A Healthier You MEDICARE HELP

P2

NEW PROVIDERS

P3

OPIOID CRISIS RESPONSE

P6

YOUR GUIDE FOR LIVING WELL

Sleep Easy P4-5

Fall 2017 wwwhansenfamilyhospitalcom

A MESSAGE TO THE COMMUNITY

While Irsquove been with Hansen Family Hospital for most of my career Irsquod like to introduce myself as Interim CEO while the search for a permanent CEO begins It is my privilege to serve in this role for our communityrsquos hospital My passion for nursing and commitment to safe and comfortable care drives my efforts in guiding our entire organization through finding a great leader to making sure every moment of a patientrsquos visits meets their needs and exceeds their expectations

We are on a mission to inspire wellness and provide compassionate care What is wellness to you Do you meet your own goals of emotional social and physical wellness Do you need help We provide programs and resources designed to impact the issues and concerns we know exist in our community From opportunities such as understanding and fighting back on the opioid crisis to access to care for our patients partnering with trusted primary care providers such as Mary F OrsquoConnor ARNP and offering Medicare enrollment assistance this issue of A Healthier You touches on the spectrum of health concerns we know are impacting those around us

And when medical intervention is necessary to address a disease disability or disorder to get you back on your wellness journey we want to be the medical home you turn to for care and compassion Medical care in a rural community can be as good and even better than that of a larger community Our accredited Sleep Studies and other professionally recognized programs such as diabetic education and mammography assure our patients they are getting the highest possible care close to home Our new General Surgeon Dr Hamid Kakavandi understands the importance and healing benefits for patients who can have minor surgical procedures performed locally

Wersquove experienced a great deal of change in the last several years Our providers care teams and support departments have done amazing work to bring you the best possible care today and in the future Your health and your wellness will continue to be our light as we move forward

2 A HEALTHIER YOU HANSEN FAMILY HOSPITAL

INSIDE THIS ISSUE 4 Sleep Studies 6 Opioid Crisis 7 Foundation Update

Get Help to Pay YourMedicare Costs

Many Iowans especially those living on a fixed income may be in need of help paying for their Medicare premiums deductibles coinsurance and drug costs The Medicare Savings Program and Extra Help programs can offer assistance to Iowans in need

ldquoSHIIP is available to help Iowans participate in these programs which could offer a lot of savings for Iowansrdquo says Kris Gross from the State of Iowarsquos Senior Health Insurance Information Program (SHIIP)

The Medicare Savings Program is a state program that helps pay for Medicare premiums deductible and coinsurances There are three Medicare Savings Programs available to those that qualify Individuals income and assets will determine what assistance they may receive At a minimum those who qualify will get their Part B premium paid which could save them as much as $134 a month

SHIIP counselors are available at Hansen Family Hospital in Iowa Falls and are available to help answer questions and assist with problems North Central Iowans have concerning Medicare and related health insurance To schedule an appointment in Iowa Falls call 641-648-7018 SHIIP is a service of the State of Iowa Insurance Division All services are free confidential and objective

Hansen Family Hospital hosts three trained SHIIP volunteers to help seniors understand Medicare Teresa Birdwell (shown here) Rosie Lindaman and Nancy Humke can answer ques-tions and help members navigate their plan

COVER PHOTO Amber Koenen RT manages sleep studies at Hansen Family Hospital as part of the Cardio

Pulmonary Services Department

uu WELCOME HANSEN FAMILY HOSPITAL to the neighborhood Like us on Facebook at wwwFacebookcomhansenfamilyhospital

Welcome New Providers General Surgeon joins Physician Team

Hamid Kakavandi DO MS FACOS

New Clinic New Primary Care Provider

Mary F OrsquoConnor ARNP

Hansen Family Hospital is pleased to welcome Hamid Kakavandi DO MS FACOS to General Surgery

Dr Kakavandi received his Bachelor of Science degree in Biochemistry from the University of Oregon He went on to receive his Master of Science degree in research and teaching in Biochemistry from California State University Fullerton CA He then earned his Doctor of Osteopathic Medicine from University of New England College of Osteopathic Medicine He completed his residency in general surgery at Brentwood Meridia South Point Hospital-Cleveland Clinic in Warrensville Heights OH He is board-certified (Diplomate American Osteopathic Board of Surgery) and licensed in Iowa Minnesota and Wisconsin

ldquoDuring my visits to Iowa Falls

Hansen Family Hospital is pleased to welcome Nurse Practitioner Mary OrsquoConnor and NESCO Family Medical Clinic to its family practice clinics NESCO Family Medical Clinic is now located in Hansen Family Hospital at 920 S Oak Street in Iowa Falls

Mary received her Bachelor of Science in Nursing degree from Grand View College in Des Moines Iowa She received her Master of Science in Nursing Family Nurse Practitioner from University of Arizona in Tucson Arizona She is board-certified through both the American

Academy of Nurse Practitioners and the American Nurses Credentialing Center She is also a Department of Transportation (DOT) certified examiner

ldquoIrsquove been blessed to care for generations of family I donrsquot have to ask my patients for their family history because I know itrdquo shared OrsquoConnor ldquowhen I see patients I forge relationships that last a lifetime I believe the patient-family practice provider relationship is sacred I look forward to continuing the relationships I have and making new onesrdquo

I found it to be a friendly and welcoming community I enjoy nature and outdoors and I think Iowa Falls is a beautiful place to live I grew up in a small town about the same sizerdquo Dr Kakavandi shared ldquoI also enjoy singing and Irsquom trying to learn to play an ancient string instrument called Tanbourrdquo He has a daughter who will be a graduate student at Iowa State University in the fall and a son who is living in Minneapolis

Kakavandi has years of experience in Critical Access Hospitals He is experienced in a wide range of general and laparoscopic surgery procedures as well as Cesarean Sections and Endoscopy procedures

Dr Hamid Kakavandi joins the Hansen Family Hospital Surgery Clinic and Surgery Department located at 920 S Oak Street in Iowa Falls

SURGERY CLINIC AND NESCO FAMILY MEDICAL CLINIC ARE DEPARTMENTS OF HANSEN FAMILY HOSPITAL

FALL 2017 wwwhansenfamilyhospitalcom 3

Hansen Family Hospital works with a Registered Sleep Technician licensed in the state of Iowa to perform Sleep Studies Test results are read by Dr Alireza Yarahmadi Neurologist for Mercy Health Network-North Iowa

Good Night Good Health That tired feeling after a restless

night can mean a lot more than a long day ahead Disruptions to sleep patterns may also be indicators of other health issues

Sleep apnea is a common and serious disorder in which a personrsquos breathing stops while sleeping sometimes frequently throughout the night Apnea is from the Greek word meaning ldquolack of airrdquo It is estimated that 9 of all males and 4 of all females have some form of sleep disorder One of the most common sleep disorders and potentially life threatening is sleep apnea Sleep apnea is defined as the cessation of breathing for at least 10 seconds during sleep This causes a drop in oxygen in the blood and an interruption in sleep patterns Patients generally awaken and still feel tired no matter how much time they have spent in bed This is known as Excessive Daytime Sleepiness (EDS)

The repeated interruptions to breathing night after night can deprive your body of oxygen Over time the lack of oxygen may result in any number of long-term health concerns

l High blood pressure l Heart disease l Stroke l Pre-diabetes and diabetes l Depression

Home Sleep Testing and Sleep Studies are two ways Hansen Family Hospital Cardiopulmonary Services monitor the sleep patterns of patients

Home Sleep Testing This test is a device that you take

home with you and it records the oxygen heart rate and breathing patterns to analyze your sleep for sleep disordered breathing (apneas) This is an economical choice for patients that may have some of the basic symptoms of sleep apnea and have generally good health By doing this your doctor can see if there is a

need to have a formal sleep study Every patient is different so please let your doctor assist you in making the right decision for you

Sleep Studies A sleep study known as

polysomnography is required to determine the presence of any sleep disorders including sleep apnea excessive leg movements etc

During a full sleep study the patientrsquos brain wave activity is monitored to determine the various sleep stages Eye activity heart rate airflow from the mouth and nose chest and abdomen movement oxygen levels in the blood body position and muscle movements are all monitored throughout the test This is all accomplished pain-free with the use of patches and belts

To learn more about sleep studies at Hansen Family Hospital Contact the Cardio Pulmonary Department 641-648-7155

4 A HEALTHIER YOU HANSEN FAMILY HOSPITAL

Accredited Sleep Studies at Hansen Family Hospital Commitment to Excellence

Hansen Family Hospital is accredited by Accreditation Commission for Health Care (ACHC) for compliance with a comprehensive set of standards ACHC is a third-party accreditation organization that has developed the highest national standards that providers are measured against in order to illustrate their ability to effectively and efficiently deliver quality healthcare products and services to consumers

What does it mean for you Accreditation requires healthcare

organizations to demonstrate compliance with specific quality and process standards By choosing a healthcare provider that has achieved ACHC accreditation you can take comfort in knowing that you will receive the highest quality of care If you have any concerns about the product or service that you receive from Hansen Family Hospital you may contact ACHC directly at 855-937-2242

Symptoms ofSleep Apnea l Excessive daytime

sleepiness Generally a ldquotired feelingrdquo all the time or at inappropriate times

l Morning headaches l Loud snoring with periods of

silence or ldquogaspsrdquo l Dozing while driving l Memory andor judgment

problems l Irritability l Personality changes

Sleep Apnea Questionnaire Do you l Know that you snore or are told

that you snore l Often get sleepy in the daytime l Feel drowsy when driving l Wake up with morning

headaches l Have frequent memory or

judgement problems during the day

l Experience frequent irritability during the day

l Notice or are told you have a personality change

l Wake up andor make frequent trips to the bathroom during the night

l Weigh 20 or more than your ideal body weight

l Have a neck size 17 inches or greater (male) or 16 inches or greater (female)

l Have high blood pressure l Have a decrease in sexual

drive

If you answer yes to any of the above questions especially snoring (1) with excessive sleepiness (2) or drowsy when driving (3) you may be experiencing the symptoms of sleep apnea a serious sleep disorder problem Please talk with your physician

FALL 2017 wwwhansenfamilyhospitalcom 5

Accredited Sleep Studies at Hansen Family Hospital Commitment to Excellence

Hansen Family Hospital is accredited by Accreditation Commission for Health Care (ACHC) for compliance with a comprehensive set of standards ACHC is a third-party accreditation organization that has developed the highest national standards that providers are measured against in order to illustrate their ability to effectively and efficiently deliver quality healthcare products and services to consumers

What does it mean for you Accreditation requires healthcare

organizations to demonstrate compliance with specific quality and process standards By choosing a healthcare provider that has achieved ACHC accreditation you can take comfort in knowing that you will receive the highest quality of care If you have any concerns about the product or service that you receive from Hansen Family Hospital you may contact ACHC directly at 855-937-2242

Symptoms ofSleep Apnea l Excessive daytime

sleepiness Generally a ldquotired feelingrdquo all the time or at inappropriate times

l Morning headaches l Loud snoring with periods of

silence or ldquogaspsrdquo l Dozing while driving l Memory andor judgment

problems l Irritability l Personality changes

Sleep Apnea Questionnaire Do you l Know that you snore or are told

that you snore l Often get sleepy in the daytime l Feel drowsy when driving l Wake up with morning

headaches l Have frequent memory or

judgement problems during the day

l Experience frequent irritability during the day

l Notice or are told you have a personality change

l Wake up andor make frequent trips to the bathroom during the night

l Weigh 20 or more than your ideal body weight

l Have a neck size 17 inches or greater (male) or 16 inches or greater (female)

l Have high blood pressure l Have a decrease in sexual

drive

If you answer yes to any of the above questions especially snoring (1) with excessive sleepiness (2) or drowsy when driving (3) you may be experiencing the symptoms of sleep apnea a serious sleep disorder problem Please talk with your physician

FALL 2017 wwwhansenfamilyhospitalcom 5

Hansen Family Hospital leads Iowa hospital response to opioid crisis

It is no secret that America is in the grips on an opioid crisis According to the Centers for Disease Control and Prevention in 2015 opioids were involved in 33091 deaths Nearly half of all those opioid overdose deaths involved a prescription opioid (wwwcdcgov)

In participation with the Iowa Healthcare Collaborative (IHC) Hansen Family Hospital has rolled out its latest innovative project the Opioid Guardianship Quality Improvement Project This project is designed to ensure all patients being sent home with opioids have a treatment care plan aimed at decreasing the need for opioid use Dr Tom Evans President and CEO of IHC states ldquoIn alignment with CDCrsquos Guideline for Prescribing Opioids Iowa Healthcare Collaborative is initiating the Opioid Guardianship Project across Iowa communities This effort will be spread by way of partnerships with participating Compass Hospital Improvement Innovation Network hospitals around the State Through this work IHC is facilitating improved communication between healthcare providers patients and families about the safe and effective use of opioids for realistic comfort managementrdquo

As a participant in the IHC project Hansen Family Hospital committed to survey current practices build and train a team to address opioid concerns in the organization and collectsubmit data to IHC

To help meet these objectives Hansen Family Hospital developed a standard form in the Electronic Medical Record (EMR) to document patient-goals related to opioid pain management after discharge Towards the training of the team as well as the community Hansen Family Hospital was the first hospital in the state of Iowa to host community discussions titled ldquoWorking Upstream to Conquer the Opioid Crisisrdquo in August

ldquoHelping our community understand how close this crisis is to home is critical to addressing the issue It can literally start within your home if you have leftover pain medications An addict will seek the drug wherever they can find itrdquo shared Megan Mollenbeck Quality Improvement Director at Hansen Family Hospital ldquoWe need to do our part in offering alternatives for managing the comfort or our patients while they are in our care and when sending them home Prompt and proper disposal of unneeded medication is also crucial to preventing misuse or addictionrdquo

2015 OPIOID DEATHS Location Deaths Alabama 736 Alaska 122 Arizona 1274 Arkansas 392 California 4659 Colorado 869 Connecticut 800 Delaware 198 District of Columbia 125 Florida 3228 Georgia 1302 Hawaii 169 Idaho 218 Illinois 1835 Indiana 1245 Iowa 309 Kansas 329 Kentucky 1273 Louisiana 861 Maine 269 Maryland 1285 Massachusetts 1724 Michigan 1980 Minnesota 581 Mississippi 351 Missouri 1066 Montana 138 Nebraska 126 Nevada 619 New Hampshire 422 New Jersey 1454 New Mexico 501 New York 2754 North Carolina 1567 North Dakota 61 Ohio 3310 Oklahoma 725 Oregon 505 Pennsylvania 3264 Rhode Island 310 South Carolina 761 South Dakota 65 Tennessee 1457 Texas 2588 Utah 646 Vermont 99 Virginia 1039 Washington 1094 West Virginia 725 Wisconsin 878 Wyoming 96

6 A HEALTHIER YOU HANSEN FAMILY HOSPITAL

FOUNDATION NEWS

Golfing for a Cure The 17th Annual Rally for the Cure golf event raised over $7300 towards the

fight against breast cancer in July The event was co-hosted by Meadow Hills Golf Course and the Hansen Family Hospital Foundation

Eagle City Winery Metropolitan Opera The River Tap Fareway Contractors IncDoor Prize amp 502 Grillhouse House Theisenrsquos Home Farm GNB McFarland Clinic IowaRaffle Sponsors 503 Bar Olberding Floors amp Auto Green Belt Bank amp Trust Falls

AmericInn Graphics Plus Pat Simons Trends amp Traditions Salon Hardin County Tire Merklin Welding Beckyrsquos Hallmark Green Belt Bank amp Trust Pearsonrsquos Metal Art Trendy Threads Heritage Care Center Merle Rieks in Honor of Bob Welch Hansen Family Radcliffe Triple T Meats Ackley Hoversten Colwell Rosemarie Rieks Brickhouse Pizza amp Hospital Foundation Pizza Ranch Ugly Peanut amp Hoversten DDS Metropolitan Opera

Westside Alden Hansen Family Hospital Plaza Veracruz HyVee House LLCCorporate Builders FirstSource Heavenlyrsquos Princess Cafeacute Iowa Falls Chiropractic Mortrsquos Plumbing amp ProBuild Iowa Falls Sewing Center Raezy Paiges Sponsors Clinic Heating

Caseyrsquos General Stores Iowa Falls State Bank Red Rooster Al Lamar ndash Iowa Farm Iowa Falls HeatingAC Olberding FloorsChuong Garden Iowa Songbird Design River Valley Landscaping Business Assoc Plumbing Plastic RecyclingCoffee Attic Book Cellar Alden Rock C Store Barnhart Electric Inc Iowa Falls State Bank Renaud RealtyCowboy Way Las Flores Salon Sovereign Campbell Supply Co Inc ILC Resources Alden Joe amp Linda Scallon Culligan Leedz Salon Ames Shoe Sensation Cargill Jack Richards in Honor of Scenic LivingDairy Queen Lisa Robison Style Works Culligan Onalee Richards Communities Dale Howard Family Tupperware That Hair Place Mary Corner Pharmacy Lenny amp Jean Linn Thrivent Financial

Activity Center Magic Muffler Rabe Countryside Turf amp Timber in Honor of Joan (Stensland amp Truesdell) Dale Howard Tire Mark Johnson That Hair Place Dale Howard Inc Whitsell Tjarkrsquos Plumbing amp

amp Service Center McDonaldrsquos David Brannick Edward Jones LIFE Foundation HeatingDarlene Merklin Meadow Hills Golf The Gathering at the Pine (Haverkamp Jacobsen Martin Marietta Wood Vision Dew on the Roses Course The Hub amp Lewey) McDowell amp Sons Z amp Z Glass

Health Care Education Scholarships Five area students pursuing l Lindsay Aldinger (Iowa Falls-

various areas of health care Alden) education were recipients of the l Madison Van Heiden (AGWSR) 2017-2018 Hansen Family Hospital l Miquela Teske (South Hardin) Auxiliary scholarships

We wish these students the l Nikole Meyer (Hansen Family best as they continue their

Hospital Employee) education pursuits towards careers l Alesha Terveer (Iowa Falls-Alden) in health care

Save the Date 2017 Hansen Family

Hospital Foundation Gala ldquoThe Stars How They Shinerdquo

Saturday November 11th Highland Golf Club in Iowa Falls

Many Ways to Make a Difference Any gift great or small to the

Foundation helps Hansen Family Hospital through financial support now as well as in the future Please consider a tax-deductible donation today

Unrestricted Gifts - Used to meet immediate and future needs

Designated Gifts - Occasionally the Foundation will raise funds for a specific project program or improvement If no campaign is in progress an unrestricted gift is a way to contribute towards a future need to be named by the hospital

Memorial and Tribute Gifts - A lasting way to remember and honor a loved one friend co-worker or recognize your care at Hansen Family Hospital

Matching Gifts - Many corporations and businesses sponsor matching gift programs This is a great opportunity to involve your employer and co-workers to support Hansen Family Hospital Contact your employer for more information

Annual Giving - Our annual giving program is a coordinated effort to cultivate interest and support for Hansen Family Hospital

Planned Giving - Establish a legacy with the Hansen Family Hospital Foundation Planned giving provides tax-saving opportunities for individuals with long-term financial goals

Special Events - The Foundation hosts various special fundraising events throughout the year

Hardin County CommunityEndowment Foundation - The gifts and investments into our fund with the Hardin County Community Endowment Foundation are able to provide long-term financial stability that is sometimes missing in healthcare

FALL 2017 wwwhansenfamilyhospitalcom 7

-

Fall Calendar of Classes

Parenting and Family Classes BREASTFEEDING CLASS PREPARED CHILDBIRTH Let the experts at Hansen Family EDUCATION Hospital coach you through Our trained educator will breastfeeding with helpful guidance help you plan and prepareand tips $1500 no charge if for what to expect on babyrsquos delivering with us big day $25 no charge if Hansen Family Hospital - delivering with usConference Room 1 Hansen Family Hospital -November 28 700 PM Conf Rooms 1 amp 2

October 23 600 PMSIBLING CLASS Bring your child to the Sibling Class NUTRITION FOR to learn about life with a new baby PREGNANCY We will do a brief tour of the OB Hospital OB experts providedepartment and explore some of valuable tips in how tothe baby equipment siblings are eat for two in a healthylikely to encounter while visiting in way $1000 no charge if the hospital followed by a question delivering with usand discussion time $1500 no Hansen Family Hospital -charge if delivering with us Cafeteria Hansen Family Hospital - Cafeteria October 19 630 PM October 10 630 PM

First Aid amp CPR Classes ACLS RENEWAL CLASS STABLE CLASS $100 Discuss proper care for high ECC McClure Hall risk neonate requiring stabiliza-October 4 830 AM tion and transport Topics will

include defining STABLE AHA HEALTHCARE reviewing proper care of thePROVIDER CPR infant at risk for temperatureThe Basic Life Support (BLS) for instability hypoglycemia Healthcare Providers Classroom airway insufficiency and circu-Course is designed to provide latory compromise evaluatinga wide variety of healthcare lab work essentials for theprofessionals the ability to high risk neonate in need ofrecognize several life-threatening stabilization and transport andemergencies provide CPR use an discussing supportive care ofAED and relieve choking in a safe the family of the infant in needtimely and effective manner $40 of transport Nursing CEUrsquos will ECC McClure Hall be available $100October 10 600 PM Hansen Family Hospital - Con-

ference RoomsEMPLOYEE HEALTHCARE October 30 800 AM PROVIDER CPR December 5 800 AM $40

ECC McClure Hall AHA HEARTSAVER CPR October 11 800 AM amp 100 PM Through medical advance-November 1 800 AM ments in the treatment of car-

diovascular disease and soundAHA FIRST AID training on lifesaving skills theHeartsaverreg First Aid is a class-American Heart Associationrsquos room video-based instructor-led Emergency Cardiovascularcourse that teaches students critical Care (ECC) programs increaseskills to respond to and manage an survival rates and quality ofemergency in the first few minutes life $4000until emergency medical services ECC McClure Hall(EMS) arrives Students learn skills November 14 600 PMsuch as how to treat bleeding

sprains broken bones shock and AHA PEDIATRIC FIRST AID other first aid emergencies $4000 The Heartsaverreg PediatricECC McClure Hall First Aid course is designed October 17 600 PM to meet the regulatory

and credentialing trainingAHA HEARTSAVER INFANT CPR requirements for child careThis class teaches how to recognize workers in all 50 states This when an infant needs CPR how to course teaches basic firstperform high-quality CPR and how aid CPR and AED skills for to help a choking infant $20 no children $4000charge if delivering at HFH ECC McClure HallHansen Family Hospital - Confer-November 21 600 PMence Room 1

October 24 600 PM

CALENDAR OF EVENTS FOUNDATION GALA Dress up and step out for a lively evening in support of the Hansen Family Hospital Foundation This highly anticipated event is sure to be a special night for a great cause Black-tie optional Call 641-648-7135 for reservations Highland Golf Club November 11 2017

COLLECTIVE GOODS HOLIDAY BOOK SALE A one-day retail sales event in support of healthcare scholarships Hundreds of NEW books toys and gift items This event will be held in the Hansen Family Hospital conference rooms and thepublic is welcome to attend December 8 2017 1000 am to 400 pm

REGISTER FOR OUR CLASSES online by visiting wwwhansenfamilyhospitalcom and selecting the Classes amp Events tab or call (641) 648-7014

Hansen Family Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race color national origin age disability or sex

Espantildeol (Spanish)ATENCIOacuteN si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-641-648-7000

繁體中文 (Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電 1-641-648-7000

OUR CLINICS ACKLEY MEDICAL CENTER 641-847-2625 Hannah Carlsen DO Lee Carlson ARNP Tiffany Gramblin ARNP

ELLSWORTH FAMILY MEDICINE 641-648-3202 Francis Pisney MD

IOWA FALLS CLINIC 641-648-7100 Katie Haverkamp MD Gregory Ogaard DO Erin Schmidt MD Brianne Neuberger PA C Sarah Scott ARNP Thomas Waters DO David Van Gorp MD Hospitalist

NESCO FAMILY MEDICAL CLINIC 641-648-7100 Mary F OrsquoConnor ARNP

SURGERY CLINIC 641-648-7175 Hamid Kakavandi DO MA FACOS

BEHAVIORAL HEALTH SERVICES 641-648-6491

WOMENrsquoS HEALTH CLINIC 641-648-7100 Curtis OrsquoLoughlin MD Carol Wilson MSN Certified Nurse Midwife

EMERGENCY SERVICES Berri Swasand MD Curtis OrsquoLoughlin MD Greg Ogaard DOAbdul Panhwar MD Thomas Waters DO Michelle Anderson ARNP Jennie Nuehring ARNP

ANESTHESIA Barb Roby CRNACathryn Robinson CRNA Greg Pekala CRNA (Pain Clinic)

A Healthier You A Healthier You is published by Hansen Family Hospital Information provided in this publication should not be substituted for medical advice provided by a physician Please consult your physician regarding specific medical concerns and questions copy 2017 Printed in the USA