Examiner Playing it safe Kids get free helmets and a life lesson Fall/Winter 2023 Breathe easier with EBUS Offering this procedure in Yankton saves time and changes lives Welcome to your medical home A team who knows you can provide better care
2 yanktonmedicalclinic.com OUR MISSION To provide timely, compassionate, quality care to all who seek that care, with respect for and trust in those we serve. OUR VISION To be an independent regional center of medical excellence committed to quality care and medical education. Models may be used in photos and illustrations. 2023 © Coffey Communications, Inc. All rights reserved EXAMINER is published as a community service for the residents of the service area of Yankton Medical Clinic, P.C., 1104 West 8th St., Yankton, SD 57078 yanktonmedicalclinic.com | 605-665-7841 Thank you to our patients, who consistently rate our physicians, staff and facility as perfect—giving us five stars on Google, Facebook, WebMD, Healthgrades and Vitals.* We do not take our rating lightly, as we know how rare it is for any medical clinic or physician to attain a perfect, five-star rating. On Google alone, according to statistics shared by Rater8, only 24% of all physicians have attained a 4.5-star rating and only 13% have attained 4.5 stars. We will continue to provide timely, compassionate, quality care to all who seek that care, with respect for and trust in those we serve. Welcome to your five-star medical clinic! *as verified by Rater8
Fall 2023 3 times be confusing, and a single lab test or a single physical exam does not tell the whole story. Knowledge of the patient helps tell the whole story. While medical records can be shared among providers, different medical groups often have different electronic medical record systems. So there is no replacement for the people who really know you. All under one roof Yankton Medical Clinic, P.C., is a great example of a medical home, or team. Your medical records are in one chart, so every provider and every department has access to your history immediately. The clinic is like a one-stop shop, offering these services and experts on-site to help you navigate your By Dawn Larson, MD, Pediatrics Many medical facilities use the term “medical team” when describing their organization. But what does that mean? Turns out, it’s not just a marketing term—it’s a clinical concept. The medical team concept came from the concept of a medical home, an idea that’s been used since the mid-1960s by the American Academy of Pediatrics. Competence, compassion and comfort Home. That one word for most of us describes comfort and security. Home is a goal to strive for and a place to feel safe. Everyone deserves a home. The same is true for a medical home. Everyone deserves a competent, compassionate and comfortable medical home. In your medical home, your health care team (provider, nurse, lab technician and other staff) value and respect you as a patient. They have access to your health and family history and will provide you with comprehensive primary care. Should you need specialty care, they will facilitate this and communicate with the necessary specialists on your behalf. The team is led by your personal medical provider, who advises the best treatment options based on your health status and history, current symptoms, and test results. The practice of medicine can at A medical team focused on you Need a primary care provider? Check out our provider directory on pages 6–7 to find the right fit for you! health care journey: primary care and specialty providers in 19 specialties, a laboratory, diagnostic imaging (CT, MRI, x-ray, ultrasound and mammography), a full-service pharmacy, and an ambulatory surgical center for many outpatient surgeries—plus sameday appointments for acute care, an after-hours ConvenientCare clinic and online scheduling of your own appointments. As a comprehensive medical home, Yankton Medical Clinic is different from many pharmacies and facilities that advertise “walk-in testing” for flu or RSV but send the test to an out-of-town facility, to someone who doesn’t know your history. When you look at your health care options, consider this: At Yankton Medical Clinic, these are your medical records, your providers, your history, your home, your team.
4 yanktonmedicalclinic.com Bike helmet tradition continues Rotary Club, Vermillion Medical Clinic provide head protection to second graders Adapted from a story by David Lias, Vermillion Plain Talk (April 28, 2023) Matthew Krell, MD, and a watermelon delivered an important message to Vermillion second graders Friday, April 21, in the Jolley Elementary School gymnasium. Dr. Krell, a pediatrician at Vermillion Medical Clinic, started by asking the students what they could do to keep their heads safe if they got hurt while riding a bicycle, a scooter or a horse. “Wear a helmet,” some children replied. “What happens if I don’t wear a helmet?” Dr. Krell asked, holding the watermelon. Clinic were providing a free bike helmet to every second grader at Jolley and St. Agnes elementary schools—a tradition that had been interrupted by COVID-19. The annual helmet giveaway was halted because of the close interaction required between kids and volunteers to ensure that every helmet is fitted properly. HealthyChildren.org, a website of the American Academy of Pediatrics, notes that wearing a helmet can decrease the risk Photo by David Lias, Vermillion Plain Talk Matthew Krell, MD, shows an example of a head injury that wearing a helmet could help prevent. Stacked behind him are helmets provided by the Vermillion Rotary Club and the Vermillion Medical Clinic. Before a child could answer, he dropped it. The watermelon cracked open, its juice oozing all over the black plastic that had been placed on the gym floor. The physician held up a bike helmet and asked, “Do you want one of these?” then pointed to the watermelon and asked, “Or do you want one of those?” The students all agreed that the helmet option was preferable. Stacked on the stage behind Dr. Krell were several rows of bright helmets, which volunteers then fitted to the kids. For the 28th year, the Vermillion Rotary Club and the Vermillion Medical Photos by David Lias, Vermillion Plain Talk Barb Yelverton checks that straps are adjusted correctly as she fits a bike helmet for a girl on Friday, April 21, in the Jolley Elementary School gymnasium. Pediatrician Matthew Krell, MD
Fall 2023 5 Yankton Bike Helmet Day Yankton Medical Clinic, P.C., also participates in Bike Helmet Day. Pediatrician David Withrow, MD, has played a key role in the clinic’s participation for several years. In addition, medical students from USD Sanford School of Medicine volunteer to help get the area’s 250-plus students properly fitted with new helmets. The Yankton Rotary club is also a valuable partner in this important annual event for youth in the Yankton community. Volunteer Craig Thompson works to make sure that a Vermillion second grader’s new bicycle helmet fits properly. of head injuries by about 85% among both children and adults. The organization offers these tips to encourage kids to make helmet wearing a habit: 1 Establish the helmet habit early. Have your children wear helmets as soon as they start to ride scooters or tricycles and if they are a passenger on the back of an adult’s bike. If kids learn to wear helmets whenever they ride something with wheels, it becomes a habit for a lifetime. 2 Wear a helmet yourself. Children learn best by watching you. 3 Talk to your kids about why you want them to protect their heads. For example: Bikes are vehicles, not toys. You love and value them and their intelligence and need to protect them. They can permanently hurt their brains or even die of head injuries. 4 Let them choose and decorate their helmet. Kids are more likely to wear a helmet if they can pick a favorite. Just check the label to make sure the helmet meets the Consumer Product Safety Commission’s bicycle safety standards and that it fits correctly. Encourage them to decorate their helmet to express their individuality. Adding reflective stickers and LED lights can also make it easier for drivers to see your child. 5 Reward your kids for wearing helmets. Praise them and give them special treats or privileges when they wear their helmets without having to be told. 6 Don’t let children ride their bikes unless they wear their helmets. Be consistent. If you allow them to ride occasionally without their helmets, they won’t believe that helmet use really is important. Tell your children they have to find another way to get where they are going if they don’t want to use their helmets. 7 Encourage your children’s friends to wear helmets. Peer pressure can be used in a positive way if several families in the neighborhood all get in the habit of wearing a helmet. Remember this Head injuries happen not only on streets but also on sidewalks, driveways, bike paths and in parks. You can’t predict when a fall from a bike will occur, so it’s important to wear a helmet on every ride. Caring for kids Learn more about our pediatricians, clinic locations and appointment information at www.yankton medicalclinic.com/health -services/pediatrics.
6 yanktonmedicalclinic.com Yankton Medical Clinic, P.C. 1104 W. 8th St., Yankton, SD 57078 Primary Care Specialty Care FAMILY MEDICINE AUDIOLOGY CARDIOLOGY DERMATOLOGY EAR, NOSE AND THROAT NEPHROLOGY ORTHOPEDIC SURGERY RADIOLOGY UROLOGY McKenzie Hanson, MD* 605-665-8910 Elizabeth Nicholas, MD* 605-665-8910 Carrissa Pietz, MD* 605-665-8910 Abigail Reynolds, MD* 605-665-8910 Jordan Schild, MD* 605-665-8910 Scott Weber, DO* 605-665-8910 Jennifer McGinnis, CNP 605-665-8910 Beth Beeman, AuD, CCC-A, FAAA 605-665-0062 Jason R. Howe, MS, FAAA, CCC-A 605-665-0062 Tim Irwin, MD, FACC* 605-664-2741 Liz Wortmann, CNP 605-664-2741 Scott Kindle, MD* 605-664-2741 David Abbott, MD* 605-665-0062 ONCOLOGY/HEMATOLOGY Byron S. Nielsen, MD* 605-665-1082 Mary Lee Villanueva, MD* 605-665-1722 Melissa FullnerMarshall, MPAS, PA-C 605-665-1722 Amber Authier, PA-C 605-665-1722 Jeremy Kudera, MD, ABOS* 605-665-1722 Dawn Lauer, MPAS, PA-C 605-665-1722 Michael P. Pietila, MD, FCCP, FACP* Critical Care 605-665-1152 Ben LaCrosse, MD* 402-379-2349 Will R. Eidsness, MD* 605-665-7841 Leann Bassing, MD* 605-665-1722 George Fournier, Jr., MD, FACS* 605-664-2742 Christopher Hathaway, MD, PhD* 605-664-2742 Haley Schroeder, MPAS, PA-C 605-664-2742 Brent Adams, MD, ABOS* General Orthopedics and Spine Specialist 605-665-1722 Becky Sawatzke, PA-C 605-665-1152 RHEUMATOLOGY OBSTETRICS AND GYNECOLOGY Kevin Bray, MD, FACOG* 605-665-5538 Emma Bye, MD+ 605-665-5538 Amy M. Eichfeld, MD, FACOG* 605-665-5538 Robert T. Ferrell, MD, FACOG* 605-665-5538 Spencer Ferrell, MD+ 605-665-5538 Jill F. Sternquist, MD, FACOG* 605-665-5538 INTERNAL MEDICINE David W. Withrow, MD, FAAP+ 605-665-5538 PEDIATRICS
Fall 2023 7 Spring 2023 7 Vermillion Medical Clinic Primary Care Yankton Medical Clinic, P.C., Norfolk 3901 W. Norfolk Ave., Norfolk, NE 68701 INTERNAL MEDICINE GASTROENTEROLOGY GENERAL SURGERY PALLIATIVE MEDICINE PULMONOLOGY Susan E. Fanta, MD* 605-665-1082 Jennifer Fillaus, DO* 605-665-1082 Tyler Hanson, MD* 605-665-1082 Martha Holstein, MD* 605-665-1152 Daniel J. Megard, MD, FACP* 605-665-1152 Amanda Sedlacek, DO* 605-665-1152 Sarah Arens, MPAS, PA-C 605-665-1152 Robert Nicholas, MD* 605-665-0062 Steven H. Gutnik, MD, FACP, Associate 605-665-1722 Jesse L. Kampshoff, MD* 605-664-2742 Luke C. Serck, MD* General and Vascular Surgery Specialist 605-664-2742 PHYSICAL MEDICINE Amanda Sedlacek, DO* 605-665-1722 Judith R. Peterson, MD* 605-665-1152 Lori A. Hansen, MD, FACP, FCCP* 605-665-1082 Matthew D. Krell, MD, FAAP,* Pediatrics 605-624-8643 Michelle Chaussee, MPAS, PA-C 605-624-8643 Todd Espicha, MPAS, PA-C 605-624-8643 Amy Fluit, MPAS, PA-C 605-624-8643 Brian Kim, AuD, CCC-A, FAAA, Audiologist 402-844-8110 Erin Wolf, AuD, CCC-A, FAAA, Audiologist 402-844-8110 Charles Harper, MD* Internal Medicine 402-316-4606 Alan Spanel, MD* Internal Medicine 402-316-4606 Kelly Jueden, CNP Family Medicine 402-316-4606 Ben LaCrosse, MD* Radiologist 402-379-2349 *Board-certified +Board-eligible Ryan J. Garry, MD, FACS* General and Breast Surgery Specialist 605-664-2742 Tom Viereck, CNP 605-665-1722 Scott B. Helberg, MD, MBA* Internal Medicine, Critical Care 605-665-1082 PEDIATRICS Martha Holstein, MD* 605-665-1152 Dawn M. Larson, MD+ 605-665-5538 Sara Pepper, MD, FAAP* 605-665-5538 April K. Willman, MD, FAAP* 605-665-5538 Self-schedule your appointment online! Now you can schedule online anytime! Visit www.yanktonmedicalclinic.com/ scheduling and follow the prompts. 101 S. Plum St., Vermillion, SD 57069
8 yanktonmedicalclinic.com When Scott Helberg, MD, joined Yankton Medical Clinic, P.C., he knew one of the first things he had to do was bring the EBUS (endobronchial ultrasound) procedure to the area. “Too many patients from our area had to travel to Sioux Falls or Omaha for EBUS, and it just didn’t make sense to send them all that way when I have many years of experience performing this procedure,” he says. As a well-respected and sought after pulmonologist, internal medicine and critical care physician, Dr. Helberg is recognized by U.S. News & World Report as one of the Best Pulmonologists in South Dakota. He consistently receives a five-star rating from patients. BREATHE EASIER Offering this procedure in Yankton saves time and changes lives EBUS is a minimally invasive, same-day procedure performed under general anesthesia. It is a highly effective procedure used to diagnose lung cancer, infections and other diseases that cause enlarged lymph nodes in the chest. Dr. Helberg says a typical EBUS procedure can take 60 to 90 minutes. with EBUS What is EBUS? Scott B. Helberg, MD, MBA
Fall 2023 9 What are the benefits? Dr. Helberg says the benefits of EBUS compared with conventional surgery are many. EBUS allows physicians to perform a technique known as transbronchial needle aspiration, or TBNA, to obtain tissue or fluid samples from the lungs and surrounding lymph nodes without invasive surgery. The samples are then used for diagnosing and staging lung cancer, detecting infections, and identifying inflammatory diseases that affect the lungs. These include sarcoidosis and cancers like lymphoma. EBUS is much less invasive than the conventional diagnostic procedure, a surgery known as mediastinoscopy. During an EBUS, no incisions are necessary, as the physician can perform needle aspiration on lymph nodes using a bronchoscope inserted through the mouth. Plus, with EBUS, Dr. Helberg can easily view difficult-to-reach areas and access more, and smaller, lymph nodes for biopsy with the aspiration needle. With real-time imaging, he can view the surface of the airways, blood vessels, lungs and lymph nodes, resulting in a quick turnaround—preliminary test results can be made available the same day. For many patients, having EBUS available in Yankton is a lifesaver. They do not need to travel and have the procedure with a physician who is not familiar with their medical history. They can have the procedure much sooner and get results faster, leading to less stress in what is often an already stressful time. “Anytime we can help patients simplify their medical journey and not add to their stress, it is adding something positive to their health, and that’s what is most important,” Dr. Helberg says. “We cannot overlook the value and impact having EBUS available in our area adds to our patient care.” Dr. Helberg performs EBUS at Avera Sacred Heart Hospital in Yankton. “Adding EBUS was an important step in providing complete pulmonary services in our area,” he says. “At Yankton Medical Clinic, Dr. Lori Hansen, Dr. Michael Pietila and I offer full pulmonary function testing, imaging and sleep medicine services. In addition, our pulmonologists are able to see new referrals within two to five days.” Reach out If you’re interested in EBUS or would like to know more about Yankton Medical Clinic’s pulmonologists, Scott Helberg, MD; Lori Hansen, MD; and Michael Pietila, MD, please call 605-665-1082.
10 yanktonmedicalclinic.com Amanda Sedlacek, DO, has been selected as the 2023 South Dakota American College of Physicians (SD ACP) Early Career Physician of the Year. She is a board-certified internal medicine and palliative care physician with Yankton Medical Clinic, P.C. According to Jennifer Hsu, MD, FACP, FIDSA, Chair of the SD ACP Awards Committee: “This award honors an internist who is practicing in the state of South Dakota and is within 16 years of graduation from medical school. The recipient should demonstrate the ideals of the profession and maintain an active role in the activities of the South Dakota American College of Physicians.” Dr. Sedlacek was notified of her selection from Dr. Hsu. She will be presented the SD ACP Early Career Physician of the Year award during a reception later this year. Respected by peers and patients “What an honor for Dr. Sedlacek,” notes Becky McManus, CEO of Yankton Medical Clinic, P.C. “She is an internal medicine physician but also specializes in palliative medicine. Dr. Sedlacek consistently receives a perfect 5.0 star rating on physician rankings such as Google, WebMD, Rater8 and Vitals. Her approach to internal medicine exemplifies a high standard of care by treating the whole person, not just the symptoms, and by establishing Medical school honors Yankton pediatrician University of South Dakota’s Sanford School of Medicine awarded David Withrow, MD, with the 2023 USD SSOM, Class of 1983, Clinical Faculty Award. The award was established in 2008 to recognize clinical faculty in clinical practice, active in the medical school, who has made a significant contribution to USD SSOM in teaching and leadership in their department. Distinguished clinician and educator Dr. Withrow, a pediatrician with Yankton Medical Clinic, P.C., was nominated by his medical students based on his patience, humility, and outstanding qualities as a clinician and educator. CEO Becky McManus states: “We are not surprised by Dr. Withrow’s recognition by his students. His patients continually tout his expert care, exceptional qualities and personable approach to his practice. We congratulate him and are proud he is being recognized for the outstanding physician he is.” Schedule your visit Dr. Sedlacek is currently accepting new adult patients in her internal medicine practice at Yankton Medical Clinic, P.C. For an appointment, call 605-665-1152. “I am humbled to receive this award from the medical students. It’s an honor to be able to help our future physicians, and I look forward to continuing to do so.” —David Withrow, MD, FAAP Amanda Sedlacek, DO Dr. Sedlacek named Early Career Physician of the Year long-term care. We congratulate Dr. Sedlacek on her well-earned award.”
Fall 2023 11 The Intersocietal Accreditation Commission (IAC) recently recognized Yankton Medical Clinic’s echocardiography program for maintaining 20 years of excellence. In presenting the milestone recognition, IAC noted, “Your facility is truly part of an elite group demonstrating a continued commitment to offering quality patient care.” Jan Schrempp, Supervisor of Echocardiography, says: “It is an honor to be recognized with the milestone award, and we are grateful to the IAC. Honestly, with the mission and vision at Yankton Medical Clinic, P.C., providing the highest quality of patient care is what we strive to do every single day. I am proud of our staff for making sure we reach that goal every day. We are committed to our patients and have developed longstanding relationships with them over the years. They know they can trust us.” All-encompassing care Becky McManus, CEO, agrees: “Our echocardiography team is committed to ensuring the highest quality of care for our patients, and I’m happy they are getting the recognition they deserve. Echocardiography is one of several services we provide that our physicians and patients alike know they can trust. “At YMC, our physicians work with each other and our service departments to make sure patients receive the type of allencompassing care they come to expect. When you come to YMC, you know you have one chart and that every physician and department work cohesively as your home medical team. Echocardiography is a crucial part of that team for many of our patients.” “As one of the first facilities accredited by IAC Echocardiography (formerly the Intersocietal Commission for the Accreditation of Echocardiography Laboratories, ICAEL), your facility is truly part of an elite group demonstrating a continued commitment to offering quality patient care.” —The Intersocietal Accreditation Commission Pictured, from left: Jan Schrempp, Team Leader ultrasound, and ultrasound techs Judy Vanheek and Todd Lange. Echocardiography program lauded for excellence
1104 West 8th Street Yankton, SD 57078 Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 Nebraska Creighton, NE Avera Creighton Hospital 402-358-5700 ● Jesse Kampshoff, MD* General Surgery Norfolk, NE Yankton Medical Clinic, P.C.–Norfolk at Fountain Point Medical Community 402-844-8110 ● David Abbott, MD* Ear, Nose and Throat ● Brent Adams, MD* Orthopedic Surgery ● Leann Bassing, MD* Rheumatology ● Ryan J. Garry, MD* General and Breast Surgery ● Christopher Hathaway, MD, PhD* Urology ● Dawn Lauer, MPAS, PA-C Orthopedics ● Robert Nicholas, MD* Ear, Nose and Throat ● Michael Pietila, MD* Pulmonology Care near youWe provide specialty care in 13 locations outside of Yankton. O’Neill, NE Avera St. Anthony’s Hospital Specialty Clinic 402-336-5122 ● Kevin Bray, MD* Obstetrics-Gynecology ● Byron Nielsen, MD* Nephrology ● Michael Pietila, MD* Pulmonology ● Amanda Sedlacek, DO* Internal and Palliative Medicine ● Mary Lee Villanueva, MD* Oncology-Hematology Osmond, NE Osmond General Hospital 402-748-3393 ● Jesse Kampshoff, MD* General Surgery Plainview, NE Plainview Area Health System 402-582-4245 ● Jesse Kampshoff, MD* General Surgery ● Byron Nielsen, MD* Nephrology Santee, NE Santee Outreach Clinic 402-857-2300 ● Spencer Ferrell, MD+ Obstetrics-Gynecology ● Byron Nielsen, MD* Nephrology ● Sara Pepper, MD* Pediatrics South Dakota Freeman, SD Freeman Regional Health Services 605-925-4219 ● Jill F. Sternquist, MD, FACOG* Obstetrics-Gynecology Gregory, SD Avera Gregory Hospital 605-835-8394 ● Kevin Bray, MD, FACOG* Obstetrics-Gynecology Parkston, SD Avera St. Benedict Health Center 605-928-3311 ● Michael Pietila, MD, FCCP, FACP* Pulmonology Tyndall, SD Bon Homme Family Practice Clinic 605-589-3322 ● Spencer Ferrell, MD+ Obstetrics-Gynecology ● Ryan J. Garry, MD, FACS* General and Breast Surgery Vermillion, SD Vermillion Medical Clinic 605-624-8643 ● Amy M. Eichfeld, MD, FACOG* Obstetrics-Gynecology ● Jason Howe, MS, FAAA, CCC-A Audiology ● Jesse Kampshoff, MD* General Surgery ● Jeremy Kudera, MD, ABOS* Orthopedic Surgery ● Robert Nicholas, MD* Ear, Nose and Throat ● Byron Nielsen, MD* Nephrology ● Jill F. Sternquist, MD, FACOG* Obstetrics-Gynecology Wagner, SD Wagner Community Avera ● Brent Adams, MD, ABOS* Orthopedic Surgery 605-665-1722 ● Spencer Ferrell, MD+ Obstetrics-Gynecology 605-665-5538 ● Byron Nielsen, MD* Nephrology 605-665-1082 Wagner Indian Health Service Clinic ● Emma Bye, MD+ Obstetrics-Gynecology 605-384-3621 *Board-certified +Board-eligible It’s easy and convenient to schedule an appointment online. Simply visit www.yanktonmedicalclinic.com/scheduling. So much care, so close to home!
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