EXAMINER SPRING 2020 - Yankton Medical Clinic
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EXAMINER SPRING 2020
Page 1 | Vermillion Medical Clinic Celebrates 30 Years www.yanktonmedicalclinic.com
Vermillion Medical Clinic
Celebrates 30 Years
On Nov. 14, 2019, the Vermillion Medical Clinic held an open house to commemorate its 30th
anniversary of providing health care in the Vermillion community.
The Vermillion Medical Clinic and its committed “Prior to 1989, very few outreach specialty physicians
professionals have been integral to the expansion of traveled to Vermillion,” Dendinger said, “but since that
accessible, comprehensive health care in the Vermillion time, new facilities have been built for the Vermillion
community over the last 30 years. Medical Clinic, the Sanford Health- Vermillion Clinic
and the Olson Medical Clinic, creating space for
The initial phases of the clinic as it is known today additional physicians and advances in technology.”
began with Dr. Harold Fletcher, who practiced family
medicine at a clinic known as Vermillion Medical With the expanded facilities, new technologies, more
Clinic, P.C. In July 1977, Dr. William Dendinger, primary care and outreach specialty physicians,
another family practice physician, began practicing providers have been able to offer the residents of
there, joining Dr. Fletcher. Vermillion and surrounding area a broader range of
health care services than ever before.
Over the next several years, various physicians and
several different clinics came and left Vermillion. “The Since 2012, the technological advances at the
medical community needed stability–the ability to clinic have added the capability to administer 2-D
attract and retain additional physicians and new mammography, digital X-rays and ultrasound;
technology,” Dendinger explained. implement electronic medical records for ease of
sharing records and continuity of care with other
Endeavoring to alleviate that issue, Dendinger and providers; and allow patients to instantly access
three other physicians joined together in 1983 to records and medications and to request appointments
create Medical Associates, P.C. But six years later, in or message providers online through the clinic’s
1989, Dendinger would be the only shareholder of Patient Portal.
that entity remaining at the clinic, and, seeking clinic
management advice and stability, helped facilitate Becky McManus is chief operating officer of the
the move to join the Yankton Medical Clinic. Yankton and Vermillion Medical Clinics and spent
seven years at the Vermillion location. “We are
“The Vermillion community immediately welcomed committed to those we serve,” she said. “In addition
the new health care systems and soon began to to our technological advances, we’re proud to offer
see additions and improvements to health care,” quick access to a wide variety of specialists and a
Dendinger said. full lab, as well as compassionate and courteous
staff members.”
Additionally, Vermillion-area patients saw better
retention of primary care physicians and specialists.
Pictured from left to right: Becky McManus, Anna Nelson, Brenda Rueb, Catherine Mitchel, M.D., Charles Yelverton, M.D.,
Matthew Krell, M.D., Charles Aman, CEO, Amy Fluit, MPAS, PA-C, Jason Howe, FAAA, CCC-A
www.yanktonmedicalclinic.com Page 2 | Vermillion Medical Clinic Celebrates 30 Years
Page 3 | Vermillion Medical Clinic Celebrates 30 Years www.yanktonmedicalclinic.com
As health care providers now recommend a broader continuing commitment to the growth and development
range of health care services–health screenings, of the future of health care in Vermillion,” he said.
developmental evaluations, vascular disease
and cancer screenings, an increased number of The Vermillion Medical Clinic offers regular clinic hours
vaccinations –the Vermillion Medical Clinic makes from 8 a.m. to 5 p.m. Monday through Friday, with
these and many other health care advances available convenient care hours 5 -9 p.m. during the week. Vermillion
for all age ranges. Medical Clinic accepts many health care insurance
companies. Visit www.VermillionMedicalClinic.com
On staff currently at the Vermillion Medical Clinic are for more information.
two board-certified family physicians, one board-
certified pediatrician and two physician assistants.
Outreach physicians bring a broad range of
services to the community, including dermatology,
rheumatology, nephrology, obstetrics and The Vermillion Medical Clinic offers 10
gynecology, pulmonary medicine, general surgery, visiting specialists on a regular rotation
urology and orthopedic surgery. These providers covering these specialties:
are also on the clinical faculty of the University of
• Audiology
South Dakota School of Medicine, teaching either
medical students or physician assistant students. • Dermatology
• Rheumatology
“We will continue to provide our community with
• Nephrology
the specialists they need in order to improve health
and well-being,” McManus said. “The longevity of • Obstetrics and Gynecology
our providers allows us to build relationships with • Pulmonary Medicine
our patients and their families. We pride ourselves
on providing timely, compassionate and quality • General Surgery
health care.” • Urology
• Orthopedic Surgery
Dendinger, like McManus, is also optimistic about
Vermillion’s health care future. “I look forward to
Yankton Respiratory Therapist Battling
eCigarette Use with Education
As a registered respiratory therapist at Yankton Medical giving them the facts and we just want them to be
Clinic, education has always been a part of Linda Reese’s able to make good decisions for themselves.”
job. But since becoming a Certified Asthma Educator last
February, she has taken it to a whole new level. One fact that many kids, parents and even health care
providers may not know is that almost all e-cigarettes
“At about the same time that I got my certification, we started contain nicotine. And with vaping, it is possible to
getting questions about vaping,” Reese explained. “The high inhale significantly more nicotine than with traditional
school was seeing a lot of it and we were getting questions.” cigarettes thanks to extra strength cartridges and
the ability to modify the e-cigarette’s voltage.
Vaping is the blanket term for smoking e-cigarettes,
including the Juulpods that have become so popular Additionally, the U.S. does not regulate the nicotine
among teens and young adults. E-cigarettes heat nicotine, content of e-cigarettes. A single Juulpod contains
flavorings and other chemicals to create a water vapor the same amount of nicotine as a pack of cigarettes.
that can be inhaled. Though they were originally billed as a
cessation aid for adults, an estimated 5.3 million middle and “A lot of kids, and even parents, think it’s just flavored
high schoolers have used them in the last 30 days. water,” says Reese. “What’s scary is that it is so much
more addictive for adolescents because their brains
are not fully developed.”
Beyond the risk of lung injury from e-cigarettes, their
nicotine can affect behavior, decision making, impulse
control and the ability to learn. It can also make kids
more susceptible to depression and anxiety. Reese
says health care providers need to know vaping
terminology in order to ask the right questions of
their young patients.
“If you ask a kid if they smoke and they vape, they’ll
say no,” says Reese. “If they use Juulpods, they will say
they don’t vape. You have to say something like ‘Have
Vaping is generally thought to be safer than smoking you been inhaling anything other than air?’”
traditional cigarettes, but it is not without risk. As of
November 2019, the CDC confirmed 47 deaths in patients Reese has now done multiple presentations on
with e-cigarette, or vaping, product use associated lung vaping for parents, teachers and students at both
injury (EVALI). public and private middle and high schools in her area.
She has presented to her clinic’s physicians and staff
When one of Yankton’s pulmonologists approached Reese for and will soon speak to the respiratory department
her insight on the problem, Reese committed to learning all at Yankton’s Avera Sacred Heart Hospital.
she could about vaping. Last May, she presented her findings
to Yankton eighth graders–the first of many presentations “Parents and teachers tend to be shocked, but they
for area parents, students and health care providers on the are grateful for the information,” says Reese. “And I
facts about e-cigarettes. am grateful to the clinic for giving me the chance to
share this. We are a pretty small community, so the
“These kids are being bombarded by marketing,” said people you are dealing with are your friends’ kids, your
Reese. “We aren’t wagging our fingers at them. We are co-workers’ kids. We have a lot of skin in this game.”
just bringing them facts. E-cigarette companies are not
www.yanktonmedicalclinic.com Page 4 | Yankton Respiratory Therapist Battling eCigarette Use with Education
Page 5 | YMC is Grateful Recipient of Community Generosity www.yanktonmedicalclinic.com
YMC is Grateful Recipient of
Community Generosity
In the midst of a global pandemic, it takes abundant had to get creative with the materials—the plastic
kindness to help each other through the chaos with a film is overhead projector film cut out by a benchtop
little bit of normalcy–and it takes a committed health laser cutter. Wilson is able to print up to 105 frames
care team to maintain a high standard of care, even with per week on their three Ultimaker printers.
the additional challenges the pandemic poses.
Aaron Larson, a co-manager at Wilson Trailer, said
Yankton Medical Clinic is the benefactor of the generosity that stepping up to meet the clinic’s demand was
of several local businesses and individuals who have an easy decision.
volunteered time and talent to create Personal
Protective Equipment (PPE) for the clinic’s approximately “It was a no-brainer for us to reach out to our local
300 staff members during the COVID-19 outbreak. health care facilities to offer our support,” Larson
Certainly, hundreds of masks are being donated by explained. “Wilson Trailer felt that it was our duty to
many individuals; and some businesses are making step up during this crisis and make an impact in
even more specialized equipment. the fight against COVID-19 where we were armed
to do so. We highly value the health, happiness and
Wilson Trailer Company and Jansen Upholstery in welfare of our communities and want to ensure
Yankton are two such community partners creating that those things remain positive. We hope that our
PPE that will help ensure staff safety. efforts will make a difference.”
Wilson Trailer is fabricating 325 face shields for YMC, Another partner is Jansen Upholstery, who fabricated
which Wilson plans to deliver to the clinic over the next reusable gowns for YMC medical staff to wear. Dale
few weeks. The shields are made with 3D-printed nylon Jansen, owner of the business, has been busy making
frames and lower stiffeners, closed cell foam head gowns in the evenings after his day job is complete.
pads, clear plastic film and simple rubber bands for a
head straps. Because PPE supplies are scarce, Wilson has “As I talked with my daughter, a YMC employee,
about this virus and what it meant for the clinic, her
tone of voice told me how serious all this is,” Jansen
recalled. “I understood the importance of what was
The masks fabricated by Wilson Trailer are made with 3D-printed
nylon frames and lower stiffeners, closed cell foam head pads, clear Dale Jansen of Jansen Upholstery creates gowns from a light tarp
plastic film and simple rubber bands for head straps. material and commercial thread.
coming toward us. She said the clinic commercial machine nylon threads. Jansen Upholstery help ensure safety
could use more gowns and I told her According to Jansen, the gowns are measures are followed.”
I’d make them.” extremely durable and can be washed
and dried in standard machines. Jansen, like Wilson Trailer, plans to
The gowns are made from a Center for make his delivery of the PPE items
Disease Control-approved material Yankton Medical Clinic’s infection within a couple of weeks, and says if
that Jansen likens to a light boat tarp. control nurse coordinator, Kristal Vogt, the clinic needs more, he’ll take on
Jansen made a prototype gown says the clinic is fortunate to be in a the task of making even more gowns.
based on a surgical gown the clinic community where people help one
already had, using it as a pattern. The another. “The Yankton Medical Clinic “I’m happy to do as much as one
new gowns—30 total--have neck and is grateful to have such involved and person can do,” he said.
back ties, and the sleeves have wrist generous community partners,” she
bands that tighten so gloves can be said. “Our staff’s health is a priority
put on. Jansen sews the edges with and partners like Wilson Trailer and
Non-operative Treatment for Common Hand
Deformity Comes to Yankton Medical Clinic
Dupuytren’s contracture–also known remove the movement-limiting cords. surgeons like me, so it gives them
as palmar fibromatosis–is an age- Unfortunately, Dr. Reissig says, surgical another option.”
related hand deformity caused by treatment rarely achieves more than
gradual thickening of the fascia under an 80 percent correction. And it can After injection, the patient wears a
the skin of the palm. Although the limit the use of the hand for six weeks. splint 24/7 for a week, then only at
condition is not painful, it can cause a Even with surgery, the chances of the night for four months. The injection can
functional deficit. It is more common condition returning are high. be repeated as soon as 30 days later,
in people of Northern European if needed, to achieve optimal results.
descent and much more common in That is why Dr. Reissig now offers a newer Recurrence rates after Xiaflex are low
men than in women. injectable treatment for Dupuytren’s in clinical trials with fewer than 5% of
called Xiaflex (collagenase clostridium patients becoming symptomatic again
“Dupuytren’s usually starts out as histolyticum). Medication is injected within four years.
a lump in the palm that eventually may directly into the bands of collagen in the
look like a cord or a tendon beneath palm, weakening them. Manipulation “This is a well-known, well-studied and
the skin,” says Yankton Medical is used to break the cords and a splint effective medication which makes this
Clinic orthopedic surgeon Jessica is applied to keep the fingers straight. a low risk, high reward treatment,” says
Reissig, D.O. “It can affect multiple Dr. Reissig.
joints and start to make the fingers “A lot of people don’t end up coming
flex down so people don’t have full to me because they think that the Reissig says Xiaflex is usually covered by
use of their hands.” only option is surgery,” says Dr. Reissig. Medicare and the manufacturer offers
“Surgery is still a good option but a lot a supplemental program to help offset
Surgery has been the go-to treatment of people around here, like farmers and any out-of-pocket costs for patients.
for more severe cases of Dupuytren’s laborers, are very active and can’t afford The FDA approved collagenase
contracture. A hand surgeon may to take time off for post-operative clostridium histolyticum for treatment
perform a fasciotomy or even a subtotal rehabilitation. This treatment is more of Dupuytren’s contracture in 2010.
palmar fasciectomy to loosen or geared toward general orthopedic
www.yanktonmedicalclinic.com Page 6 | YMC is Grateful Recipient of Community Generosity (cont.) / Non-operative Treatment for Common Hand Deformity
Page 7 | Clinic Providers
Our Providers FAMILY MEDICINE
Primary
Care
David J. Barnes, McKenzie Hanson, Carrissa Pietz, Scott A.Weber, DO* Abigail Reynolds, Jennifer McGinnis,
M.D.* M.D.* M.D.* Family & Sports Medicine M.D.* CNP
605-665-8910 605-665-8910 605-665-8910 605-665-8910 605-665-8910 605-665-8910
INTERNAL MEDICINE
Susan E. Fanta, John J. Frank, Tyler Hanson, Daniel J. Megard, Robert J. Neumayr, Amanda Sedlacek, Cassie Arens,
M.D.* M.D.* M.D.* M.D.* M.D., Ph.D.+ D.O. Palliative Care MPAS, PA-C
605-665-1082 605-665-1082 605-665-1082 605-665-1152 605-665-1082 605-665-1152 605-665-1152
INTERNAL MEDICINE OBSTETRICS & GYNECOLOGY
Sarah Arens, Melissa Fullner-Marshall, Curtis M. Adams, Kevin Bray, Amy M. Eichfeld, Robert T. Ferrell, Jill F. Sternquist,
MPAS, PA-C MPAS, PA-C M.D.* M.D., FACOG* M.D., FACOG* M.D, FACOG* M.D., FACOG*
605-665-1152 605-665-1152 605-665-5538 605-665-5538 605-665-5538 605-665-5538 605-665-5538
PEDIATRICS AUDIOLOGY
Specialty
Care
Dawn M. Larson, Sara Pepper, April K. Willman, David W. Withrow, Beth Beeman, Todd A. Farnham,
M.D.+ M.D.*, FAAP M.D., FAAP* M.D., FAAP+ Au.D., CCC-A, FAAA Au.D., CCC-A, FAAA
605-665-5538 605-665-5538 605-665-5538 605-665-5538 605-665-0062 605-665-0062
AUDIOLOGY CARDIOLOGY DERMATOLOGY EAR, NOSE & THROAT
Jason R. Howe, Erin Wolf, Will C. Hurley, Tim Irwin, Liz Wortmann, James W.Young, David Abbott,
MS, FAAA, CCC-A Au.D., CCC-A, FAAA M.D., FACC, FACP* M.D.*, FACC* CNP DO, FAOCD* M.D.*
605-665-0062 402-844-8110 605-664-2741 605-664-2741 605-664-2741 605-664-2741 605-665-0062
+ BOARD ELIGIBLE *BOARD CERTIFIED
EAR, NOSE & THROAT GASTROENTEROLOGY GENERAL SURGERY NEPHROLOGY
Micah Likness, Jackie Logue, Steven H. Gutnik, Ryan J. Garry, MD, Luke C. Serck, M.D.* Byron S. Nielsen,
M.D.* CNP FACS*Specializing
M.D., FACP*, Associate in General M.D.* Specializing in General &
Vascular Surgery M.D.*
& Breast Surgery
605-665-0062 605-665-0062 605-665-1722 605-664-2742 605-664-2742 605-664-2742 605-665-1082
ONCOLOGY/HEMATOLOGY ORTHOPEDIC SURGERY
Purva Sharma, Mary Lee Whitney Delforge, Brent Adams, Jeremy Kudera, Jessica M. Reissig, Dawn Lauer,
M.D.+ Villanueva, M.D.* CNP M.D., ABOS* M.D., ABOS* D.O. MPAS, PA-C
605-665-1720 605-665-1722 605-665-1722 605-665-1722 605-665-1722 605-665-1722 605-665-1722
ORTHOPEDIC SURGERY PHYSICAL MED & REHAB PULMONOLOGY RADIOLOGY RHEUMATOLOGY UROLOGY
Tom Viereck, Judith R. Peterson, Lori A. Hansen, Michael P. Pietila, Will R. Eldsness, Leann Bassing, George Fournier,
CNP M.D.* M.D., FACP, FCCP* M.D., FCCP, FACP* M.D.* M.D.* Jr., M.D., FACS*
Pulmonology/Critical Care
605-665-1722 605-665-1152 605-665-1082 605-665-1152 605-665-7841 605-665-1722 605-664-2742
UROLOGY PEDIATRICS FAMILY MEDICINE
Vermillion
Medical
Clinic
Primary
Christopher
Hathaway, M.D., Ph.D.*
Care Matthew D. Krell,
MD, FAAP*
Catherine Mitchel,
MD*
Charles C.
Yelverton, MD*
Michelle Chaussee,
MPAS, PA-C
Amy Fluit,
MPAS, PA-C
605-664-2742 605-624-8643 605-624-8643 605-624-8643 605-624-8643 605-624-8643
INTERNAL MEDICINE FAMILY MEDICINE
Yankton
Medical
Clinic, P.C.
- Norfolk Charles Harper, Kelly Jueden,
M.D. CNP
402-316-4606 402-316-4606
Page 8 | Clinic Providers
Page 9 | Your Guide to ConvenientCare www.yanktonmedicalclinic.com
Your Guide to ConvenientCare
ER or ConvenientCare? Know When to Go!
What is ConvenientCare? When should I choose to seek emergency
department attention?
ConvenientCare is an acute care clinic for evaluating
and treating minor or short-term illnesses that develop Emergency department care should be sought for
outside of regular clinic hours. Yankton Medical Clinic, patient conditions that immediately threaten one’s life.
P.C. ConvenientCare is open on weekday evenings and Examples would be chest pain, difficulty breathing,
weekends; Vermillion Medical Clinic ConvenientCare is stroke symptoms, severe headache, severe abdominal
open on weekday evenings. Clip and save the handy pain, allergic reactions, seizure activity, loss of
schedule printed on page 10. vision, palpitations, significantly elevated blood
sugars, major fractures (hip, leg, pelvis, skull), severe
lacerations, medication overdose, head trauma and
When is a visit to ConvenientCare appropriate?
motor vehicle accidents (if seeking care for a motor
ConvenientCare is appropriate when patients of any vehicle accident not at time of accident, please follow
age are ill, but their condition is recoverable in a brief up with your primary care provider).
amount of time, and there is no acute threat to their
life. Some examples of these conditions include cold/ Will advanced practice providers deliver care for me?
flu symptoms, urinary tract symptoms, sprains/strains,
Will they have access to board-certified physicians?
minor fractures, minor lacerations, acute rashes,
sinus infection, ear infection, skin infection, nausea/ We have advanced practice providers (i.e., Certified
vomiting/diarrhea and insect bite/sting. Nurse Practitioners and physician assistants) who can
provide excellent care and help us meet the needs
When should I choose to schedule an appointment of our patients. These providers have access to the
physicians who are on-call in internal medicine,
with my primary care provider? family medicine, obstetrics/gynecology, pediatrics,
ConvenientCare is not intended to replace your surgery and orthopedics. Also, each advanced practice
relationship with your primary care provider. Any provider is assigned to a Yankton Medical Clinic/
condition that has been persistent for several days or Vermillion Medical Clinic physician who supervises
longer requires attention from your regular provider. his/her performance.
Also, any chronic or complex condition should be
managed by your regular provider to ensure the most How do I get to ConvenientCare?
comprehensive and complete health care coverage. Do I need an appointment?
Examples of these conditions include diabetes, high
blood pressure and management of blood thinners. Yankton Medical Clinic, P.C. ConvenientCare is easily
All routine/preventative medical care should also accessible through the west doors of the clinic.
be addressed with your primary provider including Vermillion Medical Clinic is easily accessible through
medication refills, annual exams, vaccinations, work/ the main doors on the east side of the clinic. No
sports physicals, lab/diagnostic screenings and appointments are necessary as there is a first-come,
preoperative clearance. first-served policy with the exception of a patient
experiencing a crisis that needs triaged to appropriate
If an acute condition is not resolved following a care, such as an allergic reaction, bleeding laceration
ConvenientCare visit, a follow up appointment should or severe pain. ConvenientCare providers do not have
be made with your primary care provider for further control over wait times as they provide quality care to
evaluation and treatment. every patient regardless of patient volume.Will my visit to ConvenientCare be shared with my receptionist during regular daytime hours. Each
primary care physician? department has a phone nurse who can answer
patient questions to help determine which provider/
A patient’s ConvenientCare provider documents all department would best suit the patient’s needs.
patient records in our electronic health system for
convenient, easy access. You also have access to your All the clinic’s providers are listed in the phone book
records if you are signed up for our Patient Portal. and online at www.yanktonmedicalclinic.com and
www.vermillionmedicalclinic.com, through the
If I do not have a primary care provider, how can I South Dakota Medical Association and of course,
go about getting one? in every issue of the Examiner.
Patients can make an appointment to establish a
primary care provider by calling any Yankton Medical
Clinic receptionist or the Vermillion Medical Clinic
1104 W. 8th Street, Yankton, SD 57079 101 S. Plum Street, Vermillion, SD 57069
Monday - Friday: 5 - 7 p.m. Telehealth appointments
Saturday: Noon - 3 p.m. available at 605-665-7841
Sunday: Noon - 5 p.m.
www.yanktonmedicalclinic.com Page 10 | Your Guide to ConvenientCare (cont.)Page 11 | For Care Close to Your Home www.yanktonmedicalclinic.com
For Care Close to Your Home.
We provide speciality Care in 17 locations outside Yankton.
Did you know there are 17 locations beside Yankton for seeing our outreach speciality care physicians?
Our locations listed below may help you save miles, so make your appointment in advance for greater convenience.
Tyndall, SD (cont.) Vermillion, SD (cont.) O’Neill, NE
South Dakota • Ryan J. Garry, M.D., FACS
General Surgery
• Leann Bassing, M.D.
Rheumatology
Avera St. Anthony’s Hospital Specialty
Clinic
OUTREACH LOCATIONS • Jeremy Kudera, M.D. • George R. Fournier, Jr., M.D., FACS (402) 336-5122
Orthopedic Surgery Urology • Kevin Bray, M.D., FACOG
• Lori A. Hansen, M.D., FACP, FACCP Obstetrics/Gynecology
Freeman, SD Wagner, SD Pulmonology • Michael P. Pietila, M.D., FCCP, FACP
Freeman Regional Health Services Bubak Medical Clinic • Jason Howe, MS, FAAA, CCC-A Pulmonology
(605) 925-4129 (605) 384-5457 Audiology • Bryon Nielson, M.D.
• Jill F. Sternquist, M.D., FACOG • Kevin Bray, M.D., FACOG • Jesse L. Kampshoff, M.D. Nephrology
Obstetrics/Gynecology Obstetrics/Gynecology General Surgery • Luke C. Serck, M.D.
• Luke C. Serck, M.D. • Jeremy Kudera, M.D., ABOS General Surgery
General Surgery Orthopedic Surgery • Mary Lee Villanueva, M.D.
Gregory, SD
• Bryon S. Nielson, M.D. Oncology/Hematology
Avera Gregory Hospital
(605) 835-8394 Wagner Community Hospital Nephrology
• Kevin Bray, M.D., FACOG • Will C. Hurley, M.D., FACC • Jill F. Sternquist, M.D., FACOG Osmond, NE
Obstetrics/Gynecology Cardiology Obstetrics/Gynecology Osmond General Hospital
605-664-2741 • James W. Young, D.O., FAOCD (402) 748-3393
• Byron S. Nielsen, M.D. Dermatology • Jesse L. Kampshoff, M.D.
Parkston, SD
Nephrology General Surgery
Avera St. Benedict’s Hospital & Clinic
605-665-1082 • Michael P. Pietila, M.D., FCCP, FACP
(605) 928-3311
• Michael P. Pietila, M.D., FCCP, FACP • Brent Adams, M.D., ABOS Nebraska Pulmonology
Pulmonology Orthopedic Surgery OUTREACH LOCATIONS
• Micah Likness, M.D. 605-665-1722 Plainview, NE
Ear, Nose & Throat Plainview Area Health System
Wagner Indian Health System (402) 582-4245
(605) 384-3621 Creighton, NE • Jesse L. Kampshoff, M.D.
Scotland, SD Creighton Area Health Services
• Amy M. Eichfeld, M.D., FACOG General Surgery
Landmann-Jungma Memorial Hospital (402) 358-5700
Obstetrics/Gynecology • Lori A. Hanson, M.D., FACP, FACCP
(605) 583-2227 • Kevin Bray, M.D., FACOG Pulmonology
• Luke C. Serck, M.D. Obstetrics/Gynecology
General Surgery Vermillion, SD • Byron S. Nielsen, M.D.
• Lori A. Hansen, M.D., FACP, FACCP Nephrology
Olson Medical Clinic
Pulmonology
(605) 624-5666
Tyndall, SD • Jesse Kampshoff, M.D.
Bon Homme Family Practice Clinic
• Lori A. Hansen, M.D., FACP, FACCP Santee, NE
General Surgery
Pulmonology Santee Outreach Clinic
(605) 589-3322 • Michael P. Pietila, M.D., FCCP, FACP
(402) 857-2300
• Brent Adams, M.D. Pulmonology
Vermillion Medical Clinic • Kevin Bray, M.D., FACOG
Orthopedic Surgery
(605) 624-8643 Obstetrics/Gynecology
• Robert T. Ferrell, M.D., FACOG Norfolk, NE
• Curtis M. Adams, M.D. • Sara Pepper, M.D.
Obstetrics/Gynecology Physician’s Clinic/Faith Regional West Campus
Obstetrics/Gynecology Pediatrics
(605) 664-2742
• Christopher A. Hathaway, M.D., Ph.D
UrologySTEPS TO TAKE TO SLOW THE SPREAD OF COVID-19
Social Distancing
Keep six feet between others, Don’t gather in large groups Wear a cloth mask on outings. Stay home as much as possible,
even within your own home. of 10 or more people. especially if you are sick.
Practice Good Hand Hygiene
Washing Hands: Wash your hands often with Hand Sanitizer: If soap and water are not Avoid Touching Your Face:
soap and water for at least 20 seconds. This is available, use an alcohol-based hand sanitizer COVID-19 is spread from
especially important after blowing your nose, with at least 60% alcohol, covering all person-to-person by respiratory
coughing or sneezing; going to the bathroom; surfaces of your hands and rubbing them droplets. Avoid touching your face.
and before eating or preparing food. together until they feel dry.
Disinfect High-Touch Areas
Clean and disinfect frequently-touched surfaces daily, including:
• Doorknobs • Keyboards
• Light switches • Toilets
• Countertops • Faucets
• Desks • Sinks
• Phones • Remote controlsPage 13 | Care Beyond Healing www.yanktonmedicalclinic.com
Care Beyond Healing
Amanda Sedlacek, D.O., Palliative Medicine Specialist
By Alex Strauss
Amanda Sedlacek’s passion for palliative medicine
has its roots in her childhood on a farm in Tabor,
South Dakota.
“It is a place where people tend to take care of family
as they age,” she says. As a child, Sedlacek spent
time helping to care for her aging grandmother who
passed away when she was in first grade.
“I stayed home with my grandmother sometimes.
I did things like help comb her hair,” remembers
Sedlacek, whose mother was a nurse. “My family
had to deal with some really hard end-of-life issues
and I remember watching how my grandmother
changed as a person as she became ill.”
The experience ultimately drew Dr. Sedlacek to
internal medicine where she saw a chance to care
for “the whole person and the whole body,” both in
and out of the hospital. She earned her D.O. from
Des Moines University of Osteopathic Medicine
and completed her residency in internal medicine
at St. Joseph Warren Hospital in Youngstown, Ohio.
“After my first year of training, one of our program
directors told me he thought I would enjoy hospice
medicine,” she says. Within a month of working
with hospice inpatients in Youngstown, Sedlacek’s
mind was made up. She completed a fellowship in
palliative and hospice medicine at Summa Health
in Akron, Ohio, and moved back to South Dakota
last summer with her growing family. She now
works at Yankton Medical Clinic, where palliative
medicine makes up about half of her internal
medicine practice.
“I feel like it is the greatest blessing to take care of
people at the end of life,” she says. “It is a time of very
raw human emotions. Not just grief and sadness,
but also a lot of love. I feel fortunate that I can help
people go through this.”Understanding Palliative Medicine musculoskeletal pain may increase the chance of
accidental overdose through increased absorption.
As a board-certified palliative medicine specialist, one of
Dr. Sedlacek’s first duties was to help other professionals “Dying isn’t as simple a process as people think,” says
understand the nuances of her role and exactly how she Sedlacek. “Metabolically, emotionally, even spirituality,
can support them in the care of their sickest patients. it changes everything.”
“Palliative and hospice medicine works alongside the Supporting Patients and Caregivers
specialty team to focus on the patient’s and family’s
understanding of the disease process, their prognosis One of the many ways Dr. Sedlacek helps dying patients
and their course of treatment,” explains Sedlacek. and their families is through processes such as dignity
therapy and life review.
This can include helping to manage symptoms such as
pain, nausea, dyspnea, depression, anxiety, constipation “Some people feel like they have lost purpose in their
or diarrhea. But it can also extend to advanced care lives when they are dying,” she says. “We take time to
planning, lining up home services, providing medication recap the important moments of their life and what
review and recommendations and assisting with they mean to them. This can be used with anyone,
bereavement and psychosocial support. but it is often helpful with a dying person who might
have younger children. We talk through gifts like notes
Upon referral, Dr. Sedlacek consults with patients for or videos they could leave for their children, ways that
an hour to get a sense for what she calls “The Three they can continue to be a part of other people’s lives
Ws” - what they are wishing for, what they are worried when they are gone.”
about and what they are wondering.
Parents who are losing a child may be guided through a
“During our time together, we talk about all of these memory-making process such as making a mold of the
things,” she says. “Dying is something people don’t patient’s hand to help them through their grief later.
talk about, so it is something people tend to be very
worried about. It can make a huge difference to have a But patients and their caregivers are not the only ones
provider looking at the whole trajectory of their illness who can benefit from Dr. Sedlacek’s expertise. She is
and addressing their concerns. It is a really intimate also trained to help other health care professionals work
part of their lives.” through their own stress and anxiety as they care for
dying patients.
The Complexities of Dying
“Taking care of very ill patients and their psychosocial
Caring for dying patients is not easy for any provider. issues can be exhausting,” says Dr. Selacek. “Burnout
Emotions, stress and confusion may be high and there is common, especially among those who are dealing
may be worried family members in the picture as well. with complex patients who may be coming in multiple
In addition, Sedlacek says, a dying person may not times a week. They are dealing with emotions and
respond to medication as expected. Whereas a fentanyl trauma and grief. Even administrators have to deal
patch might make sense for another patient in pain, the with this and it does impact them.”
fact that the drug lasts for 72 hours can be a problem
for patients who may have less time to live. Part of Support can take the form of journaling, intentional
Sedlacek’s job is to help her colleagues navigate this self-care, group work or even creating art or poetry.
complex territory. Dr. Sedlacek says this kind of caregiver support work
will be especially important when the new Maternal
“As a person declines, their need for an opioid may Fetal Loss program, a collaboration between YMC and
increase or decrease and 72 hours may be too long,” she Avera Sacred Heart Hospital, launches later this year.
says. “In a case like that, I would transition to something
more short-acting.” “With the right support, this work can help us grow
personally, professionally and even academically,” she
Issues such as a patient’s fluctuating body mass index says. “This is how people find great gratitude and love
may also impact drug absorption. Even something as for their work.”
simple as the application of heating pads to alleviate
www.yanktonmedicalclinic.com Page 14 | Care Beyond Healing (cont.)1104 West 8th Street
Yankton, SD 57078
2525 Fox Run Parkway, Suite 101
Yankton, SD 57078
1104 West 8th St. 101 S. Plum St. 605-665-0062
Yankton, SD 57078 Vermillion, SD 57069 Regular Clinic Hours:
Monday - Friday
605-665-7841 605-624-8643
8 a.m - 5 p.m.
Regular Clinic Hours: Regular Clinic Hours:
Monday - Friday 8 a.m - 5:30 p.m. Monday - Friday 8 a.m - 5 p.m.
Saturday 8:30 a.m. - Noon ConvenientCare Hours:
ConvenientCare Hours: Telehealth available after hours
Monday - Friday 5 - 7 p.m. at 605-665-7841
Saturday Noon - 3 p.m.
Sunday Noon - 5 p.m. 3901 W. Norfolk Avenue
Norfolk, NE 68701
www.YanktonMedicalClinic.com Ear, Nose & Throat:
402-844-8110
Internal Medicine:
402-316-4606
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