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Looking forward to caring for you. Clinic & Hospital caring for you WINTER 2015 www.granditasca.org Find out more » pg. 4 Taking your medication as directed Kidney stone Q&A Find out more » pg. 10 Community calendar Find out more » pg. 8 Heart-healthy changes Find out more » pg. 6

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Looking forwardto caring for you.Clinic & Hospital

caringforyouWINTER 2015

www.granditasca.org

Find out more » pg. 4

Taking your medication as directed

Kidney stone Q&A Find out more » pg. 10

Community calendarFind out more » pg. 8

Heart-healthy changesFind out more » pg. 6

WHAT’S NEW Grand Itasca Foundation establishes Major Giving Club

HEALTHY LIVING Taking your medication as directed

HEALTHY LIVING Heart-healthy changes for the whole family

3

4

6

8

10

CONTENTS

COMMUNITY CALENDARCommunity support groups, events & classes

HEALTHY LIVING Kidney stone Q&A with your urologist

www.granditasca.org2

What can a wearable fitness tracker do for you?

If you look around the

gym or office, you may

notice that many people

are wearing fitness trackers.

“They’re a hot item right

now and a fun tool,” notes Bri

Solem, Healthy Communities

Partnership coordinator.

“They help people with their

fitness goals by providing

constant, real-time feedback,”

Solem says. “For example, if your

goal is to walk 10,000 steps, and

it’s late in the day, seeing that

you’ve only taken 7,000 steps so

far might make you decide to go

for a quick walk after dinner.

“The social aspect can be

very helpful, too,” she adds.

“If your friends and family have

compatible devices, you can have

friendly competitions. They add

to the fun and can be a great way

to stay motivated.”

Wear it Well

There are many options, from

Fitbit® trackers and Jawbone UP®

wristbands to Shine™ sensors.

Before purchasing an activity

tracker, Solem suggests you

think about the goals it can help

you reach now and six months or

a year from now.

Wristband or clip-on: You can

track distance, steps, and sleep —

as well as determine your calorie

intake with an app — using a

device worn on your wrist or

clipped to your pocket or belt.

Waterproof: Trackers that are

labeled “water resistant” can

be worn in the rain, but not

for swimming. Be sure to get a

waterproof tracker if you plan to

use it in the pool.

Social: Find

out what

kind of

trackers your

friends and

family have

if you want

yours to be

compatible.

Pictured on front cover: David Johnson, RPh, Grand Itasca Pharmacy Manager, and Kara Lokken, Pharmacy Technician.

3WINTER 2015

WHAT’S NEW

Grand Itasca Foundation establishes Major Giving Club

As one of the few remaining independent

hospitals in Minnesota, Grand Itasca Clinic

& Hospital provides crucial services and

amenities worth investing in. That’s the key message of

a new initiative by Grand Itasca Foundation to recognize

major donors and spotlight Grand Itasca projects and

scholarships needing support from the community.

Foundation board members established the Major

Giving Club in 2014 to acknowledge donors pledging

$1,000 or more annually to the Foundation, whose

names now adorn a donor wall that was recently

installed in the clinic lobby at Grand Itasca. The Major

Giving Club, part of the Foundation’s strategic plan, will

also build community support for Grand Itasca “by

heightening awareness of what an asset our clinic and

hospital is,” says Foundation Board Chair, Dale Adams.

“When people in our community look at the library or

YMCA — initiatives people are asked to support — they

support those facilities because they know that’s an

amenity they want to remain here,” says Adams, the

mayor of Grand Rapids. “Health care, something they

cherish so much, doesn’t come to the forefront as often.

But if we value our health, we need to be supportive of

Grand Itasca, which is the backbone of maintaining a

healthy community.”

“We’ve started small the first year as we define and ramp

up our goals,” says Kelly Kirwin, Grand Itasca Foundation

Director. “Major Giving Club donors are interested in

supporting projects and programs that are the greatest

need for patients here at Grand Itasca.”

“With so many annual equipment and capital project

needs at Grand Itasca, every pledge underscores

the ongoing importance of the hospital’s role in the

community,” Adams says.

“A lot of people don’t understand that we’re an

independent community hospital running on a

[small] profit margin, so any strains may impact us

to the point where we need to cut services,” he says.

“That would mean cutting critical amenities we need

in our region. The Major Giving Club can be a core to

help us push for needed funds.”

Call 218.999.1009 or visit our website www.granditasca.org/Foundation to donate.

2014 Major GivinG Club Donors

Dale and Gayle Adams Dr. John, Kelli and Braeden Barry Dr. Kathryn and Joe Cargill Mike and Mary Ives Dr. Ron and Kathy Johnson Dr. Charles Kampen and Pam Rajala Mary Kosak Jerry and Pat Lothrop

Dr. Nathan and Diane Noznesky Dr. Lisa Owens and Jeff Johnson Cory Renchin Dr. Jan and David Rourk Andy and Kelly Shermoen Shirley Stanek Terry and Diane Weber Mike and Corinne Youso

Burggraf’s Ace Hardware Burns & McDonnell Deerwood Bank Grand Rapids Ground Round Grand Rapids State Bank

Lakehead Constructors Lockton Companies Magnetation Miskovich Dental Clinic Paul Bunyan Communications

www.granditasca.org4

HEALTHY LIVING caringforyou

Taking your medication as directed4 tips for you

Americans commonly rely on

prescription drugs to help them

live longer and have higher-

quality lives. In order to stay safe and get

the maximum benefit from those drugs,

it’s important to take them exactly as

prescribed. The following steps can help:

Understand what you’re taking and

why. Ask your health care provider the

name of any medication prescribed, what

it’s for, and how you’ll know if it’s hav-

ing the desired effect. “Many medica-

tions can be used for more than one

condition,” explains David Johnson, RPh,

Grand Itasca Pharmacy Manager. “It is

important for you to know the reason

you’ve been prescribed each medication

in case you need to share your medica-

tion list with someone besides your

primary physician. It also helps to know

if it is working for you.”

Find out how to use it. Ask your doctor

or pharmacist how much to take, how

often, and for how long. Here are some

good questions to ask: Should it be taken

Grand Itasca Pharmacy staff are looking forward to meeting your prescription and over-the-counter medicine needs.

Linda Urevig, Pharmacy Technician

5WINTER 2015

HEALTHY LIVING

before, during, or after meals? What

side effects might I have? Are there

any other medications, foods, or ac-

tivities I should avoid while taking

this medication? What should I do

if I miss a dose?

Read the label and the drug

information sheet that accompa-

nies the drug. On the label you’ll

find any special instructions for

taking and storing the medica-

tion, such as “take on an empty

stomach” or “store in refrigerator.”

Be especially careful when tak-

ing medication in the middle of

the night or when you’re groggy.

Always turn on the light and look

at the label. Johnson adds, “It is

much safer to use a pillbox to store

your medications in compartments

labeled by time or day instead of

carrying a week’s supply of all of

your medications mixed together

in one bottle.”

Maintain a list of what you take.

Include all prescription and over-

the-counter medications, and

supplements. Show your list to

every health care provider who

prescribes a drug for you. Review

it with your doctor at least once a

year, and be sure to update it when

a medicine or dosage changes.

Don’t hesitate to ask

The caring professionals at Grand

Itasca Pharmacy want to be sure

that you receive the full benefit of

your medications, so if you have any

questions about how to take them or

what to do if you miss a dose, please

ask! Also, before changing how you

take your medication because of

how it makes you feel or because you

can’t afford it, please talk to us so we

can suggest an alternative option.

Pharmacy now open in clinic lobby

The Grand Itasca Pharmacy is now

open and ready to serve you! It is

conveniently located in the clinic

lobby serving all of our patients.

Pharmacy hours

Monday – Thursday: 8 am to 6 pm

Friday: 8 am to 4:30 pm

Call 218.999.GIRX (4479) or email

[email protected] with

questions. Easy refills are available

with our mobile app “Grand Itasca

Pharmacy” or the quick link on our

website www.granditasca.org.

www.granditasca.org6

caringforyouHEALTHY LIVING

Heart-healthy changes for the whole family

Making changes to be

more heart-healthy

is important for the

whole family. The best way to

help your kids develop healthy

habits for life is to be a good role

model. Here are some great ways

to keep your and your family’s

hearts healthy.

heart-sMart habits

1. Focus on eating better. Fruits

and vegetables, low-fat dairy, lean

meats and fish, and whole grains

should be the staples of your fam-

ily’s meals. Try spending most of

your time at the grocery store on

the perimeter of the store. Gather

snacks such as carrots, cherry

tomatoes, and bananas before

hitting the inner aisles. “Most

people know what they should

eat,” notes Dr. Clyde Sullivan,

Minneapolis Heart Institute®

Cardiologist at Grand Itasca.

“But you’ve got to be willing

to put effort into it.”

“The key to improving your diet is

to take small steps, get victories in

accepting those changes, and then

add on to them,” Dr. Sullivan

explains. For example, you might

cut back on the number of times

you eat out by once a week, or

start substituting water for soft

drinks. “Continue making small

changes every two to three weeks.

Then in a year or two, you will

have made dramatic changes to

your diet, but done it in a way that

your palate accepts.”

2. Be active together. Plan time

for fun family activities such as

ice skating, bike rides, or games

like hide-and-seek. Also, make

sure to limit time in front of the

NEW Patient Partnership Program - Include Always

The Quality Department at Grand

Itasca is excited to announce a new

patient partnership program called

Include Always. In

partnership with

Minnesota

Hospital

Association’s

Include Always

program, participants will help shape how

Grand Itasca provides care by providing

feedback about their experiences. Patients

and families can participate on the Include

Always committee, which will meet

ongoing every quarter to develop topics

for Be Heard groups, or participate in Be

Heard, which will meet about a specific

patient-centered topic for a shorter

predetermined timeframe. Another option

for participation is to allow a member of

the Quality Department to come along for

your clinic or hospital visit.

If you are interested in participating

in any part of Include Always, simply

complete the Patient Partnership

Program Application found on our website

www.granditasca.org. Please call Kayla

Perkins, Patient Experience Coordinator,

at 218.360.4212 with any questions.

7WINTER 2015

HEALTHY LIVING

increase the distance or intensity.

Consult your physician before you

begin a new diet or exercise pro-

gram to be sure it is safe.

4. Track your success. Keep a log

of your activities and diet so you

TV or computer. “Making small

changes and setting goals works

for exercise, as well as diet,” Dr.

Sullivan comments. “Enjoying

activities with your family is a

great idea. When you involve

other people, you’re more likely to

do the activity you planned, have

fun doing it, and do it again. Plus,

it creates a nice opportunity to

talk and bond.”

3. Set reasonable expectations.

Exercise helps strengthen your

heart and has other benefits as well.

Especially if it’s been a while since

you’ve been active, start gradually

with perhaps a short walk around

the neighborhood and then slowly

An active life and healthy diet is good for your heart, and a healthy heart helps contribute to a long, healthy life for you and your loved ones. Talk with your doctor if you have questions about the health of your heart, or call 218.326.7344 to schedule an appointment with Grand Itasca’s new full-time, full-scope Cardiologist, Dr. Clyde Sullivan.

can look back to see how far you’ve

come. Read the article on page 2

about wearable fitness devices to

track not only your activity, but

also what you eat. Noticeable

progress can help motivate you.

Grand Itasca is pleased to announce that Clyde Sullivan, MD, has officially joined

our medical staff. Dr. Sullivan now lives in and provides full-time, full-scope

heart care in Grand Rapids. He comes to Grand Itasca through a partnership with

Minneapolis Heart Institute®, which is recognized internationally as one of the

world’s leading providers of heart and vascular care. Dr. Sullivan will address a full

range of cardiovascular needs and is committed to improving cardiovascular care

throughout the region.

To make an appointment with

Dr. Clyde Sullivan, please call 218-326-7344.

Introducing Dr. Clyde Sullivan, Cardiologist

surgery, or cardiac ballooning. For

more information, call 218.999.1038.

3rd Monday of the month (September–May), 7 pmGrand Itasca, ARU 201

DIABETIC SUPPORT GROUPThis is an opportunity to meet

other members of our community

who have diabetes, and share suc-

cesses and experiences regarding

diabetic care. For more informa-

tion, call 218.999.1934.

4th Thursday of the month, 6:30–7:30 pm, Grand Itasca, Grand Oaks Conf Room

MENTAL ILLNESS SUPPORT GROUPNational Alliance on Mental Illness

(NAMI) offers family and friends

of people with mental illness an

opportunity to share concerns,

compare experiences, and learn

from each other. For more infor-

mation, call 218.326.8565.

3rd Tuesday of the month, 5:30–6:30 pmGrand Rapid Public Library, 140 NE 2nd St., Grand Rapids

www.granditasca.org8

Support GroupsCANCER SUPPORT GROUPThis is a time to share stories and

concerns about diagnosis and treat-

ment for those who are dealing with

cancer. For more information, call

218.326.3815 or 218.697.2357.

1st Monday of the month, 3:30–5 pmColony Square, 1850 SE 2nd Ave., Grand Rapids

CAREGIVER SUPPORT GROUPNOTE NEW LOCATION! Calling

all caregivers. This group provides

an opportunity to meet with other

caregivers, and share tips and experi-

ences. ElderCircle provides education,

resources, and support for all stages

of the caregiving process. Call

ElderCircle at 218.999.9233 for more

information or to make arrange-

ments for your care receiver during

the meeting.

3rd Tuesday of the month, 1–2:30 pmActive Living Center, Itasca County Family YMCA, 400 River Road, Grand Rapids

CARDIAC SUPPORT GROUPMonthly speakers cover topics

related to cardiovascular condi-

tioning, diet, and exercise, and

other areas of interest for persons

recovering from a heart attack,

bypass surgery, valve replacement

COMMUNITY CALENDAR caringforyou

GRAND ITASCA JOINT CAMP Joint Camp is designed for people

who are considering or are sched-

uled for total joint replacement

surgery. The class teaches you how

to best prepare for your surgery,

what to expect during and imme-

diately after surgery, and how to

get back to your normal activities

following surgery. If you have

questions or would like to register,

call 218.326.3401 and ask to speak

to our Orthopedic Nurse.

1st Wednesday of the month, 3:30–5 pm, Grand Itasca, ARU 202

MS SUPPORT GROUPThis group is open to those

diagnosed with MS, as well as

family members, caregivers, and

friends to offer support, awareness,

and education about the everyday

traumas, challenges, and hardships

for those afflicted with the chronic

disease. For more information,

please call 218.326.1371.

2nd Thursday of the month, 11 amSt. Joseph’s Catholic Church, 315 SW 21st St., Grand Rapids

SPINA BIFIDA/HYDROCEPHALUS SUPPORT GROUP INTEREST MEETINGPlease join us for an informal meeting to talk about whether we should

establish a regular support group for parents caring for children with

these conditions. For more information, call 218.244.5726 or 218.259.8347.

March 10th, 7–8 pmGrand Itasca, Grand Oaks Conf Room

9WINTER 2015

PARKINSON’S SUPPORT GROUP OF THE ITASCA AREANOTE NEW LOCATION! The

support group provides educa-

tion, networking, and support for

people diagnosed with Parkinson’s

disease, their spouse, and/or care-

givers. For more information, call

ElderCircle at 218.999.9233.

2nd Wednesday of the month, 1–2:15 pm, Active Living Center, Itasca County Family YMCA, 400 River Road, Grand Rapids

PROSTATE EDUCATION AND SUPPORT GROUPLearn of treatment options and

lifestyle impacts of prostate cancer

from men who have been diagnosed

with the disease. Spouses and other

family members are welcome and

encouraged to attend. For more

information, call 218.999.9384.

2nd Tuesday of the month, 5:30 pm Grand Itasca, Grand Eatery (meal together) & ARU 202 (education and discussion following meal)

TRAUMATIC BRAIN INJURY SUPPORT GROUPAccess North conducts meeting to

discuss issues effecting those with

traumatic brain injuries and ways

to resolve them. Caregivers also

encouraged to attend. For more

information, call 218.245.0251.

2nd Monday of the month, 2–3:30 pm Central Square Mall Community Meeting Room

ClassesCHILDBIRTH PROCESS CLASSThe weekend class is designed to

help prepare parents for child-

birth, and includes a tour of the

labor delivery, and nursery area of

the hospital. Cost is $45 for mom

and coach (fee includes all class

material and refreshments). Call

218.326.7344 to register.

April 11, June 6, August 1, 9 am–4 pm, Grand Itasca, ARU 202

INFANT CARE/BREASTFEEDING CLASSThis class is designed to help

prepare you for some of the

changes that occur once your

baby enters the world. Breastfeeding

techniques and benefits will also

be covered. Class offered free of

charge. Call 218.326.7344 to register.

April 18, June 13, August 8, 9 am–1 pm, Grand Itasca, ARU 202

WELLNESS & LIFESTYLE WOMEN & GIRLS EXPOThe Wellness & Lifestyle Women & Girls Expo is back at the new and

improved Itasca Community College campus on Saturday, February 28!

Doors open at 9 am for a fun day of health, education, and fashion.

Don’t miss Grand Itasca Break-out Sessions

Come hear Grand Itasca’s OB/Gyns put a funny spin on some of the

not-so-fun-to-talk-about topics.

Doc Talk I – Dr. Kevin Gildner, OB/Gyn – 9:30 am

You’ll pee your pants laughing as Dr. Kevin Gildner, OB/Gyn at Grand

Itasca, talks with you about incontinence and other common women’s

health concerns.

Doc Talk II – Dr. Derek Beyer, OB/Gyn – 11:45 am

You’ll get flush laughing about menopause as Dr. Derek Beyer, OB/Gyn

at Grand Itasca, talks with you about menopause and well-woman care.

Have some blush-worthy questions?

There will be plenty of time to address

them, with an option to ask anony-

mously if you prefer.

Saturday, February 28, 9 am–3 pmItasca Community College, Grand Rapids

10 www.granditasca.org

caringforyou

Kidney stone Q&A with your urologistFeaturing Dr. Ryan Novak

Q. What are kiDney stones?Though there are different types of kid-

ney stones, the most common stones are

calcium-based. They are basically a collec-

tion of solid material that forms in the kidney. Think

of salt in water as an example. Salt usually dissolves in

water, however, if there is not enough water in a glass

the salt will “fall out of solution” or not dissolve. This is

similar to how we think about kidney stones.

Q. What Causes kiDney stones? I tell patients that there are five main

factors that lead to kidney stones:

dehydration, diet, other medical diseases

(such as diabetes), genetics, and bad luck.

Q. hoW Do i knoW if i have a kiDney stone?

Oftentimes, patients know they

have stones due to flank pain

(pain near the kidneys) that leads to a

CT scan, but this is not always the

case. Other patients are told they

have kidney stones as an incidental

finding when having a CT scan

performed for different reasons.

Q. When Do i neeD to see a DoCtor? If you are experiencing flank pain it is

important to be evaluated.

I also recommend seeing a urologist if you have a

history of recurring stones. Your urologist can perform

a metabolic work-up and evaluate for modifiable risk

factors leading to the stones. The work-up includes

special tests of the urine and blood, as well as a stone

analysis of a previously passed or treated stone.

Q. What are My treatMent options for kiDney stones?

Patients have the option of observation or

active treatment, depending on multiple

factors. The first option for active treatment is

extracorporeal shock wave lithotripsy, which

involves X-ray technology that breaks up the

stone with targeted energy shock waves.

The second type of treatment is

ureteroscopy, or passing a small

telescope to the kidney, using a

laser fiber to break up the stone,

and then individually pulling

pieces out of the kidney.

The third, more invasive treatment

option, used for larger stones not able to

HEALTHY LIVING

Dr. Ryan Novak, Urologist

WINTER 2015 11

HEALTHY LIVING

be treated with either of the above options, is called

percutaneous nephrolithotomy. It involves making a

quarter-sized cut through the back into the kidney to

use larger, more effective equipment to treat and remove

the stone. This requires an overnight hospital stay.

Q. What Can i Do to keep kiDney stones froM reoCCurrinG?

Patients who experienced a stone event

have a 50 percent chance of forming

another stone in the next five years. By talking with

your urologist, based on the type of stone you form,

he or she can offer advice for reducing your risk of

stone reoccurrence.

Everyone can benefit from increasing daily fluid

intake. About 2.5 liters of urine production daily is the

goal to manage the risk of reoccurring stones. Because

it is not practical to measure urine volume, I suggest

that patients drink an additional glass of water prior

to each meal, as well as trying to keep their urine

light yellow to clear.

to learn More

If you have any questions about kidney stones or have

other urologic concerns, call 218.326.7344 to schedule

an appointment with Dr. Ryan Novak, Urologist at

Grand Itasca.

Erectile dysfunction – a potential sign of another issue

Erectile dysfunction occurs when a man can no longer get

or keep an erection firm enough for sexual intercourse.

Having erection trouble from time to time isn’t necessarily

a cause for concern. But if erectile dysfunction is an

ongoing problem, it may cause stress, relationship

problems, or affect your self-confidence.

Even though it may seem awkward to talk with your

doctor about erectile dysfunction, go in for an evaluation.

Problems getting or keeping an erection can be a sign

of a health condition that needs treatment, such as

heart disease or poorly controlled diabetes. Treating an

underlying problem may be enough to improve your

erectile dysfunction.

Talk to your primary care provider or make an appointment

with Dr. Ryan Novak, Urologist, to discuss your options for

overcoming erectile dysfunction.

12 www.granditasca.org

Looking forwardto caring for you.Clinic & Hospital

1601 Golf Course RoadGrand Rapids, MN 55744

Grand Itasca Clinic & HospitalAppointment Line: 218.326.7344Main Line: 218.326.3401

Email: [email protected]: www.granditasca.org

Clinic Hours:Monday through Thursday 8 am-6 pmFriday 8 am-4:30 pm

Rapid Clinic Hours:Monday through Friday 2-8 pmSaturday and Sunday 12-6 pm

Pharmacy Hours:Monday through Thursday 8 am-6 pmFriday 8 am-4:30 pm

Emergency Room:Open 24 hours a day

Professional Building111 SE Third StreetGrand Rapids, MN 55744218.326.3401

Professional Building Hours:Monday through Thursday 7 am-6 pmFriday 8 am-5 pm

This publication does not constitute professional medical advice. Although it is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. Websites not belonging to this organization are provided for information only. No endorsement is implied. If you have a medical question, consult your medical professional. Images may be from one or more of these sources: ©iStock, ©Fotolia, ©2015 Grand Itasca Clinic & Hospital.

IntroducingDr. Clyde SullivanYour Cardiovascular Specialist

Contact us at 218-326-3401 | Find us on the web at www.granditasca.org | Like us on Facebook

Dr. Clyde Sullivan, who comes to Grand Itasca through a partnership with Minneapolis Heart Institute®, now lives in and provides full-time, full-scope cardiovascular care in

our community.

Whether you or your loved one needs routine cardiac care or requires sudden, unexpected care, Grand Itasca’s

experienced cardiology team is here for you, close to home.

Healthy hearts. Healthy people. Healthy communities. That’s what Grand Itasca is all about.

ROOTED HERE. GROWING HERE.