Hi {Fname},

August 2007


Great River Urology
Now Accepting Patient Appointments
Urologists Daniel Lee, M.D. (left), and Brian Lindaman, M.D., will provide care through Great River Urology, a new clinic for the diagnosis and treatment of urologic conditions. They will begin seeing patients in the clinic on Monday, Aug. 20.
Great River Urology, a new clinic for the diagnosis and treatment of urologic conditions, is now accepting patient appointments. Great River Urology is staffed by Daniel Lee, M.D., and Brian Lindaman, M.D. Drs. Lee and Lindaman recently completed their residencies in urology at the University of Iowa Hospitals and Clinics.

Dr. Lee received his medical degree from the University of Wisconsin-Madison, where he received the Everett Carl Burgess Award for the most outstanding senior medical student in surgery. Dr. Lindaman received his medical degree from the University of Iowa. For the past three years, he has been recognized for achieving the highest performance on his urology residency in-service examination.

Great River Urology is located in Suite 303 of the Eastman Plaza
(next to Great River Medical Center), 1223 S. Gear Ave., West Burlington.
Patients interested in scheduling an appointment may call (319) 768-3925.


Next PulseBeat TV Special Focuses on 'Life Fitness' Programs
High Performance Program Coordinator Chris Reed works with Southeastern Community College basketball player Cecil Stinson at Great River Center for Rehabilitation in West Burlington.

Unlike most facilities of its kind, the Center for Rehabilitation at Great River Medical Center is not just where people get better after they've been sick or injured.

"We began as a rehabilitation center with traditional rehabilitative programs," said Lynette Collier, FACHE, M.H.A., O.T.D., executive director of Integrated Services for Great River Health Systems.

Although the Center for Rehabilitation still provides those services, a special documentary to be broadcast this month will explore its many additional programs that help improve every part of a person's life:

  • Everyday life
  • Leisure/athletic life
  • Work life


A Healthier Way of Life
Because people live longer, but often with chronic illnesses, the Center for Rehabilitation emphasizes disease prevention and a healthier way of life.

"You could go through rehabilitation after a procedure to fix a problem," Collier said. "But if you didn't change your way of life, we would see you again. We allow people to join here after rehabilitation so we can monitor their progress and motivate them to change. Our goal is life fitness."

Fitness and lifestyle programs at Great River Center for Rehabilitation go far beyond what regular exercise clubs offer. They help each member identify risk factors that cause illness - then help them counter those factors through exercise, proper nutrition and lifestyle management.

The Center for Rehabilitation groups its programs into three clusters to help its members:
  • Move better
  • Restore their health and
  • Transform their lives - for fuller enjoyment

Janet Schnoeblen, a Center for Rehabilitation member, overcame chronic back problems after a car accident and improved her life in part because of "Move" programs. Each week, Monday through Saturday, the center offers 15 group exercise classes - from aerobics to yoga - and 45 aerobics sessions in two warm-water pools.

"I'd been going to physical therapy since 1999," Schnoeblen said. "Three years ago, they moved me into the water. In August 2006, I had surgery to fuse vertebrae. When my incisions would let me, I got back into the water. It's given back my sense of living."

Through more than a dozen "Restore" programs - such as Diabetes Education, Heart and Lung Disease Rehabilitation, and the Wound and Hyperbaric Clinic - people regain abilities or learn how to adapt, so they improve their lives and remain active.

To help people "Transform" their lives, Great River Medical Center is shifting the emphasis to prevention, instead of just caring for illness. "Our target is the deconditioned, possibly overweight adult," said Jamie Dengler, M.B.A., supervisor, Wellness and Rehabilitation Services, Great River Center for Rehabilitation.

The center offers:

  • Eight Weeks to Wellness - focuses on developing a healthy way of life
  • Lifestyle Assessment - helps identify and improve health risk factors
  • Lifetime Nutrition - provides skills and personal help to improve risk factors
  • Medical Fitness Assessment - provides a thorough checkup plus a personal fitness plan
  • Relaxation Methods - teaches techniques to lessen pain for people with chronic conditions
  • Tobacco Cessation - helps people quit smoking


Business Health
Great River Business Health works with employers in the region to improve their productivity, care for job-related injuries and return workers to their pre-injury status.

"The companies we work with range from mom-and-pop businesses to the largest employers in the area," said Rick Garrels, M.D., a board-certified occupational medicine physician with Great River Business Health. "We want industry to thrive here."

Back pain is a frequent workplace complaint. To help these patients, Great River Business Health works closely with the health-care professionals at Great River Spine Clinic.

"The increasing number of back pain complaints were seeing is because there's an older population in the workforce," said Doug Foster, M.D., spine and orthopedic surgeon, Great River Spine Clinic. "Most workplace back injuries are people who have underlying disk problems. As sure as the sun rises, all disks deteriorate."

"We also see patients who have injuries from repetitive motion injuries, such as carpal tunnel syndrome, and other upper-extremity injuries," Dr. Garrels said. "We work closely with the therapy staff at the Center for Rehabilitation to address these injuries and return employees to the workplace as soon and as safely as possible."

Great River Business Health also aims to prevent future injuries.

"We always want the therapists to use a program that employees could then use to prevent injuries," Dr. Garrels said.

"The sports medicine approach is a good way to look at prevention of workplace injuries," Dr. Foster said. "If people are in good condition physically, they're less likely to have back problems - or back injuries. Do a little warm-up before you start and use appropriate lifting techniques."

"Someone who's been injured can learn to do a task differently, so they won't repeat the injury," Dr. Garrels said. "Our goal is to work with industry to limit on-job injuries. That's lost production time, and it costs money for occupational medicine."

Beyond treating injuries, Great River Business Health works with employers to obtain information about what workers do on the job.

"A big issue in worker's compensation is defining that the exposure did occur at work vs. a condition of aging or a non-work risk," Dr. Garrels said.

Besides employers and workers, Great River Business Health interacts with the Occupational Safety and Health Administration, state and federal departments of transportation, insurance agencies and case managers. It does many pre-employment physicals, periodic screening examinations and drug screens.

Many businesses benefit from Great River Medical Center programs. So do many area athletes.



Athletic Performance
When athletes from this area want to improve the way they play, they come to the High Performance Program at Great River Medical Center.

"High performance is for anyone - or any group - that wants to increase their performance in any area of sport," Dengler said.

"We have high-school athletes who want to earn college scholarships, parents who want their kids to train better and safer, and triathletes. Triathlon is the new golf. It's a passion, like golf."

Chris Reed, M.S., ATC, CSCS, coordinator of the High Performance Program, has worked with professional football, tennis and basketball players. With degrees and certifications in athletic training, exercise physiology and strength conditioning, he also is an authority in rehabilitation, injury prevention and care.

"In the High Performance Program, our goal is to increase strength, power, agility and quickness - to make athletes more competitive," Reed said. "Each program is tailored to the athlete's needs."

"There's never been such a program in the Burlington area," he added. "Some high-school kids are driving to the Quad Cities, Cedar Rapids or Quincy, Ill. My goal is to show them that there's no longer the need to leave town for this service."

In 2006, Great River Medical Center was designated USA Triathlon's first Certified Training Center, thanks to a 10-year effort by George Van Hagen, P.T.A., physical therapy assistant, Great River Center for Rehabilitation.

"When I came aboard - having a background in racing, training and creating training plans - I saw an opportunity here," Van Hagen said. "As a training center, we work with athletes from throughout the Midwest who are interested in becoming competitive triathletes or those already involved in the sport who want to get to a higher level. We also conduct coaching clinics for those interested in training triathletes."

"And we have a local triathlon club," Van Hagen added. "It's called 'Team BEAST' - Burlington Endurance Athletic Sports Team."

Lyle Roberts, of Burlington, is a member of Team BEAST who competes in Iron Man Triathlons in the 75-to-79 age group.

"I did my first triathlon in 1981. I was about 50," Roberts said. "I did the first World Championship in Hawaii in 1992, and I did it again in 1993."

"Then George and I got together in 1994, and he got me started training," Roberts continued. "I did the World Championship 10 times, and I've been as high as second. I can't quite get to No. 1, and that's why I come out to the Center for Rehabilitation and get the right kind of training."

The high-performance athletic approach is applied in other ways in the community.

Back pain is a frequent workplace complaint. To help these patients, Great River Business Health works closely with the health-care professionals at Great River Spine Clinic.

"The increasing number of back pain complaints were seeing is because there's an older population in the workforce," said Doug Foster, M.D., spine and orthopedic surgeon, Great River Spine Clinic. "Most workplace back injuries are people who have underlying disk problems. As sure as the sun rises, all disks deteriorate."

"We also see patients who have injuries from repetitive motion injuries, such as carpal tunnel syndrome, and other upper-extremity injuries," Dr. Garrels said. "We work closely with the therapy staff at the Center for Rehabilitation to address these injuries and return employees to the workplace as soon and as safely as possible."

Great River Business Health also aims to prevent future injuries.

"We always want the therapists to use a program that employees could then use to prevent injuries," Dr. Garrels said.

"The sports medicine approach is a good way to look at prevention of workplace injuries," Dr. Foster said. "If people are in good condition physically, they're less likely to have back problems - or back injuries. Do a little warm-up before you start and use appropriate lifting techniques."

"Someone who's been injured can learn to do a task differently, so they won't repeat the injury," Dr. Garrels said. "Our goal is to work with industry to limit on-job injuries. That's lost production time, and it costs money for occupational medicine."

Beyond treating injuries, Great River Business Health works with employers to obtain information about what workers do on the job.

"A big issue in worker's compensation is defining that the exposure did occur at work vs. a condition of aging or a non-work risk," Dr. Garrels said.

Besides employers and workers, Great River Business Health interacts with the Occupational Safety and Health Administration, state and federal departments of transportation, insurance agencies and case managers. It does many pre-employment physicals, periodic screening examinations and drug screens.

Many businesses benefit from Great River Medical Center programs. So do many area athletes.

"The Return to Play program - which was designed to help athletes return to their sport - also is helping with post-surgery rehabilitation for non-athletes," Reed said. "After an athlete has surgery and physical therapy to get back to a functional level, he or she will come to someone like me to progress all the way back to their level of play in their sport. We're applying the same idea to help injured 'weekend warriors' get back into their golf or tennis game after surgery."

"The Firefighter Fitness program is another example," Reed continued. "Firefighters have a competition that uses many of their skills. We used to train them just for that. Now we're taking everybody in the department through strength conditioning, muscle endurance, cardiovascular training and flexibility to help with their job."

To accommodate all the increased activity, the Great River Center for Rehabilitation is considering enlarging existing exercise areas and adding a lap pool and an indoor track. And it continues to expand programs to meet the area's growing needs.

PulseBeat Times and Dates

In health care, technologies and treatments are advancing like never before. PulseBeat helps you keep abreast of these advancements and shows you what's happening in health care at Great River Medical Center. The next edition of PulseBeat features 'life fitness' programs at the hospital. Watch PulseBeat at the following times, dates and channels:

  • 6:30 p.m. Saturday, Aug. 11, KHQA/CBS
  • 6:30 p.m. Tuesday, Aug. 14, KYOU/FOX
  • 11:30 a.m., 6:30 p.m. and 11:30 p.m.
    Thursday, Aug. 16, JTV Muscatine
  • 6:30 p.m. Saturday, Aug. 18, WQAD/ABC

Great River Health Systems
1221 S. Gear Ave.
West Burlington, IA 52655
(319) 768-1000

Visit us online at www.greatrivermedical.org
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