My Boone Health Summer 2013

preventing osteoporosis: women fight bone loss with physical therapy

Kids

These kidsare ready fora marathon!

vol: 3 issue: 3

onTrack

BooNe HosPiTAl CeNTeR summer 2013 3

Page 14

Page 24 0

Boone Hospital Center’s mission is

to improve the health of the people

and communities we serve.

Randy MorrowInterim President

Angy littrellDirector

Ben CorneliusCommunications

and Marketing Manager

Jacob lueckeMedia relations Manager

shannon WhitneyCommunications Coordinator

Kaeleigh BrownFreelance Writer

Photos By:

Dave Hoffmasterl.G. Patterson

For a free subscription,call 573-815-3392 or visitmyBooneHealth.com and

click on the subscription linkon the right side of the page.

table of Contents

5 ............................ A note From Boone Hospital Interim President randy Morrow

6 ..................................................................................................... myBoone Health Stories

8 ................................................................................................................ Hospital Headlines

10............................................................................................................................ kids On Track

14...........................................................................................................................Best For Bones

16......................................................................................................... Preventing Osteoporosis

18........................................................................................................... Heartbreak In Boston

20 ....................................................................................................................... Team Approach

22 ..........................................................................................................................Boone Appétit!

24 ........................................................................................... All Of Us Are Worth Fighting For

27..................................................................................... Boone Hospital Foundation Donors

30 .............................................................................................................................. Off The Wall

Page 8

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Please submit comments

or feedback to [email protected]

or call 573.815.3392

1600 East BroadwayColumbia, MO 65201

573-815-8000


At boone hospital center, our mission is to improve the health of our community. most of the time, we work to achieve this by spending our energy in the present moment. every day, people come to our hospital with a wide variety

of problems. we help them get better. we’re working to fix today’s problems.but what about the people who will need care 10 years from now?

what about the generations to come? are there things we can be doing right now to improve the health of our community in the future?

we spend a significant amount of time and energy on those questions. one of the best examples of our work in this regard is on the cover of this magazine.

this summer, 1,090 local kids have pledged to run, walk, bike or skate their way to 26.2 miles. they are doing this thanks to our Kids on track program.

for many of these kids, Kids on track is the first time they’ve experienced this kind of health challenge. we hope that exposing them to exercise and activity encourages them to live healthier, more active lives.

we think that creating positive health habits now can pay big dividends for our community down the road. that’s why we’re so excited about Kids on track and the outstanding community support this program has received.

our work in mid-missouri mirrors similar efforts on the national level. first lady michelle obama has created the let’s move organization, which works around the country to encourage activity and healthier eating among schoolchildren.

at boone hospital, our focus remains on helping the people who come through our doors. every day, we will always be here for those who need us.

but if programs like Kids on track can help create a healthier generation for tomorrow, that’s a movement i think we can all stand behind.

a note from randy

looking Toward The Future

randy Morrowinterim president

boone hospital center

6 summer 2013 BooNe HosPiTAl CeNTeR

‘So blessed to have a beautiful baby girlthat we love so much!’ By Brittany Pescaglia, Columbia

My husband and I had our little girl, Eliana Grace, at the Boone Family Birthplace. It was such a great experience that we went through.

We were supposed to be induced on Friday, April 5, 2013, but ended up going in Friday morning. We were discharged that next Monday around lunch time. Our little girl was born on April 6, 2013, at 7:57 a.m.

She weighed 7 pounds, 11.7 ounces and was 20.25 inches long. Through the labor and delivery process we had two of the most amazing nurses that I have ever met. Friday morning, when we got to Boone Family Birthplace, our nurse was Rachel. She was so kind and so caring, it made my husband and I feel more comfortable going through this process.

Through the night, we then had Hilary. I felt so relaxed knowing that Rachel (an amazing nurse) was leaving us with another amazing nurse. That next morning, Rachel was our nurse

again. So wonderful having the same nurses go through the process with you.

Their words were so encouraging, and they made the process so enjoyable. I knew our little girl was going to be in great hands. We also had them during our postpartum care along with some other nurses that were amazing — Sarah and Clare.

Dr. Thies was also so wonderful. I cannot imagine going through this whole entire process without her. She answered all of our questions and concerns when we had them and gave me great confidence in the experience we

were about to go through.I knew that, no matter

what happened, Dr. Thies would take such great care of both of us. Such a wonderful doctor and such a sweetheart.

All of the other staff during our stay were so kind as well. We are so glad we

chose the Boone Family Birthplace and are so blessed to have a beautiful baby girl that we love so much!

myBoone Health storiesVisit myboonehealth.com to read more — and share your own story

Patient shares kudos with hospital staffBy Merle Newland

‘We are thankful it was at Boone’By Andrew Bobbitt

BooneBlooms

Iwould just like to say that every staff member at Boone Hospital that I have had to speak with regarding my

surgery on April 11 has been very professional and made me feel very important.

They took the time to answer all my questions. Yesterday, when I came for blood work and joint class, I was lost and everyone went out of their way to help me get to where I needed to go.

One lady said she was heading in the direction I needed to go and said she would take me.

Kudos to the staff at Boone Hospital, job well done, and management should be proud of the job that each of you are doing.

My father Lawrence L’Hote was recently in ICU before passing away after a fall.

Although this was a difficult time for us, the professional and caring way his nurses Ali and Celeste took care of him and us made it a more comfortable time to go through. Especially Celeste, who called me in after his seizure in the middle of the night so I could be there for him.

If he had to be in ICU, we are thankful it was at Boone, and we are thankful for Ali and Celeste. Boone, your patients and their families are all fortunate they are there.

Springtime, sun and lots of color — people on

Facebook saw lots to like in this photo. More than 6,100 people saw the photo online and 300 liked it. It shows that after an extended winter, we were all very excited to see spring!


M y husband Walt was getting dressed in the bedroom; he was going to a basketball game. I was in another room cleaning

when I heard a horrible noise. Not a groan or cry, but a fall that was so loud.

I ran to the room he was dressing in. He was on his stomach, face already deep purple. He fell with such force that he wedged the top part of his head under the metal bed frame. I couldn’t move him. I called 911 and I was screaming, “I think he is dead. Please hurry!”

I couldn’t do CPR; he was on his stomach. I cried, “Help, Dub (this is what I call him), wake up!” He was unresponsive. He was like someone that had no bones.

I placed my hands on his back the same way a person would do if this were his chest. I pumped up and down. I cried, “How can this work?”

I got up and lifted the bed off his head. I continued to pump. I had to leave him to put the dogs up so the ambulance people could come in.

Two ambulances and a fi rst responder were there in fi ve minutes — but what seemed like forever. Dub was shocked fi ve times to try to get his heart back to normal. He was intubated. Th ey were taking him to Boone.

I was so happy that we had talked way before this episode and said if I or Dub would become ill, we wanted Boone to care for us. He was admitted to the ICU. Th ey put him under the Arctic Sun, which lowers the body temperature to 91.4 degrees, hopefully thwarting any brain damage from the swelling.

I must also say that Jeannie, our nurse, was very supportive to my whole family and treated Walt wonderfully. He remained unresponsive until Monday at 8 a.m. when he started to respond.

I was going back to his room after having breakfast and a very sobering conversation with Dr. Scoles. When I walked to his room, Jeannie was sitting by

his bed holding his hand. She looked up at me and said, “Sandy, come here. Look.” He was squeezing her hand! She said, “Walt, move your feet.” He did!

From that moment on, he improved hourly.Walt loves ice cream. Jeannie said we are

going to have an ice cream party! He was then raised up in bed, and his precious nurse and Dub celebrated with an ice cream party.

So instead of planning a funeral, I was planning a homecoming. Dub had a defi brillator put in on Wednesday, March 20, 2013. He was walking and doing everything just like before. No issues that were concerning.

Soon he would come home. Monday, March 25, he was dismissed — 10 days after his sudden death arrhythmia (a deviation from the normal pattern of the heartbeat).

A very special thank-you to Jeannie Grant for loving my family and always supporting Walt; Dr. Fairlamb, who I believe is the best heart doctor around; Dr. Lohdi, Walt’s pulmonary doctor; and many more.

Th ank all of you that helped us make it through a tough time. I was given my husband back, and that was a miracle.

He continues to do well. He drives the car and mows the lawn. He is writing again. All is well at our house.

To the best nurse, Jeannie, and the doctors, we love you, and Boone Hospital is the only hospital to go to in a critical time.

share your storymyBooneHealth.com

‘I felt likeI mattered’By Betsy Lowenberg, Moulton, Iowa

Iwent to see Dr. James Pitt on April 18, 2013, for a consult. He sent me right from his offi ce to Boone for some X-rays, and that

is where my story started.Everyone in X-ray was amazing,

and Dr. Brummett looked at my X-ray and knew right away there was a problem. So he did not send me on my way and make me wait to hear from Dr. Pitt. Knowing that I drove two hours for my appointment, he called Dr. Pitt right then.

I was kept, and on Friday, April 19, I had surgery to repair my stomach. From the moment we walked into that hospital Th ursday, I felt like I mattered. I had seen many doctors at home, and everyone told me it was nothing and there was nothing wrong. Dr. Pitt was a lifesaver.

I had my surgery, and it was worse than they thought once they got in there. After I was out of the OR, according to my husband, Dr. Pitt sat and talked to my husband and my mother-in-law and answered all their questions.

My fi rst night in the surgery fl oor in room S526 was terrible. Th e NG tube made me so sick, but my nurse Tony and the tech assigned to me — I wish I remembered her name, it started with an A — they were wonderful. Th e concern and care they took with me was so wonderful. And my daytime nurse Jill was just a doll!

Th ey made a bad situation bearable with their kindness, concern and Tony’s humor! I cannot thank them all enough!

I was away from home and in a scary position, but they made me at ease. No doubt about it, we will use Boone as much as we can, even with the two-hour drive each way!

‘I was given my husbandback and that was a miracle’By Sandra Meyer, Columbia


The Boone Hospital Foundation has received a $20,000 donation in honor of the hospital’s Supportive Care service. Supportive Care provides a wide spectrum of services that

promote comfort and healing during a patient’s hospital stay. Those services include: massage therapy, spa treatments, healing touch, music therapy and aroma therapy. In addition to these services for patients facing the end of life, Supportive Care also provides comfort bags with a soft blanket, stuffed animal, journal, photo album and visitor log.

An anonymous mid-Missouri woman provided the donation in recognition of the caregivers who gave comfort to her husband during his final days. The gift will support Boone’s Supportive Care Program.

“Boone Hospital Center is blessed to have an outstanding Supportive Care program that works with a variety of patients across our many care units,” said Barbara Danuser, executive director of the Boone Hospital Foundation. “The donor was incredibly moved by the care provided to her husband before he passed away. Her gift will help bring that same level of comfort to future patients.”

Hospital Headlinesnews from boone hospital center

Boone Hospital CenterCelebrates Hospital Week

Health care workers are some of the most dedicated, talented and compassionate people out there. Each year, hospitals around the nation take one week to recognize these amazing people for

the service they provide.Boone Hospital Center celebrated Hospital Week from

May 5-11. During Hospital Week, staff members enjoyed a picnic, a spirit day, yogurt bar and tricycle races. Fruit baskets were also delivered to all hospital units.

Thank you to the Boone Hospital staff and all hospital workers for your outstanding service!

Donation Supports Boone Hospital’s Work To ProvideComfort At End Of Life

A Jump In Flu Cases

Boone Hospital Center saw more influenza cases this season than the previous two seasons combined. The influenza season is defined as October through May.

For most people, once spring arrives, influenza has left their mind. But this season proved to be different, with new cases being confirmed much later in spring than usual.

For the 2012-2013 flu season, Boone Hospital had 224 confirmed cases. That compares to 78 influenza cases in 2011-2012 and 51 in 2010-2011.

To help keep patients safe, Boone Hospital Center extended its flu vaccination season through the end of April — the hospital typically ends patient flu vaccination in March.

As we prepare for the next influenza season, we encourage everyone to get vaccinated as soon as the vaccine becomes available.

Boone Hospital’s WELLAWARE has public vaccinations scheduled from 4-6 p.m. on Nov. 21 and 11 a.m. – 1 p.m. on Nov. 22. The vaccines will be available inside the Know Your Numbers mobile health unit parked outside Broadway Medical Plaza III, 1701 E. Broadway, Columbia, Mo.

The hospital also offers corporate flu shot clinics to help businesses and organizations vaccinate their employees. For more information, call 573.815.3217.


The latest newsboone.org

Hello, Baby!Expo Informs, EntertainsAnd Educates

The first annual Hello, Baby! Expo drew huge crowds of new and expectant parents to the Holiday Inn

Expo Center on June 15.The event, put on by Boone Hospital

Center and the Columbia Daily Tribune, included fun activities, educational sessions and booths from businesses and organizations from around mid-Missouri. More than 500 people attended the event.

The event included stroller demos, baby races, a fashion show, a “mocktail” lounge, infant massage demonstrations and a look inside a Boone Hospital labor and delivery room. A $1,000 donation was made from the admission proceeds to the Boys & Girls Club of Columbia.

Thanks to everyone for attending and to the many local organizations that participated!


onkidsby Kaeleigh brown

these kids are ready to tackle a marathon


learn moreboone.org/kidsontrack

Something is moving across mid-Missouri this summer. Th ousands of little feet are counting up the miles as 1,091 kids run, walk, bike and even skip an entire marathon.

Th ese kids, ranging in age from 2 to 14, have all set the same goal: to complete a total of 26.2 miles by the summer’s end.

You may be thinking, “Th is sounds great, but what would motivate so many kids to do something most adults won’t even do?”

Th anks to Boone Hospital Center’s WELLAWARE and sponsorships from local businesses around Columbia, the participants have plenty of enticing incentives. As part of the program, the kids keep a log of their miles completed, and as they reach certain mile marks along the way, they are eligible for prizes.

Th e prizes are defi nitely worth the walk. Once the designated number of miles has been completed to redeem a prize, participants present their mile log to the sponsoring business and redeem their reward.

Kids on Track actually began in 2005. After a short hiatus, Boone Hospital decided to bring the program back last year, bigger and better than ever.

“We wanted to bring back a youth program for kids that focuses on building good exercise habits through their summer break,” said Erin Wegner, who coordinates Kids on Track.

So far the program has seen promising support from the community. When Kids on Track re-launched in 2012, participation nearly doubled. Th en this summer, it nearly doubled again when 1,091 kids pledged to stay active over the summer.

Kids on Track began with a kickoff celebration on May 9, at Stephens Lake Park in Columbia. Hundreds of young children began their 26-mile journey with their families by their sides. Despite the threatening rain, everyone was excited about the event.

Tanith Frazier, 6, and her mother, Kristen Frazier, were among the families making memories that evening.

When asked if this was her fi rst marathon, Tanith answered, “Uh. Th is is my second one.”

Th is provoked a curious look and a laugh from her mother, who was probably wondering when her daughter thought she ran the fi rst one. After some deliberation, Tanith said that she plans on biking the miles to complete her marathon.

on TRACK

Bradyn Gruenefeld, 6, also plans on biking his miles, but not all of them. When asked how he planned to fi nish his marathon, Bradyn said he would, “probably bike, skip and that’s all.” Hopefully Bradyn is a good biker because skipping any number of miles might be a challenge.

Other Kids on Track participants, like Abby Hinshaw, plan on running their miles. Abby, 13, has big plans for staying active this summer. She is scheduled to run a half-marathon this month and is using the Kids on Track program as a training method.

While this is her fi rst year participating, Abby really likes the idea of the Kids on Track program. “I think it’s pretty cool,” she said. “I see all these little kids and I’m like, ‘Go, kids, go!’”

Erin Wegner shares that enthusiasm for the program. She thinks Kids on Track will be highly benefi cial to its participants.

“For me, I feel the biggest benefi t is starting their exercise routine young. When you look at adults trying to lose weight, they change their nutrition habits fi rst before starting an exercise routine,” she said. “When exercise habits start younger, that’s something they carry with them well into their adult lives.”

Kids on Track is not just about exercise; it’s also about fun. Th e program rewards kids for staying active, and they enjoy doing it.

Th is year’s Kids on Track program will conclude on Aug. 8 with a grand fi nale at Stephens Lake Park. Th ere, the kids will receive T-shirts and trophies for completing their marathons.

You go, kids!

!

on TRACKkidsJonas Mazario, 7

school: parkade elementary

plan for completing the marathon: “Run”

Abby Hinshaw, 13

school: smithton middle school

plan for completing the marathon: “I’m gonna probably run a mile each night.”

Jalen Morris, 4

school: parkade elementary

plan for completing the marathon: “Biking!”

We’d like to thank the sponsorswho made Kids on Track possible:ARC; B & B Bagel; Bob McCosh Chevrolet Buick GMC Cadillac, Inc.; Boone Hospital Foundation; Chuck E. Cheese; Dairy Queen; Empire Roller Rink; Going Bonkers; HyVee; Lazer Lanes; Missouri Heart Center; Th e Little Gym; Twaddle Orthodontics; WELLAWARE.

Tanith Frazier, 6

school: shepard elementary

plan for completing the marathon: “Bike and run.”

Bradyn Gruenefeld, 6

school: alpha hart lewis elementary

plan for completing the marathon: “Probably bike, skip and that’s all.”

Amanda Kurukulasuriya, 10

school: mill creek elementary

plan for completing the marathon: “I’m not really sure.”


Best For Bones

Emily Frazier knew she was at risk for osteoporosis. Her mother began losing height in her 70s, so it runs in the family. On top of that, Emily is a petite,

Caucasian woman in her 60s — a prime candidate for the feared bone disease that could slow down her busy life.

A registered nurse at Boone Hospital, Emily has always been an active mother and now a grandmother. When her DEXA scan showed that Emily had lost significant bone density and was in a pre-osteoporosis stage called osteopenia, she knew she had to make a change.

“I was slightly low,” Emily explains. “I don’t have osteoporosis. I’m getting toward that, but this is the time. If I’m ever going to improve, it’s now. I should have done it earlier.”

Following the BesTEmily got a prescription from her

physician to meet with a physical therapist at Boone Therapy to work on improving her bone strength. That’s when she was introduced to Laura Grise, a physical therapist who recently started working to combat osteoporosis by using the BEST Study.

BEST stands for Bone Estrogen Strength Training. The study, conducted at the University of Arizona, showed that weight-training exercises made a positive difference in the bone density of post-menopausal women.

“There’s some cardio, some postural exercises, but the main component is weightlifting,” Laura said. “Doing specific exercises that we know loads the bones, specifically the spine and the hips because they are the most at risk for fracture.”

Laura adapts the program to fit the needs of her Boone Therapy clients, including Emily. For the first 10 sessions or so, Laura taught Emily how to use the weight machines to do the exercises suggested by the study. Laura even does the exercises herself since osteoporosis runs in her own family history.

how women are fighting bone loss with physical therapy


Boone Therapyboone.org/boonetherapy

“Since a lot of women have never lifted weights before, we work on proper technique, proper form with the weights and good posture,” said Laura of the training.

Since then, Emily has been working out three times a week at WELLAWARE.

She’s seven months into the program. After a year, she’ll have another DEXA scan to see if her bones look denser.

“The idea is to progress with your weightlifting by lifting heavier and heavier weights,” Laura said. “It stresses the bone, but you need to stress the bone, but not to the point it breaks. You need to stress the bone to build bone.”

Feeling BeTTeRWith her work every other day, Emily is

feeling a positive difference. “I don’t know what it’s done to my

bones yet, but I am much stronger and much more fit. I have much more endurance,” Emily said. “I could walk a distance and not have any problems, but now I notice that it’s not even an effort. I’m a little firmer and lost a little weight too.”

On days between her weightlifting workouts, Emily walks to stay active. Laura suggests giving the bones at least 48 hours to recover after lifting.

GooD, strong BonesEveryone loses some bone density as

they age. Post-menopausal women are most susceptible to osteoporosis, but men can have it also. Building bone strength is crucial as the body ages and prevents any bone decay.

Using the BEST Study can combat bone density loss that leads to osteoporosis, and Emily and Laura want to share the good news. They are both enjoying the program so far and speak highly of it to women and men looking to do something about bone strength.

“A lot of middle-aged women think, ‘I’m getting older, my mom had osteoporosis and I’ll probably get it, and there’s nothing I can do about it,’” Emily said. “But that’s not true.”

“I think the most important thing for women to know is that there is something they can do to prevent osteoporosis and improve their quality of life,” Laura said. “There is something that you can do to take responsibility and charge of your own health.”

Dr. Barbara Tellerman is an advocate for bone health. She sees patients every day who suffer from fractures caused by osteoporosis. Boone Hospital Center offers services to help with the management of these patients from diagnosis, treatment of symptoms and dissemination of information to prevent future fractures.

“Bone health is extremely important, and it determines the quality of life and your longevity,” Dr. Tellerman said. “You’re only as strong as your weakest link.”

Another key to reversing bone loss is calcium. Emily occasionally takes supplements, but prefers to eat a calcium-rich diet, including her favorite: broccoli.

Both Emily and Laura are looking forward to seeing results in their upcoming DEXA scans. They both give Boone Hospital credit for making it easy to achieve their fitness goals.

“It’s a great environment, and it’s convenient,” Emily said. “I’ve enjoyed it.”

By Shannon Whitney


By Ingrid Minge, PT, DPT

Contact us573.815.3868

fracturesFractures in the spine and the hip are the most common fractures due to osteoporosis. Th ey can result in a decrease in quality of life, less independence and increased costs because of doctor’s visits, hospital admissions and nursing home admissions.

It has been shown that only33 percent of hip fracture patients are able to return to their previous activity level, nearly 30 percent of hip fracture patients are moved to nursing homes within a year, and the mortality rate is 15-20 percent within one year after a hip fracture.

WH

o i

s AT

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K?

Women are primarily affected by osteoporosis, but men are not immune. Women are usually diagnosed around or after menopause and men are usually affected later in life. People who take steroids or have certain diseases such as celiac or thyroid disease are also at risk. In addition, other risk factors include certain races, family history and an individual’s frame size. Aside from these specifi c risk factors, anyone who doesn’t get adequate nutrition or exercise is also at risk.

osteoporosisPreventing

WH

o i

s AT

Ris

K?

osteoporosis is a bone disease characterized by a decrease

in the amount of bone (low bone mass), a deterioration of

the integrity of the structure of bone tissue (decreased

bone density), and decreased bone strength. this results

in more fragile bones that fracture more easily.


Some tips forobtainingadequate nutritioninclude eating avariety of foods, including fruits andvegetables. In doing so,you will most likely be gettingan adequate amount of calcium.

Many people think of calcium as only being found in dairy products, but you can actually get calcium from many foods including tofu, navy beans and fortifi ed juices.

Early detection is important because osteoporosis is a silent disease. There are no outward signs or symptoms. There are several services offered at Boone Hospital that can help with detection and treatment of osteoporosis, including ultrasonometers used for screening, the DEXA machine used for diagnosis, medications, diagnostic radiologists devoted to osteoporosis, kyphoplasty used for fracture repair, licensed dieticians and the physical therapists at Boone Therapy trained in providing evidence-based treatment.

PR

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sCReeNiNGs

eXercisePrevention is critical for osteoporosis.We reach our peak bone mass around the age of 30, so the younger you start with adequate nutrition and exercise, the better. It is best to build the largest bone mass possible when we are younger because after age 30, the goal changes to slowing the rate of bone loss. In women, bone loss rate is highest three to six years after menopause due to a decrease in estrogen levels.

Th ere have been several excellent studies that have shown exercise can increase bone mass. In order to achieve these eff ects, the exercise needs to be specifi c.

Some good tips include doing weight-bearing cardio exercise along with strength training. Th e strength training that will actually allow for bone building to occur should be done with a particular amount of weight. Not all exercises are appropriate for every person, and it’s important to perform them correctly to prevent injuries. It would be best to see a physical therapist at Boone Th erapy so that you can have a program designed specifi cally for you.

A good general guideline for total calcium intake is 1,200 milligrams

per day, although specifi c amounts can vary based on individual needs.

Be sure to speak with your physician about supplementation, as there

are specifi c instructions for taking calcium carbonate, including taking

it with food and not in excess of 500 milligrams.

> nutrition facts


H E A r T B r E A kI n B O S T O n

by jacob luecKe


more than 20 miles into the Boston Marathon, Jennifer Anderson was feeling fatigued. Her biggest challenge stood

right in front of her — Heartbreak Hill. Th is hill of agony, perhaps the most

famous gradient in all of running, stands near Boston College and was lined with hundreds of rowdy young spectators.

To make it up the hill, Jennifer fed off their energy.

“I veered over to high-fi ve the people along the road, and that just gave me a little more energy,” said Jennifer, Boone Hospital’s diabetes coordinator. “I was like, ‘these people are excited. I can do this.’”

Atop of the hill, a giant infl atable arch encourages runners as they reach the summit. Jennifer read it as she passed: “Th e Heartbreak is Over.”

But that wasn’t the case this year.Jennifer, 38, had fed off the crowd’s

energy all day long. She’d run seven marathons before, but nothing could compare to the excitement of Boston.

Th ere were cheering people everywhere. She loved running by children and slapping their outstretched hands.

“It’s such a big marathon, and there’s just so many people. It’s just crazy how much fun it is,” she said. “You’re running 26 miles but it doesn’t really feel like it because there are people everywhere and there are so many things to see.”

After conquering Heartbreak Hill, Jennifer felt a little surprised she hadn’t seen her family members yet. She knew her husband, 8-year-old daughter, and various other family members were somewhere along the course. But even as she crossed 25 miles, there was no sign of them.

“I was really needing to see them to get me motivated,” she said.

Finally, there they were, just before the fi nish line. Jennifer stopped briefl y to hug

them and then fi nished the race at 3:53:59. It wasn’t her best time, but just to fi nish was a triumph.

“It was awesome to fi nish the race,” Jennifer said. “Just to be there and be done, it was an amazing feeling.”

After crossing the line, volunteers gave her a refl ective blanket and a medal. She posed for a picture and called her husband, who said they’d left the fi nish line and were waiting in the family meet-up area.

As Jennifer went to collect her jacket at the coat check, she heard two loud explosions. She looked back to the fi nish line and saw smoke.

“Honestly, my mind didn’t immediately go to ‘that’s a bomb,’” she said. “It was just, ‘What was that?’”

Over the next few minutes, panic slowly built around her as security rushed in to set up barricades, keeping people from going back toward the fi nish line.

Soon, Jennifer had reached her family. Th ey were concerned, but fi gured the explosions were just a typical noise in the big city — or maybe a problem with the subway.

As they walked away from the race, they stopped in at a nearby bagel shop so Jennifer could get something to eat. Suddenly, their phones were bombarded with text messages: “Are you OK? We heard there was a bomb.”

Th ey suddenly realized what had happened.

Th ey texted back that they were fi ne and then quickly found their car so they could retreat to their hotel. “It was like, ‘we need to get out of here right now,’” Jennifer said.

Her family spent the rest of the day

after close call with trageDy

runner’s tr iumph miXeD with saDness

glued to the television learning details of the attacks.

Th e most startling revelation was the location of the second bomb. It was directly across the street from where Jennifer’s family had stood all morning. Th ey left the area just minutes before it exploded.

Th at thought brings tears to Jennifer’s eyes.

“If I was just a few minutes behind time, my family would have been right there,” she said.

Th e days after the bombing were an emotional time for Jennifer. It was confusing to feel both joyful for fi nishing the race and sadness for what happened next.

Her biggest physical achievement will forever be tied to tragedy.

“Th ere’s just a damper on it,” she said. “It was still cool, but there is something taken away from it because of all the sadness.”

Despite the heartbreak, Jennifer said the experience won’t stop her from coming back if she has another opportunity.

She hopes the crowds of spectators — some of whom became victims — keep coming as well. Th ey inspired her to keep going and reach the fi nish line. Th ey are what make marathons special.

jennifer anderson gives high-fi ves to the crowdas she races in the boston marathon.


team ApproachDiabetes Doctors work with patients to customize care

Diabetes is a challenging disease to treat.

It’s a problem where education can often be as effective as medication. It’s a

disease where a patient’s story is sometimes just as important as their test results.

For the two doctors establishing a new diabetes clinic at Boone Hospital Center, those challenges are what make their work enjoyable.

“Diabetes is a disease that does not follow the rule of one-size-fits-all,” said Fadi Siyam, MD. “You have to customize the treatment; you have to redesign it for each patient individually.”

Dr. Siyam and Sonya Addison, MD, are teaming up to open the Boone Diabetes and Endocrine Center, located in Broadway Medical Plaza III.

Both doctors said their work will focus on treating patients as individuals. They want to do everything they can to help patients manage their diabetes.

“I’ve always been a people person, I like to talk to people and interact with them,” said Dr. Addison. “When you’re helping treat a chronic disease, you get to know your patients and interact with them a lot. That’s what I really enjoy — that relationship.”

Dr. Addison grew up in Fairfax, Mo., in the northwest corner of the state. She came to mid-Missouri to attend Central Methodist University.

She originally majored in music — she plays flute and piccolo — but quickly changed to pre-med. She completed medical school, residency and her fellowship at the University of Missouri.

Her father is a respiratory therapist, and her mother is a registered nurse.

“I grew up around medicine,” Dr. Addison said. “I really wanted to be a doctor since I was about 6.”

Dr. Siyam grew up in a family of pharmacists, which also made it natural for him to pursue a medical career.

He grew up in Jerusalem and moved to Jordan around the time he started high school. He attended medical school in

Jordan and then moved back to Jerusalem for his internship.

He came to the University of Missouri to become an internal medicine specialist. During his training, he realized he most enjoyed working with diabetic patients. So that’s where he decided to focus his career.

He said mid-Missouri has been very welcoming and friendly. He enjoys living in Columbia where there are opportunities to spend time outdoors and listen to classical music concerts.

“When I had an opportunity to stay in mid-Missouri, I took it,” he said.

He also likes biking and photographing architecture.

When she’s not serving patients, Dr. Addison enjoys spending time with her

husband, Justin, and her son, Jake. She is expecting a second child this summer.

The family also owns Tucker’s Fine Jewelry in downtown Columbia.

When the Boone Diabetes and Endocrine Center opens this summer, the physicians look forward to working alongside Boone Hospital’s existing Diabetes and Weight Management services.

“Education in our subspecialty is so integral, it’s so important,” Dr. Siyam said. “It’s totally inseparable in the management of a diabetic to have a good educator by your side to help you with a patient.”

The Boone Diabetes and Endocrine Center is accepting appointments. Drs. Siyam and Addison said they are eager to meet new patients and help them improve their health.

“The results are very tangible. With good management, you can see your patients get better,” Dr. Addison said. “Having that kind of success is very important to us.” By Jacob Luecke

“Diabetes is a diseasethat does not follow therule of one-size-fits-all.”

— Dr. Fadi Siyam

Dr. sonya addison and Dr. fadi siyam

Accepting new patients573.815.7146


education Mattersboone hospital’s diabetes team also includes an outstanding Diabetes self-management education program, certified by the american Diabetes association. the program includes classes designed to help patients understand, cope and live successfully with type i and type ii diabetes.

our services include:

for more information about this education program,call 573.815.3870 or visit boone.org/diabetes.

• insulin initiation • insulin pump therapy • continuous glucose monitoring

• intensified management • gestational diabetes education • enrichment classes • nutrition consultations


Boone Appétit! café Dining experience comes to boone hospital

Weekly menuboone.org/cafe

Boone Hospital Center now off ers a café dining experience full of fresh new food options.

Th e Boone Appétit Café is located in Boone Hospital Center’s main lobby near the hospital’s Healing Garden.

Boone Appétit features Starbucks beverages and delicious new food selections, including whole grain deli sandwiches, artisan pizza, composed salads, hot cereals and Upper Crust pastries.

“We wanted to create a cozy cafe environment that also gives our staff and visitors new options for healthy eating,” said Julie Winters, director of Nutrition and Food Services at Boone Hospital. “We’ve already seen a strong response to some of our new healthy options, such as our faro and quinoa hot cereals.”

The café is open 6:30 a.m. to 3 p.m. daily.

THIS GRANDPA IS A TWO-TIME SURVIVOR


see the adsboone.org/WorthFightingFor

Work is progressing on the Virginia and Norman Stewart Cancer Center and excitement is building across mid-Missouri. Th e new inpatient cancer center, to be located on the sixth fl oor of Boone

Hospital’s south tower, is proceeding according to plans. Builders have already roughed in the electrical, mechanical and plumbing.

Drywall was going up as of mid-June. Th e inpatient cancer unit will include 32 private rooms and will incorporate the latest in health

care design for the comfort of our patients and their families.As construction continues, Boone Hospital has begun a new

advertising campaign highlighting the Stewart Cancer Center.Th e campaign features real stories from cancer patients and their loved ones. Keep reading to learn more about the stars of our ads.

ALL OF US ARE WORTH FIGHTING FOR

ALL OF US ARE FIGHTING FOR

eXcitement

builDing for

the stewart

canc er center

By Jacob Luecke

Darrell Sapp is the kind of grandpa any kid would love to have. He’s dedicated to his family. He models what it means to be a hard worker. And, at 48, he’s plenty young to keep up with his fi ve active grandkids.

“Oh my, do I love my grandbabies!” Darrell said.Darrell is here today to experience being a grandfather

because Boone Hospital Center helped him beat cancer twice during the last 10 years.

His fi rst experience with cancer was in 2004. He had noticed a lump on the right side of his neck, under his jawbone. It was about the size of a walnut.

He wasn’t too concerned. “I’ve had lumps before, and it was just allergies or drainage,”

he said. “It was just something that happens.”Darrell went to a doctor and got some antibiotics. When

those didn’t help, he was sent to Boone Hospital to have the lump biopsied. It was just 30 minutes later when the doctor called him at home: it was cancer.

“I was home alone, everyone else was at work, and he gave me the bad news,” Darrell said. “I had not thought it was cancer at all. It fl oored me.”

Darrell had what’s known as squamous cell carcinoma, a cancer at the base of his tongue.

He immediately started treatment, which involved dozens of radiation sessions and several rounds of chemotherapy.

It was a dark time for Darrell. He lost a lot of weight and became dehydrated. As he became more ill, he was afraid of sleeping; he thought he might die in his sleep.

cancer at all. It fl oored me.”Darrell had what’s known as squamous cell

carcinoma, a cancer at the base of his tongue.He immediately started treatment, which

involved dozens of radiation sessions and several rounds of chemotherapy.

It was a dark time for Darrell. He lost a lot of weight and became dehydrated. As he became more ill, he was afraid of sleeping; he thought he might die in his sleep.

He relied on his family and the caregivers at Boone Hospital to pull him through.

“It was really hard to stay positive. I tried to, but it was really hard,” he said. “I was lucky to have a great support group: my wife, my parents, my doctors and the nursing staff .”

A recreational weightlifter, Darrell said his strength also helped keep him alive.

“I work out and lift weights,” he said. “My doctors told me on a number of occasions, if I wouldn’t have done that, it may have been a diff erent outcome.”

After defeating his tongue cancer, life returned to normal for Darrell — for the most part.

Th e cancer battle left him with scarring. He also lost some hair and has to drink water when he eats because he doesn’t produce enough saliva any more. But those are things Darrell can live with.

“It becomes an everyday way of life and you adjust to it,” he said.

Th en last year Darrell was faced with another challenge. He had a prostate exam, and his PSA score was high. He had prostate cancer.

Working with urologist Dr. Steven Dresner, MD, Darrell had his prostate removed through robotic surgery.

Today, he’s again cancer-free. After two cancer battles in the last 10 years, Darrell

sometimes wonders if he is genetically predisposed to cancer. Since he was adopted as a baby, he doesn’t know his family’s cancer history.

As a preventive step, he gets cancer screenings more often than most people. And if cancer does come back, he knows

he has an outstanding community of caregivers at Boone Hospital ready to care for him.

But that thought isn’t high on his mind. He’s too busy enjoying his life and focusing on what matters most —

loving his family, especially those grandbabies.

THIS GRANDPA IS A TWO-TIME SURVIVOR

Darrell with hisgranddaughter Issy

26 summer 2013 BooNe HosPiTAl CeNTeR26 summer 2013 BooNe HosPiTAl CeNTeR

A COMMUNITY STANDS WITH PATTY BERESWILL

Th is summer, all 330 Hallsville Little Leaguers will be sporting pink ribbons on their jerseys. And earlier this year, the Hallsville High School girls’ basketball team wore pink shoelaces

during a game. Both times, the gestures were inspired by Patty Bereswill, a longtime supporter of Hallsville youth sports. As Patty fi ghts a personal battle against breast cancer, the community she loves is standing right beside her.

“I don’t think of it as being just for me,” she said, modestly. “Th ere are other people in Hallsville that have breast cancer. Th is is raising awareness and showing support.”

Patty’s breast cancer journey started in early January when she felt a golf ball-sized lump in her left breast, near her armpit, during a breast self-exam.

A few days later, she showed the lump to her doctor, who was concerned. In a week, Patty was at Boone Hospital Center. Tests revealed Patty had stage 2 breast cancer that had spread to three lymph nodes in her left breast.

Th e news was a shock to Patty, 48, who has a husband, Larry, and two kids — Megan, 15, and Daniel, 13.

Th eirs is a fun-loving, relaxed family that enjoys spending time outdoors, cheering for each other at sporting events and going to Mass together. Sharing such serious news with her kids would be tough. So Patty tried to make it nonchalant.

“Well, kids,” she said one night as they lounged together in their living room, “Mom’s got a little breast cancer going on.”

Her kids immediately had questions. “You have cancer? Are you going to die? Are you going to lose your hair?”

She assured them she was going to be OK, but she would indeed lose her hair.

However, she wasn’t going to let cancer be the one to make her bald.

Working with Dr. Pamela Honeycutt, MD, Patty began the fi rst of 16 chemo treatments on Jan. 31. After that fi rst treatment, Patty and her daughter invited friends over and held a head-shaving party.

“We took pictures and laughed, and there were no tears,” she said. “No tears whatsoever.”

Th e party exemplifi ed Patty’s competitive attitude when it came to defeating her cancer.

“I have cancer, but cancer doesn’t have me,” she said. “I’m going to conquer this; I’m going to beat this.”

Working with surgeon Dr. Jake Laks, MD, Patty has elected to have a double mastectomy in July. She hopes removing both breasts will reduce her odds of having a cancer reoccurrence later in life.

After her surgery to remove her breasts, she will undergo fi ve weeks of radiation treatment and then reconstructive surgery with Dr. John Seaberg, MD. By the end of the year, she hopes to be done with cancer.

Th roughout her cancer experience, Patty has been very open with anyone who wants to listen. She hopes her experience of catching cancer early inspires others in her community to be proactive about screening.

“Th e more people that know about my breast cancer, the more prayers I get, the more support I get,” she said. “And if I can just save one person’s life, if I could just get a word out there, it’s to do your breast self-exams and get

your mammograms.”


FIGHTING BRAIN CANCER, REDONDA MARSHALL TRUSTS HER ‘A-TEAM’

At fi rst, it seemed like Redonda Marshall was having trouble with her eyes. She was having vague reading diffi culties, but a n eye doctor couldn’t fi nd the source of the problem.

Th en, Redonda began having trouble remembering words. For example, she could picture the broad, silky fl ower with a darker center and a long yellow stamen. But she couldn’t remember its name: hibiscus.

“I could see it in my mind, but the word wouldn’t come,” she said.

So, last August, she went to Boone Hospital Center for an MRI exam. Th ere, doctors immediately saw what was behind these seemingly trivial symptoms. Just under Redonda’s skull, a fi ve-centimeter tumor was pushing down upon her left parietal lobe, where language is processed.

It was cancer and an extremely rare form — hemangeopericy-toma. Only a fraction of all brain cancers fall into this category.

“I was stunned,” said Redonda of when she learned the devastating news.

But Redonda, who works as a nurse practitioner, knew she was in good hands. While the cancer was extremely rare, Boone Hospital had the perfect team of specialists needed for this fi ght.

“I knew I had the A-team,” she said. “I felt fortunate to be here. I felt like I could trust them.”

She was immediately admitted to Boone Hospital, where neurosurgeon Charles Bondurant, MD, began planning to remove the cancer.

“We wanted to be aggressive as we possibly could, right from the start,” she said. “If I was ever going to do something, now

was the time.”Th e next day, Dr. Bondurant successfully removed the

entire tumor. A few days later, Redonda was able to leave the hospital. Her sight and language problems were already gone.

Back home, Redonda said she was blessed with an outpouring of support from family and friends. Redonda, 54, is married and has a grown son and twin daughters attending college at the University of Missouri. She also has two grandkids. She said her family dropped everything to be by her side.

“Th eir outpouring of compassion and support has just carried me in so many ways,” she said. “I’ve been so comforted by them. In that way, I think I have actually prospered from this adversity.”

Because her cancer has a high rate of reoccurrence, she’ll have regular surveillance screenings for the rest of her life.

But today, life is largely back to normal. She’s back to work, and she can drive again. And little by little, her hair is coming back as well.

“I like to say I have a very nice crew cut,” she said with a laugh.

With her successful surgery and aggressive treatment plan, Redonda’s outlook is better than she ever hoped.

“I could not have asked for a better outcome,” she said.

Your generosity supports our care

We’d like to thank the Benefactors of the Boone Hospital

Foundation. Each of these people and organizations have given

more than $1,000 in support of the care at Boone Hospital Center

in 2011 and 2012. Your generosity makes our care possible.

abbott laboratories

abcomm, inc.

advance orthodontics

adVentures

allergan

american Document solutions

atkins, inc.

bjc health system/medical group

bjc healthcare

board of trustees boone county hospital

boehringer ingelheim pharmaceuticals

boone county medical society

boone county national bank

boone hospital center medical staff

boyce & bynum pathology laboratories, p.c.

calvary episcopal church

central records Depository

central trust & investment company

centurylink

columbia bariatric associates, llc

columbia family medical group

columbia insurance group

columbia orthopaedic group, llp

columbia surgical associates

commerce bank

cubist pharmaceuticals, inc.

emergency physicians of mid-missouri, p.c.

environmental engineering, inc

feeler scheer architects

first presbyterian church of columbia

forest pharmaceuticals, inc.

hematology-oncology associates of columbia, inc.

holiday inn executive center

hospice compassus

hulett heating & air conditioning

imagine nation books, ltD.

johnson & johnson services inc.

landmark bank

lawrence group architects of st. louis inc

medtronic

meyer electric co., inc.

microsoft

mid missouri neurosurgery, l.l.p.

mid mo anesthesia consultants

mid-america anesthesia consultants, pc

miller, bales & cunningham, p.c.

missouri cancer associates

missouri cardiovascular specialists

missouri employers mutual

missouri heart center

missouri perfusion services, inc.

missouri pork association

missouri professionals mutual

modern litho and brown printing

murrell, westgate & bryer, inc.

national healing

ncme holding corp.

nephrology & hypertension associates

network for continuing medical education, inc.

neurology, inc

nh scheppers Distributing

o’brien law firm, p.c.

officer mechanical contractors, inc.

orscheln industries

our 365 share more

Compa

nies

parsons brinckerhoff group administration, inc.

patricia’s foods

pbms, llc

pfizer

phoenix textile corporation

providence bank

pure marketing, llc

radiology consultants, inc.

reinhardt/wilson

river city construction, llc

roche Diagnostics corporation

rost landscaping & Design

sanofi-aventis u.s. inc.

schindler elevator corporation

septagon construction co., inc.

smart business interiors

ssc engineering

the bank of missouri

the france foundation

the graham group

the insurance group, inc.

the lawrence group

the outsource group

tiger express car wash

tKh, inc.

umb bank

unifirst corporation

uniforms plus

urology associates of central missouri

Va mortgage center

Veterans united foundation

w. l. gore & assoc.

women’s health associates, inc.

worldwide recycling

beth alpers

joe & linda antal

jim & mary beck

wilson & jan beckett

pat & connie benson

mark & amy cohen

h. Kathy Daniels

blake & carol Danuser

Dave & barb Danuser

martha l. Delmez

charles & laurie Digges

robert Doroghazi

lisa flores & Denis mccarthy

andrew & Kim getzoff

charles & jean gibbens

mangal & Kala gupta

David hockman

David & winifred horner

george hulett

paul huwiler

chuck & sheila jira

jerry & michele Kennett

william & sandra marshall

David mclaren

richard miller

john & jan monnig

rick & Katrice montgomery

brian & candy neuner

gary oxenhandler

walter & stacy peters

june pfefer

matt & Kate pitzer

albert & marjo price

shirley a. richardson

lois richardson

c. e. gene ridenhour

wanda roberts

Dan & jane rothery

the honorable leslie a. schneider

and mr. thomas m. schneider

wade & martha schondelmeyer

joann schumer

michael szewczyk & susan Zurowski

robert wagner

audrey walton

garry & llona weiss

james & mary westerfield

Darren & rachel wittenberger

michelle Zvanut

Individu

als

see a complete list of donorsand learn how you can give atboone.org/foundation


W ith a new interactive wall at the Columbia Mall, Boo ne Hospital Center is seeking to inspire mid-Missourians to get outdoors. Th e Living Well Wall features scenes of activities available right here.

People walking by are invited to step into the scene for a quick photo. Interacting with the wall reminds people that getting outdoors can be both fun and have positive health benefi ts. Many studies have shown the benefi ts of spending time outside. From the cardiovascular exercise we get from walking, to the simple joy of breathing clean air and experiencing sunshine — the outdoors off er so much. So the next time you are at the Columbia Mall, stop by and see our Living Well Wall, located at the entrance near MC Sports. And once you’re done at the mall — get outside!

off the WallDisplay at the mall encourageshealthy outdoor activity

see more picturesfacebook.com/boonehospitalcenter

Boone Hospital Center 1600 east broadwaycolumbia, mo 65201573-815-8000

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My Boone Health Summer 2013

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