Category Archives: Healthy Living

Take a Deep Breath!

Respiratory therapist, Linda Hosfield, left, is working with Shirley Erickson, center. Mike Hauge, respiratory therapist, is another team member.

Let’s face it. Breathing is something that most people don’t think about. Unless you’re participating in a vigorous athletic activity, you probably go for days without noticing that you’re breathing at all. But if you suffer from asthma, emphysema, or any form of COPD, simply breathing can be a challenge. Linda Hosfield is the director of the pulmonary rehab department at Ringgold County Hospital, and she works regularly with patients to help them improve their pulmonary functioning and their overall health. “Our number one goal is to help people quit smoking,” she said. “The practitioners in the Mount Ayr Medical Clinic are all available with ideas and aids to help people quit smoking. The American Lung Association and Quitline Iowa are also great resources.” Ruth Smith, a Ringgold County Hospital physical therapist, is also certified in hypnotherapy which has proven to be a successful tool for some people who want to quit smoking.

According to Linda, whether you’re a former smoker, or have lung disease caused by something else, exercise provides great benefits. “We teach patients how to keep their bodies healthy without medication. Maintaining your muscles is paramount to breathing. We specifically work on increasing endurance muscles. If you can exercise for an hour instead of 10 minutes, you’ll make a lot more progress. Exercise is all natural, with no side effects.”

Linda also teaches both children and adults how to protect their lungs and maintain pulmonary health. “Avoid chemicals, smoke, and air pollution whenever possible, and practice preventative maintenance,” she says. “Everyone should get a flu shot, and people over 65 should get pneumonia shots as well.” While anyone can get the flu, according to the American Lung Association, certain groups are at increased risk of flu-related infection and complications, including adults 50 and older. The stakes are especially high for people living with chronic health conditions such as asthma, COPD, diabetes and heart disease. The flu can make these and other conditions worse, causing serious life-changing and life-threatening illness. Flu shots are available at the Mount Ayr Medical Clinic and Ringgold County Public Health. According to Linda, “It’s never too late to get your flu shot!”

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The Great American Smokeout

Quitting smoking isn’t easy. It takes time, and a plan. You don’t have to stop smoking in one day. Let the Great American Smokeout event on November 15 be your day to start your journey toward a smoke-free life. You’ll be joining thousands of smokers across the country in taking an important step toward a healthier life and reducing your cancer risk. Plus, the American Cancer Society can help you access the resources and support you need to quit.

Quitting smoking improves health immediately and over the long term – at any age. You can increase your chances of success with help. See your healthcare provider at the Mount Ayr Medical Clinic, or call Quitline Iowa, a FREE service for Iowans to connect with a coach. 1-800- QUIT NOW (1-800-784-8669). Or visit quitlineiowa.org.

 

National Physical Therapy Month

Front row, from left: Jill Johnson, Nate Greisen. Back row, from left: Ruth Smith, Jill Ehlen, Shyanne Allen, Virginia Greubel

There aren’t many places in a hospital where former patients drop by just to say “hello.” But it happens all the time in the Physical Therapy Department at Ringgold County Hospital. The team prides themselves in building relationships while they care for their patients.

Jill Ehlen is the Rehab Director and a Physical Therapy Assistant. She oversees the day-to-day management of the department, including staffing and ensuring that all policies and procedures are being followed. She splits her time between seeing patients and managing the department, however she says, “I do more patient care than anything.” Jill was named the director in 2016. Since then, the department has grown and now includes three full-time physical therapists (PT) and two physical therapy assistants (PTA). “One of the biggest accomplishments for me as a department head has been putting together a great team,” she said. “Everyone brings their individual strengths and talents, but we all have the same approach to patient care. They’re all great therapists with great hands-on skills, and they’re so compassionate. It helps that we do not have one bad grape in the bunch!” All the team members feel the same way about their coworkers and the department. Shyanne Allen, PT, remarked that, “It’s really fun. It’s such a positive work environment.” She especially enjoys the variety in her work. “My interests are in orthopedics, sports injuries, and rehab. It never gets boring!”

In a way, Shyanne is responsible for bringing Nate and Jill to Mt. Ayr. When she had a baby last January, (a perfect baby girl named Ada) the two therapists were hired for the short term to cover her maternity leave. They fit so well in the department and the community, that they were hired permanently in April. “It’s going great!” says Nate Greisen, PTA. “I couldn’t ask for anything more. The team is fun and easy to work with. It’s really comfortable.” Along with physical therapy, Nate splits his time between cardiac rehab and helping patients with peripheral arterial disease. “The patient load is increasing every month. Because we’ve grown as a staff, we can help even more people.” As an extension of cardiac rehab, Nate’s added a new program called Functional Fitness. It’s designed for anyone in the community who wants to be active but needs some supervision. “They get a consent form from their doctor and then participate in a monitored exercise program. We have six people right now, coming two-three times a week,” he says.

Jill Johnson, PT, is also happy with her decision to live and work in Mt. Ayr. “I really enjoy a smaller, rural health care setting. We get so much variety. I like the idea that I’m still challenged regularly.” She’s noticed that the number of patients coming to the department have grown exponentially since she arrived. “Things are being said about us. We’re getting referrals from outside our community. Which is great because we want to help everyone we can.”

After seven years as a physical therapist at RCH, Ruth Smith echoes the sentiments of her co-workers. “I’m thrilled with the new staff,” she said. “They’re young and progressive. They focus a lot on relationships with the patients. They build confidence and trust while they’re very concerned about the quality of the therapy. There’s a
genuine openness, and a willingness to learn.” Ruth is no stranger to learning new approaches to therapy, having recently become certified in hypnotherapy. She helps patients with smoking cessation, weight loss, managing anxiety, and pain management. “It’s definitely not a magical cure, but it’s a kick start – to get the ball moving in the right
direction.”

With all the good work going on both inside and outside the Physical Therapy Department, the team is being talked about, and their reputation is growing. Stop by during October, National Physical Therapy Month and say hello!

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October is Breast Cancer Awareness Month

The health care professionals at Ringgold County Hospital are strongly encouraging all women over the age of 40 to have an annual mammogram. It’s a simple, noninvasive procedure. “It’s only 10 minutes,” said Shelly Shields, medical imaging manager. “But those 10 minutes can save your life.” The big news in breast cancer detection is the 3D Mammography machine. Ringgold County Hospital acquired one earlier this year. “We decided the benefits far outweighed the costs. We really wanted to get it for our community.”

The 3D Mammography machine brings the most advanced imaging available today to the area. Patients don’t have to travel to get the best of the best. “The convenience of it being right here means we’re detecting more breast cancers, earlier,” said Shelly. “Early detection is what saves lives.” The machine’s sophistication also means fewer women need to come back for a second set of images. “It’s low-dose radiation, and it reduces call-backs by 40%.”

At Ringgold County Hospital, the benefits of high-tech imaging come with outstanding patient care. Shelly has been doing mammograms and other imaging for 30 years. Her patients are her friends, neighbors and family. “I want to take care of my patients,” said Shelly. “I want to help them be comfortable. Their experience is so important to me.”

To learn more or schedule an appointment, call 641-464-4400.

Antibiotics: What You Need To Know

If you have an infection, it is important to know whether it is caused by bacteria or a virus. Most upper respiratory tract infections such as colds, flu, most coughs, and sore throats are caused by viruses and cannot be treated with antibiotics. If a bacterial infection is to blame, bacteria can multiply and cause symptoms, and the body’s immune system can usually kill them. Our white blood cells attack harmful bacteria and, even if symptoms do occur, our immune system can usually cope and fight off the infection. There are occasions, however, when it is all too much, and some help is needed; this is where antibiotics are useful. Antibiotics, also known as antibacterials, are medications that destroy or slow down the growth of bacteria. If antibiotics are overused or used incorrectly, there is a risk that the bacteria will become resistant – the antibiotic becomes less effective against that type of bacterium. 

How do antibiotics work?
The first antibiotic was penicillin. Such penicillin related antibiotics as ampicillin, amoxicillin, and benzylpenicillin are widely used today to treat a variety of infections. Although there are a number of different types of antibiotics, they all work in one of two ways:
• A bactericidal antibiotic (penicillin, for instance) kills the bacteria; these drugs usually interfere with either the formation of the bacterium’s cell wall or its cell contents.
• A bacteriostatic stops bacteria from multiplying.

Reactions to antibiotics can be very serious, and sometimes fatal.
Antibiotics should be used with extreme caution for the following individuals:
• Anyone with reduced liver or kidney function
• Anyone who is pregnant
• Anyone who is breastfeeding

Common Side Effects
• Diarrhea
• Feeling sick
• Fungal infections of the mouth, digestive tract, and vagina

Rare side effects of antibiotics:
• Formation of kidney stones (when taking sulphonamides)
• Abnormal blood clotting (when taking some cephalosporins)
• Sensitivity to sunlight (when taking tetracyclines)
• Blood disorders (when taking trimethoprim)

Allergy
Some patients may develop an allergic reaction to antibiotics – especially penicillins. Anyone who has an allergic reaction to an antibiotic must tell their doctor and/or pharmacist. Side effects might include:

  • a rash
  • swelling of the tongue and face
  • difficulty breathing 

Interactions
Individuals taking an antibiotic, should not take other medicines or herbal remedies without speaking with a doctor first. OTC (over the counter, non-prescription) medicines might also interact with antibiotics. Penicillins, cephalosporins, and some other antibiotics can undermine the effectiveness of oral contraceptives. If the antibiotic has caused diarrhea/vomiting, the absorption of contraceptives may also be disrupted. Anyone taking these drugs should consider taking additional contraceptive precautions.

How to use
Antibiotics are usually taken by mouth (orally); however, they can also be administered by injection or applied directly to the affected part of the body. Most antibiotics start having an effect on an infection within a few hours. It is important to complete the whole course of medication to prevent the infection from coming back. Stopping the medication before the end of the course means that there is a higher chance the bacteria will become resistant to future treatments.

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