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2 • NOVEMBER 2013 TRINITY HEALTH HEALTHTALKKnee Walkers: “Literally a Lifesaver”Vickie Freyhas been oncrutchesbefore, for asprained foot,but after shehad surgeryon her foot inthe beginningof August,she opted fora kneewalker.Mobility andtheindependencethe walkeroffers, as wellas the abilityto help herreturn backto work andresumenormal life ata faster rate,helped makeher decision,she said.“I went backto work after two weeks.I could never have donethat without theVickie Frey, an administrative assistant in theexecutive office at Trinity Health, used a kneewalker for eight weeks following surgery on her foot.“I couldn’t have done my job without it,” she said.scooter,” Frey said. “Icouldn’t haveaccomplished my jobwithout it. It is literallya lifesaver.”Frey added thatshe put mileage onit – about a milea day, she guessed –while at work as anoperations secretaryfor the TrinityMedical Group. Theknee walkerallowed Frey tonegotiate aroundher desk and downhallways with ease.“You can carrythings. You can puta basket or grocerybag out front, andcarry things on thehandles. Withcrutches, evenopening a door ishard.”The knee walker isa comfortablealternative forcrutches or atraditional walker,designed for those whohave gone through ankleor foot surgeries orsprains, explained RoxcyReiter, of KeyCareMedical.The only con to theknee walker, Frey said, isthat “it’s not a race car;you still have to useyour brakes, watch thearea in front of you forbumps or changes thatcan tip the walker. It’snot something youshould go at and expectto run with it. You stillhave to be careful.”Despite her opinion thatthe knee walker hashelped her tremendouslyat work, Frey still usedcrutches “in smalldistances – not here atwork, but at home,” shesaid. “I have the crutchesavailable for where ascooter can’t go. Thescooter has made mevery, very mobile andmore independent than Icould have imagined.”Frey also laudedKeyCare Medical’s quickresponse tomaintenance, citing anincidence where a brakeon her knee walkerbroke. “The very day Itold them, they replacedit with another(walker),” she said.“There was no wait; theyimmediately took careof it.”Knee walkers areavailable for rent and adoctor’s referral isn’tneeded, Reiter said.KeyCare Medical is adurable Medicalequipment storefeaturing all sorts ofwalking aids, wheelchairsand other healthproducts.KeyCare Medical islocated at 530 20thAvenue SW and is openMonday through Friday8:30 am to 5 pm. formore information call.Auxiliary’s Tailgate Golf Scramble a SuccessOn September23, sixty-fourmen andwomenassembled atthe SourisValley GolfCourse for theTrinity HealthAuxiliary’sTailgate GolfScramble. Theweatherconditionsweren’texactly ideal;however thespirit andperseverantattitudes ofthe golfers,Auxiliary andsponsorsovercame allof Mother Nature’sobstacles to makeTrinity’s first fundraiserfor Operation ELFsuccessful.Operation ELF (ExtraLoving Friend) is aprogram that providesbooks and puzzles forhospitalized patients.Proceeds from the golfThe Trinity AuxiliaryElf, aka Michelle Posey,gift shop coordinator,picks up the winninggolf ball from the GolfBall Drop.event will beused to purchasebooksand puzzles.“We just wantto do a littlesomething inhelping thepatient feel alittle betterand try tomake theirstay feel alittle shorterby receivinga littlesomething tooccupy theirtime while onthe road torecovery. “explainedSherryMaragos, VolunteerServices Coordinatorwith Trinity Health.Besides the Scramble,the Auxiliary alsoincluded a Golf BallDrop. Golf balls werepurchased for a dollar aball, which were alldropped from a bucketby the Trinity Elf ontoGolfers braved inclement weather to participatein the Trinity Health Auxiliary’s Tailgate GolfScramble.the putting green. Thebuyer of the ball closestto the hole won a $500Organized Spaces giftcertificate. This year’sGolf Ball Drop winnerwas Dennis Nordquist ofMinot.Trinity Auxiliary wouldlike to thank all thesponsors, golfersand Golf Ball Dropparticipates inmaking this year’sevent a success.But most of all,they thank you forbeing that EXTRALOVINGFRIENDto thepatientswho thesefunds willbenefit.Trinity HealthAuxiliaryOperation ElfMark your calendars for nextyear’s Tailgate Golf Scramble—September 15, 2014!Hospice Room RenovationHospice care has aspecial room at TrinityHealth. For patientsentering the final stagesof terminal illnesses,hospice provides asupportive environmentfor patients to spendfinal moments withdignity and theopportunity to havefamily and friends closeby. An interdisciplinaryteam of patient careproviders and otherhospital staff offer avariety of differentservices to patients andtheir families to ensuretheir time spent in theHospice Room iscomfortable.Total renovation, whichincluded customdecoration, of TrinityHospital’s HospiceRoom will be completedin early November. Theentire room wasoverhauled to make it ascomfortable as possiblefor patients. Renovationsincluded: new flooringand paint, customcabinetry, flat-screen TVwith cable, new sleepersofa and chairs.According to Jodi Smith,Director of TrinityHealth Foundation,the result is anextraordinarily peacefulatmosphere."We work very hard torelieve symptoms, offerdignity and control, aswell as time to deal withimportant issues," saysTerri Nelson, HospiceNurse. "What we do bestis offer peaceful,supportive education forthe family and thepatient."The renovations will costapproximately $6,000and it was all fundedthrough donations to thefoundation madespecifically for the room.“It looks drasticallydifferent and offers amuch more comfortingspace for those who aregoing through a difficultand emotional process,”Smith said of the room.“We thank our donorsfor the opportunity tocreate this environmentbecause without themthis would not havebeen possible.”Donations to The TrinityHealth Foundation canbe sent to P.O. Box5020, Minot, ND 58702.HealthTalkMarketing DepartmentTrinity Hospital – St. Joseph’s407 3rd Street SEMinot, ND 58701Toll free in ND: 1-800-247-1316Visit our website:www.trinityhealth.orgJoin us on facebook:facebook.com/TrinityHealth.ND

HEALTHTALK TRINITY HEALTH 3 • NOVEMBER 2013\Ç exvÉzÇ|à|ÉÇ tÇw g{tÇ~áAAATrinity Health Foundation is proud to list the names of individuals, organizations, and businesses whose gifts were received from July 1,2013, through September 30, 2013. These contributions illustrate a generous and caring community, striving to bring thehighest quality care to those we serve. We want to thank these contributors for their generous support of Trinity Health’s mission, “toexcel at meeting the needs of the whole person through the provision of quality healthcare and health related services.” For moreinformation on honoring the memory of a loved one through philanthropic giving, contact Trinity Health Foundation at 857-5432.AUXILIARYIn memory ofEunice HembreeSharon TranbyLando VixBIRTH CENTER/OBUNITIn memory ofTheodore ThompsonDeannna JohnsonJana StensonCANCER EXERCISEREHABIn memory ofDale GregoryVerla HodgsonLinda SavelkoulWesley & Marlene TossettArlan & Darlene WenstadCANCERCARE CENTERIn memory of Alma WalkerGloria MacgillivrayIn memory ofDale GregoryKen & Betty BoeldtLadora & Dale GregoryCarl HauganRobert & Diana HelmingAnonymous DonorGreg & Teresa MorlockGeorge & Carolyn SmetanaDustin & Barb UndlinWomen of the ELCAIn memory ofEunice HembreeRose MorganIn memory ofGeraldeen RudeRita HolteIn memory of Janice KorgelCorky JohannesIn memory ofJohn HambeckLinda WallaceIn memory of Julie BuxaAdeline & Roger EvansIn memory of Kelly BlomsPeggy UndlinIn memory ofKevin NeperudSharon BoppreJon & Judy NehringCharles & Susan TaftIn memory ofMargaret OlthoffRichard & Diane OlthoffIn memory ofMaxine MikkelsonMarvel & James BakkenStanley & Rose BjellandLavone & Duane EndresenJudy E. HansenSharleen LarsonRoger & Lois NogosekBarb OlsonDenese WestgardIn memory ofVeronica CookEileen & John CollinsCANCERCARECOTTAGEIn memory of Adele LiumBlake & Shelly CarlsonWesley & Marlene TossettIn memory ofDale GregoryMarilyn SauerIn memory of Elsie HolmRoger & Colleen HolmIn memory ofEunice HembreeGreg AndersonWesley & Marlene TossettIn memory ofFrancis KramerArdien & Carolyn TandbergIn memory ofJohn StevensonRodney & Jo Ann StevensIn memory of Kelly BlomsMarilyn SauerLynn & Judy StevensWesley & Marlene TossettIn memory ofMarjorie ForrestJune AndersonJeanne & Terry BaglienMonna DokkenVirginia FairbrotherVern & Corrine FreyDon & Ruth GarnasMary Jane HaugenKathleen JamsaKent & Christina KellerJack & Carole KramerVerna LarsonGary LueckDoris NelsonGertie OlsenJoLyne PalumboGrace PaulMary Lou &Johnnie PetersonMarvel PetrickRough RidersMotorcycle ClubMurdick & Linda SmithIn memory ofMarlene PedersonWanda BjordahlCarol & Don MohagenLenore & LaurenceSchereskyIn memory of Thomas HaleWesley & Marlene TossettDIABETES PROGRAMIn memory ofBetty NewmanClara NeshemENDOWMENT FOREXCELLENCEIn memory ofPatrick LenertzShelley & Wayne SemrauPaul & Paula SimonsonGUEST HOUSEIn memory of Alton LundLynn LundHOSPICEIn memory ofArlene McNallyJoanne LundeenIn memory ofAudrey EricksonMichael EricksonGail PetersonIn memory of Bill PetersHerman & Betty RoloffSvend & Nyla SorensenIn memory of Bob DeckertElizabeth CameronIn memory of Bonnie StilesRod & Janelle HolthDolores OlsonIn memory ofCalmer OverleeJanette TimmreckIn memory ofChandra Hanson-BehmKyle HansonIn memory ofClarine EnanderShirley QuigleyIn memory ofDale NesdahlKaren KrebsbachIn memory ofDelores HansonRichard & Marjory BubachKyle HansonLinda KaljotLowell & Ann LatimerJames & Signe SchmelzerJ. Patrick & Peggy SchmittPaul & Paula SimonsonSandra & Kenneth StarNancee & Bartel StrandIn memory of Doris RuudMarie & Richard CaseyThe Children of Doris RuudIn memory ofEdythe LarsonRichard & JoAnn JohnsonIn memory of Elaine EngelJoanne Engel LundeenIn memory ofEunice HembreeVerna BowerLarry & Claryce EricksonFred & Theresa GruenbergIn memory ofFrancis KramerLinda RostadIn memory of Gene ColbyDelores HarstadIn memory of Gene FieldRichard PedersonIn memory ofGeraldeen RudeValerie & Glenn NessIn memory ofGeraldine HillBlanche HarkisonIn memory ofGilbert UnderdahlValerie & Glenn NessIn memory of James BrandtVerna BowerMarilyn TurnerIn memory ofJanel DockterFrank & Delores LuckmanIn memory ofJerome SattlerJohn & Eileen LeibhanIn memory ofJim WhismanRussell & Claire LarsonIn memory ofJoyce DammenJohn & Kathy AllenDonald & Joan HagenEdith JohnsonMaxine LeiteRobert & Lois OlsonJ. Patrick & Peggy SchmittMerlyn WittyIn memory ofKatsue JeffreyGary JeffreyIn memory of Kaye VoellerJoanne Engel LundeenIn memory ofLeonard GrabingerJ. Patrick & Peggy SchmittIn memory ofLeonard RathLinda BaslerBrenda BergsethWanda BjordahlBrian BorudAllen & Linda BrownDonn & Grace BrownAlice CarrDelmer ChristensenGayle & Dennis HannaCurt & Marlene HillShirley HintzThomas JacobsonDeloris JohnsonAnn & Duane JusseroElvin & Louetta KabanukAlice & Michael KnoopJanice LienCraig McCormackDarrell & ArleneMichalenkoInez NathanArdis NeshemRoger & Lois NogosekNorsk Hostfest AssociationMuriel RostadK SchmaltzLois & James SchmeckpeperWesley SoperSharon TranbyDaniel & Linda WahlIn memory of Marie WoodJoanne Engel LundeenIn memory ofMarjorie LarsonRobert & Bonnie BerntsonIn memory ofMarlene PedersonPatricia & MaynardAndersonCharlotte AtwoodDarrell & Clarice BernsdorfMarilyn BigwoodVerna BowerDonald BraaschErling & Ann DrangsholtVerna HoffmanKathleen JacobsonEdith & Ernest JellebergJanice JohnsonBetty LindseyElloide & JoAnn MarschallTim & Karen MyersGlenn & Valerie NessRussell & Patricia OdegardMr & Mrs Ingvald OdlandRhoda & James OwensMuriel RostadEunice RostvedtShirley & Marvin SorumDonna & John StuckGabriel & DonnaThompsonKimberly ThompsonSharon TranbyIn memory ofMary Kay WhittedPhyllis AbrahamsonPatricia & MaynardAndersonKaren ChristiansonMr & Mrs HallofSandy KruegerIn memory ofMaxine MikkelsonJoleen HauffRoger & Kay HaugenJudy & Steven HoffCurtis & NancyLatendresseDarlah RenschLynda RisanMildred SatherLois & Duane SchmeichelColleen & Ordean ShervenIda Mae & Gordon SmithMichelle & Mark WatneIn memory ofMichael ZietzShirley HintzIn memory ofOdin HansonKyle HansonIn memory of Otto TernesIrene HenryIn memory ofPatricia HorntvedtChuck & Marilyn HansenSherlene NelsonIn memory ofRay KalamahaMargaret & Albert OlheiserIn memory ofRhonda HuizengaMarie & Richard CaseyLee & Clara Jeanne VigstolIn memory ofRoger Van BerkomPamela & Scot PearsonIn memory of Ron BredingYvonne SchreinerIn memory ofRuth WatlundGlenn & Valerie NessIn memory ofRyan AndersonLee & Clara Jeanne VigstolIn memory ofSanford RostadMuriel RostadIn memory of Tara RovigClara NeshemCARDIAC CARE &REHABIn memory ofDale GregoryBarb BauerEdna & Bob BelisleRon & Karen BurnerColleen CarlsonLadora GregoryRobert & Diana HelmingTerry & Cindy LehmannAnonymous DonorAnonymous DonorJody & Larry PletcherClyde & Judy RoutledgeKenny & Patty SpelhaugPeggy UndlinLinda WallaceTHSN ENDOWMENTIn memory ofEunice HembreeSharon RollmanEldora & Donald EliasonMargaret HellebustLila & Chet ReichTRINITY HOMESIn memory ofAlfred IsaksonArdien & Carolyn TandbergIn memory of Jon MyhreJohn & Cindy SandeenIn memory ofMichael ZietzGeorge SchiffWant to make a difference? Become a volunteer.As a Trinity volunteer you are a vital link in the chain of service and caring. Not only will you havea positive impact on our patients and/or residents, you will be part of a dedicated team that isknown for delivering the best healthcare available. For more information, call our VolunteerServices office at Trinity Hospital 857-5221 or 857-5959 at Trinity Homes.

4 • NOVEMBER 2013 TRINITY HEALTH HEALTHTALKNurse Practitioners“What’s the differencebetween you and adoctor?” It’s a questionthat nurse practitionershear every now and thenfrom their patients.For more than 45 years,nurse practitioners(NPs) have providedpatient-centeredhealthcare to people ofall ages in all parts ofthe globe. Yet it’s notsurprising that manypatients who benefitfrom that care aren’tquite clear on whatdistinguishes a nursepractitioner from adoctor or a nurse.“NPs have a graduate,advanced education withmost having a master’sdegree and an increasingnumber havedoctorates”, said PamPearson, FNP-C, a familynurse practitioner at theCancerCare Center.November 10-16 isNational NursePractitioner Week, anopportunity to celebratethe nurse practitionerand the role they play inhealthcare.“As NPs, we haveacquired formaleducation to practice inan advanced role asdirect healthcareproviders,” said HeatherBoyko, FNP-C, a nursepractitioner in Trinity’sInterventional Radiologyservice. “We providecomplete history andphysical examinations,diagnose and treat manycommon acute andchronic conditions,interpret lab results andx-rays, prescribe andmanage medications andother therapies.”Sally Eberle, FNP-C, afamily nurse practitionerat Convenient Care, sayspatients typically wantto know if NPs canwrite prescriptions. “Wecan and do,” Eberle said.“We need to obtain aDEA license like anyother provider, but yes,we write prescriptions.”What is a nursepractitioner?According to theAmerican Association ofNurse Practitioners(AANP), a nursepractitioner is anadvanced practice nursewho has receivedmaster’s or doctoratelevel training andextensive clinicalpreparation to provideprimary, acute andspecialty healthcareservices. Their servicesinclude, but are notlimited to: evaluatingpatients’ health status,ordering andinterpreting diagnostictests, and prescribingtreatment regimens,such as medications.Just as importantly, theywork as partners withtheir patients, guidingthem to make educatedhealthcare decisions andhealthy lifestyle choices.Not all NPs practice in aprimary care or familypractice setting. TrinityHealth relies on NPs ofall specialties to enhancethe practice in areassuch as Cardiology,Orthopedics, andOncology. Theconfidence that patientshave in NP-deliveredhealthcare is evidencedby the more than 916million visits made toNPs each year, AANPnotes.“Our training is based onthe nursing model thatemphasizes healthpromotion, wellness andprevention,” Pearsonexplained. “We maywork in independentpractice or collaboratewith other healthcareprofessionals.”As the U.S. faces thechallenges of an agingpopulation, risinghealthcare costs and thegrowing burden ofchronic disease, NPs dobring strength to thehealthcare workforceand maximize theresources available toaddress these challenges.“We can providehigh-quality, cost-effectivehealthcare,” Boykoadded. “With our blendof nursing preparationand experience, NPs arequalified to provide thepatient-centered carethat is central tomeeting the existing andfuture healthcare needs.”Trinity Health’s providernetwork includesapproximatelythirty-one nurseNovember 10-16National NursePractitioner Weekpractitioners, as well asother mid-levelproviders.TETWP Nets Record FundraisingThis year, 2013 was arecord year forfundraising for ToughEnough to Wear Pink.Near the rodeo’s end onOctober 11, the largenovelty check associatedwith fundraisers wasunveiled, announcingthat $101,675 had beenraised.“I thought it was a greatsuccess,” said Jodi Smith,director of the TrinityHealth Foundation. Incomparison with lastyear, this year’s TETWPfundraising nettedalmost 100 percentmore; in 2012, $53,208was raised.A new addition to thisyear’s fundraising wasthe live auction of aHarley Davidsonmotorcycle –embellished,appropriately for theoccasion, with pink – atthe end of the rodeo onFriday. Originally, themotorcycle had beenraffled off during arecent fundraiserorganized by Kickstandsfor Cancer. However,when Magic City-HarleyDavidson discovered thewinner of the raffle wasnot a bike rider, theypurchased themotorcycle back fromhim and donated it toTETWP, Smith noted.The bike fetched$19,500 at the auctionheld October 11.Trinity Health’s CancerExercise RehabProgram is fundedprimarily from theproceeds of the ToughEnough to Wear Pinkcampaign. The programhelps fight againstradiation- orchemotherapy-relatedfatigue by offeringYMCA memberships tocancer patients; it isfunded from eventssuch as the ToughEnough to Wear Pinkfundraising, as well asother fundraising eventsheld throughout theyear, in addition todonations receiveddirectly from the publicand other organizations.Currently, there are 13patients participating inthe program, saidRussell Gust, an exercisephysiologist with TrinityHealth, who managesthe program. Patientscan participate in theprogram for threemonths before they‘graduate,’ Gust said,This year’s Tough Enough to Wear Pink campaign raised more than $101,000 to help cancer patientsparticipate in Trinity Health’s Cancer Exercise Rehab program. Pictured are, from left, Anne Thordahl,WGO and The Zoo; Russell Gust, Trinity Health Exercise Physiology Coordinator; Kim Whittemore,Minot Bands Together; Cassidy Kersten, SRT; and Cory Schmaltz, Kickstands for Cancer. MinotBands Together and Kickstands for Cancer donate proceeds from their respective events to TETWP.adding that “I had alarge group graduate thismonth. The programaverages about 16patients a month, withthe record being 21, andthis month we had our300th patient graduatefrom the program.”Gust noted that throughsponsorships with MinotBands Together,Kickstands for Cancer,Magic City-HarleyDavidson, SRT, as wellas WGO and The Zoo,the fundraising effortsare successful. “Theresponse of thecommunity to this effortcontinues to be beyondbelief,” he added. “Onbehalf of all of ourpatients, I would like tothank the people in andaround the communityof Minot. It is onlythrough their generositythat we are able to helppeople feel better.”Donations can be sentdirectly to the TrinityHealth Foundation, P.O.Box 5020, Minot, ND58702. Additionalinformation about theTrinity HealthFoundation can befound at:http://www.trinityhealthfoundationnd.org/.Join us at facebook.com/TrinityHealth.NDTrinity Health’s Speaker’s BureauCall our Community Education Department at 857-5099 to check for available dates and topics.

HEALTHTALK TRINITY HEALTH 5 • NOVEMBER 2013Bladder “Pacemaker” Solves a Sensitive ProblemA woman’s lifecan becomplicatedenough. Addoveractivebladder to themix, and it canbe downrightunmanageable.Overactivebladder(OAB) – also known asurge incontinence – isthe strong, sudden needto urinate even whenthe bladder isn’t full.OAB can severely limitone’s ability to engage ineveryday pursuits suchas social situations andeven running routineerrands.“These are women whoknow where everybathroom in Minot is,”says Timothy Bedell,MD, an obstetrician andgynecologist with TrinityHealth. “The problem isthat the nerve thataffects the bladdersuddenly creates aspasm, telling thebladder that it needs tovoid. This can happenas many as two to threetimes per hour.”The good news istreatments are available,including exercises andmedications. And now,with Dr. Bedell’s arrivalTimothy Bedell, MDin Minot a fewyears ago,women alsohave access toa unique OABtreatmentcalledInterStim. It’sa device thatcorrects overactivebladderwith animplantable regulator –a pacemaker for thebladder.“InterStim is not the firstline of treatment forurge incontinence,” Dr.Bedell explains. “But if awoman has triedmedications or othertreatments and is stillnot getting good resultsor is unhappy with sideeffects, InterStim is agood option.”InterStim Thearpy uses asmall device that isimplanted under theskin, similar to apacemaker. The devicesends mild electricalpulses to the nervelocated in the lowerback, just above thetailbone. This nerve,called the sacral nerve,influences the bladderand surrounding musclesthat regulate urinaryfunction. The electricalstimulation may reduceoveractive bladdersymptoms and eveneliminate the suddenurge to go. It may alsobe used to treat peoplewho have difficultyemptying their bladder.(It’s not designed forwomen with stressincontinence – leakingthat can occur whensomeone coughs orsneezes.)One of the nice featuresof InterStim, accordingto Dr. Bedell, is that awoman can take it on a“test run.”“We’re able to testwhether a patient willbenefit from the devicebefore we proceed toimplantation,” Dr. Bedellsays. “We place leads fora limited time, and anelectrical unit is wornexternally for 2-3 days. Ifthe result is positive – ifthe patient notices a significantchange in herbladder symptoms, wecan talk about going tothe next step of longtermtherapy.”Another neatcharacteristic is that awoman can adjust thedevice herself toachieve the level ofcontrol she wants.The implantabledevice is very smalland is inserted intothe fatty tissue of thebuttocks. “Onceimplanted most womencan’t even feel it,” Dr.Bedell adds. The devicecan be removed at anytime.Dr. Bedell wasintroduced to InterStimduring his Ob/Gynresidency. He’s used thedevice in his practice atTrinity with good results.A potential source ofembarrassment, OAB isa condition that peoplemay be reluctant todiscuss or seek help for.It affects one is sixadults in the U.S. andcan happen at any age.“Again, it’s not the firstline of treatment,” Dr.Bedell adds. “But forpeople with urgeincontinency whereother treatments havefailed, InterStim is a niceoption because we havethe ability to test aheadof time whether they’llhave a good response.People who arecandidates who’vereceived the devicelove it.”About Dr. Bedell:Timothy Bedell providesindividualized care thatmeets a woman’schanging needsthroughout her lifetime,with subspecialtyinterests that includegynecologic surgery,urogynecology, and thetreatment ofincontinence and pelvicprolapse. The Dallasnative graduated fromthe University of Texasand earned his medicaldegree from theUniversity of NorthDakota School ofMedicine in GrandForks. He completed hisOb/Gyn residency atGrand Rapids MedicalEducation and ResearchCenter in Michigan.He’s a member of theAmerican College ofObstetricians &Gynecologists. He’slocated at HealthCenter – Medical Arts,with appointmentsavailable at 857-7397.North Dakota’s Drug Take Back ProgramHave you ever wondered what optionsthere are for disposal of unused andunwanted medications? In NorthDakota there is a free program thatallows you to dispose of unwanted orunused medications in a secure andenvironmentally friendly way. Thisprogram, called the Drug Take BackProgram, is sponsored by the AttorneyGeneral Wayne Stenjhem and theNorth Dakota Board of Pharmacy.Medications that are non-controlledsubstances, including unused or expiredprescriptions and over-the-countermedicines that are left in their originalpackaging, can be safely deposited in drop box containersat participating pharmacies for disposal. Controlled substanceproducts such as Hydrocodone (Vicodin), Oxycodone(Oxycontin), Fentanyl, Meperidine(Demerol), Diazepam (Valium),Zolpidem (Ambien) and others shouldbe taken to the secure container atparticipating law enforcement agencies.Sharps (such as syringes, lancets),thermometers, glass, home based care(HBC) or durable medical equipmentsupplies are not accepted by thisprogram. If you have any questionsplease check with your pharmacist, yourlocal law enforcement agency or contactthe Attorney General’s office at701-328-2210 or go to www.ag.nd.gov.The Role of Physician AssistantsPhysician assistants playan important part in thehealthcare dynamic.Physician assistants, orPAs, are healthcareprofessionals authorizedto practice medicine aspart of a team with aphysician. Nationwide,more than 90,000certified PAs providecare each day. Whiletheir practice can vary,PAs can examine, test,diagnose and treatpatients; prescribemedication; and providepreventive carecounseling as part of thehealthcare team.“We work incollaborationwith oursupervisingphysician,”explained LoriDockter, PA-C,Obstetrics andGynecologywith TrinityHealth. “PAsare allowed toact as first assists withsurgical procedures.”PAs also perform minorprocedures in the clinic,Dockter said. “We donot take care of patientsin the hospital setting.Our clinical skills areLori Dockter, PA-Cgeared towardsour specialty,and each hastheir ownscope ofpractice.”For Dockterspecifically,she seespatients fortheir wellnessexams and does a lot ofpreventative healthscreening andcounseling, as well ascontraceptive care, STDscreenings andcounseling, IUDinsertions, andmenopause issues.“I feel as part of thehealthcare team, we canhelp facilitate patients’access to care, by freeingup the physicians forpatients that need to beseen for more serioushealth concerns,”Dockter added.To practice, PAs mustgradate from anaccredited PA programand pass the nationalcertifying examination,administered by theNational Commission onCertification ofPhysician Assistants. Tomaintain certification,PAs must complete arecertification examevery ten years (as of2014; previously, theexam was needed everysix years). More than6,000 individualsgraduate fromaccredited PA programsin universities andacademic health centerseach year. PAs areentering the medicalworkforce at a faster ratethan physicians and arehelping to bridge thegap caused by thegrowing physicianshortage.Need a health care provider?A trained professional will assist you in selecting a health careprovider right for you. Please feel free to leave a message afterhours, and your call will be returned the next regular business day,or email us anytime at DR4U@trinityhealth.org.

6 • NOVEMBER 2013 TRINITY HEALTH HEALTHTALKTrauma Reverification for Trinity HospitalA report from theAmerican College ofSurgeons (ACS) hasverified that TrinityHealth has met all thecriteria set forth by theACS Committee onTrauma, to retain itsLevel II trauma rating.Lynnette Deardurff,Trauma ProgramManager with TrinityHealth, stated that thereport, which boasted nodeficiencies, came froma successful traumare-verification processwhich took place inAugust.On August 8-9, a surveyteam consisting of twotrauma surgeons fromthe American College ofSurgeons visited TrinityHealth and performed adetailed survey, ensuringthat Trinity met thecriteria set by the ACSCommittee on Trauma,to be a verified traumacenter. Following the sitevisit, the survey teamreports to theVerification ReviewCommittee (VRC),sharing their results andrecommendations.Based on theserecommendations, theVRC determines if thefacility should beverified.This verification meansthat Trinity Healthmeets all of therequirementsnecessary toprovide qualityemergency anddefinitive traumacare, regardless ofthe severity ofinjury, Dr. GregoryCasey, TraumaMedical Directorexplained. TheEmergency TraumaCenter providesround-the-clockphysician coverage,supported bytrauma-trainednursing and otherclinical staff.Trinity Health currentlyhas the busiest traumacenter in the state.Deardurff stated thiscould be attributed tothe growth inpopulation in the Minotregion as well asnorthwest NorthDakota, sparked by theoil industry. Trinity’strauma volume hasincreased over 150%since 2004.Deardurff reported inaddition to verificationfrom the ACS, thetrauma center needs tobe certified by theNorth Dakota TraumaCommittee, under thedirection of the StateDepartment of Health.According to Deardurff,there are currently noLevel I Trauma Centersin the state of NorthDakota; Trinity’s level,Level II, is the highest.Additionally, the traumacenter at TrinityKenmare Hospital alsoreceived a re-verification.The trauma centerhas had a Level V ratingsince May 2004, saidBev Heninger, RN,Director of Nursing forTrinity KenmareHospital, noting thatbefore, it was just acritical access hospital.(Now, it’s a criticalaccess hospital with aLevel V designation.)“We can accept traumas,stabilize them, and wetransfer them on to alarger trauma center(Level II), such as TrinityHealth, Trinity KenmareHospital’s tertiaryhospital,” Heninger said.“Our goal is to get themin and out in less thanan hour and on theirway to a larger facility.”Heninger noted that, ona monthly basis, thetrauma center inKenmare sees betweenthree to five patients amonth. “We’re seeing anincrease, but we don’thave the amount thatTioga and Stanley do, aswe are on the edge ofthat main traffic,” sheadded.Shawn Smothers,administrator of TrinityKenmare Hospital,explained that themajority of traumacenter traffic isattributed to farm andmotor vehicles accidents.“It’s usually around 15percent of our patientvolume that go to TrinityER. It’s between five asa low, and eleven, thatare sent to ER forevaluation.”Deardurff describestrauma care as a“team sport”, amultidisciplinary,multi-departmentalteam where every teamplayer is valuable; eachperson touching thetrauma patient in theirown particular way.Deardurff said, “Whatwe do at Trinity is somuch more than passinga survey…it is knowingthat we consistentlyprovide quality traumacare; every time, withevery patient.”Trinity Brain Injury Support Group (TH-BISG)A support group forindividuals with braininjuries and theircaregivers is nowavailable in Minot.Justin J. Boseck,PhD, CBIS, aNeuropsychologyResident and CertifiedBrain Injury Specialistwith Trinity Health, hasestablished the Trinity Brain InjurySupport Group (TH-BISG). The firstmeeting was held at Health Center –Justin BoseckPhD, CBNISRiverside, 1900-8th Ave. SE, Minot, onWednesday, October 23, at 7 p.m.The meetings will resume every thirdWednesday of the month “to providemutual support and assistance in copingwith the consequences of brain injury,”Boseck said. “The purpose of the supportgroup will be to provide emotionalhealing, sharing of similar experiences,encouragement, contribution, education,socialization, self-expression, confidencebuilding, safety and a sense of growth.”According to Boseck, an estimated 5.3million Americans currently live withdisabilities resulting from Traumatic BrainInjury. Brain injury is the single largestcause of death and disability among youngpeople.Anyone interested in this support group isencouraged to attend the monthlymeetings.Dr. Boseck’s office is located at HealthCenter – Riverside and can be contactedat 857-5998.Dr. Reeve now Certified witha DOT RegisteryHoward Reeve, MDTrinity Health Occupational Medicine providerHoward Reeve, MD, recently completed allrequirements necessary to become certifiedwith the National Registry of CertifiedMedical Examiners (NRCME). The NRCMEis a list of examiners who have beentrained, tested and certified to performphysical examinations for commercialmotor vehicle drivers in interstatecommerce.Administered by the Department of Transportation and the Federal Motor CarrierSafety Administration, the Registry is a new program designed to make the nation’s highways safer by requiring that all examinersperforming physical examinations be trained and certified before May 21, 2014.To maintain a listing on the National Registry, certified examiners must comply with training, testing and FMCSA administrativerequirements, including refresher training every five years and certificationtesting every 10 years.Dr. Reeve has performed DOT/CMV examinations and practicedOccupational Medicine for more than 20 years, making him one of theregion’s most experienced physicians in his field. In addition to providingDOT and non-DOT physicals, he performs pre-work screens, fit-for-dutyexams, respirator fit tests, and travel or administrative and FAA flightphysicals. He also cares for patients with work-related injuries.Schedule your DOT physical withDr. Reeve today!(701) 857-7840

HEALTHTALK TRINITY HEALTH 7 • NOVEMBER 2013Class of 1963 meetWhile Trinity Hospitalhas had many changesover the past fifty years,the group of a dozennurses who hadgraduated from theTrinity Hospital Schoolof Nursing in 1963has not.The group giggled likeschoolgirls andreminisced as they wenton a tour of the hospitalon October 7 during thereunion of their nursingschool class. The classhad 27 graduates, butonly a dozen werepresent for the reunion.During the tour, whichwas led by MargaretHellebust, a member ofthe Trinity HealthAuxiliary (and amember of the school’sClass of 1965), thenurses explored the siteof their formeremployment. (All 12had previously workedat Trinity Health.)The reunion had startedthe day before, onOctober 6, at the TrinityCancerCare Center. By2 p.m., alumni and theirspouses began to trickleinto the center’s lobby.Eyes grew wide as theysaw their classmates,opening their arms in anembrace and hugged,exchanging pleasantries.Jodi Smith, director ofthe Trinity HealthFoundation, explainedthat every year, theFoundation organizeseach class’ 50threunion, and in somecases, the classes take itupon themselves toorganize reunionsoutside of thehalf-century mark; theclass of 1963, for example,met five years ago.The Trinity HospitalSchool of Nursing,which opened in 1922,closed in 1988.The building wassubsequently torn downand replaced with aparking lot. (This is theparking lot located onthe west side of thehospital, across thestreet from the U.S. PostOffice.) One reminderof the school that stillremains is the tunnel,which had connectedthe school and thehospital. The dozenformer nursing studentswere all abuzz about thetunnel.“We spent a lot of ourlife in that tunnel,” saidConnie (Edwards)Gunderjahn, of Vergas,Minnesota. (Thetunnel’s unintendedpurpose, for thesemischievous students,was as a method ofCommunity EventsEleven of the 27 graduates of Trinity Hospital School of Nursing’s Class 1963 attended a reunion atthe hospital October 6-7.sneaking out of theschool at night.)Toward the end of thetour, the nurses passed adisplay case containingtheir class photos. It waslike a mirror and a timecapsule; as they lookedinto the display case, thewomen slowly began toturn into their youngerselves. “Weren’t wecute?” said Lana Lasher,of Salem, Oregon, as shejoined her fellowstudents in admiring theimage of themselvesfrom 50 years ago. “Hairjust plastered downbecause of so muchhairspray!”It was apparent thewomen still had thecamaraderie that wascreated so many yearsago while they attendedthe Trinity HospitalSchool of Nursing.Present were: Joyce(Lubbers) Burgett,Helena, Montana; Ann(Mortvedt) Everson,Mora, Minnesota; Joan(Frafford) Faser, SunCity West, Arizona;Connie (Edwards)Guderjahn, Vergas,Minnesota; Kathleen(Rude) Hertel, GrandForks; Lois (Heizelman)Kunka, Spearfish, SouthDakota; Lana (Lasher)Wiechnamann, Salem,Oregon; Helen (Hage)Lindlauf, Benedict;Jenell (Brabandt)Loftesnes, Bismarck;Bonnie (Ravnaas)Nelson, Turtle Lake; andGenevieve (Nelson)Skogberg, Belle Fourche,South Dakota.Those not in attendancewere: Doreen (Ihla)Bosonetto, Westland,Michigan; Betty Ann(Lee) Burri, Goleta,California; Audrey(Terrian) Esser, WalnutCreek, California;Kathleen (Erb) Falk,Estes Park, Colorado;Lola (Henne) Foster,Tempe, Arizona; Joan(Conklin) Haakenstad,Everett, Washington;Norma (Lindlauf)Hagenow, Grand Blanc,Michigan; BonnieJohnson, West Fargo;Jackie (Monson)Klimpel, Rochester,Minnesota; Sharon (Lee)Kunka, Great Falls,Montana; CarolynLarson, Dakota Dunes,South Dakota; Sharon(Knudsvig) Morkert,Northborough,Massachusetts; Barbara(Yahn) Nelson, Aurora,Colorado; Connie(Hedin) Priebe, Austin,Minnesota; JanetSpoelstra; and KathleenWeidert.Kevin Mehrer, district executive for the Boy Scouts of America, speaks to participantsat the kickoff meeting for the Healthcare Exploring Program on September 30.Trinity Health employees were on hand to help answer questions at informationbooths during the Norsk Høstfest.Lois Zahn, volunteer Services for Trinity Homes and Alice Long, a Trinity Homesresident, navigate the dance floor at a Harvest Dance held at the Parker Sr. Center onSeptember 20.The Høstfest Accordian Club performed at Trinity Health during “HøstfestWeek”.A vendors show was held at the Trinity CancerCare Center on September 21. All ofthe proceeds raised went to the Trinity Cancer Exercise Rehab Program.Kim Frederickson, an employee at Trinity Homes, gets in the spirit during theSalute to Farmers, held at Trinity Homes on September 13.

8 • NOVEMBER 2013 TRINITY HEALTH HEALTHTALKPortion Distortion: how much is too much?By Alicia Burtchett, RD, LRDNovember marks thebeginning of holidayseason, which is oftenassociated withboundless amounts ofholiday treats and meals.On Thanksgiving alonethe average Americaneats a whopping 2000-2500 calories at onemeal. This is one majorexample of a day full ofportion distortion, buthow do you determinewhat is too much?For starters theenvironment wecurrently live in offersmany options oftenconfusing us asconsumers to what isright or wrong. Mostpackaged items at thegas station or foodsserved in the restaurantare often more than oneserving, so the first ruleis read nutrition labels.Look at the label andlook to see how manyservings it has. If thepackage says 200 caloriesper serving and then list3 servings total, that is600 calories in the entirepackage. The next ruleis understand whatcommon serving sizesare. Such as a deck ofcards for 3 ounces ofmeat, a tennis ball for asmall piece of fruit likean apple. These are fewexamples of simple waysto remember portionsizes. The picture givessome more examples ofcommon food items. Thefollowing link is alsoanother guide forportion control withsimilar items to helpremember portion sizes,www.webmd.com/diet/printable/wallet-portioncontrol-size-guide.Horn of PlentyThe next rule is to planahead. If eating out is acommon occurrencelook up your favoriterestaurant. Mostrestaurants havenutrition informationavailable. Use this as aguide to help makebetter choices as well asto keep your portions incheck.The key this holidayseason and all yearround is to not depriveyourself but to enjoy inmoderation. Some morehelpful hints: choosesmaller plates at partiesor dinner, do not go to aparty or grocery storestarved or overly hungry,stay hydrated, keepholiday treats to one aday, and make choiceson what you are reallycraving.Since 1983, the Horn of Plenty has provided support to over 8,000 families throughout the Minot region during the Christmasholiday season.This year, the non-profit organization will be distributing approximately 400 boxes filled with food and toys. For the second year,Trinity Health will be playing an active role in fundraising to help make this project a reality.Jodi Smith, director of the Trinity Health Foundation, explained that the hospital – like last year – will be contributing to the turkeydrive for the food portion. The food included in the boxes is enough for a Christmas dinner – turkey, potatoes, “all the fixings,” Smithsaid, adding that Menard’s will be conducting a toy drive.Turkeys can be purchased through the Foundation website (http://www.trinityhealthfoundationnd.org), through the Trinity HospitalGift Shop, or by sending a check to the Foundation (P.O. Box 5020, Minot, ND 58702), Smith explained. “Any additional fundsraised that are above and beyond what is needed at the Horn of Plenty will be donated to local food pantries.”Volunteers are needed to assemble the boxes and distribute them to community members on December 11. To volunteer for thisprogram, please contact the Horn of Plenty at (701) 852-3789. “They do service a 75-mile radius so if there is someone outside of theimmediate area The Horn of Plenty will provide beyond Minot,” Smith said.To submit a form to receive a box, or to nominate someone to receive a box, please do so by December 4. The forms will be availableon the Foundation website.C O M M U N I T YC A L E N D A RFor the latest updates, check online at www.trinityhealth.orgNovember 2013Mobile Mammogram ScheduleNovember 4-5 ......................Johnson Clinic – Maddock, 438-2555November 6................Senior Center – Anamoose, 465-3692 (Lyla)November 11 ........................Northland Community Clinic – Rolla477-3111 (LeRae)November 12 ....................................TCC – New Town, 627-2990McKenzie Co. Medical Center – Watford City, 842-3771November 14 ........................................TCC – Garrison, 463-2626November 18 ............................................Crosby Clinic, 965-6349November 19 ................Kenmare Hospital, 385-4296 (Sherry/Kris)November 20 ..............................................Tioga Clinic, 664-3368November 21 ..............Mountrail Co. Hospital – Stanley, 628-2505November 25 ........Towner Co. Medical Center – Cando, 968-2522November 26 ................Devils Lake Community Clinic, 662-8662November 27…TCC – Mohall, 756-6841Grocery Store TourTopic: DiabetesJoin a Registered Dietitian for a small group grocery store tour!The Original MarketPlace Foods1930 S. Broadway, MinotNovember 19 • 6 pmMeet at the entrance near the deli.RSVP by November18. Space is limited!Please reserve your spot today! Call (701) 857-5268Prepared Childbirth ClassesLearn about exercise and breathing techniques, labor/delivery,newborn care, newborn feedings, etc. Enrollment is limited.November 12-December 3 (Tuesdays)7-9 p.m., in the Prepared Childbirth Classroom, Trinity HealthCenter – Riverside Education Center, 1900 8th Ave. SE.November 20-December 11 (Wednesdays)7-9 p.m. in the Airmen and Family Readiness Center, MAFB.Please call 723-3950 to register.November 16 and December 14 (Saturdays)9 a.m.-4 p.m., in the Prepared Childbirth Classroom, TrinityHealth Center – Riverside Education Center, 1900 8th Ave. SE.Family Birth Center ToursExpectant mothers are invited to attend a formal grouptour/education/Q&A session at Trinity Hospital’s Family BirthCenter. This opportunity allows every expectant mother to hearand see valuable information in a relaxed environment. We willalso provide information on self-care, infant safety and what toexpect during your delivery. See www.trinityhealth.org or call701-857-5380 for detailed schedule.Breastfeeding BasicsNovember 13 and December 11Offered by Laureen Klein, RN, BSN. Meets from 7-8 p.m.,in the Prepared Childbirth Classroom, Trinity Health Center –Riverside Education Center, 1900 8th Ave. SE.These classes are offered free of charge as part of Trinity’s community benefitmission, but registration is typically required. For more information or toregister for classes, call 701-857-5337 or 701-857-5319 or 1-800-862-0005.