Columbus Community Hospital | Housecall | Spring 2023

Housecall Bringing health care news to your home • columbushosp.org SPRING 2023 Women: Don’t stay silent about postpartum struggles 8 Columbus adds sports performance programs 12

2 Bringing health care news to your home HOUSECALL is published as a community service for the friends and patrons of Columbus Community Hospital, 4600 38th St., P.O. Box 1800, Columbus, NE 68602-1800, 402-564-7118, columbushosp.org. Information in HOUSECALL comes from a wide range of medical experts. It should not be considered or used as a substitute for medical advice, diagnosis or treatment. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. To recommend this subscription to a friend or family member, or request to be removed from this mailing, email aeblaser@columbushosp.org. 2023 © Coffey Communications, Inc. All rights reserved. Connect with us: columbushosp.org Contents Fieldhouse construction is on track 5 Get ready for an opening in 2024! Expert orthopedic care Our experts are here for all of your needs, from a sprained ankle to something more complex, like joint replacement surgery. Healthy habits 10 Here are some tips to keep kids engaged in their health. Top performers 12 See how we’re helping student athletes achieve their goals. Michael Hansen Michael Hansen, FACHE, president and CEO Hello! I hope you enjoy Columbus Community Hospital’s Housecall, a publication that shares stories about the great work we are accomplishing in our hospital and associated clinics. Our hospital proudly offers new and expanding health care services each season. In this issue, you will read information about orthopedic offerings, physical therapy for women, high-performance sports training and more. We pride ourselves on always looking toward the future and exploring how to provide better care to our community. For example, we’re looking forward to opening our Columbus Fieldhouse in 2024. Please take a moment to review this issue and read about the many ways we are building toward a healthier tomorrow for you and your family, friends and loved ones. 6

3 columbushosp.org New ENT doctor was inspired by Patch Adams Columbus Community Hospital has a new otolaryngologist — commonly known as an ear, nose and throat (ENT) specialist — to care for you and your family. Dr. Lauren Jazwick joined Columbus Otolaryngology Clinic in August 2022, but she is by no means a newcomer to Columbus, as she completed a medical school rotation here eight years ago. Otolaryngologists evaluate, diagnose and treat a broad range of head and neck conditions from the clavicle bone up. These include ear infections, sinus problems, cancers, hoarseness, vestibular (dizziness and balance) disorders and swallowing problems. ENTs also complete extensive training as head and neck surgeons. When surgery is the right choice, they can perform many different procedures, including sinus, thyroid and ear tube surgeries. An early inspiration Jazwick grew up in Bradshaw, Nebraska, and fell in love with medicine in the fourth grade. Her inspiration? The movie Patch Adams, starring the late Robin Williams and based on the true story of physician Hunter “Patch” Adams. “I was super-inspired by his treatment of patients — not just how the medical treatments made them better, but how he treated them as people,” Jazwick said. “That’s what drove me to medicine. And then what kept me here is how dynamic it is. Medicine continually grows and improves and requires a lot of studying and education to keep up to date.” After graduating from Heartland High School in Henderson, Nebraska, Jazwick earned her Bachelor of Science degree from Creighton University, followed by a medical degree from Des Moines University in Iowa. She then completed a fiveyear residency in otolaryngology at University of Nebraska Medical Center in Omaha, Nebraska. Coming to Columbus At first, Jazwick set her sights on becoming an orthopedic surgeon. But during her third year of medical school in 2015, she began a rotation at Columbus Otolaryngology Clinic with Dr. Nila Novotny. She quickly discovered a passion for the head and neck physician specialty. “You get to treat patients of all ages and make lifelong relationships with them,” Jazwick said. “I also liked that the ENT specialty requires manual dexterity. We work in a lot of small areas of the body, so you have to have the ability to be steady, use tiny instruments and work around corners.” During her clinical rotation, Jazwick committed to returning to Columbus when she finished her schooling. “This is a great place to work and a great place to live,” she said. Jazwick believes in building relationships in which patients can trust her and know she has their best interest in mind. She works closely with her patients’ primary care providers to help ensure the best possible overall care. Working the land When she’s not providing great care for her patients, Jazwick enjoys spending time with her family members and working on their ranch. She also likes coaching youth volleyball in the spring — something she’s done since college. Jazwick believes in building relationships in which patients can trust her and know she has their best interest in mind.

4 Bringing health care news to your home It’s easy to find plenty of myths about heart health. Maybe you’ve read some of them and wondered if they’re true. These misconceptions can have serious consequences, causing people to ignore the warning signs of heart disease. For your heart’s sake, don’t believe them. Here are some common myths about heart health, along with the facts you need to know: MYTH: I’ll know it if I have heart disease. FACT: The first sign of heart disease for many people is a heart attack. Some factors that contribute to heart disease and heart attacks — such as high blood pressure and high cholesterol — often don’t cause symptoms. That’s why it’s important to see your doctor and undergo recommended screenings for these and other heart disease risk factors. When you know where you stand, you can take charge of your heart health. MYTH: I’m too young for heart disease. FACT: People of all ages can have heart problems. While your risk for heart disease increases the older you get, being young doesn’t make you immune. For example, many people are born with heart conditions or have a family history of early heart disease. You can’t change your family history, but you can take steps at any age to keep your heart healthy. Among them: don’t smoke; control your cholesterol, blood pressure and blood sugar; eat a wellbalanced diet low in artery-clogging saturated fat; exercise regularly; and maintain a healthy weight. MYTH: Women don’t have to worry about heart disease. FACT: About one in five U.S. women dies from heart disease. It’s the leading killer of both women and men and is a bigger threat to women than breast cancer. MYTH: Heart attacks always involve intense chest pain. FACT: Chest discomfort is a common symptom. But it’s not the only one, and it may be mild. Other potential heart attack symptoms include shortness of breath; nausea; heartburn; light-headedness; or discomfort felt in one or both arms, the jaw, neck, or back. If you suspect you or someone else might be having a heart attack, call 911. MYTH: People who have had a heart attack shouldn’t exercise. FACT: Physical activity is an important part of heart attack recovery. Along with other lifestyle changes, such as eating a healthy diet, exercise may help you live longer. After a heart attack, it’s important to choose activities that are right for you in a supervised setting, such as cardiac rehabilitation. If you have had a heart attack or another heart problem, ask your doctor about joining a cardiac rehab program where you can learn to exercise and take care of your heart safely. Sources: American Heart Association; Centers for Disease Control and Prevention Your heart is in good hands Columbus Community Hospital offers high-quality heart health and treatment services. To learn more, visit columbushosp.org or call one of the numbers below. Columbus Cardiology Clinic 4508 38th St., Suite 210 columbuscardiology.org 402-562-4835 Cardiac catheterization lab Columbus Community Hospital 4600 38th St. 402-564-7118 Cardiopulmonary rehabilitation department Columbus Community Hospital 4600 38th St. 402-562-3344 Heart disease myths exposed

5 columbushosp.org Fieldhouse construction continues Hospital is on target to complete construction by the end of the year JE Dunn project manager Jameson Werner confirmed the project’s construction is progressing as scheduled. The multimillion-dollar project will include a 101,500-square-foot field turf area; elevated walking track; batting cages; mini putting greens; and tennis, pickleball, basketball and volleyball courts. The plans for the fieldhouse also include racquetball; a cycle studio; a “jump” zone; golf and baseball simulators; and spaces for personalized fitness, circuit training and cardio. In conjunction with the Columbus Fieldhouse project, community members will see changes to the current YMCA, Rehab Services at the Wellness Center, and Wiggles & Giggles Therapy for Kids™ structures. Premier Physical Therapy will relocate from 3100 23rd St. to the Columbus Fieldhouse. Werner said the crew plans to complete the Wiggles & Giggles and Rehab Services expansions by early summer, allowing the departments to move into their new spaces. He expects to complete the full project by the end of the year, and the facility should open in 2024. Save the date Mark your calendar for the event, which will be on June 2, 2023, at Elks Country Club. Get involved For more information on becoming a sponsor, donor or golfer, please contact the foundation at 402-562-3377 or foundation@columbushosp.org. Since hosting its first golf outing in 2003, the Columbus Community Hospital Foundation has worked with local supporters and dedicated volunteers to make the Holing Out Fore Health golf outing one of the most successful golf events in northeast Nebraska. The foundation is gearing up for a major milestone this year — the 20th annual Holing Out Fore Health golf outing. Established as a tribute to the late Dr. Clinton Heine by his friend, Bart Bartholomew, the event has raised more than $1.5 million for health care programs and equipment in 19 years. 20th annual Holing Out Fore Health golf outing For more information about the Columbus Fieldhouse project, visit columbushosp.org/foundation/columbus_fieldhouse.aspx.

6 Bringing health care news to your home High-quality care for everyday life COLUMBUS ORTHOPEDIC & SPORTS MEDICINE CLINIC

7 columbushosp.org Columbus Orthopedic & Sports Medicine Clinic is here for you. We want to make your pain disappear — whether it’s in your foot, ankle, shoulder, knee, hip or spine. As the Columbus area’s dedicated experts in bone, joint and muscle care, we have served the region’s orthopedic needs since 1983. From sports medicine to total joint replacement and everything in between, our expert medical providers can meet your needs. “We offer a highly trained and specialized group of clinicians to a small demographic, ensuring quality care and optimal outcomes,” said Dr. Brandon Borer, foot and ankle surgeon at Columbus Orthopedic & Sports Medicine Clinic. The Columbus difference Our team offers one-on-one, personalized care that distinguishes us from other places. “Because I live here in Columbus and am involved in the community, I have the opportunity to interact with my patients and their families outside of the clinic with various activities,” Borer said. Our team of surgeons and other clinicians takes the time to learn about you and your goals so we can find the solution to take the pain away. That solution may be as simple as a brace and physical therapy, or as complex as surgery. When surgery is needed, we’ve got you covered. The Mako robot, a piece of state-of-theart technology at Columbus Community Hospital, has provided surgeons with an excellent tool for the accurate placement and alignment of hip and knee implants. When using Mako, surgeons can preserve healthy bone and soft tissue, resulting in less postoperative pain, quicker recovery and a shorter hospital stay than manual techniques. Convenient care, close to you “Ease of access to individualized care is important, and our clinic provides the foundation for this to flourish,” said Dustin Hill, practice manager. “We’re located on the same campus as Columbus Community Hospital, so travel within the facility is easy to navigate and under one roof.” The robust sports medicine program involves local certified athletic trainers from multiple schools who work closely with specialized providers to expedite care. “Getting athletes back to their field of play is imperative,” said Hill. “A local clinic that can assist in coordinating and managing these athletes is a must-have.” Get back in the game To learn more about our services or to make an appointment, call our office at 402-562-4700 or visit columbusorthopedics.com. From sports medicine to total joint replacement and everything in between, our experts can meet your needs.

8 Bringing health care news to your home See how physical therapy can help women feel like themselves again Pregnancy and delivery can take a toll on a woman’s physical and mental health. From skin, hair and nail changes to forgetfulness and problems with concentration, every woman has a different experience — and, for most women, the changes do not stop after having a baby. That was the case for Amber Klassen after she delivered her second child in June 2022. Klassen, who lives on a farm east of Lindsay, Nebraska, is a mother of two boys — Warren, 2, and Zayne, 7 months. She recently sought treatment from the comprehensive women’s health physical therapy program at Rehab Services at the Wellness Center. “I had just delivered Zayne, and I was having issues I didn’t think I should be having at my age,” said Klassen. “I had a friend who referred me.” How it works The program includes specialized treatment for women of all ages, including therapies for some of the most common — but least talked about — physical conditions women may experience. This may involve pelvic floor dysfunction, pre- and postpartum care, breast cancer care, osteoporosis, and more. “This program is important, as these treatments can be life-changing for patients,” said Kathy Bloemker, women’s health physical therapist. “Imagine wearing pads all day or being unable to attend your favorite social events due to fear of your bladder leaking. That is one of the many symptoms we can treat.” One of Klassen’s main goals was to get back to an active lifestyle. After a consultation, Bloemker set up a therapy plan to address her concerns. & ‘A NIGHT DAY difference’ “With my first child, I did not do any of this, and I can definitely feel the difference. It was a way faster recovery — both mentally and physically.” — patient Amber Klassen

9 columbushosp.org “I am super active,” said Klassen. “I love outdoor sports and working out in general. Kathy gave me different exercises to help me bounce back after having a child.” Making a plan Klassen visited Bloemker for about 12 weeks, starting twice a week and then shifting to once every other week. One area they focused on was Klassen’s diastasis recti (abdominal muscle separation), which commonly occurs when the growing uterus causes a woman’s abdominals to separate from each other at their midline. “Postpartum care is important to help in muscle recovery,” said Bloemker. “It treats current symptoms and also prevents further issues with aging.” Klassen said the therapy helped her in ways she never expected. “I would say it’s a night and day difference from when I first started,” she said. “With my first child, I did not do any of this, and I can definitely feel the difference. It was a way faster recovery — both mentally and physically.” Ready to get started? To learn more about our comprehensive women’s health physical therapy, call Rehab Services at the Wellness Center at 402-562-3333 or visit columbushosp.org/our_services/ rehabilitative_services.aspx. Kathy Bloemker, women’s health physical therapist, guides Amber Klassen in a session.

10 Bringing health care news to your home Prepare kids for a lifetime of wellness As a parent, you have a lot on your plate raising your family. You may not have the time to learn how you can encourage your kids to have healthy habits, so here are a few ideas. Working these tips into your day requires planning. Once you have the routine down, your kids will learn healthy habits that will serve them for a lifetime. Encourage exercise Exercise is essential for building strong bones and muscles and healthy hearts and lungs. Set a goal for your kids to get moderate to vigorous exercise for at least 60 minutes daily. Do their hearts beat fast? Do they breathe heavily and sweat? If so, they are doing it right. Make exercise a daily family activity. Take a walk after dinner. Go on a bike ride or nature hike together. Shoot hoops. Play tag. Use swings and jungle gyms. Both you and your kids will get a workout. Limit screen time. Encourage your kids to get some exercise instead of staring at a screen. Encourage a nutritious diet Eating healthy foods starts at the family table. Refuel each morning. Start your children’s day off right with a healthy breakfast. Enlist everyone’s help. Let kids help plan and prepare at least one meal each week. (They may love to eat what they make!) Serve a variety of healthy foods and beverages. Put more fruits, vegetables and whole grains — like oats, brown rice and whole-grain pasta — on the family menu. Choose low-fat proteins and dairy products and healthy vegetable fats when grocery shopping. Offer your kids water, low-fat or nonfat milk, or lowcalorie beverages. Make it a game. Your kids can help track on a chart how many healthy foods the family eats in a week. Encourage other healthy habits Keep your kids sun safe. A few serious sunburns in childhood can lead to skin cancer later in life. Have kids wear a hat, sunglasses and clothing that covers their legs and arms, and use a broad-spectrum sunscreen with an SPF of 30 or higher. Tell them, “No smoking.” Talk to your kids about why smoking harms their health and well-being. Help them build strong teeth. Brushing twice daily can keep your kids’ tooth enamel strong against decay. Drinking fluoridated water or using fluoride rinses can also help. Talk to your dentist about ageappropriate dental habits. Sources: Academy of Nutrition and Dietetics; American Academy of Family Physicians; American Academy of Pediatrics

11 columbushosp.org Topics include: April 28: ”No-Bake Coconut Truffles” (cooking demonstration) May 5: “Different Kinds of Lettuce and Greens” May 12: “Is Sodium the Same Thing as Salt?” May 19: “How Much Water Do You Need?” May 26: “Cheesy Chickpea and Broccoli Bake” (cooking demonstration) June 2: “Dietary Supplements for Men’s and Women’s Health” June 9: “Staying Away From Fad Diets” June 16: “Processed Foods: What’s Okay and What to Avoid” June 23: “What Are B Vitamins?” June 30: “Rainbow Layered Salad” (cooking demonstration) For more information about Food Thoughts, contact Susan Olmer at 402-562-4460 or Joan Plummer at 402-562-4462. Food for thought Learn how to live healthier with Food Thoughts, a free educational series of classes at Columbus Community Hospital. Classes are 11:30 a.m.-12:30 p.m. every Friday in the multipurpose room at the Columbus Wellness Center. Dietitians lead the classes and provide expert advice about health and nutrition. Prep time: 5 minutes Cook time: 20 minutes Total time: 25 minutes Ingredients 1 1/2 cups white, whole-wheat flour 11/2 teaspoons baking powder 1/2 teaspoon salt 2 tablespoons butter 1/2 cup plain, nonfat Greek yogurt 3 tablespoons pure maple syrup 4 tablespoons nonfat milk, divided 1 teaspoon vanilla extract 1/2 cup fresh blueberries Healthy blueberry scones Instructions 1. Preheat the oven to 425 F. 2. Line a baking sheet with parchment paper. 3. Whisk together flour, baking powder and salt in a medium bowl. Cut in the butter with a pastry blender. 4. Make a well in the center and add the Greek yogurt, maple syrup, 3 tablespoons of milk and vanilla. Stir until moistened. Add the blueberries. 5. Place the dough into a 3/4-inch tall circle on the baking pan. Brush with the remaining milk. 6. Slice the circle into 9 triangles with a sharp knife. 7. Bake for 18-22 minutes or until golden. Nutritional information Yield: 9 scones. Amount per serving: 127 calories, 3 grams fat, 21 grams carbohydrates, 4 grams protein, 220 milligrams sodium, 3 grams fiber.

12 Bringing health care news to your home Gavin Bywater, a senior at Schuyler Community Schools, wants to play sports in college. So when he read about the new high-performance training program in Columbus, he saw it as a tool to help him get closer to that goal. “I can always get better, so it was a no-brainer for me,” said Bywater. “I was also looking for more opportunities to expand my learning base for track and trying to get faster for my last year of high school.” Columbus Community Hospital’s Columbus Sports Performance Center offers a science-based program that boasts individualized, results-driven training for off-season, pre-season or in-season athletes. How it works Throughout the program, high school- and college-aged athletes work with expertly trained staff who have helped Division I and high school athletes successfully transition to collegiate athletics. “We do a lot of explosive power work and injury prevention,” said Bywater. “We do depth jumps, box jumps and other activities — using normal movements you would do in most sports.” Lauren Vasicek, a sophomore at Columbus High who is participating in the program, said she is impressed by her progress. “I wanted to start coming here to improve,” she said. “When I started, I wasn’t expecting as much as I have gotten.” During the sessions, athletes train in small groups using laser timers and advanced technology to track vertical and horizontal power. Training staff COLUMBUS SPORTS PERFORMANCE CENTER A safe place for kids to their sports game

13 columbushosp.org members provide each athlete with a tangible progress report to follow individual performance throughout the program. “We do power and strength training,” said Vasicek. “I work on my balance and ways to improve my weaknesses.” Starting sooner Lucas Novotny, who leads the program, has held several positions in the strength and conditioning field. He said the program is meant to provide individualized attention that will improve athletics community-wide. He would like to do that by working with athletes as early as seventh or eighth grade. “Junior high students are starting to get into more highly competitive athletics,” he said. “Without training, they can run into early injuries that could set them back and possibly make athletics less fun. With a proper training base, they can bypass some of those setbacks and improve at a solid pace.” The hospital created the Columbus Sports Performance Center to give young athletes a home for long-term development through their athletic experience. The mission is to provide sports performance training needs to Columbus and the surrounding communities. The center is currently operating at Premier Physical Therapy but will move to the Columbus Fieldhouse when the facility is complete. Get involved To learn more about Columbus Sports Performance Center’s high-performance training groups or to register, call 402-562-4607 or visit columbushosp.org. Training staff members provide each athlete with a tangible progress report to follow individual performance throughout the program.

14 Bringing health care news to your home At Columbus Community Hospital, our employees enjoy a positive community atmosphere inside and outside work. That is because our friendly, Midwestern values shine through at our hospital and in our community. Staff members enjoy working relationships with people they know on a personal level, which allows for cohesive care that is not possible at larger facilities. It also means coworkers are not just colleagues — they are also friends. “I truly feel we are a team and look at each other as people,” said Dani Bayer, registered nurse in the acute care unit. “We all seem to work well to help our patients. The teamwork here is truly one-of-a-kind.” We also offer sign-on bonuses, tuition assistance, relocation allowances and student loan repayment options for select specialties. “CCH has given me the encouragement and education to become a better leader and employee,” said Lisa Perrin, director of the acute and intensive care units. Apply now Take a look at our open positions by visiting our website at columbushosp.org/careers.aspx. You can also contact our human resources department at 402-562-3370. We can’t wait to hear from you! Join our Dani Bayer (left) and Lisa Perrin

4600 38th St. Columbus, NE 68601 Nonprofit Org. U.S. Postage PAID Walla Walla, WA Permit No. 44 Give back — give blood You can help the community in a very direct and meaningful way by donating blood, which is a perishable product that can only come from generous donors. In about an hour, you can save three lives and make a big difference in our community. 2023 blood drives Columbus Community Hospital Platte and Prairie rooms 8 a.m.-2 p.m. May 12, June 9, July 14, Aug. 11, Sept. 8, Oct. 13, Nov. 10, Dec. 8 Schedule your appointment online at redcrossblood.org or call Chelsea Kasik at 402-562-4791. Focus on health Baby care Breastfeeding Support sessions are available by appointment. Call 402-562-3266. Bump & Beyond Prepared Childbirth class To learn more, call 402-562-3266. Diabetes education Diabetes activity group, education classes and support group To learn more, call 402-562-4462. More About Carbs classes To learn more, call 402-562-4462. Fitness & nutrition Ai chi water exercise classes To learn more, call 402-564-9477. Club CHIP support group To learn more, call 402-562-4490. Cooking classes To learn more, call 402-562-4462. Enhanced Fitness classes To learn more, call 402-564-9477. Food Thoughts To learn more, call 402-562-4462. Spine Fit classes To learn more, call 402-562-3333. Tai chi classes To learn more, call 402-564-9477. Walk with a Doc To learn more, call 402-562-4480. Support groups A Time to Heal To learn more, call 402-562-4794. Columbus Cancer Care To learn more, call 402-562-4840 or 402-562-4436. Grief support group To learn more, call 402-562-4449. LOUD Crowd exercise group To learn more, call 402-562-3333. Parkinson’s wellness group To learn more, call 402-562-3333. Rock Steady Boxing for Parkinson’s To learn more, call 402-562-3333. TBI and stroke support group To learn more, call 402-562-3333. Education and support group sessions are free unless otherwise noted Visit columbushosp.org ● Manage your hospital bill online. ● Make a donation to the CCH Foundation. ● Send an e-card to a loved one or friend at CCH. Learn health tips and more about specific conditions by visiting our website at columbushosp.org.

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