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| Kyle Teberg, New York Mills, discusses his progress with Dr. Thorp during a post-surgery visit. |
In the past, many joint injuries required complicated operations with large incisions, long hospital stays and extensive physical therapy. Now, many joint injuries can be precisely evaluated and treated with minimal surgical intervention thanks to the development of arthroscopy.
What is arthroscopy?
The arthroscope is a fiber optic instrument, narrower than a pen, which can be put into a joint through small incisions less than five millimeters in length. A camera is attached to the arthroscope and the image is viewed on a television monitor. Small instruments ranging from three to five millimeters in size may be inserted through additional incisions. These instruments allow the surgeon to feel the various joint structures, diagnose the injury, and then repair, reconstruct, or remove the damaged structure.
The minimally invasive nature of arthroscopy has quickened the rehabilitation of numerous injuries, being the number one thing Dr. Adam Thorp likes to see...fast results. Dr. Thorp specializes in orthopaedic surgery and has been performing arthroscopic surgeries at PMHH for over two years, and in that time, has helped many people recover sooner with the patient-friendly surgery. "As our experience grows with arthroscope, more and more can be done. Today many procedures are done entirely or in combination with arthroscope," he commented.
A Message
From The
CEO
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As I write this column, the Minnesota legislature is trying to wind up its special session. This has been a tough year for the legislature and healthcare will certainly be affected. From an early glance, I can see that the hospital payments from the state will be reduced for medical assistance and Minnesota Care patients with no inflationary increase for two years. Further, there will be more uninsured persons in Minnesota as a result of changes in programs. As a government hospital, we will still treat these persons in an emergency and simply absorb the losses. Assuredly, our costs will increase over the next two years despite no increase in state reimbursements. On the nursing home and home care side, we fought hard not to have our overall payments reduced. Our local legislators helped immensely in that process. However, there are still some smaller reductions we will be receiving, as well as no increase in payments at all for the next two years. You may not realize it, but the nursing home rates are set by the state and, in past years, were based on the actual cost of providing care. About five years ago, the legislature quit covering the cost of care expecting nursing homes to provide the same service with very small increases that do not even cover inflation. Now, we are expected to go the next two years with growing costs and no increased reimbursements. I can hardly believe the legislature has chosen to continue setting rates for nursing homes, but are now doing it well below the cost of care. Home care has been reimbursed well below the cost of care for many years. Employees in nursing homes and home care work extremely hard for a fairly small wage. It is not reasonable to expect them to not receive salary increases over the next two years. I also am quite sure all of our medical and utility suppliers are not going to hold their prices flat for the next two years. We operate a fairly lean facility; I'm not sure where we will be able to reduce to cover our increased costs. But, we remain committed to providing high quality care and will be as creative as we can be to meet that goal. One question that has been asked is if we can still do the nursing home project with these reductions. In all likelihood, yes. The nursing home rate is broken into operating costs and property costs. The very competitive moratorium exception process we have gone through allows the property portion of our rates to increase to pay for our project. If we don't do the project, we don't get the increase. So we can't decide to not do the project and use that money elsewhere; we simply won't get the money. Also, the legislature did not allocate funds for any further moratorium exceptions in the next two years. What this means is if we don't do the project, we will have to wait three years to apply again, and we may or may not get approved. We plan to make every effort to move our building project forward. We are coming off five strong years as a healthcare facility. The next five will be extremely difficult. However, we have a great board of directors, a strong management team and very dedicated employees. I'm confident we will find a way through this.

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Perham Memorial Hospital and Home Scholarship Recipients for 2003
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Kimmes
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Brenda Kimmes, New York Mills High School, plans to pursue a career in nursing at Minnesota State University Moorhead. |
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Borowicz
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Megan Borowicz, Perham High School, plans to attend North Dakota State University in Fargo to pursue a career in nursing. |
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Stoll
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Emily Stoll, Perham High School, will attend Concordia College in Moorhead and pursue a career as an obstetrician. |
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Baumgart
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Stacy Baumgart, Perham High School, plans to pursue a career in nursing at North Dakota State University. |
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Keskitalo
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Nita Keskitalo, New York Mills, is pursuing a degree in naturopathic medicine at Southwest College of Naturopathic Medicine and Health Sciences in Tempe, Arizona. |
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Ah...the promise of summer: sunny days and lazy evenings, barbecues and picnics, getaways and good times. To make sure those times really are good, heed the seasonal safety tips below.
Sun smarts
A great tan may look good, but staying pale is definitely better for your health since skin cancer is directly related to sun exposure. If you do get a sunburn, apply aloe vera gel right away and take acetaminophen to ease minor discomfort. You'll probably be a little dehydrated so be sure to drink lots of water. Cool showers, baths or compresses can soothe the burn and prevent it from worsening. Call your health care provider if your skin blisters or if you develop chills, fever or nausea.
Sting savvy
If a bee, wasp or hornet stings you or your child, remove the stinger and venom sac by scraping it with your fingernail or a credit card. Do not squeeze and pull or you'll release more venom. Wash the site with soap and water and apply an ice pack to stop the swelling. Be alert for signs of allergic reaction, such as wheezing, labored breathing, nausea or vomiting. Go to an emergency room should any of these symptoms develop. (If you or your child is allergic to bees, ask your health care provider about prescribing an emergency kit and keep it handy when you are outdoors.)
Plant patrol
The best way to avoid contact with poison ivy, poison sumac and poison oak is to know what they look like. The distinctive feature of poison ivy is that its smooth, shiny leaves always occur in groups of three. Poison oak is similar; however, it grows in shrubs and its leaves more closely resemble oak leaves. Poison sumac is far less common but far more toxic. It resembles a shrub or a small tree, and its leaves are arranged in groups of seven to 13 pointed leaflets. From late summer to early spring, the plant has clusters of white berries. If you come into contact with any of these plants, wash immediately with soap and water. Rhuligel, an over-the-counter preparation, may help ease itching, and Benadryl, an oral antihistamine, may also bring relief. Always follow the information provided on the package for proper dosage.
Note: Wash in chlorine-based detergent any clothing that comes in contact with the plants.
Lyme elimination
If you're planning a family hike, find out if the wooded area you'll be traveling to is Lyme disease country. Deer ticks carrying the virus hang out on plants and leaves close to the ground, so it's easy to pick one up without realizing it. To avoid doing that, wear long-sleeved shirts and tuck pants legs into knee socks. If you develop a red, bull's-eye rash after an outing in a wooded area or develop flu-like symptoms, see your doctor immediately. A course of antibiotics within the first 72 hours will stop the progression of Lyme disease, but left untreated it can cause heart, joint or nervous system problems.
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Perham Memorial Welcomes Judy Bellanger-Dahl
Judy Bellanger-Dahl, Certified Physician Assistant, became the newest member of the PMHH medical staff team last month, just in time to help lighten the load of the physicians during the busy upcoming summer months. Her presence also offers women an additional option for their health care needs.
Judy provides health care services under the supervision of a physician and is trained to provide diagnostic, therapeutic, and preventive health care services, as delegated by the physician. Working as a member of the PMHH health care team, she can take medical histories, examine and treat patients, order and interpret laboratory tests and x-rays, make diagnoses, and prescribe medication.
A native of Mahnomen, Minn., she received her surgical technician degree while attending Mira Costa College in San Diego, Calif. She continued her training in health care at Northland Community College in Thief River Falls where she received her RN degree, then graduated from the University of North Dakota in Grand Forks where she completed the physician assistant program.
For the past two years, Judy has served as a PA at Altru Clinic in Warroad, Minn. Her past work experience also includes Mahnomen Hospital and First Care Home Health, both in Mahnomen; and Bridges Hospital in Ada as the clinic nurse manager. Judy, along with her husband John who farms in the Mahnomen area, have three children; Melissa, 12, Ryan, 4, and Anthony, 3.
Appointments with Judy can be made at MeritCare Clinic Perham by calling 346-4040.
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Otter Tail Township resident joins Hospital Board of Directors
Mary Hanson has joined the Perham Hospital District Board of Directors, filling the term vacated by Betty Cordes who resigned from the board following her move from Otter Tail Township.
Mary brings over 18 years experience in health care to the board. She is a registered nurse currently employed as a consultant with Beverly Health Care. Previously, Mary was the director of nursing at Henning Health Care Center. She and her husband, Dave, have three children. Dave is employed with Jim Ahlfs Construction and Hanson Welding.
The Perham Hospital District Board consists of elected representatives from Otter Tail, Edna, Dora, Star Lake, Perham, Pine Lake, Dead Lake, Gorman, Rush Lake, and Corliss Townships and the cities of Perham, Dent, and Richville, and an at-large position.
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Change in tax rebate program
Restrictions limit benfits
New restrictions to the tax rebate program have caused the PMHH board of directors to opt not to renew the plan. The rebate program allowed taxpayers in the Perham Hospital District to receive a rebate on their hospital district taxes when they used PMHH services. This year, we have learned that to continue the program, we must restrict it so severely that it would be of little benefit to anyone. The rebate would be limited to overnight hospital stays only with a $10 cap on the rebate amount.
After careful consideration, the board agreed the amount of work a taxpayer would need to go through to apply for the rebate, then only receive $10, it was time to eliminate the program.
| PMHH visits local school
Prairie Wind Middle School fifth graders listen as Mary Peeters, RN, PMHH surgical nurse, tells the students how she prepares for surgery and explains some of the instruments that are used.Mary's was one of six stations the students took part in. The annual fifth grade health fair, whichalso includes students from St. Paul's and St. Henry's parochial schools,takes place each May and presents students with an opportunity to learn valuable life skills as well as helping to take away some of the anxieties children may have about going to the hospital.In addition to the fifth grade health fair, PMHH employees also participated in the Risk Watch Safety Day held May 27 for all elementary students in the Perham-Dent School District, the 8th grade health fair at Prairie Wind Middle School May 2, and gave tours of the hospital to area second graders from New York Mills, Dent, and Perham throughout May.
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Perham Memorial Hospital and Home 665 3rd Street S.W. Perham, MN 56573 (218) 346-4500
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