family Health Care
Center we are determined to excel in care we provide to our
patients. We are happy to announce that we are expanding
our wellness program to offer preconception assessment
and counseling, nutrition counseling during pregnancy
and postpartum nutritional counseling and weight loss.
Our program is founded on lifestyle change and specifically
focused on healthy eating habits, exercise and behavior
modifications.
To learn more about the Lifestyle Intervention and Wellness
Center contact our wellness staff directly at 402-405-0229 or
talk with your provider. We regularly schedule orientation
classes led by a physician, which outlines the program details
and answers your questions. We are here to support you
every step of the way.

New options for patients in Clinical Research

Womens Clinic of Lincoln and Family Health Care
Center continue to improve patients options for diseases
where limited alternatives are available. We are currently
recruiting for a premenopausal low sexual desire and
arousal study.
According to a recent survey supported by HealthyWomen.
com and Palatin Technologies, Inc. nearly half of
premenopausal women (ages 30-50) say theyve
experienced low sexual desire at some point in their lives,
yet only 14 percent were aware that Hypoactive Sexual
Desire Disorder (HSDD) was a medical condition. HSDD
is a form of sexual desire disorder that can be defined as
a deficiency or absence of sexual fantasies and desire for
sexual activity that causes marked distress or interpersonal
difficulty. Even though low sexual desire is common and
significantly affects the lives of women who experience it,
limited options are available. We are proud to say that we
are currently working with Palatin Technologies, Inc to
study a potential new on-demand treatment for HSDD.
We are also researching alternative options for treating
patients with bacterial vaginosis. Bacterial vaginosis (BV)
is a mild infection of the vagina caused by bacteria, and is
the most common vaginal infection worldwide. In women
with BV, the balance of good and bad bacteria is upset.
Symptoms of BV include abnormal discharge, odor or
itching. Treatments are currently available; however;
many can be inadequate and relapse rates tend to be high.
Therefore we have multiple studies looking at different
options for patients with BV.
If you have interest in one of these studies or can identify

with one of the studies below we would be happy to speak

with you about participation. We are currently recruiting
for the following studies:

Hot Flash
Birth Control Patch
Herpes
Vaginal Dryness
Endometriosis
Low Sexual Desire/Arousal
Overactive bladder with leakage
Bacterial Vaginosis
Birth Control Ring

Call 402-441-0025 to talk to one of our research

coordinators.

Dr. Jenna Van Pelt to Join the Team

We are pleased to announce that Dr. Jenna Van Pelt will be
joining our team of physicians at Womens Clinic of Lincoln
this fall. Dr. Van Pelt is excited to move back home to Lincoln
to be closer to family. She was born and raised in Lincoln
graduating from Lincoln East High School. After completing
her undergraduate degree in Biology from Creighton
University, Dr. Van Pelt obtained her medical degree from the
University of Nebraska Medical Center. Following medical
school, Dr. Van Pelt began her OB/GYN residency at Ohio
State University Medical Center in Columbus, Ohio. During
her time there, she received the Excellence of Medical Student
Teaching award two years in a row.
Dr. Van Pelt enjoys spending time with her family. She and
her husband, Jake, are very busy taking care of their young
son, Ryan. In her free time she enjoys traveling and spending
time outside. She likes to run her dog, ski, swim, and boat
and is looking forward to returning to Husker country and
watching football in the fall.

Dr. Van Pelt entered the field

of obstetrics and gynecology
because she enjoys taking
care of women and their
health needs throughout the
course of their lives. She has
particular interest in highrisk obstetrics, including
patients with diabetes and
hypertension. Dr. Van Pelt
is also trained in minimally
invasive gynecologic surgery,
including the da Vinci robotic Jenna Van Pelt
system. She is very excited to start her practice at Womens
Clinic. We are currently scheduling appointments for Dr.
Van Pelt, and she will be available to see patients starting in
September. Please call our office at (402) 434-3370, and our
staff would be happy to arrange a time for you to see her.

PRSRT STD

U.S. POSTAGE

PAID

LINCOLN, NE

220 Lyncrest Drive | Lincoln, NE 68510

PERMIT NO. 365

Our Providers
Stephen G. Swanson, M.D., FACOG
James J. Maly, M.D., FACOG Rachel M. Swim, MD
Svjetlana Dziko, M.D., Family Physician
Maud Doherty, M.D., FACOG, Associate Partner
Molly Snow, APRN-NP; Paula Railsback, APRN-NP; Jeri
Tegtmeier, APRN-NP; Jackie Oden, APRN-NP; Pam
Gillaspie, APRN-NP; Courtney Sams, APRN-NP; Jodi
Wegner, APRN-NP; Andrea Davis, APRN-NP

Counselor: Barb Morton, APRN

Svjetlana Dziko, M.D.

Rachel Blake, M.D.
Kelli Kodad, PA-C
Jennifer Smith, APRN-NP
We respect your privary. Changes newsletter exists to
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Health Care Center and advancements in health care.
Our mailing list is never shared for commercial purposes.
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or toll-free 888-434-3370.

Caring for
your Future