Health & Wellness Magazine 2014

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Health & Wellness
2014 Local Health Care Directory
A special publication brought to you by the Dillon Tribune and the advertisers inside.
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Barrett Hospital and HealthCare . . . . . . . . . . . . . . .5 Beaverhead County Public Health . . . . . . . . . . . .10 Big Sky Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Butte-Silver Bow Health Department . . . . . . . . . .16 Community Health Center . . . . . . . . . . . . . . . . . .15 Comprehensive Hearing . . . . . . . . . . . . . . . . . . . .12 Continental Divide OB/GYN . . . . . . . . . . . . . . . .19 Dillon Dental Clinic . . . . . . . . . . . . . . . . . . . . . . .21 Dillon Medical Clinic . . . . . . . . . . . . . . . . . . . . . .19 Dillon Medical Supply . . . . . . . . . . . . . . . . . . . . . .8 Dillon Tribune . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Dilmart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Douglas Creger, OD . . . . . . . . . . . . . . . . . . . . . . . .4 High Peaks Federal Credit Union . . . . . . . . . . . . . .4 John B . McCollum, DDS . . . . . . . . . . . . . . . . . . .18 Kindred Nursing & Rehabilitation . . . . . . . . . . . .24 Legacy, The . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Mac’s CHC Pharmacy . . . . . . . . . . . . . . . . . . . . . .14 Montana’s Premier Dermatology Center . . . . . . .20 Orme Family & Implant Dentistry . . . . . . . . . . . . .8 Orthopedic Rehab Physical Therapy . . . . . . . . . . .17 Pioneer Federal Savings & Loan . . . . . . . . . . . . . .9 State of the Heart Therapy . . . . . . . . . . . . . . . . . . .6 Van’s IGA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 YMCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
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Index of
HealtH & Wellness table of Contents
Community wellness initiative . . . . . . . . . . 3 Navigating Obamacare . . . . . . . . . . . . . . . . 7 Delivered from health problems . . . . . . . . 10 Hospital embarks on Epic journey . . . . . . . . 11 CT scans at Ruby Valley Hosp . . . . . . . . . 14 Top 5 flu prevention steps . . . . . . . . . . . . . 16 Request for blood & platelet Donations . . 17 Strong after 5 years . . . . . . . . . . . . . . . . . . 18 New walk-in clinic . . . . . . . . . . . . . . . . . . 20 Benefits of Oral hygiene . . . . . . . . . . . . . . 21 Open page for doctor notes . . . . . . . . . . . . 23

Dillon Tribune Health & Wellness 2014
Hospital plans community wellness initiative
By J.P. Plutt Dillon Tribune staff Health and happiness are components to a good life and the pair generally travel together. Wellness initiatives emerging throughout the country advise citizens to stay ahead of health problems with a proactive, preventative plan that will help the person avoid serious health issues and allow them the luxury to pursue the happiness portion of their lives. “Some of our providers here in our provider group, they’re on the edge,” said Barrett Hospital & HealthCare Lab Manager Larry Goss. “They really know what is going on and what is the newest. If you are around them you’ll hear them say things that are
Continued to page 4
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Barrett Hospital & HealthCare Lab Manager Larry Goss believes in the power of preventative health care. J.P. Plutt photo
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Dillon Tribune Health & Wellness 2014 • Page 3
stimulating.” Many times, the interaction Goss has with healthcare providers revolves around his work with the tests he does on blood that can predict potential future health problems. The
Continued from page 3
providers are constantly looking to gain insight into the best ways to help their patients through the work they send to Goss’ lab. “Out of 200 people, we’ll find someone that has a condition that they didn’t know they had, just out of the blue,’ said Goss. “And then if they go see their provider, they can be preventative about it and it won’t have the consequences that it would have. “We’re finding little things in small ways make a substantial difference over your lifetime. Especially Vitamin D (testing). They know that it is a precursor to MS, they know it is tied into so many auto-immune diseases, bone strength. Years ago, we never would have tested for Vitamin D.” According to Barrett
Twin Bridges health screening Feb. 5
Barrett Hospital and Healthcare will hold a health screening in Twin Bridges Feb. 5. Lab draws will be from 6:30 to 11 a.m. at the Montana Room at Twin Bridges High School. The event will feature discounts from the normal lab rates. Lab testing available – General Chemistry Profile ($14); Lipid Panel ($20); Prostate-Specific Antigen ($21); Thyroid Stimulating Hormone ($16); Complete Blood Count ($9); Glycohemoglobin ($16); Vitamin D ($20); Vitamin B12 ($16). For optimal results on the General Chemistry Profile or the Lipid Profile, participant should be fasting 12 to 14 hours but drink plenty of water and take any necessary medications in the morning.
Hospital Foundation Executive Director Jim Gleason, Barrett Hospital & Healthcare began to dial in the focus on wellness a year ago when the employer
launched a wellness program for their employees. “People came in and we took blood pressure, weight,
Continued to page 6
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Page 4

Dillon Tribune Health & Wellness 2014
“There may be larger hospitals, but there will be none better.” -Martin Barrett
Burke Hansen, M.D. John Madany, M.D.
Barrett Hospital & HealthCare Clinic Providers (406) 683-1188
Family Practice, Including Obstetrics
24 Hour Provider Staffed Family Practice Emergency Care Danielle Maxfield, FNP-C (406)683-3000 Family Practice
Greg Moore, M.D., FACEP, FAWM Ramona Potter, M.D. Michael Clarke, M.D. Tom Murray, M.D. Paul MacMillan, PA-C, MPAS
Emergency Medicine Hospitalist Emergency Medicine Emergency Medicine Emergency Medicine
Jana Barnes, PA-C
Family Practice Gynecology
Mick Lifson, M.D., FACOG Ronald Loge, M.D., MACP
Internal Medicine Internal Medicine, Geriatrics Subspecialty
Sandra McIntyre, M.D., FACP Karen Weed, M.D.
Internal Medicine, Palliative Care Subspecialty
Judy Wilson, M.D.
Internal Medicine
Independent Practice Raymond Kaufman, M.D. Physicians Otolaryngology (ENT), Facial Plastic &
Orthopedics (406) 683-4012 General Surgery (406) 683-6861
Daniel Downey, M.D. Shafi Shafaieh, M.D.
Anna Loge, M.D.
Internal Medicine
Reconstructive Surgery
Kelly H. Smith, M.D.
Walk-In Clinic
Mary Reindollar, PA-C
Family Practice, Including Obstetrics
24 Hour Provider Staffed Emergency Care Cardio Pulmonary Services Respiratory Therapy & Echocardiography, Cardiac & Pulmonary Rehab Programs Clinical Laboratory Home Health & Hospice (Medicare Certified) Inpatient/Skilled Nursing Nutritional Services/Dietary Counseling Maternity/Newborn Services Childbirth Preparation Classes and Lactation Education and Consultation Pharmacy (Hospital Only) Anticoagulation Clinic, Chronic Disease, Medication Management, Certified Diabetes Education Program Rehab/Sports Medicine Physical Therapy, Occupational Therapy Radiology/Diagnostic Imaging CT, MRI, Mammography & Ultrasound Social Services Surgery & Anesthesia Services Inpatient, Outpatient, General, Orthopedic, Gynecology, ENT, Ophthalmology, Podiatry & Urology Walk-In Clinic
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Dillon Tribune Health & Wellness 2014 • Page 5
Continued from page 4
cholesterol screenings, all of those things that give you a good, overall view of where your health snapshot is and how we’re following up with our employees a year later, offering those exams and offering those tests, and then they consult with their doctor and talk about anything that is alarming,” explained Gleason. “We want our employees to be healthy to care for the people in our community. We started this last year with our employees, and we’re now offering these same screenings and some information and training out to the public as part of a community wellness initiative. The wellness component is something we’re really focusing on and encouraging people to monitor.”
The initiative will begin in April when the hospital will offer blood drawings at a discount. The patient will then be able to select the tests they would like run from a menu of options. That menu will include the following lab tests: Prostate-Specific Antigen – The PSA is a test for men that can indicate the potential for prostate cancer. According to Goss, the test along with a digital test from a physician, can provide valuable information on the patients potential for prostate cancer. “There are many different types of screening tests,” said Goss. “The PSA is one that has been available for quite a while. There is some controversy right now of one group of physicians to another, where some don’t recom-
mend it as much as others.” Goss adds that a negative test can give a man peace of mind. “You can feel calm,” he added. “Calm is good.” Lipid panel – According to Goss, the panel breaks down numerous lipids and the facility at Barrett Hospital can provide data as accurate as the most sensitive tests. “I think everyone would agree that a Lipid panel is certainly a good tool, just not for what is my cholesterol doing today, but anymore, it is a good nutritional tool,” explained Goss. “Am I eating the proper diet.” Goss said outcomes usually result in the dreaded three prescription of a diet change, an order to lose weight, and the encouragement to get more exercise. Complete Blood Count – Goss says it is a good idea
for all patients to get the test at some point to get a base line reading on the red cell population. He says that the test can reflect a deficient diet that can result in a patient getting anemic. Vitamin D – Now that the test is affordable, Goss feels the Vitamin D test is something everyone needs. “We don’t get enough sun here, and when we do get enough sun, people cover up to keep from getting skin cancer,” said Goss. As indicated above, the test can yield data that can warn of numerous health issues. Glycohemoglobin – The test is a diabetic screen. “I don’t know if diabetes is the number one illness, but it is up there and it has long-term consequences,” said Goss.
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Page 6

Dillon Tribune Health & Wellness 2014
Hospital will help navigate Obamacare
By J.P. Plutt Dillon Tribune staff
According to Barrett Hospital & HealthCare Chief Executive Officer Ken Westman, the facility is doing everything it can to understand and access health insurance through the health exchanges established by the Affordable Healthcare Act (also known as Obamacare). “We’ve got several certified application counselors to help the public navigate the healthcare exchanges,” said Westman. “If the public has any questions on how they can get onto one of these new insurance plans, our folks are able to assist them with that.” Westman admitted the process began under a veil
Continued to page 8
Marie Smith is one of five Barrett Hospital & HealthCare staffers trained to help the public enroll online with an insurance company on the Affordable Healthcare website. J.P. Plutt photo
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of confusion due to the initial failure of the websites. He added that once the kinks in the system were worked out, enrollment in the system began to increase. “I think some people are finding out that some of these plans are a little bit more expensive than they thought they were going to be,” continued Westman. “And certainly, some people may not have been aware of the deductibles in some of these plans.” The Barrett Hospital & HealthCare staff members who have received state and federal training to serve as Certified Appliciation Counselors are Tara Jo Ackerson, Stephanie Bingham, Melissa Gordon, Lori Huntsman, and Marie Smith. “As Barrett Hospital & HealthCare, we have knowledge about how insurance
Continued from page 7 works, deductibles and coinsurance, but as far as application processors, we just help them get through the process,” explained Smith. “I think the longest one has taken us six hours, and we answer a lot of questions on the telephone.” According to information supplied by the hospital, Certified Application Counselors can assist patients in using the government website and explain what a deductible, copay, coinsurance, and out of pocket maximum is. They cannot tell the consumer what providers/hospitals are in network, tell you what the insurance plan will and will not cover, tell what the plan network is, nor tell what insurance company you should choose. To receive help from the Certified Application Pro-
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• Express your emotions: Make a point of expressing your emotions before they start to have a negative impact. •Set goals and priorities: Focus on the areas you can control and set out to fulfill the goals most important in your personal and work life. • Keep active: Find activities to keep both your body and mind busy that you also enjoy. •Enjoy the company of loved ones: Surround yourself with positive, supportive relationships, whether with your family, friends or co-workers. •Be open with your doctor: Don’t be afraid to discuss any cancer fears you have with your doctor or nurse.
cessors, a consumer needs the social security number for each person seeking insurance, the date of birth of each person seeking insurance, pay stub(s), W-2(s) and wage and tax statement(s), current health insurance policy number, information
about any insurance offered by your employer(s), a working email address and password. To schedule an appointment with a Barrett Hospital & HealthCare Certified Application Counselor, call 406-683-3221.
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Dillon Tribune Health & Wellness 2014
Prostate Cancer is a frightening disease because the exact cause of it is not known. Some studies have shown that overweight men may have a slightly lower risk of prostate cancer, but that they may have a higher risk of prostate cancers that are likely to be fatal. Others have found that diets high in certain vegetables and fish may result in a lower risk of prostate cancer.
Excluding some forms of skin cancer, prostate cancer is the most common form found in men, according to the American Cancer Society.
Prostate Cancer Concerns
Risk Factors Defining specific risk factors for prostate cancer has been a challenge for medical professionals, as there are no certain causes of the disease. Physicians and cancer organizations do, however,acknowledge that men have a greater chance of getting prostate cancer if they are 50 years or older or are African American. In addition, men with a father, brother or son who has prostate cancer may possess a bigger risk for the disease. Symptoms Many easily recognizable symptoms usally trigger the diagnosis of prostate cancer, although some men afflicted with the disease never suffer from any symtoms at all. Difficulty in starting urination, weak or interrupted flow of urine, difficulty in emptying the bladder completely and continuous pain in the back, hips or pelvis are all potential warning signs, according to the American Cancer Society. Find out more symptoms from your doctor, and be sure to consult him or her if you any of the symptoms 32suffer NORTHfrom WASHINGTON 401 MILWAUKEE AVE. DILLON, MONTANA mentioned. DEER LODGE, MONTANA 683-5191 846-2202 Screening Screening for prostate cancer is a topic of great debate "Investing In Our Local Communities."
among medical professionals. Many urge men to consult their physicians to discuss the benefits and risks of prostate cancer screenings. The obvious benefit is early detection of the cancer that kills more than 25,000 men per year, according to the American Cancer Society. Organizations like the U.S. Preventive Services Task Force, however, recommend against prostate-specific screenings because of the potential risk of false positive test results and mild to serious side effects from treatment. The choice to get screening or not is something you should weigh carefully with the advice of your physician.
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Dillon Tribune Health & Wellness 2014
Stand and be delivered from health problems
You may want to sit down before reading the rest of this. Or rather, you may want to stand up. Because too much sitting greatly increases your chances of suffering serious health problems and even early death, according to numerous studies that have been released in recent years. A study that looked at over 200,000 adults that was published last year in the Archives of Internal Medicine concluded that people who spend 8 hours per day on average sitting down are 15 percent more likely to die, from any cause, than those who just sit for half that amount of time. And that those who spend 11 hours or more per day on their rumps are 40 percent more likely to die early. Other studies have found a link between increased sit time and increased risk of heart disease, colon cancer, breast cancer, diabetes, blood clots, obesity, depression and numerous other health problems. A study by Harvard researchers published last year The Lancet medical journal claimed sitting had become as deadly as smoking, with one in ten deaths worldwide attributed to people not getting enough physical activity. The problem has been exacerbated by technology and a shift to more and more people working behind desks and in front of computers. Americans now spend an average of 9.3 hours per day sitting, compared to just 7.7 hours sleeping. And the problem goes well beyond work. We are also spending more of our off-hours sitting—in front of TVs, video games and computers. And the trend is impacting children, as well. A 2009 study out of the University of South Carolina published in Child Development concluded that preschoolers spend almost 90 percent of their time in sedentary activities. Excessive sitting negatively impacts almost the entire body, including the: *Brain. Inactivity slows blood and oxygen flow to the brain, which depresses mood and brain activity. Which induces many people to compensate by ingesting food and beverages with high amounts of fat and sugar, which leads to other health problems. *Back. Excessive sitting can cause problems in your lower and upper back, as well as in the shoulders and neck. *Heart. Because sitting for prolonged periods of time decreases blood flow and fat burning rates, it can lead to higher blood pressure, higher blood sugar levels and higher cholesterol. Sitting also seems to encourage the accumulation of fat around the heart, according to a study presented at last year’s annual meeting of the American Heart Association—and that fat does not tend to disperse, even after a program of regular exercise was initiated and sustained. *Pancreas. Inactive muscles do not process the insulin produced by the pancreas as efficiently as active muscles do, so to compensate the pancreas produces more insulin, which can be a recipe for the development of diabetes. *The legs. Less blood flow reaches every part of the body when you’re sitting, but your legs suffer a particularly dramatic slowdown because of how they are bent while in a chair. This can lead to swelling, cramps, varicose veins and even blood clots. Excessive sitting at work may seem inevitability to many. But even those with desk jobs or driving jobs can implement strategies to sit less and enjoy better health. Stand up for yourself. Most of us can easily stand while eating a meal, talking on the phone or even working at a computer with new specially designed standing desks. Walk and Talk. Many professionals are now holding walking meetings, during which they walk and talk together instead of sitting around a conference table. Get up every 20 minutes. Just standing up and walking around the room for a minute or two instead of
remaining behind a desk or on a couch will help stretch your legs and increase blood flow, metabolism and your health. Take a hike. Not only will it energize your body, a good, quick walk around the block can energize your brain. It can also save you the money and calories of trying to accomplish the same thing with a soda or coffee. If it’s too cold outside, try walking up and down stairs. Spread out your exercise. Instead of concentrating your exercise into one hourlong session at the gym each day, exercise for 10 or even 15 minute sessions throughout the day. Stand at the bar at a pub or restaurant. It will keep you from sitting and allow you to see more of what’s around you.
Get your kids on your team! Preparing for emergencies shouldn’t fall on your shoulders alone. Young children and teens alike need to be part of the process – for their own safety and sense of empowerment. • Work together to build an emergency kit • Talk about your communication plan • Role-play what you would do during a disaster • Hold fire drills in your house
Do you know how to get in touch with your family if you are not together? • Text, don’t talk • Have one person for all family members to contact • Memorize important home and cell numbers • Pick a meeting spot
Get a kit. Make a plan. Be informed. Beaverhead County Public Health 406-683-4771
Page 10

Dillon Tribune Health & Wellness 2014
Hospital embarks on Epic journey
By J.P. Plutt Dillon Tribune staff When Barrett Hospital & Healthcare decided they needed to upgrade their electronic health record system, their review of systems far and wide landed the group on the door step of Providence Healthcare in Spokane. Providence opened the door and Barrett began their Epic journey. “Epic is the Cadillac out there,” said Barrett Hospital Chief Financial Officer Dick Achter. “Being a small rural hospital, we could not as an organization purchase a system like Epic. They would not even look at us. The only way we could look at a system like Epic is being hosted by a big tertiary center.”
Continued to page 12
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Epic Principal Trainer Jerrold Thompson works with Barrett Hospital & HealthCare’s Jill Pulaski and Cathy Murray during a recent training session. J.P.Plutt photo
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Dillon Tribune Health & Wellness 2014
Continued from page 11
Barrett Hospital’s relationship with St. Patrick Hospital in Missoula helped facilitate the arrangement. St. Pat’s is a Providence Healthcare hospital. “This is a monumental project for us,” said Barrett CEO Ken West-
man. “Beyond helping us achieve meaningful use requirements, it will help us improve quality and convenience of patient care, increase patient satisfaction in their care, improve care coordination, help improve health outcomes, and help increase efficiencies and cost savings over the long run.” The move to Epic by Barrett Hospital was one based on several factors. The healthcare industry had for years declared the need to move to a fully integrated electronic record system throughout the country, a mission adopted into a mandate by the Affordable Healthcare Act. Barrett Hospital’s current system CPSI, meets that mandate, but problems within the system led to a
search for a new product. “We felt it (CPSI) didn’t keep up with our needs,” said Achter. “We were really looking for one integrated system in our hospital. CPSI has a clinic model and a hospital model and they don’t talk very well. With Epic, you get that seamless integration within our system.” The advantage to providers is that there is one health record for a Barrett patient that can be accessed by any Epic system in the world. Should a Barrett patient seek care in Seattle for instance, that patient’s health record can be accessed and updated in Seattle. “If you are in our system here, or quite frankly, if you are on another Epic System which over half this
country is on right now, our doctors will have instant access to your information,” explained Westman. “That is really a significant improvement for us. CurContinued to page 13
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Dillon Tribune Health & Wellness 2014
Continued from page 12
rently, often times our doctors have to get paper records from the clinic and that is really quite the process.” Achter explained that while records will be available throughout the system, multiple levels of security are in place to ensure patient confidentiality. “It is just like in our own facility here where we have security settings,” said Achter of the protocols. “For example, myself, I can’t see medical records of people because I don’t need to. It is on a need to know basis.” According to Westman, both St. Patrick Hospital in Missoula and St. James Hospital in Butte are both on Epic System. “Our systems will be able
to talk to each other and so our providers will be able to get that information to provide that care for our patients,’ said Westman. “That is significant in looking to improving patient care.” agrees with Achter that along with Cerner, Epic Systems is the premiere electronic health record system in the country. It is also expensive. In a story on Judy Faulkner, the founder of Epic, Forbes reported “In addition to the software, customers pay dearly for hardware, and for the army of Epiccertified technicians that needs to be deployed to get the system up and running.’ At a Barrett Hospital Board Meeting in late 2013, the Dillon Tribune asked
Barrett CEO Ken Westman how much the system cost. Westman admitted that he could not disclose the amount because the public district hospital had entered into a non-disclosure agreement with Epic. “To be honest with you, we don’t know what the total cost of this project is yet,” said Achter last week. “We’ve got training, we’ve got interfaces between for example our lab equipment and the Epic System or our CT machine and the Epic System.” Similarly, problems with monitors, scanners and other items throughout the hospital have required purchase of Epic equipment. “All of those things we are now getting the data and the pricing on what that
will all cost us,” said Achter. “Right now we don’t have a solid price for what this project will cost. We have an idea of what it will cost.” Outside of the cost and the anticipated loss of productivity while the staff adjusts to the new system at Barrett Hospital over the short term, the selection of Epic Systems will likely be viewed as a wise decision. Forbes cited examples from healthcare leaders from top providers from around the country – John Hopkins, and the University of California system among others – that indicate Epic Systems is the technology of the future. The Barrett Hospital & HealthCare “Go Date” for changing over from the CPSI System to Epic is set to occur March 8.
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Dillon Tribune Health & Wellness 2014 • Page 13
CT Scans available at Ruby Valley Hospital
The new CT Scan Facility at the Ruby Valley Hospital is fully operational and accepting patient referrals. The recently purchased Toshiba Aquilon 16 Gantry Long Couch Computed Topography (CT) Scanner has been installed in the newly refurbished annex just south of the rear entrance of the hospital. This substantial addition to the Ruby Valley Hospital greatly enhances local emergency services and will allow residents of the Ruby Valley and surrounding communities to get CT scans closer to home. “With our new CT Scan Facility, we will be offering scanning services seven days a week, 24 hours a day,” says John Semingson, the Ruby Valley Hospital’s CEO. “We have been organizing our staffing for months so that we can offer comprehensive CT scan services to the Ruby Valley and Southwest Montana.” Last summer, the Ruby Valley Hospital hired Mary Ann Birdsill to head the Radiology Department. Johnette Pettis was recently hired and has four years of extensive CT experience in Big Timber, Roundup and Bozeman. Brenda Pollorena has also been recently hired for the radiology team and has previous experience with CT operations in California. Joan Hendrickson is a long-time member of the hospital’s radiology staff and will be the fourth member of the CT team. Department head, Mary Ann Birdsill is very impressed with the training her team is receiving on the new system. “We will have two weeks of intensive training on the Toshiba scanner which is almost three times more
The team
Johnette Pettis, Mary Ann Birdsill, Brenda Pollorena and Joan Hendrickson comprise the CT Scan team at the Ruby Valley Hospital in Sheridan.
than is provided with other systems. Plus, we will have plenty of other opportunities for special on-site training as needed,” says Birdsill. Trainer Barry Clot says, “We want our clients to really understand the how’s and why’s of the system and its application to the medical information. They will be learning much more than just pushing buttons. Our training objective is to provide what the doctors are looking for and improve patient care.” During the training, Birdsill has been delighted with the speed of the scanner. “An abdominal-pelvis can be scanned in 15 seconds. That’s so fast,” said Birdsill. Joan Hendrickson is enthused by the “bells and whistles” of the system.
Continued to page 19
•Easy Access in your own backyard •Quality Care you can rely on •Great Prices
*Sliding fee discounts available based on income
Mac’s CHC Pharmacy
(406) 842-7434 317 Madison • Sheridan, MT Hours: Mon. - Fri., 9:00am - 5:30pm
Page 14

Dillon Tribune Health & Wellness 2014
Dillon Community Health Center (CHC)
41 Barrett St, Dillon (406) 683-4440
Patricia Carrick, Family Nurse Practitioner Megan Evans, MD Laura Goodell, MD Dayna Leavens, Pediatric Nurse Practitioner Jenny Given, MSW Monday-Friday 8:00am-5:00pm Community HealtH Center Dental-Dillon George Johnston, DDS
Monday, Tuesday, Thursday 8:00am – 5:00 pm (406) 683-4440
Dillon Tribune Health & Wellness 2014 • Page 15
Red Cross offers top 5 flu prevention steps
Flu season is here and more and more people across the country are getting sick. The American Red Cross urges people to get vaccinated now and offers tips to help prevent the spread of the flu. The Centers for Disease Control (CDC) report for the week of December 29 to January 4 showed 35 states are seeing widespread flu activity, up from 25 a week earlier. These states include Alabama, Alaska, Arkansas, California, Colorado, Connecticut, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Minnesota, Missouri, Montana, Nebraska, New Hampshire, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Texas, Utah, Virginia, Washington, Wisconsin, and Wyoming. Most other regions are also reporting a number of residents sick with influenza.
The most important step you can take is to get a flu vaccine. The CDC recommends a yearly flu vaccine for everyone six months of age and older. Other steps you can take to help prevent the spread of the flu virus include: • Stay home if sick. • Avoid close contact with people who are sick. • Cover your nose and mouth with a tissue or sleeve when coughing or sneezing, and throw the tissue away after use. If that’s not possible, cough or sneeze into your elbow, not your hands. People with the flu can spread it to others about six feet away through
coughs and sneezes. • Wash your hands often, especially after coughing or sneezing. If soap and water are not available, use an alcohol-based hand-rub. • Avoid touching your eyes, nose or mouth. “If someone has the flu they should avoid contact with others as much as possible,” said Rod Kopp, Executive Director of Montana Red Cross. “Everyone should also disinfect surfaces that are commonly used such as door knobs, switches, phones, computers and remote controls.” DO I HAVE THE FLU? The common signs of influenza are high fever, severe body aches, headache, being extremely tired, sore throat, cough, runny or stuffy nose, and vomiting and/or diarrhea (more common in children). If
you think they have the flu, contact your health-care provider. You should seek medical care immediately if you or a loved one develop any of the following symptoms: • Fast breathing, trouble breathing or bluish skin color. • Pain or pressure in the chest or abdomen (adults). • Confusion or sudden dizziness. • Not drinking enough fluids, not being able to eat, or severe or persistent vomiting. • Flu-like symptoms that improve but then return with fever and worse cough. • Children - not waking up, being so irritable that the child does not want to be held or is not interacting. Fever with a rash. No tears
Continued to page 19
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Page 16

Dillon Tribune Health & Wellness 2014
Red Cross calls for blood and platelet donations after severe winter weather impacts collections
Urgent need for platelet donors and blood donors with types O, A negative and B negative
pointments. “It’s the blood products already on the shelves that help save lives when severe weather hits,” said Julia Wulf, chief executive officer of the Red Cross Blood Services Region. “Thanks to generous Red Cross blood and platelet donors, blood products were available for patients who still needed transfusions despite the weather.” Platelet donors, as well as blood donors with the most in-demand blood types — O positive and negative, A negative and B negative — are urgently needed to give blood in the days and weeks ahead to offset the shortfall. Platelets, a key clotting component of blood often needed by cancer patients, must be transfused within five days of donation, so donations are constantly needed. Red blood cells, the oxygen carrying component of blood, are the most widely transfused blood product and must be transfused within 42 days. How to donate blood Simply call 1-800-RED CROSS (1-800-733-2767) or visit to make an appointment or for more information. A blood donor card or driver’s license or two other forms of identification are required at check-in. Individuals who are 17 years of age As severe winter weather begins to subside, the American Red Cross is asking all eligible blood and platelet donors to help offset a weather-related shortfall in donations. Approximately 280 blood drives across 25 states were canceled across the U.S. due to snow and extreme cold. The blood drive cancellations resulted in a shortfall of nearly 8, 400 blood and platelet donations since Jan. 2. Residents in unaffected areas can help boost donations immediately. Blood drives at designated sites in Montana will offer extended hours to allow for more blood donation ap(16 with parental consent in some states), weigh at least 110 pounds and are in generally good health may be eligible to donate blood. High school students and other donors 18 years of age and younger also have to meet certain height and weight requirements. The American Red Cross shelters, feeds and provides emotional support to victims of disasters; supplies about 40 percent of the nation’s blood; teaches skills that save lives; provides humanitarian aid; and supports military members and their families. For more information, please visit or visit us on Twitter at @RedCross.
Specializing in all orthopedic therapy including: • Sports Injury Rehab • Work Related Injuries • Pre and Post Surgical Rehab • Manual Therapy • Balance and Neurological Rehab • Spinal Therapy
Kirk Van Slyke
Physical Therapy, Sports Medicine, and Training to return you to your active lifestyle.
201 Southside Blvd. Dillon, MT 59725 Phone 406-683-3675 • Fax 406-683-3549
Getting You Back to Life
Private Practice Physical Therapy serving Southwestern Montana
Dillon Tribune Health & Wellness 2014 • Page 17
Dillon Medical Clinic going strong after five years
By M.P. Regan Dillon Tribune staff Dillon Medical Clinic lets patients walk in the door to receive treatment with the understanding they won’t be pushed back out the door as quickly as possible to make way for another patient. “You can walk in here and get the care you need and not be rushed, and people really appreciate that,” said Tery Hursh, owner of Dillon Medical Clinic, on South Atlantic Street in Dillon, just across from Taco John’s. Dillon Medical Clinic provides urgent care that seeks to, when appropriate, get people treated as quickly as possible for injuries and illnesses, but also, when appropriate, to take a longer time to investigate and treat factors related to a patient’s condition. “We treat patients as a whole patient, they’re not just a symptom,” asserted Hursh, a certified physician’s assistant and veteran of emergency rooms in several big Montana hospitals who said he has degrees in nursing, anesthesia, and as a physician’s assistant with an emphasis in rural medicine. “We don’t want to treat just one part of a patient’s body. There is often a cumulative situation that needs to be investigated,” said Hursh, who uses both Western and Eastern medicine in his treatments and offers lab work. “When you see too many patients at one time, you lose quality of care, and I didn’t like that. I like to help folks out. We take the time to do the whole body approach.” After working in a number of medical facilities around the state and in Dillon, Hursh said he opened Dillon Medical Clinic five years ago because he thought the town he had lived in since 1993 needed an urgent care facility. Founded in the 1970s and now numbering over 10,000 in
Walk on in
Owner Tery Hursh (left) and Jaime Harlicker shortly after opening the doors at Dillon Medical Clinic on a recent morning. M.P. Regan photo
the U.S., urgent care centers have become increasingly popular around the country for people looking for immediate, affordable treatment for conditions that don’t require a trip to the emergency room In addition to Hursh, Dillon Medical Clinic is staffed by: Dr. Dan Hartman, M.D.; Dianne Wickham, a family nurse practitioner; Mary Reindollar, a certified physician’s assistant; and Jaime Harlicker, an office assistant and nurse in waiting. Dillon Medical Clinic, 120 S. Atlantic St., is open Monday through Saturday, 7:30 a.m. to 5 p.m. For more information, call 683-4400.
John B. McCollum D.D.S., P.C.
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Page 18
75 Swenson Way Dillon, MT 59725 (406) 683 - 9622
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Dillon Tribune Health & Wellness 2014
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Urgent Care
Continued from page 16
when crying or significantly fewer wet diapers than normal. More information about
influenza and how to help stop the spread of the flu virus is available on www.
Ruby CT scan
Continued from page 14
(406) 683-4400
Lab work available at clinic Xrays can be ordered
120 S. Atlantic St. • Dillon, MT 59725 Hours for your convenience: Mon-Fri: 7:30 am - 5:30 pm, Sat 10 am - 2 pm, Closed Sunday
“The image reconstruction, the 3-D imagery, the ability to see the soft tissue – it’s all fantastic,” says Hendrickson. The Toshiba scanner is much newer than the system Brenda Pollorena used in California. “It’s much more user friendly and automated,” says Pollorena. Johnette Pettis has used similar machines but she finds the training to be much more extensive. “This CT Scan Facility would not be nearly so accommodating without the help of our local contractors,” says Semingson. Ruby Valley Hospital’s Fa-
cilities Manager Matt Leber coordinated the many facets of the remodeling project which required additional infrastructure for the CT scanner. As the primary contact for the contractors, Leber has had a special insight into the project and has a high commendation for the final product. “Ron Pack’s advice was instrumental on this construction project. He really helped us pull this together,” said Leber. If you need a CT scan, please have your healthcare provider contact the Ruby Valley Hospital at (406) 8425453 to schedule an appointment.
Continental Divide Ob/Gyn
Part of your miracle
305 West Porphyry • Butte, Montana 59701 • • 406-723-3000
Your local Obstetricians/Gynecologists delivering obstetrical excellence and state of the art of gynecological surgery in Butte and Anaconda since 2003.
Offering Essure, an in-office female sterilization procedure and NovaSure, an in-office treatment for excessive bleeding. Also providing surgery for urinary incontinence and pelvic organ prolapse... fertility treatments such as insemination and gonadtropins... and relief from chronic pelvic pain.
Dillon Tribune Health & Wellness 2014 • Page 19
Rindo Sironi, M.D. ⎥ Mianne Jenrich, N.P.
Board Certified • Fellows in the American College of Obstetricians & Gynecologists
Barrett Hospital to open Walk-in Clinic
Barrett Hospital and HealthCare will open a walk-in clinic in response to customer concerns about the difficulty in seeing a provider in a timely manner for minor injuries and illnesses, according to CEO Ken Westman. “Walk-in care is generally less expensive than an emergency room visit, which is often the most expensive way to enter into the health care system,” said Westman. Westman says Physicians Assistant Mary Reindollar will staff the clinic with a registered nurse. The clinic, located in the basement of the Hospital’s Professional Services Building, will have two exam rooms and be open six days a week beginning Feb. 10. The clinic will be open 7:30 a.m. to 4 p.m. Monday through Friday, and 9 a.m. to 2 p.m. on Saturday. The clinic phone number is 683-1188.
Feb. 10 is the day
Barrett Hospital & HealthCare will open their Walk-In Clinic in the Professional Services Building shown in the background of the sign pictured above.
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Dillon Tribune Health & Wellness 2014
Oral hygiene protects more than just your teeth
‘You are what you eat’ has long served as a guiding principle for the importance of good nutrition. But more evidence and medical professionals are suggesting that you may also be what you eat with. In recent years, researchers have been finding that problems with your mouth may also lead to serious health problems in the rest of your body, including heart disease, Alzheimer’s, osteoporosis, lung problems like pneumonia and diabetes. “Gum disease could be a relating factor in numerous health problems, though a lot of research still needs to be done in those areas,” said Dr. George Johnston, DDS, a dentist for over 35 years who treats patients at the Dillon Community Health Center and Butte Community Health, where he serves as dental director. “There is a definite connection between diabetes and oral health.” Some research indicates that gum disease can impact fetal health in pregnant women, leading to premature birth and low birth weight, which
in turn can make a child more likely to suffer from learning disorders and heart and lung problems. The connection may move in both directions and then back again, with bacteria from an unhealthy mouth migrating to other parts of the body to cause problems. And health problems in other parts of the body showing up in the mouth as sores, swelling of the gums and/or chronic bad breath— which can be a symptom of liver and kidney problems, diabetes, sinus
problems, bronchitis or acid reflux disease, a condition that can, in turn, accelerate tooth decay. If you are experiencing persistent swelling, bleeding, sores, bad breath or any other oral health problem, get it checked out by your dentist. And to protect your oral health and the health of your teeth and gums, take these simple steps: • Brush your teeth at least twice a day • Floss every day • Replace your toothbrush every few months • Regularly inspect your mouth for signs of bleeding gums, swelling and persistent sores • Don’t use tobacco products • See a dentist at least once a year • Don’t wait for your yearly appointment to come around if you suspect problems with your oral health—see a dentist as soon as you can. • Limit your intake of sugary food and drinks, and brush your teeth as soon as possible after you ingest something sugary.
Happy, Healthy
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Regular dental cleanings not only improve Oral health, but also can decrease the risks associated with several systemic diseases such as diabetes and heart disease. Come and let Allen our professional hygienists, Carissa Kristy Marxer and Susie Nye, help you keep your family’s teeth and gums in optimum health. Justin H. Rhodes, DMD provides quality dental care for children, teens and adults. Offering implant dentistry, prosthetics and extractions, as well as preventative measures such as sealants, fluoride and other routine care. We provide Nitrous Oxide, also known as laughing gas, for your comfort.
Page 21
Currently accepting new patients!
Dillon Dental Clinic
327 E. Helena • Dillon (406) 683-5121
Justin H. Rhodes, DMD

Dillon Tribune Health & Wellness 2014
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22, 2014 - VOLUM
led Ice derby cancel e has canceled
By M.P. Regan Dillon Tribune staff of a new era The stormy dawn il last Dillon’s City Counc for Rescu broke & h Beaverhead Searc , sched- Wednesday, when an overflow crowd r Ice Fishing Derby ed the the 2014 Stan Shafe Reservoir packed City Hall and watch at Clark Canyon place take to Mayor Mike Klakuled Council reject new his staff. to tees priour on Saturday. appoin ken’s two new to do this, but beat three-term “We regret having safety of the Though Klakken the welfare and by 10 mary concern is ns director incumbent Marty Malesich Rice, public relatio in November, his public,” said Mel e. percentage points Search & Rescu and Jim Dolan as city for Beaverhead g ice conditions appointments of city oratin deteri to Due oir was attorney and Neal Straus as weather, the reserv by the back year turned projected warm this were to support the event d open treasurer preferred the retendeemed unsafe Council, which unit, which has spotte Cobb by the local S&R lake, and tion of Malesich appointees Ty the d aroun le areas nted to water in multip the middle and Duke Gilbert, and conse extending out to holdent of five other even open water the re-appointm for the overs from Malesich’s staff. of the reservoir. purchased a ticket ilpersons Lynn Anyone who has should Returning Counc s to be reimbursed , Derek Gore and ased event and wishe Cottom purch Bob was d, Westa dual the ticket against both of contact the indivi David Spehar voted tments. ticket to: from, or mail the Klakken’s new appoin h & Rescue member to vote Beaverhead Searc The lone Council Dan Ticket Refunds and Dolan was for both Straus on the sidewalk P.O. Box 567 sed Nye, who collap Hall shortly after Dillon, MT 59725 e and just outside City the inconvenienc page). “We apologize for ” said Rice. the meeting (see story on this event, the l cance Dick Achter continregret having to Council newcomers everyone for their favor “We want to thank Rescue. and Bill Shafer also voted in rhead Search & ued support of Beave again next year.” nued to page A-3 We will try the event
ayor Council rejects m
133, NUMBER 4
18 89
’s appointments
All lined up
Deeds White Hat Good .9 nominees due Feb currently look-
left) is ey Duke Gilbert (far Council, City Attorn Derek Gore. Last ng of the Dillon City m, Lynn Westad and the Dec. 18 meeti Spehar, Bob Cotto t of Jim Dolan as In this photo from Klakken’s appointmen ers (left to right) David el memb Micha il r counc Mayo against shown with councilpersons voted Wednesday, the four Plutt photo city attorney. J.P.
Announcing DIGITAL DELIVERY of the Dillon Tribune starting February 2014… Get every page of the Tribune online the very same day it’s published and just as it’s printed— no matter where on Earth you live. Just go to www. to sign up!
nty Cou ead rh ve ea
ion is The White Hat Coalit 10th annual Doer of for its ing for nominations a person, to be presented to an Good Deeds Award that has performed ization organ or group 12 months deed in the last outstanding good of others or changed the life that has benefited . as a whole or the community giving the by tted submi be Nominations can t info of the or deeds, contac nominame, the deed t info of the person nominee and contac by calling , 850 W. Park. Or nating to Stan Smith by dropping or 660-4429. Or him at 683-4429 a by the Cinem at the Big Sky of a nomination 9. ary y, Febru deadline of Sunda
City Council eases through “other business”
n DNRC honors Ega
/ Trust er of the Forestry Tim Egan, manag Service has been named Lands Dillon Unit, for 2013 in recognition Year Forester of the support forestry to s effort of his outstanding across the ams in Dillon and assistance progr ipant, region. rship DNRC partic As a 2012 Leade g the 2013 class project hostin y event Tim chose as his two-da a l, Tree Schoo Northern Rockies and includes ipants partic 0 training that draws 100-15 testing, technical arborist certification hops. A member of the works ipant and a variety of and an active partic Dillon Tree Board is a strong Day events, Egan in yearly Arbor forestry unity comm and supporter of urban . activities in Dillon
tival Anniversary Ves own
downt 36 N. Idaho St. in The Daily Yarn, vest knitting g a fun, funky Dillon, is hostin in business. ate its first year at the contest to celebr has the instructions Owner Dee Boka el pattern. easy, beginner-lev do not store. It is a very are up to you; The Embellishments with the whole thing. hesitate to go wild ed off sky’s the limit!! vests must be dropp The completed from 29. Voting will be at the shop by March 17 at The Daily Yarn. h April by putMarch 31 throug into the shop to vote Anyone can come container. “Vestival Vote” ting a ballot in the $10. The ble entry fee is to The non-refunda proceeds to donate the all get will winner winner or her choice. The 22. the charity of his on Earth Day, April will be announced 0-0597. ation, call 406-66 For more inform
By M.P. Regan Dillon Tribune staff ng through the After rough sleddi two Mike Klakken’s votes on Mayor on this tments (see story appoin new of its meeting last page) near the start il Dillon City Counc Wednesday, the other of a number glided through a. items on its agend on which vote a held il The Counc serve as council of its members would president. a good job,” said “He’s been doing Cottom, in nomiCouncilperson Bob for reelection as r nating David Speha council president. Counc il memCotto m’s fellow agree d, as they bers appar ently to keep Spehar unanimously voted without any more as their president discussion. ous vote, the With another unanim resolution to annex Council passed a Ray Lynch Park two tracts of land— described as only and land comm Noble Street extend “that portion of ection with Skihi ing from its inters ary the south bound Street north to 41.” ay of Highw baseball field The new Dillon Cubs of that annexed will be built on some r made a successland, though Speha an agenda item on ful motion to table next Council the until the Cubs’ lease the Cubs apparently meeting because and approved the had not yet seen
board Chamber seeks member applicants
code. mous ly apThe Counc il unani d reading of an proved the secon ipal ing Dillon Munic ordinance amend effort to address Code Title 10, an g d deman for parkin the “increased g in the central in general and parkin ular,” and partic in t distric Plutt photo business stion, increase the to “prevent conge maintenance, and efficiency of street e safety and welfar promote the public Dillon.” of the citizens of t the amendmen To those ends, s of other dozen other would, among e per hour ordered. establish a 10-mil tal, a CT scan was and a after things, At Barrett Hospi and it wasn’t long limit in city alleys blood speed the lly see “They “They could g limit in specia By J.P. Plutt Flight,” said Nye. 15-minute parkin d to call in Life in case it was g spaces within the Dillon Tribune staff il meeting last they decide precaution, just designated parkin to Missoula as a ss district. Dillon City Counc erce sed took me city’s central busine everywhere,” Shortly after the Chamber of Comm on Dan Nye collap Thursday and a hemorrhage.” The Beaverhead board Wednesday evening, Councilpers “That doesn’t mean ula at about 2 a.m. 58, suffered ations for new tor of Operations of City Hall. Nye, Nye arrived in Misso d to regain his left side motor front Direc in sday, He City alk . is accep ting applic Wedne added had starte onto the sidew ed spots.” to be a mild stroke ations are due he says that he ved. at r, “just for specifi ally determined impro Care members. Applic Turne Cottom had eventu h J.S. Health was Jamie speec t and d what contac that his tt Hospital ng also passe d scan and decide ula. skills and January 29. Please 00 to get was first transported to Barre The first readi reviewed the CT ry,” Hospital in Misso Alvarez at 683-28 “The neurologist the Council’s final ed to St. Patrick to have (brain) surge 683-5511 or Wendy ation. unanimously at and then Life Flight e Warner and John at that point that I didn’t need for more inform rhaged, they Klakken, Georg d. r meeting of 2013. an application or “If it was hemor Nye, Dr. Michael gave the At that regula Nye’s left leg buckle the councilperson. ously ng. ed when bleedi unanim recall il rsing the l The Counc Plutt Jr., were conve d twitching and I couldn’t hold would have done surgery to contro City Bus Driver Deb okay.” tried go-ahead for new s “My left leg starte ht that I would be ed Nye. “They erred from the application proces point, they thoug went down,” recall Pierce to start the day, Nye was transf myself up and I to the left and they the operation of room. At noon By 4 p.m. Thurs and I kept listing of my a new grant for regular hospital side a for to left ed Unit to get me back up The Care return everyone in Dillon Intensive hospital and put me back down. the city bus, which released from the A-9 finally decided to at that point.” free. on Friday, he was ................................ currently ride for body went numb and a Dillon Police to Dillon. a hyper- can AGRICULTURE ......... approval of made as t B-1 the . was ed ailmen call ......... his report 911 . Turner RECORD ......... s described An emergency diately on scene for a ALMANAC NEWS OF Nye says the doctor B-2 a stroke as a “brain zoning compliance certificates car was almost imme amWebMD describes ................................ downDepartment patrol In short order an to an area of the tension stroke. ty Traders, a new CHURCH.................. istered oxygen. ...... B-2 at s when blood flow Medical Services re, sign for Identi The officer admin ISING .................. accessories shop attack,” that occur rhead Emergency high blood pressu CLASSIFIED ADVERT A-5 town clothing and hospital. ms’ Hypertension, or bulance from Beave ............................. Nye to the Dillon and Rami Willia brain is cut off. 28 E. Center St., d and transported LIFESTYLE .................. stress. B-1 going on around by arrive d was e. ........ what induce ......... Avenu of be and ......... can aware skills. garage on Highl Nye said he was OBITUARIES .................. A-4 communication ..... his ......... with led A-5 ......... ......... he strugg a strong indication Continued to page OPINION .................. A-6 him, but right, which is ................................. “I couldn’t speak SPORTS .................. Nye. IBUNE COM ..................... A-5 of a stroke,” said OR DILLONTR R...........................
lease. tabled three first The Council also ments to municipal readings of amend
one of mplate a vote on and Dan Nye conte Tense moment members Nils “Swede” Troedsson (in hat) esday’s meeting at City Hall. Shortly after J.P. ts during last Wedn front of City Hall. Dillon City Council on the sidewalk in political appointmen sed en’s collap Klakk el and mild stroke Mayor Micha ng, Nye suffered a the controversial meeti
e collapses after Councilperson Ny hted to Missoula meeting, Life Flig
— E-MAIL — CALL 683-2331
(406) 683-2331 22 S. Montana St • Dillon, MT
Page 22
Cour tho use
•1 88

Dillon Tribune Health & Wellness 2014
My Notes from the Doctor
Page 23

Dillon Tribune Health & Wellness 2014
Our nursing and rehabilitation center offers short-term rehabilitative as well as long-term care – a full range of medical, nursing, rehabilitation and social services to treat and support each of our patients and residents. Many of our patients go home after a few weeks and, for those who are unable to return home right away, we provide safe, compassionate care in an environment that fosters independence and dignity.
Bridging the Gap Between Hospital &Home
• An interdisciplinary clinical team to provide a comprehensive approach to patients’ needs • Room reservation prior to surgery, providing a more seamless transfer from the hospital • Just like home • Easy admission, with patients accepted 24/7, every day. • On-site case management services • Comprehensive patient and family education
Our patients benefit from:
• Consistent reporting and tracking in patient satisfaction and quality outcomes, demonstrating our dedication to continual improvement • Access to rehabilitation therapy up to seven days a week • Respite care & long-term care • Hospice care and transfers to the nursing home
Page 24
Nursing and Rehabilitation

Dillon Tribune Health & Wellness 2014
200 N.Oregon St. Dillon, MT 59725 406.683.5105

Published under a Creative Commons License By attribution, non-commercial
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