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Concussions and Return to Play

-by Dan Foreman, PT, SCS— as published in the Capital-Democrat newspaper Fall sports season is right around the corner.  As a physical therapist that helps with sideline coverage at high school sporting events, a topic that I receive questions about is concussions and when may my son/daughter return to their sport.  As Teri Bos from Community Health Partners stated in last week’s article a concussion is a type of traumatic brain injury caused by a blow or jolt to the head, causing the head and brain to move rapidly back and forth.  Last week Teri touched on returning students who suffer a concussion back to school.   This week’s article touches on how and when can an athlete return to full participation in their sport. The first task is identifying if the student-athlete has suffered a concussion.  The symptoms of a concussion include headaches, feeling of being in a fog, and/or

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ORANGE CITY AREA HEALTH SYSTEM INSTALLS STATE-OF-THE-ART IMAGING TECHNOLOGY

Representatives from GE Healthcare joined Orange City Area Health System (OCAHS) Radiology staff for a ribbon cutting of the hospital’s new SIGNA™ Voyager AIR™ IQ Edition MRI system on August 3 in the health system’s Imaging Center. OCAHS is the first hospital/health system in Northwest Iowa to implement this latest technology in Magnetic Resonance Imaging (MRI). The new MRI features a larger bore (opening the patient lies in) to comfortably accommodate more of the region’s patient population. AIR™ Coil Technology – a light weight blanket-like coil used for most imaging – enhances patient comfort as well as provides extra room, as the soft, thin, coil better conforms to the patient’s body. The SIGNA™ Voyager MRI also offers faster “scan times” thanks to an innovative technology called AIR Recon DL™.  This Deep Learning technique also produces higher resolution “sharper” images by employing artificial intelligence. “We are so fortunate at Orange City

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The basics of ATVs and safety

All-terrain vehicles (ATVs) or utility terrain vehicles (UTVs) are often a helpful way to get work done around the yard or farm.  They can also be an enjoyable way to spend time with friends and family.  However, these vehicles need to be respected and used properly.  Nearly 200 ATV crashes occur in Iowa every year.  Since 1985, over 8000 ATV-related deaths have occurred in the US.  Following these basic tips can help keep you and your loved ones safe.  Wear a helmet and protective clothing.  Head injuries are the most common ATV- related injury, and the leading cause of death in ATV crashes.  Wearing long pants, long-sleeved shirts, gloves, and boots can protect you from scrapes, burns, or puncture type injuries.  Avoid paved roads.  ATVs are designed with a high center of gravity.  This makes them roll easily especially on paved surfaces.  The tires are not made to grip and

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ORANGE CITY AREA HEALTH SYSTEM PROVIDES NEARLY $1 MILLION IN COMMUNITY BENEFITS IN 2021

A study by the Iowa Hospital Association (IHA) found that, in 2021, Orange City Area Health System (OCAHS) provided nearly $1 million in total community benefits, including charity care and bad debt. The study also found that OCAHS employed close to 600 people, which had a multiplier effect in the area economy of over 1,100 people. Direct labor expenses totaled about $33.4 million in wages, with a multiplier of nearly $54 million in the region. Community benefits are activities to improve the health status and increase access to health care. Besides uncompensated care and charity care, community benefits include health screenings, support groups, counseling, immunizations, nutrition services, and transportation programs. These efforts, with IHA’s advocacy, help ensure the financial stability of hospitals, making it possible for them to provide the services and programs most-needed by their communities. “We continue to acknowledge and accept the role of our health system as

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CDC changes developmental milestones

-by Dr. Alan Laird, Chief Medical Officer The CDC (Center for Disease Control) has updated the ages at which certain activities and behaviors should be seen in children.  This has included changing some ages for some activities and adding new checklists for some others (ages 15 and 30 months). What is this all about? Developmental milestones are used by healthcare providers and parents to access the ongoing neurological and social development of a child.  Just like we measure height, weight and head circumference to look for healthy growth; developmental milestones are used to look for healthy neurological and social development.  Things like rolling over, walking and language development can give us insight to how a child’s brain and neurological system is developing.  While we have known for some time when the “average” child is walking, it has been debatable about when a child is definitely in need of evaluation or

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May is Better Sleep Month

2020 forever changed the trajectory of what once was considered normal life from many aspects, but especially in the world of health and medicine.  As the world went in to lock down for days, weeks, months, and more the toll it put on society was more challenging than many realized. There is much research out there that since that time there has been an increase in anxiety, depression, PTSD, and psychological distress. All of these contributing to an increase in sleep issues today, especially insomnia.  With May being better sleep month, here are some tips to help achieve your best sleep: Routine – try and stick to the same schedule and routine during the weekday and weekendsNo blue light devices (TV, phones, e-readers, etc.) 30-60 minutes before bedCool, dark sleeping spaceEliminate falling asleep in your chair, couch, etc. in the evening before bedtimeUtilize a white noise option, such as a fan,

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What Do We Choose To Think About?

-by Dr. DeeJay Donlin, Behavioral Health Last month, Orange City Area Health System CEO, Marty Guthmiller, talked to our employee team about the value of reflection.  It caused me think about how reflecting on our current circumstances often becomes a projective test.  Back in graduate school, I was required to take a course on the administration and interpretation of the Rorschach test.  It is considered a projective personality test in which the things you see may have more to do with you than the image. Although some may question the validity of the test, most believe that all of us may do some “projecting” of ourselves into situations that we perceive. The last few years have certainly been an illustration on how different people respond to similar situations in very diverse ways. Some have seen the pandemic as an overwhelming restriction on life, while others have seen it as an opening of

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ORANGE CITY AREA HEALTH SYSTEM EXPANDS FAMILY PHYSICIAN GROUP

Orange City Area Health System CEO Marty Guthmiller announced that Brandon Vander Stoep, MD, has signed a contract to join the health system’s medical staff in the summer of 2024. Dr. Vander Stoep will serve in family medicine, prenatal/birth care, and emergency medicine (ER). He is currently in the residency program with the Center for Family Medicine in Sioux Falls. “We enthusiastically embrace and welcome Dr. Vander Stoep to our Orange City Area Health System family,” commented Guthmiller. “He and his wife Katie solidly fit our mission and values in service to Northwest Iowa, where they themselves have deep roots.” Vander Stoep is a native of Doon, Iowa. He is a graduate of Dordt University in Sioux Center, and the University of Iowa Carver College of Medicine in Iowa City. He joins Orange City Area Health System’s team of 24 physicians and advance-level providers and 600 support staff that serve

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Orange City Area Health System first in nation with leading-edge operating room technology

Orange City Area Health System is the first facility in the country to receive Stryker’s new Connected OR Lite integration platform (COR Lite).  Stryker’s Connected OR Lite integrates the operating room with native 4K video routing and a centralized point of control for Stryker surgical devices. The COR Lite’s small design reduces the equipment footprint in the Operating Room, providing more space for the surgical staff to safely and efficiently care for patients. The primary focus of the COR Lite design is to: Increase efficiency with an intuitive user interface and auto-populated surgeon profiles with device preferences.Maximize control by providing central points of control with Stryker’s 1688 camera head and the COR Lite touch panel. Provide a scalable solution with easy upgrades, multiple install options, and minimal infrastructure requirements. Stay committed to connectivity with seamless capture, record, and print features as well as the platform for Stryker’s EMR integrated solution, which can securely

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Orange City Area Health System Designated a 2022 Top 100 Critical Access Hospital

Orange City Area Health System has been recognized as a Top 100 Critical Access Hospital nationwide in 2022. Compiled by The Chartis Center for Rural Health, this annual recognition program honors outstanding performance among the nation’s rural hospitals based on the results of the Chartis Rural Hospital Performance INDEX™. “This recognition is truly representative of a team effort at Orange City Area Health System,” commented Marty Guthmiller, Chief Executive Officer. “From patient satisfaction, to quality, to financial standing, OCAHS clearly stands out nationally.” Over the course of the last 12 years, the INDEX has established itself as the industry’s most comprehensive and objective assessment of rural hospital performance. Leveraging publicly available data, the INDEX is trusted by rural hospitals, health systems with rural footprints, hospital associations and state offices of rural health across the country to measure and monitor performance across a variety of areas impacting hospital operations and finance.

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Matters of the heart

-by Lindsey De Jong, Cardiac Rehab RN As the holiday gatherings come to an end and the sound of Jingle Bells becomes part of the distant past, our focus shifts to a new year. We look forward to new beginnings, Super Bowl parties, and … Hearts! Valentine’s Day is just around the corner and thoughts of Rudolph and candy canes no longer hold our interest. Heart decorations, balloons, and flowers overwhelm store shelves and commercials of chocolates and jewelry flood our TV screens. All devoted to a day to show love for another’s heart. But what if our focus shifted? What if instead of trying to win the hearts of others, we professed our love for the health of our own heart? What would it look like to put our heart health first, dedicating each day, one day at a time, to do something different for our heart, to be

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Orange City Area Health System Receives the 2022 Women’s Choice Award® as one of America’s 100 Best Hospitals for Patient Experience

Orange City Area Health System has been named one of America’s 100 Best Hospitals for Patient Experience by the Women’s Choice Award®, America’s trusted referral source for the best in healthcare, for the 8th consecutive year.  The award signifies that Orange City Area Health System has been ranked within the top 100 hospitals of similar size based on number of beds, of which there were four categories. Patients today are more involved in their care and demand a greater experience throughout their entire journey of care putting more pressure on healthcare providers to find ways to become more patient centered to meet these demands.  According to the Agency for Healthcare Research and Quality, good patient experience positively correlates to disease management, adherence to treatment plans and health outcomes.  Providing good patient experience is also good for business as it results in greater employee morale and satisfaction thereby reducing turnover and

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