The Miracle of LifeA local man’s story of

surviving a stroke

Brain Disorder DiagnosisNew equipment helping

patients close to home

Matters of the HeartOur ability to quickly stabilize

heart attack patients

Inspiring HealtHWINTER 2014

We Want to Hear From You!Did you have an outstanding experience with Brookings Health System? Don’t just keep it to yourself!

By liking us on Facebook®, following us on Twitter®, or viewing us on YouTube®, not only can you learn about upcoming health system events and technology advances, but you can also leave your feedback and learn about the experiences of others.

Find us on Facebook at facebook.com/BrookingsHealth, on Twitter at twitter.com/BrookingsHealth, or on YouTube at youtube.com/BrookingsHealth.

Welcome Dr. Kenric Malmberg!

Dr. MalMberg comes to Brookings from Mobridge where he practiced for seven years as a family practice physician. He received his medical degree from UND School of Medicine & Health Sciences and completed his residency at the University of Wyoming Family Practice Residency Program at Casper, Wyoming. He is board-certified and a member of the American Association of Family Physicians.

He is available to provide care in all areas of family medicine. As a local physician, Dr. Malmberg offers patients the opportunity to have their medical needs attended to close to home, near family and friends.

To schedule your appointment with Dr. Malmberg, contact Avera Medical Group at (605) 697-9500 or (800) 658-5405.

Dr. Kenric Malmberg

Brookings Health System proudly welcomes Dr. Kenric Malmberg, MD, of Avera Medical Group. Dr.

Malmberg specializes in family medicine and serves the needs of area patients of all ages.

EMERGENCY PREPAREDNESSPandemics and disasters can happen at any time. This fall we heard a lot about Ebola and enterovirus D68, and living in Midwest,

we always have a chance of tornado, flood or blizzard. But are you prepared for an emergency when it arises?

According to www.ready.gov, a basic disaster supply kit should include:

□ Local maps □ First aid kit □ Whistle to signal for help □ Manual can opener for food □ Flashlight and extra batteries □ Wrench or pliers to turn off utilities □ A three-day supply of non-perishable food □ Cell phone with chargers, inverter or solar charger □ One gallon of water per person per day for at least three days □ Battery-powered or hand crank radio and a NOAA Weather Radio □ Moist towelettes, garbage bags and plastic ties for personal sanitation □ Dust mask to filter contaminated air and plastic sheeting and duct tape to shelter-in-place

For local information about emergency situations in our area, visit www.BeReadyBrookings.com.

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BrainMeasuring Brain ActivityBrookings Health System is acquiring a new portable EEG system to offer adolescent and adult patients a convenient, local option

for helping to diagnose brain conditions.

electroencephalography (eeg) is a painless test that detects the brain’s electrical activity or abnormalities in brain waves using electrodes (small, flat metal discs) attached to the head. The electrodes detect tiny electrical charges from the brain’s cell activity. The EEG system records and amplifies the charges and generates a graph for physicians to read and interpret.

An EEG test helps physicians identify specific brain conditions, especially epilepsy and other seizure disorders. It may also be used to assess dementia, brain tumors and head injuries.

“Ten percent of Americans will have a seizure in their lifetime and need an EEG,” said Respiratory Care Director Kelly Maser. “This test is used to diagnose and evaluate seizures, loss of consciousness, coma, narcolepsy, stroke, transient ischemic attack (mini-stroke), and/or conditions where there is an altered state of awareness or consciousness.”

The EEG test itself is nothing new to Brookings Health System. Historically, the health system contracted with an outside company to bring EEG instrumentation onsite to the hospital once a month. For outpatients it meant they either had to wait for the EEG instrumentation to come to Brookings or they had to travel to another location to have their EEG test performed. Having the EEG system

permanently onsite at the

hospital will allow outpatients to have

their test performed quickly and in Brookings.

What’s more, hospital staff will also be able to

immediately evaluate patients who need an EEG and stay in the hospital or come to the emergency department. The portable EEG system allows the instrumentation to come to the patient rather than the patient coming to the equipment. This adds convenience for a patient in the emergency department or hospital who has limited movement.

Respiratory therapists at Brookings Health System are already fully trained to use the state-of-the-art EEG system. In addition, EEG graphs are captured on leading-edge digital technology, making them capable of being shared instantly with the neurologist who reads the test.

All in all, the new EEG system will offer patients quick and convenient EEG testing close to home.

Need an EEG test? Ask your physician to save you a long commute and refer you to Brookings Health System.

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StrokeA Stroke of Luck

Doug Neises’ life is a miracle. December 2013 at age 45, the

Elkton resident had a life-threatening stroke. He lived thanks to

the Brookings Health System emergency department’s

fast action.

It was an orDInary work day and Doug was talking with his boss, Eric Jones, when Doug’s speech suddenly changed between sentences and he started rambling. Eric, who volunteers with the Elkton Community Ambulance Service, immediately recognized Doug’s speech difficulty as a sign of stroke.

Eric drove Doug to Brookings Health’s emergency department (ED) and called ahead to relay Doug’s symptoms. Once there, Dr. Jim Walery and the care team quickly administered blood tests and took CT and MRI images of Doug’s brain, locating the blood restricting clot and confirming he had a stroke. They gave Doug clot busting medication to stabilize his condition and arranged for transfer to Sanford Health in Sioux Falls.

“The ER thought fast and did what they had to do and stayed calm,” said Doug.

The ED shared Doug’s medical information with the Sanford team. He had a 102.5° F fever which wasn’t normal for stroke. The culprit: bacteria attached to Doug’s heart valve. The infected tissue broke off and traveled to a major artery in his brain.

Once the Sanford team confirmed Doug’s condition, they immediately performed a highly specialized clot retrieval procedure. Because the clot was bacteria based, it was solid material and not made solely of blood. The clot challenged

the neurosurgeon, who on the fourth attempt removed it and saved Doug’s life.

The next question was recovery. Care providers were unsure if Doug would walk or talk again. The clot restricted blood flow to his brain’s left side for three and a half hours. However, 36 hours after the clot procedure, Doug uttered a short sentence, indicating a dramatic recovery was possible.

After spending eight days at Sanford Health, Doug returned home and began occupational and speech therapy at Brookings Health System. The stroke made his speech and thinking slow. His vocabulary was limited and he would use incorrect words at incorrect times. But after three and a half months of therapy plus home exercises, his speech has returned to where many people can’t tell he had a stroke.

Going through such a life-altering experience, Doug now considers his Brookings care team to be friends.

“Even though it was their day-to-day job and they were getting paid for it, they cared,” said Doug. “You can’t get that in big hospitals.”

He is grateful for the second chance at life to spend with his wife, Ellie, and his three children.

“It just means so much—the time everyone put into me to get me back to where I am today. And what the Lord did for me is a gift.”

To learn more about Doug’s experience at Brookings Health System, please visit www.brookingshealth.org/Doug_Neises to watch a video.

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SecondsWhen Seconds CountBrookings Health System’s emergency department uses resources from the American Heart Association to quickly stabilize heart

attack patients and provide high quality care thanks to information gathered before patients even reach the hospital ER.

each year, hunDreDs of thousanDs of Americans have an ST-elevation myocardial infarction (STEMI) heart attack in which blood flow is completely blocked to a portion of the heart. Unless the blockage is quickly removed, the patient’s health and life are at serious risk. Thanks to the American Heart Association’s Mission: Lifeline program, funded by the Leona M. and Harry B. Helmsley Charitable Trust, health care organizations throughout South Dakota have received the equipment and training to quickly treat STEMI heart attacks.

The program has equipped every ambulance in the state, including Brookings Health System’s ambulance service, with EKG equipment. Ambulance crews who respond to a patient experiencing chest pain can attach the patient to an EKG monitor which performs a heart tracing to determine if a patient is having a heart attack.

The equipment transmits the data to the hospital emergency department where the care provider interprets the data and highly trained personnel prepare for the patient’s arrival. Upon arrival to the emergency department, staff immediately initiates treatment according to STEMI guidelines, including additional EKG monitoring and aspirin administration. The care provider may administer a clot busting medication to patients experiencing a STEMI, if appropriate, and staff arranges timely transfer to a cardiologist.

“Time is muscle,” said Emergency Department

Director Karen Weber. “Thanks to the EKG reading

in the ambulance, we can be prepared and know what’s

happening to the patient before they hit the door and provide critical

stabilization to save a life.”

And the quality data indicates Brookings Health System is quickly responding to heart attack patients’

needs. According to the Hospital Compare website (www.medicare.gov/HospitalCompare), 100% of outpatients with chest pain or possible heart attack at Brookings Health System received an aspirin within 24 hours of arrival compared to the 99% state and 96% national averages. In addition, those same patients obtain an EKG within five minutes of arrival at the hospital, two minutes quicker than the national average. And 75% of patients receive clot busting drugs within 30 minutes of arriving at Brookings Health’s emergency department compared to only 69% state wide and 54% nationally.

The resources from the American Heart Association have helped Brookings Health System deliver the best available treatments to stabilize STEMI heart attack patients in the critical moments that matter most.

To learn more about the high quality health care at Brookings Health System, please visit www.brookingshealth.org/Quality.

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““Speech Communication Treatment for Parkinson’s DiseaseThis fall Brookings Health System began offering LSVT LOUD®, an effective speech treatment for Parkinson’s disease patients.

speech-language pathologIst Lindsey Bothwell is now certified to administer LSVT LOUD® therapy, a revolutionary program that empowers Parkinson’s disease patients to make their speech understood.

LSVT LOUD® improves vocal loudness by stimulating voice box muscles and the speech mechanism through exercise. Focused on speaking loudly, the treatment improves respiratory, voice box and pronunciation function to maximize speech understandability.

“The treatment doesn’t train people to shout or yell,” says Bothwell. “LSVT LOUD® uses loudness training to bring a person’s voice to an improved, healthy vocal loudness with no strain.”

Research shows improvements in vocal loudness, intonation, and voice quality for LSVT LOUD® patients, with improvements maintained up to two years. Research also indicates therapy effectively improves disordered articulation, diminished facial expression and impaired swallowing.

Treatment consists of 16 one-hour sessions, four consecutive days a week for a single month. The intensive therapy is critical to attaining optimal results.

Brookings Health System now offers comprehensive rehabilitative services for Parkinson’s disease patients

focused on speech, physical and occupational therapy. Last fall Brookings Health began offering LSVT BIG® therapy, a research-based exercise approach in which

physical and occupational therapists work with Parkinson’s patients in an intensive, whole body amplitude-based training.

For more information on LSVT LOUD® or LSVT BIG®, please visit www.brookingshealth.org/therapy or call (605) 696-8821.

The treatment doesn’t train people to shout or yell...LSVT LOUD uses loudness training to bring a person’s voice to an improved, healthy vocal loudness with no strain.

Volga Medical ClinicBrookings Health System recently

acquired Volga Medical Clinic from

Avera Medical Group, continuing the

outstanding primary care Volga residents

have come to expect.

although the ownershIp has changed for Volga Medical Clinic, the faces, services and hours will remain the same.

Physician Assistant Rod King, who received his degree from George Washington University and has served

for the past 27 years as the primary care provider in Volga, will continue to serve the community’s health needs. Charmaine Bjorklund, RN, will continue to help Rod care for the community.

Rod and Charmaine are available for appointments for both men’s and women’s health needs. They also can see patients for physicals, DOT exams, adult immunizations, and preventative medicine. In addition, the clinic offers enhanced laboratory services.

The clinic will remain open on Tuesdays from 8 a.m. to 12 p.m. and on Wednesdays from 8 a.m. to 12 p.m. and 2 to 5 p.m.

To make an appointment with Rod King, PA-C, at Volga Medical Clinic, please call (605) 627-5701.

Rod King, PA-C

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THANK YOU!THANK YOU!TO ALL 2014 DONORS...

Mercedes Ahlers • John Allmer • Norman & Catherine Allmer • Vickie Alschlager • Glen & Sharon Anderegg • Barb & DeWayne Anderson • Gerry Anderson • Nathan Anderson • Signe Anderson • Delores Antonen • Laurie Austin • Wayne & Shari Budahl-Avery • Billie Bach • Chad Bachman • Alan & Joan Baker • Phil & Winifred Baker • Doreen Barth • Kurt Bassett • Dan Bather • Darlene Bauer • Curt & Sandra Bauman • Patricia Beattie • Dianne Becker • Brett Behrends • Dan Beinhorn • Jeremy & Andrea Beireis • Robert & Julie Bell • Lois Bellows • Rebecca Berhow • James & Kathryn Berreth • Chuck & Mary Lou Berry • Dolores Bertsch • September & Chris Bessler • Mary Bezdichek • Jennifer Bickett • John Bloom • Jean Blume • Donald & Janice Boe • Catherine Bolzer • Jim & Kathy Booher • Bonney Bork • Chad Bortnem • Carol & Jerry Boulais • Siri Boyd • Bruce & Linda Brandt • Steve & Linda Britzman • Robert & Verdus Broschat • Bob & Eleda Brotsky • Arne & Doris Brown • Russell Brown • Henry Buchholtz • Faye Bullis • Karen Bumann • Steve & Loreen Bunkers • Brian Burkhalter • Sherry Cappel • Joan Carey • Patrick & Patricia Carey • Chris Carpenter • Nick Chaney • David & Marcia Chicoine • Amy Christensen • Barry & Marlys Christensen • Chris Christopherson • Stacy Clark • Verna Clark • Marilyn Clifford • John & Jan Clites • Deb Conatser • Curt Coover • Neva Jean Corlett • Bev Cotton • James & Louise Coull • Heather Coon • Vicki Creswell • Kevin Crose • Erik & Kaye Dahl • Brian & Lynn Darnall • Lloyd & Maxine Darnall • Mike Davidson • Prudence Debates • Gordon & Shirley Dekkenga • Emily Delbridge • Fred Delfanian • Carolyn Clague & Dennis Hopfinger • Thelma Dittman • Carleen Dixon • Scott & Deb Dominiack • Jim & Carol Doolittle • Linda Doren • Ray & Vi Dorn • Norene & Douglas Doyle • Amber Dubro • John Duffy • Judy Duffy • Chris Duklet • Mona Dykhouse • Joel Edman • Pauline Eggers • Daniel & Shelby Eischens • James Elijah • Duane & Irma Ellis • Dr. Andrew Ellsworth • Brett Enderson • C. & G. Englund • Daryl & Marlys Englund • Aaron Entringer • Darrell Erb • Kassandra Erickson • Lewayne Erickson • Theresa Erschens • Alaina Evans • Don & Carol Evenson • Duane Everding • Danny Faber • Heidi Faehnrich • Sandra Faltemier • Glen & Estelle Felt • Marci Fenske • Lora Ficek • Cory & Heidi Fields • Van & Barb Fishback • Randy Flaskey • Marilyn & David Foerster • Harry & Charleen Forsyth • Tammy Fraser • Lorraine Fredrikson

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• Mary Reed • Meredith Reiff • Dr. David & Rina Reynolds • Norma Ringler • Ardelle Roberts • Tara Rodriguez • Brad & Karen Rogers • Jennifer Rost • Shane Roth • Ann Rowe • Conor Rude • Earl & Peggy Rue • Gary & Susan Sackmann • Bonnie Salonen • Duane & Phyllis Sander • Mike Sayegl • Dorothy Sayre • Coleen Scheibel • Lonn & Pamela Scheid • Mark Schiesl • Ryan Schievelbein • Luella & Howard Schlobohm • Eileen Schlotman • Trudy Schmieding • Brent & Vicky Schneider • Sheila Schneider • Deb Schuldt • John Schultz • Mary Schwaegerl • William & Helen Scully • Jodi Sebern • Kathy Sebern-Bortnem • Wade Serreyn • Boyd & Clarice Shank • Mark & Laura Shoup • Joan Smedsrud • Kevin & Dr. Sarah Smith • William Sonnek • Megan Stafford • Nora Stangeland • Ron & Barb Stangeland • Lynne Stark • Terri Stauffacher • Jean Steele • Lyle Steenson • Lydia Stemple • Rick & Anna Stevens • Erin Stevenson • Rich & Darla Strande • Trisha Strohfus • Dan Svobodny • Vicki Swedlund • Amy Swenning • Gregg & Lauri Tebeest • Ron & Jan Tesch • Kevin & Erin Tetzlaff • Deb Thomas • Morgan Thomas • Duane & Suzanne Thompson • Mark & Lynne Thompson • Mel & Bob Thompson • Kelley Tilmon • Steve Timmerman • Florence Toft • Jodi Tolzin • Francine Torgrude • Amanda Trowbridge • Barret Trygstad • Michelle Tvedt • Monte VandeKop • Austin VanderWal • Mike VanHill • Heather & Shane VanMeveren • Betty Vaughn • Melissa Wagner • Phil & Roberta Wagner • Jesse Walsh • Ron & Judy Waltz • Merritt & Pam Warren • Tim Watson • Gavin Weber • Karen & Rick Weber • Pam Weckwerth • Dayne Weelborg • Collette Werre • Anne Westbrook • Maureen Westbrook • Dorothy Whipple • Tom White • Rich Widman • Floyd & June Wiesner • W.W. & Norma Wiig • Laura Willert

• Henry Williams • Dorothy Williamson • Jim & Venita Winterboer • Dee Wiskur • Greg Wood • Chris Wooge • Walt & Yvonne Wosje • Wang Xin • Julia Yoder • Melissa Zemlicka • 3M • A&B Service Garage • AAA Collections, Inc • AMP Electric Construction • Avera Medical Clinic Brookings • Back In Motion Chiropractic • Bankstar Financial • Banner & Associates • Basin Electric • Boen & Associates • Bowes Construction • Brookings Chapter 15 OES • Brookings Healthcare Auxiliary • Brookings Radio • Brookings Register • Central Business Rentals • Cinema Five • Clark Drew Construction • Clites Electric • Courtesy Plumbing • Cubby's Sports Bar & Grill • Dacotah Bank • Dakota Nature Park • Dakotaland Federal Credit Union • Daktronics • Dave's Window Service • Duplicate Bridge Club • Earthbend • Eide Bailley • Einspahr Auto Plaza • Falcon Plastics • First Bank & Trust • FRC Women of Faith • G&R Controls • Gas N More • Hamlin Building Center • H-D Electric Coop • Helsper & Mahlke Attorneys • HGA Architecture & Engineering • Howalt McDowell Insurance • HyVee • Iberdrola Renewables • John Unruh Family • King Insurance • Kjergaard Sports • Lucky Dog • Mills Construction • Minuteman Press • Nick's Hamburger • NorthWestern Energy • Outdoor Adventure Center • Outlaw Graphics • PDS Inc. • Pheasant Restaurant & Lounge • Printsmart • Regional Home Builders • Risty Benefits, Inc • Ron's Auto Repair • Rude's Home Furnishing • Rude's Loft on the Level • Running's • Sanford Health Brookings • Sioux Falls Scheels • Sodexo • Sioux Valley Energy • Swiftel Center • Tessier's Inc • The Depot • The Exchange • TransCanada Corporation • Twin City Fan • Valley Mart • Walmart • White Ambulance • Wildfire Gym • Winsor Township Charity Fund • WW Tire

*Based on donations received as of print deadline.

Brookings Health System Foundation recently received donations to the ambulance fund pushing the fund total over $47,000. Ruth Hevle representing Brookings Healthcare Auxiliary, Lois Taylor from TransCanada Corporation, and White Ambulance members Russ Larson and Tammy Byers present checks to Brookings Health System ambulance director Gordon Dekkenga. Ann Getting, 3M Brookings plant manager and Mary Erickson, 3M Brookings community affairs coordinator, present a gift from the 3M Community Giving fund to Brookings Health System paramedic Marisa Hanson. Funds raised through December 31, 2014 will help the health system pay for a new ambulance. Tax deductible donations can be mailed to Brookings Health System Foundation, 300 22nd Avenue, Brookings or online at www.brookingshealthsystem/foundation.

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A new e-book available for free download tells why Brookings

Health System’s employees strive to provide high quality,

compassionate, personalized health care for our community.

Inspiring Local HealthThe Brookings Health System Story

thIs past year, Brookings Health asked employees to share their short stories about what inspired them to join the health care field and gives them passion for caring for people. Health care providers and support staff alike contributed their personal narratives which the health system compiled into a book, Inspiring Local Health: The Brookings Health System Story.

The compilation includes the best of health care: from dramatic rescues to peaceful goodbyes to the patient that will always be remembered. It includes staff’s own personal health care experiences as well as influential role models and people with positive attitudes.

And this holiday season, we want to share this book with you, our friends and neighbors whose health we have the privilege to care for, to let you know we feel honored to care for such a tremendous community. We invite you to download our story, read it, and share it with others.

To download Inspiring Local Health: The Brookings Health System Story, please visit www.brookingshealth.org/Story

300 Twenty-Second AvenueBrookings, SD 57006

This is arecyclable product.

Inspiring Health is published by Brookings Health System. This publication in no way seeks to serve as substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.