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Hannibal Regional News

Hannibal Regional Healthcare System News Archive

Hannibal Regional Medical Group Welcomes General Surgeon, John Roth, MD, FACS Bookmark

Dr. Roth General Surgeon Hannibal MissouriHannibal Regional Medical Group is pleased to announce the addition of John Roth, MD, FACS to their team. Dr. Roth is a board certified surgeon with over 17 years of experience. Dr. Roth graduated from the University of Alabama School of Medicine with his medical degree and then went on to complete his surgical residency at Marshall University in Huntington West Virginia.

As an experienced general surgeon, Dr. Roth manages a great variety of surgical conditions affecting all organ systems. Common procedures include gallbladder removal, appendectomy, hernia repairs, breast surgery, removal of cancers, abscess drainage and screening colonoscopy. With extensive experience in minimally invasive surgery techniques, Dr. Roth offers many types of traditional open and laparoscopic surgery for patients of all ages. Dr. Roth is also trained in robotic surgery and looks forward to partnering with Hannibal Regional in its surgery department expansion.

Dr. Roth has a strong interest in educating his patients about their conditions as well as what to expect during their surgical and post-operative recovery phase. He works closely with the patient’s primary care physician to achieve an integrative approach to overall health and wellness. Dr. Roth has lived in the midwest for most of his life and enjoys the benefits of raising his three children in a small town. Dr. Roth is looking forward to serving the community of Hannibal with high quality surgical care as part of Hannibal Regional’s commitment to guiding patients to better.

As part of Hannibal Regional, the Hannibal Regional Medical Group (HRMG) is a growing multi-specialty physician group continuing to expand primary and specialty care services to meet the health needs of northeast Missouri residents. HRMG family and specialty physicians deliver a range of acute, chronic and preventive medical care services. In addition to diagnosing and treating illness, they also provide preventive care, including routine checkups, health-risk assessments, immunizations, screening tests and personalized counseling on maintaining a healthy lifestyle. Hannibal Regional Medical Group has locations in Bowling Green, Canton, Hannibal, Louisiana, Monroe City, and Shelbina, as well as an Express Care clinic and a Vision Institute in Hannibal.

Nitrous Oxide Used For Pain During Labor And Delivery Bookmark

Nurse, Mom, BabyHannibal, MO --Nitrous oxide is now being offered to women in labor at Hannibal Regional Chris Coons Women’s Care Center.

“ The use of nitrous oxide has been shown to be safe and effective in taking the edge off contractions, thus relieving some pain of childbirth and we are excited that Hannibal Regional is pioneering its use in the northeast Missouri area,” says, Linda Dinges, Chris Coons Women’s Care Director.  

Dr. John Bennett, medical director of the Hannibal Regional Hospital maternity ward, said nitrous oxide is preferred by some women over other pain-management remedies.

“This is a great option in pain management for women who want as little intervention as possible during labor, or if they are not an ideal candidate for spinal anesthesia or another form of pain management,” Bennett said.

For some women, the colorless, slightly sweet-smelling gas takes enough of the edge off contractions that they are better able to cope with their labor.

“Others say it reduces anxiety and may elicit feelings of well-being during contractions,” Dinges said. “Yet, as in natural childbirth, the woman remains fully aware of her labor contractions and fully attentive during the delivery.”

“Choosing nitrous oxide can be beneficial.  It is less invasive than spinal anesthesia, has fewer risks and is easy to administer,” Dinges said. “A woman in labor simply puts a small face mask over her mouth and nose and then inhales the gas, which she feels immediately. She then naturally releases the mask as she begins to feel more relaxed. Nitrous oxide does not have a numbing effect like spinal anesthesia, it’s mild and nontoxic and leaves the patient’s system within minutes once the patient stops using it.

Obstetricians who assist mothers with the birth of their baby at Hannibal Regional educate them during their prenatal appointments about the opportunity to use nitrous oxide in labor and delivery. The Women’s Care nursing team teaches women to use the gas mixture in labor. The woman breathes normally into a mask and with those breathes she inhales the 50/50 nitrous/ oxygen mixture. The process is initiated approximately 30 seconds before each contraction for the full effect, and it wears off within a few seconds between contractions. Mothers develop their own rhythm using the gas and have a trained RN at their bedside at all times while using the nitrous mixture.

By the conclusion of delivery, the nitrous has left the patient’s body completely. It does not interfere with feeding or caring for baby after birth.

Women in labor can stop using nitrous oxide at any time during labor and switch to another form of pain management, if they choose.

Kim Runquist recently gave birth at Hannibal Regional to a 9 lb. 10 oz. baby girl.  Kim used the nitrous oxide technique instead of other interventions frequently used in labor and delivery.  “ It was easy to use and very effective.  It definitely helped me to focus, relax and stay calm.  I inhaled slowly several times during a contraction.  When the contraction was over, the effects were gone.  After usage, I felt more in control and relaxed,” adds Kim.  “ I would definitely use this technique again.”

Nitrous oxide was used for labor pains in the United States until the 1970s, when its popularity diminished with the advent of spinal anesthesia. It is still routinely used in Great Britain and elsewhere in Europe, as well as in Canada, Australia and New Zealand.

“We’re pleased to take this leadership step and make nitrous oxide available to our maternity patients,” said Dinges. It’s one of the many advances we’ve made to provide women and babies with state-of-the-art, individualized care before, during and after childbirth.  This alternative comfort measure continues with the availability of inflatable therapy balls, wireless fetal monitoring and the use of hydrotherapy in labor with a shower or tub.” “As a Baby Friendly designated hospital since July 2009, Hannibal Regional is committed to creating the best evidence-guided birth experience for every mother, every time.”

Today, there are approximately 300 hospitals using nitrous oxide for childbirth experiences, according to manufacturers of nitrous oxide systems. The American College of Obstetrics and Gynecology has issued a bulletin in support of nitrous oxide. Nitrous is cheaper than an epidural by hundreds, sometimes thousands of dollars.

Hannibal Regional says more than 600 babies will be born in the Chris Coons Women’s Care Center in 2017.

Hannibal Regional serves residents of the tri-state area from more than ten locations and includes Hannibal Regional Hospital, Hannibal Regional Medical Group, and Hannibal Regional Foundation. Hannibal Regional Hospital is a 99-bed, acute care hospital providing comprehensive health and wellness services. Hannibal Regional is recognized as one of America’s 100 Best Hospitals™ for Coronary Intervention care and was also honored with the Healthgrades 2017 Joint Replacement Excellence Award™ placing Hannibal Regional among the top 10% in the nation for joint replacement procedures. Hannibal Regional is the only hospital in Missouri to receive both achievements 2 years in a row, 2016-2017. In addition, Hannibal Regional is recognized by Healthgrades with a 2016 Outstanding Patient Experience Award, putting them in the top 15% in the nation for this category.  Hannibal Regional Medical Group is a growing multi-specialty physician group delivering primary, specialty and express care services at multiple locations in northeast Missouri. For more information on Hannibal Regional Healthcare System, visit www.hannibalregional.org.

Hannibal Regional Medical Group Welcomes Mathew Strasser, DO Bookmark

Dr. Strasser

 

Hannibal, MO -- Mathew Strasser, DO has joined Hannibal Regional Medical Group’s Internal Medicine team. Dr. Strasser began his medical career in the University of Missouri’s Nursing program in Columbia before moving on to Kansas City where he completed studies in Osteopathic Medicine at Kansas City’s University of Medicine & Biosciences. After completing his education, he was an Internal Medicine Resident at the University of Missouri in Kansas City from 2006 - 2009. Beginning in 2009 he was the Internal Medicine Chief Resident at the University of Missouri Kansas City. Dr. Strasser is board certified through the American Board of Internal Medicine.

 

As a doctor who practices in internal medicine, Dr. Strasser has been trained to solve puzzling diagnostic problems and can handle severe chronic illnesses and situations where several different illnesses may strike at the same time. His goal is to bring patients to an understanding of wellness, as well as effective treatment of any illnesses they may face. “One of things I enjoy about being a physician is the relationship I get to develop with my patients” notes Dr. Strasser. “By listening to and working with my patients, we are able to determine the best path for them on their journey to better health.”  Dr. Strasser is providing care at Hannibal Regional Medical Group, to schedule your appointment call 573-629-3500.

 

As part of Hannibal Regional, the Hannibal Regional Medical Group (HRMG) is a growing multi-specialty physician group continuing to expand primary and specialty care services to meet the health needs of northeast Missouri residents. HRMG family and specialty physicians deliver a range of acute, chronic and preventive medical care services. In addition to diagnosing and treating illness, they also provide preventive care, including routine checkups, health-risk assessments, immunizations, screening tests and personalized counseling on maintaining a healthy lifestyle. Hannibal Regional Medical Group has locations in Bowling Green, Canton, Hannibal, Louisiana, Monroe City, and Shelbina, as well as an Express Care clinic and a Vision Institute in Hannibal.

Hannibal Cannibal Seeks Logo Designs Bookmark

Hannibal Cannibal Seeks Logo Designs

By Angie Wilcoxson, Race Director

 

Hannibal, MO  -- Hannibal Regional Foundation is gearing up for their 22nd Annual Hannibal Cannibal.  This year’s Cannibal, a 5/10/15k run and 5k walk, will be Saturday, July 1 at 7:00 am in downtown Hannibal, Missouri.  As in the past, the Foundation is again seeking artists to design the logos for this year’s Hannibal Cannibal and children’s Fun Run.

 

Artists, graphic designers and anyone who enjoys designing are encouraged to submit designs for the logo contest.  The winning Cannibal logo will be displayed on the runner t-shirts, race volunteer t-shirts, stage backdrop, and all marketing materials including:  newspaper, magazine, TV ads, and entry packets.  The winning Fun Run logo will be on the all the youth t-shirts and the volunteer shirts.   For the last three years we have averaged over 1,900 participants, representing over 30 states and several foreign countries.  The winning logos could potentially be seen worldwide!

 

This year’s race will benefit the Foundation’s Cherish Campaign, which is raising funds to assist with expanding Women’s Health Services at Hannibal Regional. The expansion of Women’s Health Services at Hannibal Regional is a crucial element in meeting all the health needs of our region. Offering a full continuum of services and resources for all ages of women and their health needs is invaluable to growth and success in this area. Hannibal Regional Foundation is assisting in bringing these vital expanded services to our community through the Cherish Campaign.  This campaign is raising $160,000 to aid in bringing new technology, resources and women’s health services to our community.

Contest entries must be received by February 17, 2017.  The winner(s) will be announced March 1st and recognized during the awards ceremony of the race with a trophy, $50 Hannibal Chamber of Commerce gift certificate, free entry into the race and a free race t-shirt.

 

For a full list of design requirements, please visit the Hannibal Cannibal website, www.hannibalcannibal.com or contact Hannibal Regional Hospital Foundation at (573) 629-3577.  

 

Hannibal Regional Chaplain Selected As The President of the MO Chaplains Association Bookmark

Allen ClarkHannibal, MO -- Hannibal Regional Chaplain Allen Clark, Pastoral Care Manager,  was selected as the President of the Missouri Chaplain’s Association for the 2016 - 2017 term. He has been a member since 1990 and served on the MCA board since 2011. Chaplain Clark has served as a staff chaplain and Pastoral Care Manager at Hannibal Regional for over 20 years (October 1995).

The Missouri Chaplain’s Association is a program membership group  of the Missouri Hospital Association. MCA’s primary purpose is to provide training and support  for chaplains throughout Missouri and offer consultation to other agencies, governmental or church-related, that provide and/or support chaplains in the ministry.  Chaplains conferences are held twice a year,  a spring conference and fall conference. The fall conference is in conjunction with the Missouri Hospital Association’s Convention at Tan-Tar-A in November. Chaplain Clark sees serving as the MCA  president as an opportunity to work with fellow chaplains to provide an avenue of training and support for pastoral care members throughout the state.

 

Hannibal Regional serves residents of the tri-state area from more than ten locations and includes Hannibal Regional Hospital, Hannibal Regional Medical Group, and Hannibal Regional Foundation. Hannibal Regional Hospital is a 99-bed, acute care hospital providing comprehensive health and wellness services.  Hannibal Regional Medical Group is a growing multi-specialty physician group delivering primary, specialty and express care services at multiple locations in northeast Missouri. For more information on Hannibal Regional Healthcare System, visit www.hannibalregional.org.

 

Hannibal Cannibal Seeks Artists Bookmark

Hannibal, MO -- While the winter weather may be keeping us inside right now, before we know it the warm days of summer will be here, which means it will be time for the 22nd Annual Hannibal Cannibal.  The Cannibal, a 5/10/15k run and 5k walk sponsored by Hannibal Regional Foundation, will be Saturday, July 1 at 7:00 am.  As in the past, the Foundation is again seeking artists to design the logo for this year’s Hannibal Cannibal and children’s Fun Run.

Artist, graphic designers and anyone who enjoys designing are encouraged to enter designs into the logo contest.  The winning Cannibal logo will be displayed on the runner t-shirts, volunteer t-shirts, stage backdrop, and all marketing materials including:  newspaper, magazine, TV ads, and entry packets.  The winning Fun Run logo will be on the all the youth t-shirts and the volunteer shirts.   For the last three years the race has averaged over 1,900 participants, representing over 30 states and several foreign countries.  The winning logo could possibly be seen worldwide!

 

This year’s race will benefit the Foundation’s Cherish Campaign, which is raising funds to assist with expanding Women’s Health Services at Hannibal Regional. The expansion of Women’s Health Services at Hannibal Regional is a crucial element in meeting all the health needs of our region. Offering a full continuum of services and resources for women of all ages and their health needs is invaluable to growth and success in this area. Hannibal Regional Foundation is assisting in bringing these vital expanded services to our community through the Cherish Campaign.  This campaign is raising $160,000 to aid in bringing new technology, resources and women’s health services to our community.

Contest entries must be received by February 17, 2017.  The winners will be announced March 1st and recognized during the awards ceremony of the race with a trophy, $50 Hannibal Chamber of Commerce gift certificate, free entry into the race and a free race t-shirt.

 

For a full list of design requirements, please visit the Hannibal Cannibal website, www.hannibalcannibal.com or contact Hannibal Regional Hospital Foundation at (573) 629-3577.  

Hannibal Regional Auxiliary Demonstrates Compassionate Giving Bookmark

Hannibal, MO -- December 19th was a very special day for Hannibal Regional as the Hannibal Regional Auxiliary presented them with a check for over $98,000.  A major portion of these funds supported the Auxiliary’s pledge to the James E. Cary Cancer Center’s new Linear Accelerator.  Other projects funded by the Auxiliary include scholarships for Hannibal Regional team members, coloring books, puppets, the Wish List Program, and much more.  

In 2016 HRH Auxiliary volunteers have given over 24,000 hours of service which is the equivalent of more than $550,000 in service to Hannibal Regional.  Service is the heart of the Auxiliary and its main purpose.  “I’m so thankful to be part of such a generous team,” shares Karen Sutor, Hannibal Regional Auxiliary President. “We enjoy supporting our community and it’s so rewarding to see our service benefit so many.”

Do you enjoy helping others?  Are you looking for a way to have a positive impact on our community?  Call the Hannibal Regional Hospital Auxiliary today!  There are several areas within Hannibal Regional Healthcare System where you could volunteer your time, including activities with patients, the James E. Cary Cancer Center, Hannibal Children’s Center, two gift shops, and many more!  For more information call Alicia Rollins at 573-248-5272.

 

Photo cutline:  Pictured from left to right is Todd Ahrens, CEO of Hannibal Regional; Dr. Joel Hassien, Vice Chairperson of Hannibal Regional Foundation’s Board of Directors; Dr. Wendy Harrington, CEO of Hannibal Regional Foundation and Karen Sutor, President of Hannibal Regional Auxiliary.

Ask the Expert: What is Polypharmacy? Bookmark

Hannibal, MO -- Polypharmacy is the use of multiple medications by a patient. The minimum number of medications used to define polypharmacy varies, but usually ranges from five to ten. To decrease the risk of medication-related problems and being prescribed multiple medications for the same symptoms, patients should always review their medication list with their provider at every visit.

 

Dr. Venkata Kada with Hannibal Regional Medical Group notes, “Taking multiple medications is associated with an increased risk for adverse drug reactions or medication-related problems, especially in the elderly. If a patient, age 65 or older, takes multiple medications, he or she is at high risk for medication-related problems and there are several contributing factors.”  Sometimes medicine can create a side effect which presents itself as a new symptom or condition; treating that new symptom with another medicine will unnecessarily increase the number of medications and medication-related problems, which is referred to as prescription cascade.

 

An elderly patient is more likely to receive care from several physicians and each of them may prescribe a different medication.  As a geriatric board certified physician, Dr. Kada has a deep understanding of the biology of aging as well as extensive knowledge of its associated diseases and conditions.  Dr Kada shares, “Physiologic changes associated with aging affect drug metabolism and increase the risk of medication-related problems. These changes, along with the use of multiple medications, increase the risk of adverse interactions between medications.”


Criteria have been developed by experts to assess inappropriate medication use in older adult individuals. The most widely used benchmarks for inappropriate medications are the Beers criteria, which can help avoid inappropriate use of medications in the elderly, including certain over-the-counter products.  Dr. Kada says, “To avoid inappropriate use of medications, it is important to talk with your physician before taking any over-the-counter drugs.”  Multiple medications are often required to treat complex medical problems and to meet disease-specific clinical practice guidelines. Discussion with your physician about these issues will help avoid over-prescribing, under-prescribing and other medication-related problems.  To schedule an appointment with Dr. Kada call 573-629-3440

Hannibal Regional Medical Group to Break Ground on New Facility in Bowling Green Bookmark

Bowling Green ExpansionBowling Green, MO --Hannibal Regional Medical Group is pleased to announce that in the fall of 2017 Pike Medical Clinic will have a new home. Pike Medical Clinic will be moving to a brand new facility located by the Bowling Green Walmart and will provide care during evenings and weekends as well as offer specialty services.

Hannibal Regional Medical Group is committed to fulfilling the health care needs of the community.  “We will be able to provide longer hours and build on Pike Medical’s legacy of service to the community by bringing a specialized team of providers to support the Pike Medical team.” shares Kurt Ebers, Clinic Administrator at Hannibal Regional Medical Group.  “We put an emphasis on helping our patients find better health and we’re committed to meeting the healthcare needs of the community.”

Dr. Onik, Dr. Pitney, Jennifer Chandler, FNP-BC and Sean Weaver, FNP-C will continue to serve the community at the new location and at the Pike Medical Clinic in Louisiana.  The new, larger facility will provide space for specialty services and diagnostic testing.  Once the new facility is completed the Pike Medical team will begin offering after-hours medical care.  The team at Pike Medical will be available during the evenings and weekends for basic medical needs.

As part of the Hannibal Regional Healthcare System, Hannibal Regional Medical Group (HRMG) is a growing multi-specialty physician group continuing to expand primary and specialty care services to meet the health needs of northeast Missouri and west central Illinois residents. HRMG primary and specialty physicians deliver a range of acute, chronic and preventive medical care services. In addition to diagnosing and treating illness, they also provide preventive care, including routine checkups, health-risk assessments, immunizations, screening tests and personalized counseling on maintaining a healthy lifestyle. Hannibal Regional Medical Group has locations in Bowling Green, Canton, Hannibal, Louisiana, Monroe City, and Shelbina, as well as an Express Care clinic and a Vision Institute in Hannibal.

Stroke Awareness Bookmark

By: Marie Frankenbach, BSN, RN, Stroke Educator
Hannibal Regional


Did you know that in the United States, approximately 800,000 individuals have strokes each year? Stroke is the fifth leading cause of death in America, killing nearly 130,000 people a year. That’s 1 in every 20 deaths. However, early treatment and preventative measures can reduce the brain damage that occurs as the result of a stroke.

Stroke usually refers to the loss of brain function due to a disturbance in the blood flow to the brain. When this occurs, brain cells begin to die and brain damage occurs. Damage from a stroke may be temporary or permanent. How a stroke patient is affected depends on where the stroke occurs in the brain, how much the brain is damaged, how quickly treatment begins, and other factors.

Strokes can be classified into two major categories: ischemic (lack of blood) and hemorrhagic (bleeding). Approximately 87% of all strokes are ischemic and the rest are hemorrhagic. Ischemic strokes are caused by a blockage in a blood vessel that supplies oxygen and nutrients to the brain. If the artery remains blocked for more than a few minutes, the brain can become damaged. Hemorrhagic strokes occur when blood vessels in the brain leak or rupture, causing bleeding into the brain or around the brain.

A TIA (transient ischemic attack) is often called a “mini stroke” or “warning stroke”. The difference between a TIA and a stroke is that the blockage is transient, or temporary. Symptoms are exactly the same as stroke, but usually last less than five minutes. Even if symptoms go away, emergency help should be called immediately. A TIA is a warning sign that a person is at high risk for a stroke.

Stroke can occur at any age. It is important to recognize the signs and symptoms of stroke and take immediate action. Classic stroke symptoms can be remembered by the acronym FAST. This stands for:

(1) Face – sudden weakness or droopiness of the face, problems with vision
(2) Arm – sudden weakness or numbness of one or both arms
(3) Speech – difficulty speaking, slurred speech, or garbled speech
(4) Time – time is very important in stroke treatment. Time is Brain, call 911!

The quicker treatment can begin, the more successful the outcome.

It is very important to note the time the first stroke symptoms began because this could influence potential treatment. Stroke victims who receive treatment within specific time frames from the time symptoms begin are more likely to survive and recover more quickly and are less likely to have permanent disabilities.
The treatment of a stroke depends upon the type of stroke, the time that has passed since the first symptoms occurred, and the patient’s other medical problems. For individuals who have an ischemic stroke, the goal of treatment is to restore blood flow to the affected area of the brain as quickly as possible. TPA, sometimes called a “clot buster”, can be given preferably within three hours upon the onset of symptoms. Stroke patients who receive tPA within 90 minutes of symptom onset are almost three times more likely to recover with little or no disability.

The American Stroke Association/American Heart Association updated guidelines for acute ischemic stroke to recommend the use of stent retrievers for eligible patients. While tPA is a drug to dissolve a clot, a stent retriever is a medical device used to pull it out. Continued treatment for the stroke patient includes secondary prevention with medications such as aspirin, warfarin, and certain cholesterol-lowering medications. In some cases, physical, occupational, or speech therapies may help patients recovering from stroke.
In order to lower your risk for stroke, you should take your medications appropriately, follow up with your physicians as directed, and make lifestyle changes which may decrease risk factors for recurrent stroke. Some risk factors include high blood pressure, atrial fibrillation, high cholesterol, diabetes, tobacco/alcohol/illegal drug use, physical inactivity, and obesity. It is important to work with your healthcare providers to decrease your chances for stroke/TIA as much as possible.

If you are experiencing a stroke, call 911.