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1 partners in Healthstfrancis-shakopee.com Summer 2014 Soaring beyond spinal, diabetes issues St. Francis teamwork and patient s drive make the difference Misty Looft of Chaska has dealt with some serious health issues. She had back surgery to alleviate severe pain from a herniated disk, then learned she had type 2 diabetes. But she s feeling great these days and enjoying new activities, like skiing, biking and weight training. Rarely do I even feel like I had back surgery, she said. And I ve been able to reduce my diabetes medication and manage my blood sugar levels very well. Looft, a 36-year-old purchasing professional, gives her team of caring primary and specialty physicians at St. Francis Regional Medical Center a lot of the credit for her good health and confidence about the future. On the St. Francis campus, patients can see family medicine doctors and specialists, have same-day diagnostic testing, and receive physical therapy and pain management services, such as steroid injections. Looft s spinal saga Looft s severe back pain lasted for about six months, starting after a spring vacation. That summer, after chiropractic care and physical therapy didn t help, her primary care doctor at Allina Health Shakopee Clinic ordered an MRI, then referred her to Kevin Mullaney, MD. Mullaney has been with Twin Cities Spine Center and performing spinal surgery at St. Francis since continued on next page Thanks to a team of primary and specialty doctors at St. Francis, Misty Looft is feeling great and staying active. From Bariatrics to Urgent Care For a complete list of services offered at St. Francis, visit stfrancis-shakopee.com/contact.

2 Soaring beyond spinal, diabetes issues St. Francis teamwork and patient s drive make the difference continued from previous page By that point, Looft s pain was traveling down her leg. She was on narcotic pain medication and muscle relaxers. Looft would time her medication to get through her workday, then try often unsuccessfully to sleep at night. I was barely able to function. I was really like a walking zombie, she recalled. I m a fast walker, and one day it took me 30 minutes to get from the door of the building to my office. After one steroid injection didn t help and a second injection gave Looft relief for just one week, Mullaney recommended surgery. I ve worked at 15 to 18 different hospitals and have never seen a team work this well in unison. Kevin Mullaney, MD I was quite nervous, but Dr. Mullaney helped because he talks in basic terms, Looft said. He explained the surgery so I understood it. I felt I could ask him anything. He gave great before and after instructions and made me realize how much your back does and how to take care of it with things like good posture. The results of the outpatient procedure greatly exceeded her expectations. Looft was off pain medication within a few days after surgery. She recovered at home for six weeks but started walking right away, following Mullaney s instructions. She had no restrictions beyond not lifting heavy weight for a while, and she did not need postsurgery rehab. It was amazing, Looft said. I ve had many surgeries, and this was by far the easiest and best. If Dr. Mullaney wanted to do surgery on me again, I wouldn t hesitate one second. In fact, she recommended the surgeon to her best friend, who also had a good experience. On the cover: Jackie Tewes, NP, Allina Health Shakopee Clinic; Kevin Mullaney, MD, Twin Cities Spine Center Shakopee; Robert Nicholson, MD, Allina Health Shakopee Clinic; Misty Looft, patient; Sean Thomas, PA, Twin Cities Spine Clinic Shakopee; J. Ward Godsall, MD, endocrinology, Allina Health Shakopee Clinic Top spinal care in an integrated network Mullaney is a top regional spine surgeon who was one of Mpls.St.Paul Magazine s Top Doctors in 2013 and He comes from a family of engineers but said he always wanted to work with people rather than mechanical parts. He has been a spine surgeon for 10 years, focusing on minimally invasive neck and low back procedures, now including implantation of cervical artificial disks. Many of his procedures are minimally invasive microdiskectomies, like Looft s surgery, in which a piece of a herniated lumbar disk is removed through a small incision to make more room for a nerve that is being compressed and causing back and leg pain. Sciatica that causes back and leg pain is very common, Mullaney said. Patients have tremendous anxiety about spinal surgery, but with lumbar diskectomy, there s no chance of paralysis and 90 to 95 percent of the time, it alleviates the pain. My job is to educate, ease patients fears and give them choices. A majority of the time, we don t have to do surgery. People with back pain can start with a primary care physician or physical therapist, Mullaney said, but see an orthopedic surgeon right away if disk herniation starts causing leg weakness, pelvic numbness or incontinence. Mullaney calls each of his patients the night before surgery to see if they have any last-minute questions or concerns. I love to work at St. Francis and would do surgery here every day if I could, Mullaney said. Physical therapy is right next to our clinic, and the communication among the integrated network of physicians is great. The patient experience really is superior; I ve done probably 1,000 surgeries at St. Francis with absolutely no complaints because of the quality of the care team. I ve worked at 15 to 18 different hospitals and have never seen a team work this well in unison. Diabetes dilemma After sailing through her back surgery, Looft had a checkup with Robert Nicholson, MD, her family medicine doctor at Allina Health Shakopee Clinic. She described him as a good listener who has a fun, lighthearted side. 2 partners in health

3 Rarely do I even feel like I had back surgery, Looft said. I complained that I was extremely tired. He checked a few things, including my blood sugar, and found it to be high that day and when it was rechecked, Looft said. Dr. Nicholson recommended that I see an endocrinologist. Nicholson said he works with a number of patients with diabetes and often handles the care management himself, but he appreciates the specialty resources available at St. Francis such as J. Ward Godsall, MD, the endocrinologist at his own clinic, who Looft chose. I love Dr. Godsall, Looft said. The first time he saw me, I told him I wanted to change my medication dosage and why that I wanted to manage my diabetes. He had a skeptical look on his face. Then he got my test results back and gave me a nice compliment, saying my A1c level would probably be the best one he d see all day. One campus offers the care you need Nicholson said it s uncommon for him or his care team partner, Jackie Tewes, certified nurse practitioner, to have to look beyond their clinic and the St. Francis campus for specialty resources. They talk daily with doctors who are just down the hallway. Nicholson said he can consult a kidney specialist about hard-to-manage high blood pressure, ask a cardiologist to look over test results or show an X-ray to an orthopedic surgeon. This extends our knowledge and gives our patients access to specialists through me and Jackie, Nicholson said. From our experience, there is good teamwork and communication throughout the St. Francis campus. As for Looft, she s a prime example of why things work so well and harmoniously at St. Francis for both patients and doctors. Primary care physicians, nurse practitioners and physician assistants provide comprehensive, informed care and serve as an engine for referrals to the specialists, who are close at hand for consultations and specialized treatment when needed. A Network of Health Care Providers Focused on You Family medicine provider Orthopedic surgeon Cardiologist Endocrinologist Nurse practitioner Physical therapist Summer 2014 stfrancis-shakopee.com 3

4 Smart Strategies for Dining Out By Michelle Doepke, registered dietitian Mike McMahan President St. Francis welcomes new president Mike McMahan has been named the new president of St. Francis Regional Medical Center. McMahan succeeds Mike Baumgartner, who left St. Francis to become president of Baptist Health Madisonville in Kentucky. McMahan comes to St. Francis from the HealthEast Care System, where he served in hospital and clinical leadership roles since His most recent position was the vice president of Acute Care Operations at St. John s Hospital, St. Joseph s Hospital and Woodwinds Health Campus for HealthEast. Under McMahan s leadership at HealthEast, the hospital group developed and implemented a system leadership approach to surgical services, radiology, pharmacy, security, guest services and plant operations. He also created and implemented improvements that led to higher quality at a reduced cost and championed initiatives resulting in improved patient experience scores and employee engagement throughout his areas of responsibility. Buffalo Tap, located in Savage, off Highway 13, is a local favorite featuring daily food and drink specials, a variety of tap and specialty beers, Thursday night bingo and even gluten-free menu options. Without posted nutrition facts available, it can be difficult to determine what the healthier options may be. Here are some suggestions for enjoying this neighborhood favorite while maintaining your healthy diet. Meaty Choices Some of the menu s special features are the elk and bison burgers. Wild game is a healthful, delicious alternative to domesticated meats, offering unique flavors and high nutritional values. Both elk and bison are lower in fat than and comparable in protein to beef. A veggie burger is offered as a meatless alternative, providing full flavor with less fat and calories. Skip the mayo and secret sauces, as these can add upwards of 100 calories. Choose ketchup, mustard or a light smear of barbecue or steak sauce for added flavor. Ask for a dry bun. Most burger joints butter their buns before toasting them on a griddle or grill. Save an easy 100 calories by going dry; you won t even miss it with all the flavorful toppings. Featuring: Buffalo Tap Soup, Salad and Sandwiches Soup and salad often can be healthier choices. The Buffalo Chicken Salad, made with grilled chicken or shrimp, is a lower fat option. Ask for a half-portion and pair it with a cup of soup for a balanced meal. Order dressing on the side and use only what you need. The menu features specialty sandwiches, such as the Grilled Chicken Pita, the Buffalo Chicken Wrap and the Kickin Fajita Chicken Hoagie. Grilled meats have a reduced fat and calorie content, as the fat drips off while cooking. Or consider a BLT; even with a swipe of mayo, it s usually a lower calorie choice. When in doubt, ask for a half-order, share a main dish with a companion or pack half your meal to go immediately when delivered. The trick, and benefit, is all in how and what you order. So enjoy this local favorite, and be inspired to make smart choices next time you visit. Know your numbers How many calories do you need each day? Use our easy online calculator to find out. Visit stfrancis-shakopee.com and click on Health Resources. 4 partners in health

5 Bring the Whole Family to Our Parents and parents-to-be, mark your calendar for the seventh annual St. Francis Baby Fair, held on June 14 from 9 a.m. to 1 p.m. at Shakopee High School. This free event will offer informative speakers and more than 100 service and product vendors for pregnancy, birth and parenting. Metropolitan Pediatrics pediatrician and new author Tim Johanson, MD, will deliver an engaging keynote presentation. In his 23 years of practice, he s seen a rise in stress and confusion around child-rearing that led him to examine parenting efforts that wasted time and energy and didn t produce positive outcomes. The result is a new way to think about parenting that s more effective and enjoyable. Johanson will explain how to approach parenting a toddler or college student to help them become life-ready and eliminate power struggles and ineffective patterns. The full lineup of presentations includes: 10 a.m.: Preparing for a Successful Pregnancy Allina Health Obstetrician/ Gynecologist Ann O Donnell, MD 10:30 a.m.: The Gist of Parenting Metropolitan Pediatrics Pediatrician Tim Johanson, MD 11 a.m.: Hospital Nurse Midwifery; Water Births and Labor Support Park Nicollet Certified Nurse Midwife Cheryl Heitkamp Noon: Cutting the Odds of a C-Section St. Francis Family Birth Nurses The St. Francis Family Birth Place has an exceptionally low (8.1 percent) primary Cesarean rate compared to the 18.3 percent national average. Nurses will share techniques used to decrease the odds of needing a C-section. Stop by the Demonstration Station for how-to information on the following topics: baby wearing car seat installation and safety making your own baby food tummy time books and babies preparing your pet for baby pregnancy pelvis and sacral health and adjustments. Try free yoga with Blooma: 9:30 a.m.: Prenatal Yoga 11 a.m.: Baby & Me Yoga And throughout the event Enjoy live music and free lunch, including gluten-free options while they last. Ask questions of doctors and St. Francis Family Birth nurses to help plan for the best birth experience. Take advantage of free portraits and face painting for the kids. Explore fire trucks, police cars and an ambulance. Enjoy the Park Nicollet Play Zone and inflatable jumper. Participate in the Home Depot Kids Workshop. Win prizes and learn new skills at the Allina Health Clinic Daddy Den. Enjoy free belly painting and healing touch. Take part in lactation consultations and make use of the breastfeeding tent. Sell gently used maternity and baby clothes to Babies to Bellies Consignment. Take a picture with Viking cheerleaders and mascot Viktor. St. Francis Family Birth RN Pam Sinness helps soothe laboring mom Sarah Knox in the private water birth suite at the hospital. The water birth suite is a popular option for those delivering with certified nurse midwives. Summer 2014 stfrancis-shakopee.com 5

6 find your Health Partner Visit stfrancis-shakopee.com/contact to connect with the following: Emergency Services, Women s Health, Family Birth Place, Cardiology, Cancer Center, Orthopedics & Neuroscience, Surgical Services, Diagnostics, Sports Medicine and Rehabilitation. MyChart: Your secure, online health connection With MyChart, you can schedule and cancel appointments, manage your health information, review test results and manage your family s health care any time. For more information or to get started, visit allinahealth.org/mychart or mychart.parknicollet.com. St. Francis serves residents in: Shakopee Jordan Chaska Prior Lake Savage Belle Plaine Carver New Prague Eden Prairie Bloomington Chanhassen Victoria Cologne Excelsior Henderson Elko New Market Montgomery Le Sueur 8 Stay in touch. Visit us at stfrancis-shakopee.com or allinahealth.org/clinics. us at askstfrancis@allina.com. St. Francis Regional Medical Center is a partner with Essentia Health, Allina Health and Park Nicollet Health Services. This unique structure enables us to combine the caring and compassion of a community hospital with the modern medical technology, specialties and services found in the metro area. We provide a full range of inpatient, outpatient and emergency care services on a collaborative medical campus with more than 30 additional providers. New providers at St. Francis Adrienne Castrovinci, DC Healthy Living Chiropractic Jason Holm, MD Orthopedic surgery Twin Cities Orthopedics Shakopee Savage Brenda Larson, MD Hematology and oncology Park Nicollet Clinic Sandra Schellinger, NP Palliative care Allina Health Home Care Services Jackie Tewes, NP Nurse practitioner Allina Health Shakopee Clinic Caitlin Wait, CNM Certified nurse midwife Park Nicollet Clinic partners in health

7 Mark your calendar For more information on classes, visit stfrancis-shakopee.com and select Classes. For class cancellations, tune in to WCCO-TV Channel 4 or WCCO Radio 830, or go to 830wccoradio.com. Classes and Events To register for prenatal classes, go to allinahealth.org/classes or call Dates and times subject to change. prenatal Classes Baby and Me Offered as a four-week series Class includes parenting, infant development, infant sleep/ calming and feeding. Small Talk and Baby Sign Language This is a sign language class for babies who can hear. This class will help you and your baby or toddler understand each other and decrease frustration. New Brother/New Sister Offered every four to six weeks A one-night class to help children ages 2 to 8 prepare for the birth of a sibling. All participants should bring a doll or stuffed animal. Breastfeeding preparation Offered once a month A one-night class offering helpful hints to prepare for breastfeeding. Coping with labor This class is designed to help you become an active participant in your own labor. Childbirth preparation Choice of a four-week series or the Weekend Express. All About Babies Offered every month Designed for new parents to learn how to care for their infant. Natural childbirth class Offered as a four-week series Learn how the mind and body are connected and work together to help you give birth in comfort and awareness. Plan to complete the class during your second or early third trimester of pregnancy. Vaginal birth after Cesarean Offered quarterly Designed for women who have had a previous Cesarean birth and are considering vaginal birth. Infant and child CPR Offered every four to six weeks Car seat safety Offered once a month This class helps the expectant or new parent learn about car seat safety. UCare covered. Scholarships and seats available for those in need of assistance. Blooma YOGA: Prenatal Yoga and Baby & Me Yoga Several classes offered throughout the week Fitness, fun and togetherness for mom and baby. Call Family Birth Place tour Offered at no cost to parents and families who plan to give birth at St. Francis. Registration required. other Classes Certification CPR/ life support classes Call , or visit allinahealth.org and click Find Events or Classes. Free CPR Anytime classes Once a month, 6-7 p.m. This class teaches basic adult and child CPR. Participants do not receive a CPR card. To register, call or gregory.jones@allina.com. Joint care Free class designed for people who are scheduled for total knee or hip replacement surgery. To register, call Skin cancer screening Wednesday, May 14, 6-7:30 p.m. Medical Office Building Specialty Clinic, Suite 250 This free screening is intended to assist those who are uninsured or underinsured in our communities. By appointment only; call or Support Groups Better Breathers First Tuesday of every month, 1-2:30 p.m. Support for people with chronic lung disease and their families and friends. Call for more information. Cancer education and support group First Thursday every other month, 3 p.m. St. Francis Conference Room area This free support group for men and women provides speaker presentations and forums to discuss cancer-related issues. Call Diabetes education Offered the first Monday of every month, 7 p.m. Call Infant loss Offered the first Tuesday of every month, 7 p.m. Help for dealing with the pain of losing an infant from miscarriage or stillbirth. Call Smoking cessation If you re ready to stop smoking, call PLAN (7526). Women s Connection: Support for women with cancer Offered the fourth Monday of every month, 5:30 p.m. Call for more information. American Cancer Society (ACS) Look Good Feel Better representatives available at 6:30 p.m. after Women s Connection. Call ACS-2345 ( ) to sign up. Weight loss Learn more about bariatric surgery and get answers to your questions without any cost or obligation. Talk privately with our bariatric program coordinator at LIFE. Summer 2014 stfrancis-shakopee.com 7

8 Inside Health partners in Bring the whole family to our Baby Fair on June 14! PAGE 5. Allina Health System St. Francis Regional Medical Center 1455 St. Francis Ave. Shakopee, MN Non-Profit Org U.S. Postage PAID Allina Health System 10439MD For more information and registration visit: partners in Healthstfrancis-shakopee.com summer 2014 physicians team up with patient One campus offers the care you need come to our baby fair! Resources, support and fun for your young family managing health care online MyChart is your secure, online health connection

9 partners in Healthstfrancis-shakopee.com summer 2014 physicians team up with patient One campus offers the care you need come to our baby fair! Resources, support and fun for your young family managing health care online MyChart is your secure, online health connection