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IN GOOD HEALTH
A G N E S I A N . C O MF A L L 2 0 1 5
Whitney Potharla, APNP
Endocrinology
St. Agnes Hospital
(920) 926-4530
Pamela Rosen, APNP
Endocrinology
St. Agnes Hospital
(920) 926-4530
02
Steven Magill, MD
Endocrinology
St. Agnes Hospital
(920) 926-4530
Jessica Michels, APNP
Cardiology
Fond du Lac Regional Clinic
(920) 926-8230
Christina Calvello, MD
Obstetrics & Gynecology
Fond du Lac Regional Clinic
(920) 926-8450
Joseph Chan, MD
Psychiatry
St. Agnes Hospital Inpatient
Behavioral Health Services
(920) 926-4200
Sandra Schwoerer, APNP
Agnesian Work & Wellness
Waupun Memorial Hospital
(920) 324-6846
Adam Liss, MD
Radiation Oncology
Agnesian Cancer Center
(920) 926-4100
Adam Strittmatter, DO
Ophthalmology
Agnesian Health Plaza
Building A
(920) 926-8472
Rajesh Sharma, MD
Hospital Medicine
Waupun Memorial Hospital
(920) 324-5581
Elizabeth Strittmatter, DO
Family Medicine
Fond du Lac Regional Clinic
North Fond du Lac
(920) 926-8600
Agnesian HealthCare Welcomes the Following
NEWPROVIDERS
I S A T T H E H E A R T O F E V E R Y T H I N G W E D O
Your Good Health
PRESIDENT/CHIEF EXECUTIVE OFFICER
Steve Little
VICE PRESIDENT OF STRATEGIC
DEVELOPMENT & MARKETING
Holly Brenner
Living In Good Health is published
three times each year by:
Agnesian HealthCare
430 East Division Street
Fond du Lac, WI 54935
In Good Health is created to share important
health information with its readers. The
newsletter facilitates learning by providing
information about Agnesian HealthCare
providers and facilities. It is not intended as
a substitute for professional medical advice.
To comment on any of the articles in this
month’s publication, join the conversation!
#agnesianhealthcare.
Cover Photo: Robin Peebles, of Fond du Lac,
knows firsthand how screenings save lives.
Read her inspiring story on page 8.
Steve Little, President & Chief Executive Officer, Agnesian HealthCare
Your family’s needs are constantly changing and growing. To fulfill those needs,
you’re working harder, going farther.
Agnesian HealthCare is reaching higher as well. We recognize the community’s
changing needs for healthcare. Our people are striving to be simply the best as
we work to offer a wide array of healthcare and wellness services within our
community. You’ll see our ongoing commitment in this issue of Living In Good Health.
Bonnie Williams is back to moving without pain thanks to successful spinal surgery. Steven Tetzlaff’s
rare kidney disease is in remission. Joe Kasuboski’s right leg was saved.
As we move into fall, I wish you and your family blessings as new beginnings arrive - return to school
and cooler weather, and the promise of what lies ahead.
	 Let us know how we can better serve you by visiting agnesian.com/contact-us.
Muhammad Bangash, MD, FCCP
Critical Care/Intensivist
St. Agnes Hospital
(920) 929-2300
Marc Awada, MD
Hospital Medicine
St. Agnes Hospital
(920) 929-2300
Riyazuddin Mogalai, MD
Hospital Medicine
St. Agnes Hospital
(920) 929-2300
03AGNESIAN.COM
Did You Know?
Find more interesting facts at agnesian.com/health-library.
Are You Up to Speed?
Getting a Better
Night’s Rest
Keeping it Safe…Help
is Readily Available
Coping with Grief…How Do You Know?
Turning 65 can bring about many changes in a person’s life, such
as thinking about retirement and Medicare enrollment. Many Medicare
recipients are eligible for the influenza and pneumonia vaccines at
no charge, and patients enrolled in a Medicare Part D or advantage
plan can get coverage of the shingles and pertussis vaccines.
Check with your healthcare provider to see where you stand, or visit
the Agnesian Pharmacy at Main Street in Fond du Lac for your
vaccinations. They can help with vaccines for influenza, pneumonia,
shingles and pertussis (whooping cough).
For more information visit agnesian.com/locations/pharmacies.
Sleep apnea is a serious, potentially life-threatening condition that
is far more common than generally understood. As many as 18 million
Americans have sleep apnea. The Agnesian Health Shoppe offers nasal
continuous positive airway pressure (CPAP) machines, where individuals
wear a mask over the nose during sleep, and pressure from an air
blower produces a mild increase in upper airway pressure, allowing
airflow through the nasal passages and upper airway. Learn more
about these lifesaving devices. Visit agnesian.com/sleep-center to
see what’s involved in a sleep study.
For both the person facing cancer and death, and survivors after the death of a loved one, it is natural to experience many symptoms of grief.
The Agnesian HealthCare Bereavement Center & Grief Relief says to look for these physical symptoms: lack of energy, fatigue, headaches and
upset stomach. Emotional symptoms include excessive sleeping or, conversely, overworking and excessive activity. Waiting until someone is
ready to handle the situation will allow for better communication. Our professionals are ready and available to help. Check out our grief
education resources at agnesian.com/bereavement.
About 4.8 million women are victimized by intimate partners annually.
Agnesian HealthCare’s Domestic Violence Services urges women in
abusive relationships to create a safety plan. Keep these ideas in mind.
Find a safe place to go in your home if an argument begins. Know who
to contact in a crisis and establish a code word or sign among trusted
family or friends to let them know you need help. Always keep money and
change with you. Keep important papers and documents in a place
you can easily access if necessary.
Increased frequency of violence toward a spouse is
associated with increased risk of the violent spouse
also being abusive to the child.
4.8M
81%
About 4.8 million women are victimized
by intimate partners annually.
There is a strong association between stalking
and other forms of violence: 81 percent of women
who were stalked by a current or former husband
or partner were also physically assaulted by
that partner, and 31 percent were also sexually
assaulted.
04
‘HOLE IN THE
HEART’This past spring, Joel Heeringa, a 44-year-old Waupun resident, hurried to the Emergency Department at Waupun
Memorial Hospital after developing severe and sudden abdominal pain. From there he was transported by
ambulance to St. Agnes Hospital in Fond du Lac where he received care through the Dale Michels Center for
Heart Care. Further testing revealed a blood clot in his left kidney.
While tests showed no evidence of a blood disorder that could have caused the clot, it was discovered that Joel
had a patent foramen ovale (PFO), which is a small “hole” in the heart - a common issue that normally doesn’t
	 require medical attention.
The PFO was suspected as the cause of the blood clot, according to Richard Santa-Cruz, MD, an interventional cardiologist
at Agnesian HealthCare and the specialist who repaired the hole in Joel’s heart. “The diagnosis was based on an ultrasound
from the chest wall, technically known as a transthoracic echocardiogram,” Dr. Santa-Cruz explains.
Another type of ultrasound - a transesophageal echocardiogram - was performed with a scope guided down the patient’s
throat and into the stomach. It confirmed the diagnosis.
“A PFO can be associated with a stroke and traveling blood clots,” according to Dr. Santa-Cruz. “Some openings are big and
others are small. The vast majority of PFOs do not cause any concern, which is why we don’t screen for them.”
Dr. Santa-Cruz used the catheterization process, threading a thin tube up through the groin to patch the hole in his heart.
“It was outpatient surgery and I went home the same day,” Joel says.
The procedure was a success for Joel and was also a milestone for Dr. Santa-Cruz as it was his 100th PFO surgery, with a
100 percent success rate. “Reaching the 100th PFO closure is significant because it shows that Agnesian HealthCare has
an excellent heart care program, coupled with exceptional results,” Dr. Santa-Cruz says.
Joel’s damaging blood clot resolved itself. Likewise, the health of his kidney has improved remarkably, and he quickly returned
to his role as a financial advisor. “His prognosis is excellent,” Dr. Santa-Cruz concludes.
“Dr. Santa-Cruz and the heart care team, as well as all the other doctors involved in my case at
Agnesian HealthCare, were top-notch,” Joel stresses. “They were very friendly. The best part is that
the procedure used to fix the concern was a seamless process - from the prep, to the surgery, to the
recovery. Dr. Santa-Cruz fixed the hole in my heart that I never knew I had.”
Richard Santa-Cruz, MD
05AGNESIAN.COM
HEARTCARE
A patent foramen ovale (PFO) is a hole in the heart that failed
to close like it should have after birth. During development in
the womb, the unborn baby has a small flap-like opening called
the foramen ovale. Normally it closes during infancy when the
baby is no longer dependent on the blood supply through the
umbilical cord - but when it doesn’t close, it’s referred to as
a patent foramen ovale.
“As we are born and start breathing, the PFO (which is really
a flap, not a true hole) should close,” says Dr. Santa-Cruz,
noting PFO is present in at least 25 percent of all adults.
Most people don’t realize they have a hole in their heart. The
condition is often discovered during tests for other concerns.
The flap-like opening of the PFO opens primarily when a person
sneezes, coughs or strains, like during a bowel movement. The
force can result in the PFO opening, allowing a vein blood clot
to pass and migrate to the artery system and other parts of
the body, causing a stroke or damaging organs in the process.
“Usually, I see patients who’ve had a stroke or mini strokes,”
says Dr. Santa-Cruz. “But as in the case of Joel, he had
abdominal pain because the clot went to his kidney.”
What is Patent Foramen Ovale (PFO)?
“It was outpatient surgery
and I went home the
same day.” - Joel Heeringa
06
SAVING LIMBS.
SAVING LIVES.
A 10-month process saved Joe Kasuboski’s right leg
from amputation thanks to care Joe received last year
at the newly-launched Agnesian Wound Care services
in Fond du Lac. The use of state-of-the-art equipment
and treatments, such as hyperbaric oxygen therapy,
were overseen by Jon Moen, MD, general surgeon and
Agnesian Wound Care medical director. A total of five
Agnesian HealthCare physicians were involved in the
process to save Joe’s leg - and literally, his life.
It isn’t the first battle Joe has had to fight. The 69-year-old
Ripon man survived life as an on-the-ground machine
gunner in Vietnam nearly 50 years ago. His legs and
hands are riddled with the scars of bullet wounds.
Shrapnel is lodged behind his eye, making it impossible
to ever have an MRI exam.
Joe’s second major battle occurred at age 31 when he
was diagnosed with diabetes. Over the years, the
disease led to poor circulation and strokes, causing
this former construction worker and school custodian
to retire at age 51.
His most recent battle against diabetes was centered
on the fight to save his right leg. It all began in June
2014 with the appearance of a sore on his little toe.
“That’s all it took to start the journey toward amputation
of his leg,” says his wife, Barb, noting two Ripon-based
Agnesian HealthCare physicians were the first of five to
rally to Joe’s side.
Joe’s primary care physician, Richard Gauthier, MD,
a family medicine physician who saw Joe through the
entire process, sent him to Jonathan Stroebel, DPM,
a podiatrist (foot and ankle specialist) with Agnesian
Wound Care. “Gangrene had set into the wound by his
toes,” Barb says. “Things weren’t looking good.”
As a result, all the toes on Joe’s right foot were surgically
removed by Dr. Stroebel. Making matters worse, the
potentially deadly sepsis infection invaded Joe’s body.
Ten weeks of antibiotics were administered to combat
the infection. Meanwhile, he was at risk of losing his
right leg to amputation as the gangrene moved upward.
Two physicians with Agnesian HealthCare’s Dale Michels
Center for Heart Care also stepped in to help Joe with
circulation issues. Vascular physicians - Richard Santa-
Cruz, MD, and R. Eric Lilly, MD (with Froedtert & the
Medical College of Wisconsin), worked together through
interventional angioplastic procedures and surgery to
bring limb saving blood supply to Joe’s leg.
The care that he received at Agnesian Wound Care
prevented an amputation. “Joe had come to me with
a diabetic foot ulcer with gangrene,” says Dr. Moen.
“It looked like his wounds wouldn’t heal and that he
would lose his leg.”
Joe received healing hyperbaric oxygen treatments five
days a week for 10 weeks. The process was one where
Joe, who was lying down in a comfy-looking bed, was
gently slid into an airtight hyperbaric chamber. Once
inside, he received pure oxygen under pressure. Each
hyperbaric treatment was referred to as a “dive” and
lasted about two hours.
“Joe took 50 dives, which is quite a commitment on the
part of the patient,” Dr. Moen says, noting the center
has two hyperbaric chambers, each weighing 3,500
pounds. “On a daily basis, we have as many as seven
patients going into each of the chambers. We are busy
constantly.”
Jon Moen, MD
Richard Gauthier, MD
Richard Santa-Cruz, MD
Jonathan Stroebel, DPM
R. Eric Lilly, MD
07AGNESIAN.COM
WOUNDCARE
The cylinder-shaped hyperbaric chambers are impressive looking,
huge and completely encased in thick, transparent acrylic. The
patient is visible from the outside and can see out.
“It wasn’t an issue being in there,” Joe says. “I could even
watch TV during those two hours. There was nothing to it.”
About midway through the 50 treatments, Joe and Barb started
to see results. “My wound looked and felt better. It got smaller
and tighter,” Joe says, noting they were pleasantly surprised at
how much it had healed. In the end, it was gone and completely
healed.“My leg was saved.”
In addition to the hyperbaric oxygen treatments, a wound vac
(suction device) was attached to Joe’s open sore during his
months of treatment. It consisted of a foam pad covering the
wound and a suction mechanism to promote healing.
“It was attached to his wound for a long time,” Barb says. “He
wore it day and night. Joe said it did not make his pain worse.”
“We are so thankful for Agnesian Wound Care, Dr. Moen and
all the staff - including all the other doctors who treated Joe,”
Barb says. “Plus, we are very pleased with the Agnesian Home
Care nurses who came to our home for months. They were
wonderful.”
“If it wasn’t for Agnesian Wound Care, I wouldn’t have my right
leg,” Joe says, noting he and Barb return there occasionally
because they miss the staff. “I can’t go in there without being
so grateful.”
	 To learn more about hyperbaric chambers, visit
	 agnesian.com/wound-care.
“If it wasn’t for
Agnesian Wound Care,
I wouldn’t have my right leg.”
- Joe Kasuboski
Toni Stanley, MD
Filip Troicki, MD
Keith Knepel, MD
Lisa Michels, APNP
08
Robin Peebles, 47, is a busy lady. When she’s not running
her Fond du Lac salon, Euphoria, she’s enjoying time
with her husband, stepdaughters and big extended
family. She even finds time to tee off with her golf
league once a week. But what she didn’t have time
for was cancer.
In March of this year, she had her yearly physical with
Mary Schultz, MD, an Agnesian HealthCare obstetrician
and gynecologist. “She urged me to get a mammogram,”
recalls Robin. Dr. Schultz told her that Agnesian
HealthCare has walk-in mammogram appointments;
so finding the time to schedule one should never be
an excuse not to go.
Robin promptly had a mammogram. The next day, she
got a call. Some calcifications were found and she
needed a biopsy. Robin remembers the procedure.
“Kay (Groeschel, breast health coordinator) held
my hand and talked me through everything while
Dr. (Keith) Knepel performed the biopsy. I was scared.
I kept thinking that I don’t have time for this.”
Robin was diagnosed with Ductal Carcinoma in Situ
(DCIS), the most common type of non-invasive breast
cancer that can only be detected through a mammogram.
Robin was referred to Toni Stanley, MD, Agnesian
HealthCare general surgeon. They discussed her options
and Robin told Dr. Stanley that because of her family
history, her mother and two aunts are breast cancer
survivors (one aunt unfortunately did not survive) that
she was prepared to “go drastic” and get both breasts
removed with reconstruction.
“We decided that if I carried a gene mutation we would opt
for a more drastic surgery; otherwise she recommended
a lumpectomy,” says Robin.
Lisa Michels, APNP, an oncology nurse practitioner,
guided Robin through the testing process. After a couple
of weeks, Robin’s genetic test results were in with good
news: she tested negative.
Robin had a lumpectomy on May 13, 2015. “The procedure
was successful and truly pain free. I took a couple days
off to rest, but really, I was good to go,” recalls Robin.
Then Robin met with Filip Troicki, MD, an Agnesian
Cancer Center radiation oncologist. “He explained
everything to me and even drew pictures so I understood
my disease.”
With radiation now complete, Robin will be monitored
every six months. “This experience has taught me a lot
about myself and how strong I am. If I can encourage
women to get routine mammograms, this will be worth
it to me.”
To learn more about breast
biopsy procedures, visit
agnesian.com/breast-biopsy.
Mary Schultz, MD
A SCREENING
SAVED MY LIFE
09AGNESIAN.COM
WOMEN’SHEALTH
“This experience has
taught me a lot about
myself and how
strong I am.”
- Robin Peebles
10
FINDS
GROOVE
AGAINBrian Woik has always had a passion for singing. While during the day he is a graphic printer by trade, at
night you can see this Mayville community member singing his heart out on stage for the band, “Guilty as Sin.”
As a young man, Brian spent his high school and college days - as many young men do - on the ball field.
Whether through touchdowns or home runs, he was active and very hard physically on his body.
“I’ve always been one to stay in good shape,” Brian says, “so when my hips were keeping me from doing
		 the things I enjoyed, I got help right away.”
Help right away was Steven Magoline, MD, an orthopedic surgeon with Agnesian Bone & Joint Health.
“Brian’s condition isn’t unique. He had typical worn out hips due to middle age arthritis. Simply, his hip joints needed to
be replaced,” according to Dr. Magoline. “Working together, we weighed all the options available to Brian, talked about
the pros and cons of each, and arrived at a treatment option with the best possible outcomes.”
Dr. Magoline recommended an anterior hip replacement surgery to treat Brian’s condition. It is easier on the patient’s
muscle, and there is less pain, rehab and recovery time. Patients can get back to normal life quicker.
“I am back lifting speakers into my truck, and setting up the stage for performances again,” says Brian. “I am performing
center stage with a new hip! And it feels great.”
	 To hear more of Brian’s story, visit agnesian.com/brian.
M A Y V I L L E S I N G E R
Steven Magoline, MD
11AGNESIAN.COM
BONE&JOINTHEALTH
“I am performing center stage with
a new hip! And it feels great.”
- Brian Woik
Kathy Busse, PT
12
A TEAM
APPROACH
Bonnie Williams, a bookkeeper at Fond du Lac High
School, couldn’t turn her neck when someone came
into her office. She suffered from nearly constant
neck pain, which caused excruciating headaches
and numbness and tingling in her limbs. The pain
was so bad that Bonnie found herself waking three,
four, even five times a night.
“I couldn’t sleep because my arms would fall asleep
and my legs would be tingling,” according to Bonnie.
Frustrated, Bonnie sought help from her primary care
provider, Jeffrey Strong, MD, an Agnesian HealthCare
family medicine physician. Dr. Strong ruled out a
neurodegenerative disease; Bonnie’s symptoms, it
seemed, were caused by bulging discs in her neck.
The discs, which normally act as cushions between
the bones of the spine, were putting pressure on
nearby nerves.
Dr. Strong referred Bonnie to Agnesian HealthCare’s
Center for Pain Care. There, she underwent physical
therapy with Catherine Grzywacz, PT, DPT, and
Kathy Busse, PT, received steroid injections from
Eugenia-Daniela Hord, MD, a neurologist who
specializes in pain management. The injections
decreased the inflammation in Bonnie’s spine
and provided temporary pain relief.
Her first round of steroid injections provided nearly
a year of relief. The second round lasted just a few
months. At that point, Dr. Hord ordered MRI-imaging
of Bonnie’s neck, which revealed worsening nerve
compression.
Dr. Hord referred Bonnie to Agnesian HealthCare
Neurosurgeon Jason Przybylo, MD, who is part of
the Froedert & the Medical College of Wisconsin.
Because Bonnie had exhausted conservative treatment
options, and because her bulging discs and nerve
compression were causing serious symptoms and
interfering with her life, Dr. Przybylo recommended
and skillfully performed spinal surgery at St. Agnes
Hospital to relieve the nerve compression.
Though Bonnie admits to being “scared of the idea
of someone operating on her neck, the surgery made
an immediate difference in her life.
“When I woke up the morning after
surgery, I had no pain,” Bonnie recalls.
“I was back at work exactly one month
from the day of my surgery, and my
function is now back to what it was
years ago. My surgery is what I call
an extreme success.”
T O N E C K P A I N
Jeffrey Strong, MD
Catherine Grzywacz, PT, DPT
Eugenia-Daniela Hord, MD
Jason Przybylo, MD
	 Take our nervous system quiz at
	 agnesian.com/quiz.
The human nervous system is capable
of a wide range of functions. What is
the basic unit of the nervous system?
A. Glial cell
B. Meninges
C. Neuron
D. Cerebrospinal fluid
13AGNESIAN.COM
NEUROSURGERY
“When I woke up
the morning after
surgery I had
no pain.”
- Bonnie Williams
14
RARE DISEASE
KIDNEY SPECIALISTS HELP MANAGE
When the red spots appeared on his legs, Steven Tetzlaff didn’t know
what to think.
Steven, a Marine Corps veteran and retired prison guard, was in
fantastic shape. The Waupun resident routinely ran five miles per
day. He lifted weights a couple days per week. And as far as he knew,
he had no known medical concerns.
So when he noticed the small, flat red dots on his legs - on a Friday
evening, no less - he did what most people would do: he showed them
to his spouse and waited to see if they’d go away.
The spots were still there Monday morning, so he went to see Richard
Parish, PA-C, certified physician assistant in Waupun.
Parish suspected vasculitis, an inflammation of the blood vessels
	that can cause organ damage. A second opinion confirmed Parish’s
diagnosis, and Steven received inpatient treatment to control the rare
disease. He then learned that his kidneys had been affected.
Steven followed up with Robert Nagle, DO, a family medicine physician
in Waupun, who referred him to Bret Pasiuk, MD, an Agnesian HealthCare
nephrologist, or kidney doctor.
		 “Dr. Pasiuk was the one who explained this disease to me in depth,” Steven
says. “He’s a really great doctor. He takes time with you and answers all your questions.
He’s really, really good.”
Because Steven had a rare form of a rare disease, Dr. Pasiuk recommended aggressive treatment:
six months of daily treatment with oral chemotherapy pills.
That was a bit over six months ago. Today, Steven’s disease is in remission, and his kidney
function remains stable. He continues to follow up with Dr. Pasiuk and is working to rebuild
his physical strength and function.
“I thank God they found it when they did,” Steven says. “Dr. Pasiuk is now my go-to guy.”
	 Want to learn more about vasculitis? Visit agnesian.com/vasculitis.
Richard Parish, PA-C
Robert Nagle, DO
Bret Pasiuk, MD
For a comprehensive class list, or to register, visit agnesian.com/programs, or call (920) 926-4960.
15AGNESIAN.COM
COMMUNITY
CALENDAR
Feature Programs		
BALANCINGNATURE’SHEALING
Learn how natural supplements
can be used for your health
and wellness.
Plaza Level Conference Center
Tuesday, September 22
5:30 to 6:30 p.m.
$5 per person
E-CIGARETTES…WHATYOUNEEDTOKNOW
Learn more about various electronic nicotine delivery systems, the effect
they have on the youth in our community, safety and government regulations,
and tips on quitting tobacco.
Plaza Level Conference Center
Thursday, September 24, 6 to 7 p.m.
Free
CAREOFTHEDIABETICFOOT&ULCER
Learn more about the general care of the diabetic foot, how to inspect
your feet and select proper footwear.
Ripon Medical Center Green Lake Room
Tuesday, September 29, 6 to 7 p.m.
Plaza Level Conference Center
Thursday, October 15, 6 to 7 p.m.
Free
GOFRESH…GOHOMEMADE
Learn how to make delicious, healthy,
homemade versions of your favorite
convenience foods.	
Fond du Lac Regional Clinic West Demo Kitchen
Wednesday, September 30, 6 to 7 p.m.
$10 per person • Seating is limited. Preregistration is required.
CARDIO+COREFITNESS&STRENGTHENINGCLASSES
A fitness and strengthening program to help participants
tighten their abdomen and buttocks, improve
functional strength and help prevent injury.
Plaza Level Conference Center
Wednesdays, October 7 to 28, 5:30 to 6:30 p.m.
Wednesdays, November 4 to 25, 5:30 to 6:30 p.m.
Wednesdays, December 2 to 23, 5:30 to 6:30 p.m.
$40 per person
PRENATALYOGA
A four-week mixed level prenatal yoga class for
all levels and any trimester of pregnancy.
Journeys: a health resource center
Mondays, October 12 to November 16
5:30 to 6:30 p.m.
Mondays, November 30 to December 21
5:30 to 6:30 p.m.
$50 per person
GENTLEYOGA
This class instructs participants on strengthening mental focus,
and relieving stress and anxiety
Journeys: a health resource center
Tuesdays, October 13 to November 17
11 a.m. to 12:15 p.m.
$60 per person
COOKINGWITHFALLVEGETABLES
Enjoy demonstrations on how to make
delicious and healthy dishes out of
a variety of winter squash and pumpkin.	
Fond du Lac Regional Clinic West Demo Kitchen
Wednesday, October 21, 6 to 7 p.m.	
$10 per person • Seating is limited. Preregistration is required.
HEALINGTHROUGHART
Learn unique ways that art can facilitate healing.
Journeys: a health resource center
Mondays, October 26 to November 30, 5:30 to 7:30 p.m.
$75 per person
HYPERBARICMEDICINE-ISITRIGHTFORYOU?
Talk with providers to learn what
Agnesian Wound Care hyperbaric
chambers look like, how oxygen
therapy works and discuss if
it’s right for you.	
Plaza Level Conference Center
Tuesday, October 27, 6 to 7 p.m.	
Free
16
Fall/Winter Events
For a comprehensive event list or to register, visit agnesian.com/community-calendar, or call (920) 926-4960.
ARTATAGNESIANRECEPTIONFORCOLLEENCHERTOS
Join Colleen Chertos, Fond du Lac artist, at a
reception to showcase her acrylic art creations
that range from flowers to abstracts.
Journeys: a health resource center
Tuesday, November 10, 6 to 7 p.m.
Free
DIABETESHEALTHFAIR
Visit educational vendor booths, view a healthy cooking demonstration
and listen to our featured presenter, Clarence Tam, MD, ophthalmologist.	
Plaza Level Conference Center
Thursday, November 12, 5 to 7:30 p.m.
Preregistration is requested by visiting agnesian.com/diabetes.
COOKING UP THANKSGIVING
LEFTOVERS
Learn how to turn Thanksgiving
leftovers into creative new dishes
that you and your family will love.	
Fond du Lac Regional Clinic West
Demo Kitchen
Wednesday, November 18, 6 to 7 p.m.	
$10 per person • Seating is limited. Preregistration is required.
HOLIDAYFAVORITESMADEHEALTHY
Get tips on how to keep the holidays light and healthy with a table
full of traditional but healthy holiday dishes. 	
Fond du Lac Regional Clinic West Demo Kitchen
Wednesday, December 2, 6 to 7 p.m.		
$10 per person • Seating is limited. Preregistration is required.
HOLIDAYDESSERTSWITHAHEALTHYTWIST
Experience a hands-on cooking demonstration creating tasty
and healthier versions of traditional holiday desserts so you
can enjoy what you eat and still see your feet! 	
Fond du Lac Regional Clinic West Demo Kitchen
Wednesday, December 16, 6 to 7 p.m.	
$10 per person
Seating is limited. Preregistration is required.
CARINGFORYOUATCHRISTMAS
Saturday, December 5, 2015
Caring for You at Christmas, includes
a special luncheon at the Whispering
Springs Golf Club in Fond du Lac. The
luncheon - which benefits the Carol
Hyland Caring for You Fund - features
tables that are designed with very
specific themes by women in the
community.
ANNUALAPPEAL
Through December 31, 2015
Each year, the Foundation reaches out to ask for assistance in helping
to create hope for many individuals in our communities served by our
partners in caring. Contributions to the Annual Appeal will help build the
Unrestricted Fund, allowing the Foundation Board of Directors to respond
to areas of greatest need presented to them each year.
LOVELIGHTS
Through December 31, 2015
The Agnesian HealthCare Foundation is
bringing forward its annual Love Light
project. Individuals can support Love
Lights by purchasing a light in honor
of someone they wish to remember or
celebrate during the holiday season.
The cost is $10 (per light). The tree
lighting ceremony is set for 6:30 p.m.
on Thursday, December 10 in the
St. Agnes Hospital lobby.
AGNESIAN HEALTHCARE
FOUNDATION
For more information,
call (920) 926-4959.
17AGNESIAN.COM
Prescription
for Reading
Reading a book with your child is a time of bonding, learning and exploring.
Through its Prescription for Reading program, the Agnesian HealthCare
Foundation offers free books to our youngest patients.
At wellness checks for children ages six-months through five years, Agnesian
HealthCare physicians share a brand-new, age-appropriate book with the
child and talk with the family about reading together. When the visit is over,
the family leaves with the book and a prescription for reading - where great
stories begin.
The Foundation’s Executive Director, Rita Meidam, is particularly excited
about this program, “Through the ongoing generous support of our donors,
the Agnesian HealthCare Foundation stands ready to help with any unexpected needs for our patients, residents or families. We look for
opportunities that help to enhance our overall quality of life and build a stronger community - now and well into the future.”
Families will be introduced to the program through their family physicians and pediatricians. Through this program, the doctors can influence
children in the very early years of life and create important long-term relationships with families. “When a pediatric provider hands a child a
book, they can instantly observe gross and fine motor skills, language skills and memory, and get more information about the child than they
can get with a stethoscope,” says Meidam.
WHY I GIVE...
52 years ago I was brought to St. Agnes Hospital with life-threatening
injuries and multiple major fractures. For three months, I was under
the watchful eye of caring providers. Today, feeling very blessed, I live
a full and active life. St. Agnes Hospital was there when I needed them,
and it only seems right to pay it forward. We donate generously to the
Agnesian HealthCare Foundation through our volunteer hours and
financial support. We give when we can because it’s the right thing
to do and it feels good to give.
Jack Twohig, President
Jack Twohig’s Carpet One
To contribute to the 2015 annual appeal, visit agnesian.com/giving.DONATE NOW!
Saturday, February 27, 2016
Ripon Medical Center • 845 Parkside Street, Ripon
18
Paving a Way
to Wellness
in Ripon
DENIM PEARLS
SAVE THE DATE FOR THE 2016
People take walks for many reasons. Sometimes it’s for exercise,
enjoying the outdoors or to achieve overall wellness.
For these reasons, The Foundation for Ripon Medical Center is creating
a wellness walkway for the community to enjoy. The Foundation is
passionate about creating “healing spaces” at the new hospital and
has already shown its support of community wellness through its
$2.4 million donation for the completion of the RMC Wellness Center.
“A wellness walkway is a way to extend our goal in helping
others live healthier lives, in addition to having a safe area
to walk and reflect on something that is occurring in their
lives,” according to Rita Meidam, executive director for
The Foundation for Ripon Medical Center.“And, since it
will flow past the RMC Wellness Center, it will be a natural
expansion of this area’s very important mission.”
Ripon Medical Center’s beautiful setting is ideal for the path. Visitors will be able to take advantage of the walkway’s natural
scenery year-round to enjoy nature, clear your mind, exercise, eat lunch, meet friends or take a break.
“For individuals and families that might be facing a stressful situation due to a loved one’s illness or injury, they can take a
moment on the walkway to collect their thoughts and then return reinvigorated to offer their love and support,” says Meidam.
19AGNESIAN.COM
At Agnesian HealthCare, our goal is to make sure you can always
get the best, most appropriate care for your individual needs. That’s
why we offer a wide range of options, from primary care and walk-in
care to urgent and emergency care.
Patients should go directly to the Emergency Department for
life-threatening illnesses or injuries, or call 911 for emergency
paramedic assistance.
Urgent care treats patients on a walk-in basis - from infants to older
adults - with acute health illnesses or injuries, such as broken bones
and lacerations. Ripon Medical Center and Waupun Memorial Hospital
offer care through their emergency departments.
Walk-in care offers well-patient care, preventive care, treatment of
minor illnesses and injuries, and basic laboratory tests. These services
are available through Agnesian Convenient Care Clinic, Agnesian Clinic
at Westwind and Agnesian EZ Care.
Primary care is regular preventive care and treatment provided by an
internal medicine physician, a family medicine physician, physician
assistant or a nurse practitioner.
	 For a complete listing, visit agnesian.com/walk-in-care.
TRIBUTE TO VETERANS - Back in 1943, the City of Waupun
mayor appointed a Citizen’s Hospital Committee to investigate
the possibility of constructing a full-service hospital for
residents of Waupun. Following a $125,000 fund-raising
drive to offset the estimated $300,000 cost of building a
50-bed hospital, construction began in 1949 with opening
on July 5, 1951. The building was constructed in tribute to
the service men and women of both world wars, and the
ideals for which they fought and died, for the care and
treatment of the sick, without regard to race, color or creed.
Now, more than 64 years later, Waupun Memorial Hospital
continues to serve.
Agnesian HealthCare is proud to offer its Living in Good Health newsletter to the communities
we serve. It is designed to help you stay “living in good health,” and is packed full of health
tips and inspiring stories of patient and resident successes!
We want Living in Good Health to be simply the best. Please take a moment to give us
your feedback by visiting agnesian.com/survey. Each person who submits a survey
will be entered into a drawing to win a $20 gift card from the Café Coffee in the St. Agnes
Hospital lobby.
Stepping
Out in Faith
Let Your Voice Be Heard!
When to Visit the ER?BEST KEPT SECRET
$20
WIN A GIFT
CERTIFICATE
WORTH
430 EAST DIVISION STREET
FOND DU LAC, WI 54935
NON-PROFIT ORG
U.S. POSTAGE
PAID
PERMIT NO. 354
FOND DU LAC, WI
agnesian.com
AGNESIAN HEALTH SHOPPE
307 Camelot Drive
Fond du Lac, WI 54935
(920) 926-5277
AGNESIAN PHARMACY &
PRESCRIPTION CENTERS
145 N. Main Street
Fond du Lac, WI 54935
(920) 921-4660
With locations in Fond du Lac,
Brownsville, Markesan, Mayville,
North Fond du Lac and Waupun
CONSULTANTS LABORATORY
430 East Division Street
Fond du Lac, WI 54935
(920) 929-9300
FOND DU LAC REGIONAL CLINIC
420 East Division Street
Fond du Lac, WI 54935
(920) 923-7400
RIPON MEDICAL CENTER
845 Parkside Street
Ripon, WI 54971
(920) 748-3101
ST. AGNES HOSPITAL
430 East Division Street
Fond du Lac, WI 54935
(920) 929-2300
ST. FRANCIS HOME
33 Everett Street
Fond du Lac, WI 54935
(920) 923-7980
WAUPUN MEMORIAL HOSPITAL
620 West Brown Street
Waupun, WI 53963
(920) 324-5581
To explore employment opportunities
at Agnesian HealthCare, visit
agnesian.com/careers or call
(920) 926-5712.
Get to Know
Your Doc
Adam Strittmatter, DO, Ophthalmologist
Quick Stats:
Name: Adam Strittmatter, DO
Education: Philadelphia College of Osteopathic
Medicine; Ohio University, Doctors Hospital
Columbus, Ohio
What do you like to do when you’re
not working?
Golfing, hiking, biking and learning to cook.
What is your favorite food?
Hot sausage or brats cooked on the grill.
Tell us something about you that
would surprise someone.
I played baseball and golf for my college.
What is the last book you read?
The White Coat Investor by James Dahle, MD
Where is the coolest place you’ve
ever been?
Puerto Rico. One day we would be snorkeling
in the ocean and the next day we were hiking
in the rainforest!
Any places on your bucket list?
New Zealand for sure. I also want to see
Germany and Italy.
What is your favorite place in the
Fond du Lac area?
Elizabeth (wife) and I love to walk in Lakeside
Park at sunset.
What are you looking forward to the
most in Fond du Lac this year?
I hope to get the opportunity to go sturgeon
spearing! I have a lot of friends and family that
want to come and experience it with me.
To view providers that serve Agnesian HealthCare, visit
agnesian.com/find-a-provider.
Do you prefer to get this newsletter
electronically? Subscribe at
agnesian.com/subscribe.

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New Providers Join Agnesian Healthcare to Serve Community

  • 1. IN GOOD HEALTH A G N E S I A N . C O MF A L L 2 0 1 5
  • 2. Whitney Potharla, APNP Endocrinology St. Agnes Hospital (920) 926-4530 Pamela Rosen, APNP Endocrinology St. Agnes Hospital (920) 926-4530 02 Steven Magill, MD Endocrinology St. Agnes Hospital (920) 926-4530 Jessica Michels, APNP Cardiology Fond du Lac Regional Clinic (920) 926-8230 Christina Calvello, MD Obstetrics & Gynecology Fond du Lac Regional Clinic (920) 926-8450 Joseph Chan, MD Psychiatry St. Agnes Hospital Inpatient Behavioral Health Services (920) 926-4200 Sandra Schwoerer, APNP Agnesian Work & Wellness Waupun Memorial Hospital (920) 324-6846 Adam Liss, MD Radiation Oncology Agnesian Cancer Center (920) 926-4100 Adam Strittmatter, DO Ophthalmology Agnesian Health Plaza Building A (920) 926-8472 Rajesh Sharma, MD Hospital Medicine Waupun Memorial Hospital (920) 324-5581 Elizabeth Strittmatter, DO Family Medicine Fond du Lac Regional Clinic North Fond du Lac (920) 926-8600 Agnesian HealthCare Welcomes the Following NEWPROVIDERS I S A T T H E H E A R T O F E V E R Y T H I N G W E D O Your Good Health PRESIDENT/CHIEF EXECUTIVE OFFICER Steve Little VICE PRESIDENT OF STRATEGIC DEVELOPMENT & MARKETING Holly Brenner Living In Good Health is published three times each year by: Agnesian HealthCare 430 East Division Street Fond du Lac, WI 54935 In Good Health is created to share important health information with its readers. The newsletter facilitates learning by providing information about Agnesian HealthCare providers and facilities. It is not intended as a substitute for professional medical advice. To comment on any of the articles in this month’s publication, join the conversation! #agnesianhealthcare. Cover Photo: Robin Peebles, of Fond du Lac, knows firsthand how screenings save lives. Read her inspiring story on page 8. Steve Little, President & Chief Executive Officer, Agnesian HealthCare Your family’s needs are constantly changing and growing. To fulfill those needs, you’re working harder, going farther. Agnesian HealthCare is reaching higher as well. We recognize the community’s changing needs for healthcare. Our people are striving to be simply the best as we work to offer a wide array of healthcare and wellness services within our community. You’ll see our ongoing commitment in this issue of Living In Good Health. Bonnie Williams is back to moving without pain thanks to successful spinal surgery. Steven Tetzlaff’s rare kidney disease is in remission. Joe Kasuboski’s right leg was saved. As we move into fall, I wish you and your family blessings as new beginnings arrive - return to school and cooler weather, and the promise of what lies ahead. Let us know how we can better serve you by visiting agnesian.com/contact-us. Muhammad Bangash, MD, FCCP Critical Care/Intensivist St. Agnes Hospital (920) 929-2300 Marc Awada, MD Hospital Medicine St. Agnes Hospital (920) 929-2300 Riyazuddin Mogalai, MD Hospital Medicine St. Agnes Hospital (920) 929-2300
  • 3. 03AGNESIAN.COM Did You Know? Find more interesting facts at agnesian.com/health-library. Are You Up to Speed? Getting a Better Night’s Rest Keeping it Safe…Help is Readily Available Coping with Grief…How Do You Know? Turning 65 can bring about many changes in a person’s life, such as thinking about retirement and Medicare enrollment. Many Medicare recipients are eligible for the influenza and pneumonia vaccines at no charge, and patients enrolled in a Medicare Part D or advantage plan can get coverage of the shingles and pertussis vaccines. Check with your healthcare provider to see where you stand, or visit the Agnesian Pharmacy at Main Street in Fond du Lac for your vaccinations. They can help with vaccines for influenza, pneumonia, shingles and pertussis (whooping cough). For more information visit agnesian.com/locations/pharmacies. Sleep apnea is a serious, potentially life-threatening condition that is far more common than generally understood. As many as 18 million Americans have sleep apnea. The Agnesian Health Shoppe offers nasal continuous positive airway pressure (CPAP) machines, where individuals wear a mask over the nose during sleep, and pressure from an air blower produces a mild increase in upper airway pressure, allowing airflow through the nasal passages and upper airway. Learn more about these lifesaving devices. Visit agnesian.com/sleep-center to see what’s involved in a sleep study. For both the person facing cancer and death, and survivors after the death of a loved one, it is natural to experience many symptoms of grief. The Agnesian HealthCare Bereavement Center & Grief Relief says to look for these physical symptoms: lack of energy, fatigue, headaches and upset stomach. Emotional symptoms include excessive sleeping or, conversely, overworking and excessive activity. Waiting until someone is ready to handle the situation will allow for better communication. Our professionals are ready and available to help. Check out our grief education resources at agnesian.com/bereavement. About 4.8 million women are victimized by intimate partners annually. Agnesian HealthCare’s Domestic Violence Services urges women in abusive relationships to create a safety plan. Keep these ideas in mind. Find a safe place to go in your home if an argument begins. Know who to contact in a crisis and establish a code word or sign among trusted family or friends to let them know you need help. Always keep money and change with you. Keep important papers and documents in a place you can easily access if necessary. Increased frequency of violence toward a spouse is associated with increased risk of the violent spouse also being abusive to the child. 4.8M 81% About 4.8 million women are victimized by intimate partners annually. There is a strong association between stalking and other forms of violence: 81 percent of women who were stalked by a current or former husband or partner were also physically assaulted by that partner, and 31 percent were also sexually assaulted.
  • 4. 04 ‘HOLE IN THE HEART’This past spring, Joel Heeringa, a 44-year-old Waupun resident, hurried to the Emergency Department at Waupun Memorial Hospital after developing severe and sudden abdominal pain. From there he was transported by ambulance to St. Agnes Hospital in Fond du Lac where he received care through the Dale Michels Center for Heart Care. Further testing revealed a blood clot in his left kidney. While tests showed no evidence of a blood disorder that could have caused the clot, it was discovered that Joel had a patent foramen ovale (PFO), which is a small “hole” in the heart - a common issue that normally doesn’t require medical attention. The PFO was suspected as the cause of the blood clot, according to Richard Santa-Cruz, MD, an interventional cardiologist at Agnesian HealthCare and the specialist who repaired the hole in Joel’s heart. “The diagnosis was based on an ultrasound from the chest wall, technically known as a transthoracic echocardiogram,” Dr. Santa-Cruz explains. Another type of ultrasound - a transesophageal echocardiogram - was performed with a scope guided down the patient’s throat and into the stomach. It confirmed the diagnosis. “A PFO can be associated with a stroke and traveling blood clots,” according to Dr. Santa-Cruz. “Some openings are big and others are small. The vast majority of PFOs do not cause any concern, which is why we don’t screen for them.” Dr. Santa-Cruz used the catheterization process, threading a thin tube up through the groin to patch the hole in his heart. “It was outpatient surgery and I went home the same day,” Joel says. The procedure was a success for Joel and was also a milestone for Dr. Santa-Cruz as it was his 100th PFO surgery, with a 100 percent success rate. “Reaching the 100th PFO closure is significant because it shows that Agnesian HealthCare has an excellent heart care program, coupled with exceptional results,” Dr. Santa-Cruz says. Joel’s damaging blood clot resolved itself. Likewise, the health of his kidney has improved remarkably, and he quickly returned to his role as a financial advisor. “His prognosis is excellent,” Dr. Santa-Cruz concludes. “Dr. Santa-Cruz and the heart care team, as well as all the other doctors involved in my case at Agnesian HealthCare, were top-notch,” Joel stresses. “They were very friendly. The best part is that the procedure used to fix the concern was a seamless process - from the prep, to the surgery, to the recovery. Dr. Santa-Cruz fixed the hole in my heart that I never knew I had.” Richard Santa-Cruz, MD
  • 5. 05AGNESIAN.COM HEARTCARE A patent foramen ovale (PFO) is a hole in the heart that failed to close like it should have after birth. During development in the womb, the unborn baby has a small flap-like opening called the foramen ovale. Normally it closes during infancy when the baby is no longer dependent on the blood supply through the umbilical cord - but when it doesn’t close, it’s referred to as a patent foramen ovale. “As we are born and start breathing, the PFO (which is really a flap, not a true hole) should close,” says Dr. Santa-Cruz, noting PFO is present in at least 25 percent of all adults. Most people don’t realize they have a hole in their heart. The condition is often discovered during tests for other concerns. The flap-like opening of the PFO opens primarily when a person sneezes, coughs or strains, like during a bowel movement. The force can result in the PFO opening, allowing a vein blood clot to pass and migrate to the artery system and other parts of the body, causing a stroke or damaging organs in the process. “Usually, I see patients who’ve had a stroke or mini strokes,” says Dr. Santa-Cruz. “But as in the case of Joel, he had abdominal pain because the clot went to his kidney.” What is Patent Foramen Ovale (PFO)? “It was outpatient surgery and I went home the same day.” - Joel Heeringa
  • 6. 06 SAVING LIMBS. SAVING LIVES. A 10-month process saved Joe Kasuboski’s right leg from amputation thanks to care Joe received last year at the newly-launched Agnesian Wound Care services in Fond du Lac. The use of state-of-the-art equipment and treatments, such as hyperbaric oxygen therapy, were overseen by Jon Moen, MD, general surgeon and Agnesian Wound Care medical director. A total of five Agnesian HealthCare physicians were involved in the process to save Joe’s leg - and literally, his life. It isn’t the first battle Joe has had to fight. The 69-year-old Ripon man survived life as an on-the-ground machine gunner in Vietnam nearly 50 years ago. His legs and hands are riddled with the scars of bullet wounds. Shrapnel is lodged behind his eye, making it impossible to ever have an MRI exam. Joe’s second major battle occurred at age 31 when he was diagnosed with diabetes. Over the years, the disease led to poor circulation and strokes, causing this former construction worker and school custodian to retire at age 51. His most recent battle against diabetes was centered on the fight to save his right leg. It all began in June 2014 with the appearance of a sore on his little toe. “That’s all it took to start the journey toward amputation of his leg,” says his wife, Barb, noting two Ripon-based Agnesian HealthCare physicians were the first of five to rally to Joe’s side. Joe’s primary care physician, Richard Gauthier, MD, a family medicine physician who saw Joe through the entire process, sent him to Jonathan Stroebel, DPM, a podiatrist (foot and ankle specialist) with Agnesian Wound Care. “Gangrene had set into the wound by his toes,” Barb says. “Things weren’t looking good.” As a result, all the toes on Joe’s right foot were surgically removed by Dr. Stroebel. Making matters worse, the potentially deadly sepsis infection invaded Joe’s body. Ten weeks of antibiotics were administered to combat the infection. Meanwhile, he was at risk of losing his right leg to amputation as the gangrene moved upward. Two physicians with Agnesian HealthCare’s Dale Michels Center for Heart Care also stepped in to help Joe with circulation issues. Vascular physicians - Richard Santa- Cruz, MD, and R. Eric Lilly, MD (with Froedtert & the Medical College of Wisconsin), worked together through interventional angioplastic procedures and surgery to bring limb saving blood supply to Joe’s leg. The care that he received at Agnesian Wound Care prevented an amputation. “Joe had come to me with a diabetic foot ulcer with gangrene,” says Dr. Moen. “It looked like his wounds wouldn’t heal and that he would lose his leg.” Joe received healing hyperbaric oxygen treatments five days a week for 10 weeks. The process was one where Joe, who was lying down in a comfy-looking bed, was gently slid into an airtight hyperbaric chamber. Once inside, he received pure oxygen under pressure. Each hyperbaric treatment was referred to as a “dive” and lasted about two hours. “Joe took 50 dives, which is quite a commitment on the part of the patient,” Dr. Moen says, noting the center has two hyperbaric chambers, each weighing 3,500 pounds. “On a daily basis, we have as many as seven patients going into each of the chambers. We are busy constantly.” Jon Moen, MD Richard Gauthier, MD Richard Santa-Cruz, MD Jonathan Stroebel, DPM R. Eric Lilly, MD
  • 7. 07AGNESIAN.COM WOUNDCARE The cylinder-shaped hyperbaric chambers are impressive looking, huge and completely encased in thick, transparent acrylic. The patient is visible from the outside and can see out. “It wasn’t an issue being in there,” Joe says. “I could even watch TV during those two hours. There was nothing to it.” About midway through the 50 treatments, Joe and Barb started to see results. “My wound looked and felt better. It got smaller and tighter,” Joe says, noting they were pleasantly surprised at how much it had healed. In the end, it was gone and completely healed.“My leg was saved.” In addition to the hyperbaric oxygen treatments, a wound vac (suction device) was attached to Joe’s open sore during his months of treatment. It consisted of a foam pad covering the wound and a suction mechanism to promote healing. “It was attached to his wound for a long time,” Barb says. “He wore it day and night. Joe said it did not make his pain worse.” “We are so thankful for Agnesian Wound Care, Dr. Moen and all the staff - including all the other doctors who treated Joe,” Barb says. “Plus, we are very pleased with the Agnesian Home Care nurses who came to our home for months. They were wonderful.” “If it wasn’t for Agnesian Wound Care, I wouldn’t have my right leg,” Joe says, noting he and Barb return there occasionally because they miss the staff. “I can’t go in there without being so grateful.” To learn more about hyperbaric chambers, visit agnesian.com/wound-care. “If it wasn’t for Agnesian Wound Care, I wouldn’t have my right leg.” - Joe Kasuboski
  • 8. Toni Stanley, MD Filip Troicki, MD Keith Knepel, MD Lisa Michels, APNP 08 Robin Peebles, 47, is a busy lady. When she’s not running her Fond du Lac salon, Euphoria, she’s enjoying time with her husband, stepdaughters and big extended family. She even finds time to tee off with her golf league once a week. But what she didn’t have time for was cancer. In March of this year, she had her yearly physical with Mary Schultz, MD, an Agnesian HealthCare obstetrician and gynecologist. “She urged me to get a mammogram,” recalls Robin. Dr. Schultz told her that Agnesian HealthCare has walk-in mammogram appointments; so finding the time to schedule one should never be an excuse not to go. Robin promptly had a mammogram. The next day, she got a call. Some calcifications were found and she needed a biopsy. Robin remembers the procedure. “Kay (Groeschel, breast health coordinator) held my hand and talked me through everything while Dr. (Keith) Knepel performed the biopsy. I was scared. I kept thinking that I don’t have time for this.” Robin was diagnosed with Ductal Carcinoma in Situ (DCIS), the most common type of non-invasive breast cancer that can only be detected through a mammogram. Robin was referred to Toni Stanley, MD, Agnesian HealthCare general surgeon. They discussed her options and Robin told Dr. Stanley that because of her family history, her mother and two aunts are breast cancer survivors (one aunt unfortunately did not survive) that she was prepared to “go drastic” and get both breasts removed with reconstruction. “We decided that if I carried a gene mutation we would opt for a more drastic surgery; otherwise she recommended a lumpectomy,” says Robin. Lisa Michels, APNP, an oncology nurse practitioner, guided Robin through the testing process. After a couple of weeks, Robin’s genetic test results were in with good news: she tested negative. Robin had a lumpectomy on May 13, 2015. “The procedure was successful and truly pain free. I took a couple days off to rest, but really, I was good to go,” recalls Robin. Then Robin met with Filip Troicki, MD, an Agnesian Cancer Center radiation oncologist. “He explained everything to me and even drew pictures so I understood my disease.” With radiation now complete, Robin will be monitored every six months. “This experience has taught me a lot about myself and how strong I am. If I can encourage women to get routine mammograms, this will be worth it to me.” To learn more about breast biopsy procedures, visit agnesian.com/breast-biopsy. Mary Schultz, MD A SCREENING SAVED MY LIFE
  • 9. 09AGNESIAN.COM WOMEN’SHEALTH “This experience has taught me a lot about myself and how strong I am.” - Robin Peebles
  • 10. 10 FINDS GROOVE AGAINBrian Woik has always had a passion for singing. While during the day he is a graphic printer by trade, at night you can see this Mayville community member singing his heart out on stage for the band, “Guilty as Sin.” As a young man, Brian spent his high school and college days - as many young men do - on the ball field. Whether through touchdowns or home runs, he was active and very hard physically on his body. “I’ve always been one to stay in good shape,” Brian says, “so when my hips were keeping me from doing the things I enjoyed, I got help right away.” Help right away was Steven Magoline, MD, an orthopedic surgeon with Agnesian Bone & Joint Health. “Brian’s condition isn’t unique. He had typical worn out hips due to middle age arthritis. Simply, his hip joints needed to be replaced,” according to Dr. Magoline. “Working together, we weighed all the options available to Brian, talked about the pros and cons of each, and arrived at a treatment option with the best possible outcomes.” Dr. Magoline recommended an anterior hip replacement surgery to treat Brian’s condition. It is easier on the patient’s muscle, and there is less pain, rehab and recovery time. Patients can get back to normal life quicker. “I am back lifting speakers into my truck, and setting up the stage for performances again,” says Brian. “I am performing center stage with a new hip! And it feels great.” To hear more of Brian’s story, visit agnesian.com/brian. M A Y V I L L E S I N G E R Steven Magoline, MD
  • 11. 11AGNESIAN.COM BONE&JOINTHEALTH “I am performing center stage with a new hip! And it feels great.” - Brian Woik
  • 12. Kathy Busse, PT 12 A TEAM APPROACH Bonnie Williams, a bookkeeper at Fond du Lac High School, couldn’t turn her neck when someone came into her office. She suffered from nearly constant neck pain, which caused excruciating headaches and numbness and tingling in her limbs. The pain was so bad that Bonnie found herself waking three, four, even five times a night. “I couldn’t sleep because my arms would fall asleep and my legs would be tingling,” according to Bonnie. Frustrated, Bonnie sought help from her primary care provider, Jeffrey Strong, MD, an Agnesian HealthCare family medicine physician. Dr. Strong ruled out a neurodegenerative disease; Bonnie’s symptoms, it seemed, were caused by bulging discs in her neck. The discs, which normally act as cushions between the bones of the spine, were putting pressure on nearby nerves. Dr. Strong referred Bonnie to Agnesian HealthCare’s Center for Pain Care. There, she underwent physical therapy with Catherine Grzywacz, PT, DPT, and Kathy Busse, PT, received steroid injections from Eugenia-Daniela Hord, MD, a neurologist who specializes in pain management. The injections decreased the inflammation in Bonnie’s spine and provided temporary pain relief. Her first round of steroid injections provided nearly a year of relief. The second round lasted just a few months. At that point, Dr. Hord ordered MRI-imaging of Bonnie’s neck, which revealed worsening nerve compression. Dr. Hord referred Bonnie to Agnesian HealthCare Neurosurgeon Jason Przybylo, MD, who is part of the Froedert & the Medical College of Wisconsin. Because Bonnie had exhausted conservative treatment options, and because her bulging discs and nerve compression were causing serious symptoms and interfering with her life, Dr. Przybylo recommended and skillfully performed spinal surgery at St. Agnes Hospital to relieve the nerve compression. Though Bonnie admits to being “scared of the idea of someone operating on her neck, the surgery made an immediate difference in her life. “When I woke up the morning after surgery, I had no pain,” Bonnie recalls. “I was back at work exactly one month from the day of my surgery, and my function is now back to what it was years ago. My surgery is what I call an extreme success.” T O N E C K P A I N Jeffrey Strong, MD Catherine Grzywacz, PT, DPT Eugenia-Daniela Hord, MD Jason Przybylo, MD Take our nervous system quiz at agnesian.com/quiz. The human nervous system is capable of a wide range of functions. What is the basic unit of the nervous system? A. Glial cell B. Meninges C. Neuron D. Cerebrospinal fluid
  • 13. 13AGNESIAN.COM NEUROSURGERY “When I woke up the morning after surgery I had no pain.” - Bonnie Williams
  • 14. 14 RARE DISEASE KIDNEY SPECIALISTS HELP MANAGE When the red spots appeared on his legs, Steven Tetzlaff didn’t know what to think. Steven, a Marine Corps veteran and retired prison guard, was in fantastic shape. The Waupun resident routinely ran five miles per day. He lifted weights a couple days per week. And as far as he knew, he had no known medical concerns. So when he noticed the small, flat red dots on his legs - on a Friday evening, no less - he did what most people would do: he showed them to his spouse and waited to see if they’d go away. The spots were still there Monday morning, so he went to see Richard Parish, PA-C, certified physician assistant in Waupun. Parish suspected vasculitis, an inflammation of the blood vessels that can cause organ damage. A second opinion confirmed Parish’s diagnosis, and Steven received inpatient treatment to control the rare disease. He then learned that his kidneys had been affected. Steven followed up with Robert Nagle, DO, a family medicine physician in Waupun, who referred him to Bret Pasiuk, MD, an Agnesian HealthCare nephrologist, or kidney doctor. “Dr. Pasiuk was the one who explained this disease to me in depth,” Steven says. “He’s a really great doctor. He takes time with you and answers all your questions. He’s really, really good.” Because Steven had a rare form of a rare disease, Dr. Pasiuk recommended aggressive treatment: six months of daily treatment with oral chemotherapy pills. That was a bit over six months ago. Today, Steven’s disease is in remission, and his kidney function remains stable. He continues to follow up with Dr. Pasiuk and is working to rebuild his physical strength and function. “I thank God they found it when they did,” Steven says. “Dr. Pasiuk is now my go-to guy.” Want to learn more about vasculitis? Visit agnesian.com/vasculitis. Richard Parish, PA-C Robert Nagle, DO Bret Pasiuk, MD
  • 15. For a comprehensive class list, or to register, visit agnesian.com/programs, or call (920) 926-4960. 15AGNESIAN.COM COMMUNITY CALENDAR Feature Programs BALANCINGNATURE’SHEALING Learn how natural supplements can be used for your health and wellness. Plaza Level Conference Center Tuesday, September 22 5:30 to 6:30 p.m. $5 per person E-CIGARETTES…WHATYOUNEEDTOKNOW Learn more about various electronic nicotine delivery systems, the effect they have on the youth in our community, safety and government regulations, and tips on quitting tobacco. Plaza Level Conference Center Thursday, September 24, 6 to 7 p.m. Free CAREOFTHEDIABETICFOOT&ULCER Learn more about the general care of the diabetic foot, how to inspect your feet and select proper footwear. Ripon Medical Center Green Lake Room Tuesday, September 29, 6 to 7 p.m. Plaza Level Conference Center Thursday, October 15, 6 to 7 p.m. Free GOFRESH…GOHOMEMADE Learn how to make delicious, healthy, homemade versions of your favorite convenience foods. Fond du Lac Regional Clinic West Demo Kitchen Wednesday, September 30, 6 to 7 p.m. $10 per person • Seating is limited. Preregistration is required. CARDIO+COREFITNESS&STRENGTHENINGCLASSES A fitness and strengthening program to help participants tighten their abdomen and buttocks, improve functional strength and help prevent injury. Plaza Level Conference Center Wednesdays, October 7 to 28, 5:30 to 6:30 p.m. Wednesdays, November 4 to 25, 5:30 to 6:30 p.m. Wednesdays, December 2 to 23, 5:30 to 6:30 p.m. $40 per person PRENATALYOGA A four-week mixed level prenatal yoga class for all levels and any trimester of pregnancy. Journeys: a health resource center Mondays, October 12 to November 16 5:30 to 6:30 p.m. Mondays, November 30 to December 21 5:30 to 6:30 p.m. $50 per person GENTLEYOGA This class instructs participants on strengthening mental focus, and relieving stress and anxiety Journeys: a health resource center Tuesdays, October 13 to November 17 11 a.m. to 12:15 p.m. $60 per person COOKINGWITHFALLVEGETABLES Enjoy demonstrations on how to make delicious and healthy dishes out of a variety of winter squash and pumpkin. Fond du Lac Regional Clinic West Demo Kitchen Wednesday, October 21, 6 to 7 p.m. $10 per person • Seating is limited. Preregistration is required. HEALINGTHROUGHART Learn unique ways that art can facilitate healing. Journeys: a health resource center Mondays, October 26 to November 30, 5:30 to 7:30 p.m. $75 per person HYPERBARICMEDICINE-ISITRIGHTFORYOU? Talk with providers to learn what Agnesian Wound Care hyperbaric chambers look like, how oxygen therapy works and discuss if it’s right for you. Plaza Level Conference Center Tuesday, October 27, 6 to 7 p.m. Free
  • 16. 16 Fall/Winter Events For a comprehensive event list or to register, visit agnesian.com/community-calendar, or call (920) 926-4960. ARTATAGNESIANRECEPTIONFORCOLLEENCHERTOS Join Colleen Chertos, Fond du Lac artist, at a reception to showcase her acrylic art creations that range from flowers to abstracts. Journeys: a health resource center Tuesday, November 10, 6 to 7 p.m. Free DIABETESHEALTHFAIR Visit educational vendor booths, view a healthy cooking demonstration and listen to our featured presenter, Clarence Tam, MD, ophthalmologist. Plaza Level Conference Center Thursday, November 12, 5 to 7:30 p.m. Preregistration is requested by visiting agnesian.com/diabetes. COOKING UP THANKSGIVING LEFTOVERS Learn how to turn Thanksgiving leftovers into creative new dishes that you and your family will love. Fond du Lac Regional Clinic West Demo Kitchen Wednesday, November 18, 6 to 7 p.m. $10 per person • Seating is limited. Preregistration is required. HOLIDAYFAVORITESMADEHEALTHY Get tips on how to keep the holidays light and healthy with a table full of traditional but healthy holiday dishes. Fond du Lac Regional Clinic West Demo Kitchen Wednesday, December 2, 6 to 7 p.m. $10 per person • Seating is limited. Preregistration is required. HOLIDAYDESSERTSWITHAHEALTHYTWIST Experience a hands-on cooking demonstration creating tasty and healthier versions of traditional holiday desserts so you can enjoy what you eat and still see your feet! Fond du Lac Regional Clinic West Demo Kitchen Wednesday, December 16, 6 to 7 p.m. $10 per person Seating is limited. Preregistration is required. CARINGFORYOUATCHRISTMAS Saturday, December 5, 2015 Caring for You at Christmas, includes a special luncheon at the Whispering Springs Golf Club in Fond du Lac. The luncheon - which benefits the Carol Hyland Caring for You Fund - features tables that are designed with very specific themes by women in the community. ANNUALAPPEAL Through December 31, 2015 Each year, the Foundation reaches out to ask for assistance in helping to create hope for many individuals in our communities served by our partners in caring. Contributions to the Annual Appeal will help build the Unrestricted Fund, allowing the Foundation Board of Directors to respond to areas of greatest need presented to them each year. LOVELIGHTS Through December 31, 2015 The Agnesian HealthCare Foundation is bringing forward its annual Love Light project. Individuals can support Love Lights by purchasing a light in honor of someone they wish to remember or celebrate during the holiday season. The cost is $10 (per light). The tree lighting ceremony is set for 6:30 p.m. on Thursday, December 10 in the St. Agnes Hospital lobby. AGNESIAN HEALTHCARE FOUNDATION For more information, call (920) 926-4959.
  • 17. 17AGNESIAN.COM Prescription for Reading Reading a book with your child is a time of bonding, learning and exploring. Through its Prescription for Reading program, the Agnesian HealthCare Foundation offers free books to our youngest patients. At wellness checks for children ages six-months through five years, Agnesian HealthCare physicians share a brand-new, age-appropriate book with the child and talk with the family about reading together. When the visit is over, the family leaves with the book and a prescription for reading - where great stories begin. The Foundation’s Executive Director, Rita Meidam, is particularly excited about this program, “Through the ongoing generous support of our donors, the Agnesian HealthCare Foundation stands ready to help with any unexpected needs for our patients, residents or families. We look for opportunities that help to enhance our overall quality of life and build a stronger community - now and well into the future.” Families will be introduced to the program through their family physicians and pediatricians. Through this program, the doctors can influence children in the very early years of life and create important long-term relationships with families. “When a pediatric provider hands a child a book, they can instantly observe gross and fine motor skills, language skills and memory, and get more information about the child than they can get with a stethoscope,” says Meidam. WHY I GIVE... 52 years ago I was brought to St. Agnes Hospital with life-threatening injuries and multiple major fractures. For three months, I was under the watchful eye of caring providers. Today, feeling very blessed, I live a full and active life. St. Agnes Hospital was there when I needed them, and it only seems right to pay it forward. We donate generously to the Agnesian HealthCare Foundation through our volunteer hours and financial support. We give when we can because it’s the right thing to do and it feels good to give. Jack Twohig, President Jack Twohig’s Carpet One To contribute to the 2015 annual appeal, visit agnesian.com/giving.DONATE NOW!
  • 18. Saturday, February 27, 2016 Ripon Medical Center • 845 Parkside Street, Ripon 18 Paving a Way to Wellness in Ripon DENIM PEARLS SAVE THE DATE FOR THE 2016 People take walks for many reasons. Sometimes it’s for exercise, enjoying the outdoors or to achieve overall wellness. For these reasons, The Foundation for Ripon Medical Center is creating a wellness walkway for the community to enjoy. The Foundation is passionate about creating “healing spaces” at the new hospital and has already shown its support of community wellness through its $2.4 million donation for the completion of the RMC Wellness Center. “A wellness walkway is a way to extend our goal in helping others live healthier lives, in addition to having a safe area to walk and reflect on something that is occurring in their lives,” according to Rita Meidam, executive director for The Foundation for Ripon Medical Center.“And, since it will flow past the RMC Wellness Center, it will be a natural expansion of this area’s very important mission.” Ripon Medical Center’s beautiful setting is ideal for the path. Visitors will be able to take advantage of the walkway’s natural scenery year-round to enjoy nature, clear your mind, exercise, eat lunch, meet friends or take a break. “For individuals and families that might be facing a stressful situation due to a loved one’s illness or injury, they can take a moment on the walkway to collect their thoughts and then return reinvigorated to offer their love and support,” says Meidam.
  • 19. 19AGNESIAN.COM At Agnesian HealthCare, our goal is to make sure you can always get the best, most appropriate care for your individual needs. That’s why we offer a wide range of options, from primary care and walk-in care to urgent and emergency care. Patients should go directly to the Emergency Department for life-threatening illnesses or injuries, or call 911 for emergency paramedic assistance. Urgent care treats patients on a walk-in basis - from infants to older adults - with acute health illnesses or injuries, such as broken bones and lacerations. Ripon Medical Center and Waupun Memorial Hospital offer care through their emergency departments. Walk-in care offers well-patient care, preventive care, treatment of minor illnesses and injuries, and basic laboratory tests. These services are available through Agnesian Convenient Care Clinic, Agnesian Clinic at Westwind and Agnesian EZ Care. Primary care is regular preventive care and treatment provided by an internal medicine physician, a family medicine physician, physician assistant or a nurse practitioner. For a complete listing, visit agnesian.com/walk-in-care. TRIBUTE TO VETERANS - Back in 1943, the City of Waupun mayor appointed a Citizen’s Hospital Committee to investigate the possibility of constructing a full-service hospital for residents of Waupun. Following a $125,000 fund-raising drive to offset the estimated $300,000 cost of building a 50-bed hospital, construction began in 1949 with opening on July 5, 1951. The building was constructed in tribute to the service men and women of both world wars, and the ideals for which they fought and died, for the care and treatment of the sick, without regard to race, color or creed. Now, more than 64 years later, Waupun Memorial Hospital continues to serve. Agnesian HealthCare is proud to offer its Living in Good Health newsletter to the communities we serve. It is designed to help you stay “living in good health,” and is packed full of health tips and inspiring stories of patient and resident successes! We want Living in Good Health to be simply the best. Please take a moment to give us your feedback by visiting agnesian.com/survey. Each person who submits a survey will be entered into a drawing to win a $20 gift card from the Café Coffee in the St. Agnes Hospital lobby. Stepping Out in Faith Let Your Voice Be Heard! When to Visit the ER?BEST KEPT SECRET $20 WIN A GIFT CERTIFICATE WORTH
  • 20. 430 EAST DIVISION STREET FOND DU LAC, WI 54935 NON-PROFIT ORG U.S. POSTAGE PAID PERMIT NO. 354 FOND DU LAC, WI agnesian.com AGNESIAN HEALTH SHOPPE 307 Camelot Drive Fond du Lac, WI 54935 (920) 926-5277 AGNESIAN PHARMACY & PRESCRIPTION CENTERS 145 N. Main Street Fond du Lac, WI 54935 (920) 921-4660 With locations in Fond du Lac, Brownsville, Markesan, Mayville, North Fond du Lac and Waupun CONSULTANTS LABORATORY 430 East Division Street Fond du Lac, WI 54935 (920) 929-9300 FOND DU LAC REGIONAL CLINIC 420 East Division Street Fond du Lac, WI 54935 (920) 923-7400 RIPON MEDICAL CENTER 845 Parkside Street Ripon, WI 54971 (920) 748-3101 ST. AGNES HOSPITAL 430 East Division Street Fond du Lac, WI 54935 (920) 929-2300 ST. FRANCIS HOME 33 Everett Street Fond du Lac, WI 54935 (920) 923-7980 WAUPUN MEMORIAL HOSPITAL 620 West Brown Street Waupun, WI 53963 (920) 324-5581 To explore employment opportunities at Agnesian HealthCare, visit agnesian.com/careers or call (920) 926-5712. Get to Know Your Doc Adam Strittmatter, DO, Ophthalmologist Quick Stats: Name: Adam Strittmatter, DO Education: Philadelphia College of Osteopathic Medicine; Ohio University, Doctors Hospital Columbus, Ohio What do you like to do when you’re not working? Golfing, hiking, biking and learning to cook. What is your favorite food? Hot sausage or brats cooked on the grill. Tell us something about you that would surprise someone. I played baseball and golf for my college. What is the last book you read? The White Coat Investor by James Dahle, MD Where is the coolest place you’ve ever been? Puerto Rico. One day we would be snorkeling in the ocean and the next day we were hiking in the rainforest! Any places on your bucket list? New Zealand for sure. I also want to see Germany and Italy. What is your favorite place in the Fond du Lac area? Elizabeth (wife) and I love to walk in Lakeside Park at sunset. What are you looking forward to the most in Fond du Lac this year? I hope to get the opportunity to go sturgeon spearing! I have a lot of friends and family that want to come and experience it with me. To view providers that serve Agnesian HealthCare, visit agnesian.com/find-a-provider. Do you prefer to get this newsletter electronically? Subscribe at agnesian.com/subscribe.