Winona Health - Healthy Connections Fall 2006

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    Healthy Connections is published

    quarterly by Winona Health to provide

    you with information about health,

    wellness and the many resources

    available to you, close to home. Sending

    youHealthy Connections is another

    example of how were striving to fulfill

    our mission: Winona Health is devoted to

    improving the health and well-being of our

    family, friends and neighbors.

    We welcome your questions, suggestions

    or comments about Winona Health and

    this publication. Please contact:Loretta Bronson

    Chief Communication Officer

    507.457.4116

    Michelle Foerster

    Graphics/Web Content Specialist

    507.457.4136

    Jennifer Olson

    Community Relations Specialist

    507.457.4161

    Karen Sibenaller

    Marketing Communication Coordinator507.457.4157

    Also contributing to this issue:

    Adeola Fadumiye

    Public Relations/Marketing Intern

    In this issue...2 From the President/CEO

    4 Eye Care Center opening

    5 Orthopaedic solutions

    6 The right fuel for school

    8 Award-winning heart attack care

    10 Notes & news

    12 Calendar

    On the cover: Winona resident Elizabeth

    Waters is pictured with orthopaedic

    surgeon Timothy Gabrielsen, MD, who

    performed her knee replacement surgery

    in July.

    Welcome toHealthy ConnectionsFo e Pesiden/CEO

    W

    e are fortunate in Winona. Our

    community is strong, thriving and

    diverse in a number of ways. And while there

    are many strong businesses and industries

    represented in Winona, the healthcare sector

    has its role to fulfill. We at Winona Health

    recognize the critical responsibility of

    providing high quality, effective healthcare in

    our community, and we are honored to do

    our part.

    Healthcare has an impact on all of our lives,

    whether we are dealing with personal health

    issues, concerned about healthcare costs,expecting high quality care and service, or hoping our health will hold up so

    we dont need healthcare services. At Winona Health we are committed to a

    revolutionary transformation of community healthcare, and we are excited

    about what this means for patients, residents and the community. Our

    challenge is to meet your changing needs and to exceed your expectations.

    You will read in this issue how the focus of physicians and staff has resulted

    in nationally recognized outcomes and how key procedures can change

    someones life. This happens every day at Winona Health.

    I am so impressed with the quality and caliber of physicians in our community.

    We have a number of outstanding new physicians on our medical staff andrecruitment efforts continue to attract others. We also have said good-bye

    to some physicians as they make their own life changes, and we wish them

    the best.

    The communitys physicians, and our staff, too, work together with a single

    focuscaring for you and your family. It is our pleasure to serve you and we

    thank you for giving us the opportunity to do so.

    Rachelle H. Schultz

    President/CEO

    Rachelle H. Schultz

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    Ophthalmologist LaurelQuinn, MD, will openthe Winona Health Eye Care

    Center in October.

    My husband and I chose

    to come to Winona for the

    opportunity to fill a real

    needto provide important

    services to this community,

    said Dr. Quinn. I believe my

    career goals fit well with the

    mission of Winona Health: to

    provide great comprehensiveprimary care.

    I chose to go into medicine so I could use my scientific

    curiosity and communication skills to help people, explained

    Dr. Quinn. I chose ophthalmology as a speciality because

    vision is so important to people every day. It is so rewarding

    to be able to make things better for people in a way they can

    SEE, using optics and surgery.

    She added, Another factor that attracted me to ophthalmology

    is that Ill be able to see patients of all ages. A general

    ophthalmologist with an

    interest in pediatrics,

    Dr. Quinn underwent

    specialized training in

    child development during

    medical school and has

    done extensive clinical

    research with children

    during her ophthalmol-

    ogy training.

    Dr. Quinn received her

    medical degree from the

    University of MinnesotaMedical School in

    Minneapolis and completed her residency at the Casey Eye

    Institute at Oregon Health & Science University in Portland,

    Oregon. She is a member of the American Academy of

    Ophthalmology and the American Society of Cataract and

    Refractive Surgery.

    New to Winona but native Minnesotans, Dr. Quinn and her

    husband, Jason, have two young daughters, Grace and Faith.

    My husband and I are also looking forward to living closer

    to those of our relatives who are still in the state.

    This new Winona Health Physician Clinic will be located

    on the third floor of the new medical office building on

    Winona Healths campus. If you would like to make an

    appointment with Dr. Quinn, please call 507.474.7830.

    Eye Care Center opening soonSurgeries performed by

    Dr. Quinn include:Cataract extraction with

    intraocular lens implantation

    Laser treatment of diabetic

    retinopathy and other retinal

    vascular disease and glaucoma

    Filtering surgery for glaucoma

    Eye alignment surgery for

    strabismus

    Eyelid repair procedures

    Laurel Quinn, MD

    To preserve and protect yourvision, Dr. Quinn advises:1. Take care of your general health to minimize the

    threat to vision posed by out-of-control systemic

    diseases such as diabetes, hypertension and tobacco

    dependence.

    2. Use appropriate protective eyewear for sporting and

    work-related tasks known to be high risk for eye injuriessuch as paintball, hockey, and metal or woodworking.

    3. Your health history and current health may affect the

    health of your eyes. Regular exams will often help

    detect problems before specific symptoms develop.

    Early detection and treatment of possible eye problems

    is the key to protecting your vision. If you have a

    family history of eye disease or are experiencing any

    eye problems, talk to your doctor.

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    Its been a long journey, but these days Elizabeth Waters isfinding that the path is more comfortable to walk.Ive had knee problems for about five years, and I was tired

    of limping around, explained Waters. When Traci [Morken,

    CNP at Winona Clinic*] told me that an orthopaedic surgeon

    was coming to Winona, I said, I want to be the first patient!

    Tim Gabrielsen, MD, joined Winona Health on May 31 and

    performed Waters total knee replacement at Community

    Memorial Hospital on June 13.

    The knee is the largest joint in the body; because of the

    work it performs on a daily basis, it is one of the more

    common joints to develop problems. One of these problems

    is degenerative joint disease, also commonly referred to as

    osteoarthritis. This disease is the gradual deterioration of

    the joint surface cartilage caused by time and use.

    Early signs of joint disease or osteoarthritis include jointstiffness and, eventually, pain during motion of the affected

    joint, explained Dr. Gabrielsen. The pain may increase

    during extended activityespecially weight-bearing activity

    on the kneesand decrease with rest. Diagnosis is based on

    medical history, physical exam and use of digital imaging

    or x-ray.

    FrOm thE COvEr

    Mrs. Waters wanted to remain

    active, and she was feeling

    very restricted by her

    knee pain.

    ti Gabielsen, mD

    Oopaedic Sugeon

    Orthopaedic surgery may put thespring back in your step

    * Winona Clinic is an independent physicians clinic.

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    Mrs. Waters wanted

    to remain active, and

    she was feeling very

    restricted by her

    knee pain, said Dr.

    Gabrielsen. Waters wasa good candidate for

    surgery because, shes

    at a healthy weight and

    she had exhausted

    non-operative measures.

    Shes also in good

    general health.

    Individuals are possible

    candidates for joint

    replacement when they

    have advanced arthritic changes in the knee along with pain

    that significantly limits their physical abilityboth for daily

    living and for activities they enjoy. If an individual has knee

    pain that significantly impacts their quality of life and their

    ability to remain independent, replacement may be a good

    option for them, said Dr. Gabrielsen.

    Waters, a fit 78-year-old, is pleased with the results of

    her total knee replacement. I absolutely recommend

    that others look into this type of surgery, said Waters.

    I was very satisfied with the surgical team. Dr. Gabrielsen

    is very warm, caring and concerned. He was straight-

    forward and realistic about what to expectno beating

    around the bush!

    Less than six weeks after her surgery, Waters said, I feel

    great, and Im about ready to take a walk around the lake!

    I think Dr. Gabrielsen is satisfied with my progress, too.

    For more information about orthopaedic procedures

    available in Winona, contact your primary care physician

    or call Winona Health Sports & Orthopaedic Specialists

    at 507.474.6600.

    Elizabe Waes walks on e

    new knee wi D. Gabielsen.

    What can be done to decrease the risk

    of developing joint problems?

    Maintain a healthy body weight and maintain strength in

    general, but especially in the muscles supporting the affected

    joints, advises Diane Montgomery, a physical therapist with

    Winona Health Rehabilitation Services. These measures

    dont guarantee that you wont develop degenerative joint

    disease, but they will reduce the risk.

    What should you do when you begin

    experiencing pain in your knees?

    Talk to your doctor about getting an evaluation, said

    Montgomery. He or she may refer you to physical therapy

    for specific exercises to help correct muscle imbalances and

    increase specific muscle strengthor recommend

    alternative methods to ease discomfort.

    Montgomery also noted, Generally, it is recommended that

    you continue exercising within your bodys tolerance so you

    dont aggravate the condition that is causing pain.

    If youve been diagnosed with

    degenerative joint disease/

    osteoarthritis, you can help

    minimize the effects by

    participating in low-impact

    activities to promote strength

    and range of motion.

    When other measures are no

    longer effective, joint

    replacement may be the

    answer. After joint replacement,

    Montgomery stresses theimportance of following your

    doctors orders regarding

    restricted activity and encourages patients to follow through

    with rehabilitation recommendations to maximize strength

    and improve range of motion.

    For more information about rehabilitation services, call

    507.457.4329 or visit winonahealth.org.

    Healthy Connections ~ Fall 2006

    Take steps to save your knees

    Diane MontgomeryPhysical Therapist

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    The right fuel for school

    Another school year rolls in, and for parents, morningsare busy getting ready for work and getting childrenready for school. Fortunately, making sure children have

    the right fuel for a productive day doesnt have to take a lot

    of time.

    According to Rose Gurley, RD, a Winona Health diabetes

    educator and outpatient dietician, Breakfast is important

    because it gives us fuel to start the day. It nourishes the

    brain and body and provides

    energy for us to think and

    perform physical activities.

    Breakfast is also essential in

    helping children do well in

    school. Gurley noted that

    eating breakfast has proven

    to help improve concentra-

    tion, problem-solving skills,

    mental performance and

    mood. School can be tough

    enough, said Gurley. And

    when kids skip breakfast,

    there is the extra stress of

    working harder to concentrate on reading or solving a

    math problem.

    Quick options for breakfast include a bowl of cereal withmilk, dry whole grain cereal with yogurt or milk, and fruit

    with toast. If your kids arent hungry for breakfast, send them

    to school with a healthy mid-morning snack. Portable items

    include whole grain crackers, a hardboiled egg, granola

    breakfast bar or even a peanut butter sandwich.

    Gurley also emphasized the importance of breakfast in

    controlling obesity. Eating breakfast is important for weight

    control. If children skip breakfast, they may be more likely

    to overeat and snack on high-fat, sugary foods that lead to

    excess weight gain and later obesity.

    If parents want their children to develop healthy eating

    habits, one of the most important things for parents to do is

    to be good role models, said Gurley. And eating a healthy

    breakfast will help parents have a good day, too!

    With the fast pace of everyday life, it can be difficult to be

    proactively involved in helping children eat healthfullybut

    the effort will be worth the result: a child who has the right

    fuel for a productive day.

    Rose Gurley, RDDiabetes Educator & Dietician

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    Tips for packinga healthy lunch

    Keep it simple, buthealthy

    Ask your kids for ideasand let them help pack

    Ease the morning rushby packing lunchesthe night before

    Use leftovers such aspasta, cooked chicken,or a sandwich with leanluncheon meat orpeanut butter and jelly

    Include fruit,vegetables and milk

    Remember plasticutensils and condimentswhen necessary

    Include a small freezerpack to guarantee dairyand meat dont spoil

    Use the food pyramidas a guide (for more infovisit mypyramid.gov)

    Awesome Applesauce Prep time: 10 minutes Serves: 2

    Directions:Peel the apples and cut them into small pieces. Throw outthe core.Put the apple pieces and lemon juice into the blender or

    food processor. Blend until the mixture is very smooth.Pour the mixture into two small bowls and stir in thesugar and cinnamon.Enjoy your awesome applesauce!

    1.

    2.

    3.

    4.

    Serving size: 1 bowl

    (half the recipe)

    Nutritional analysis*(per serving)

    84 calories

    0 g protein

    0 g fat

    22 g carbohydrate

    2 g fiber

    0 mg cholesterol

    3 mg sodium

    14 mg calcium

    0.3 mg iron

    * Note: Nutritional analysismay vary depending oningredient brands used.

    Ingredients

    2 small red apples2 tbsp. lemon juice2 tsp. sugar2 pinches of cinnamon

    Utensils

    knife (youll need help fromyour adult assistant.)blender or food processormeasuring spoonsserving bowls

    Find more recipes atwinonahealth.org/kidshealth

    Tiny PizzasPrep time: about 15 minutes Serves: 1

    Directions:

    Set the oven to low heat.Spread tomato sauce on each bagel half, then cheese.Add your favorite toppings, then sprinkle seasonings lightly.Bake in the oven on low heat for about 5 - 8 minutes. Youllknow when theyre done when the cheese is bubbly.Let cool for a minute, then enjoy your tiny pizzas!

    1.2.3.4.

    5.

    Ingredients:1 standard bagel, cut in halftomato sauceshredded mozzarella cheesetoppings like diced green

    pepper, chopped onion orchopped tomatoseasonings like oregano,basil and pepper

    Utensils:oven (youll need help fromyour adult assistant.)baking sheetknife

    Serving size: 2 tiny pizzas

    Nutritional analysis*(per serving)

    210 calories

    9 g protein

    4 g fat

    34 g carbohydrate2 g fiber

    11 mg cholesterol

    633 mg sodium

    144 mg calcium

    1.9 mg iron

    * Note: Nutritional analysismay vary depending oningredient brands used.

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    Community Memorial Hospital received a 2006 Premier

    Award for Quality for its care of acute myocardial infarction

    (AMI/heart attack) patients.

    Receiving the Premier Award for Quality reflects the fact

    that our staff and the communitys physicians are

    committed to offering the

    highest quality patient care

    every day, said Rachelle

    Schultz, Winona Health CEO.

    Grace Glomski of Fountain

    City was one of the

    community members who

    benefited from Community

    Memorial Hospitals

    award-winning care when

    she had a heart attack in

    September 2005.

    Graces storyAfter mowing her yard on a

    warm September afternoon,

    Grace, 92, began having a

    strange sensation between

    her stomach and her chest.

    I thought it might be

    heartburn, said Grace.

    I had never had heartburn,

    but I had never had this

    pain either until a few

    days earlierand then it

    went away.

    This time, though, it wasnt

    going away; it was spreading.

    I started wondering ifsomething was wrong with

    my heart. Grace said she called her daughter-in-law to ask

    if she should take an aspirin. Fortunately, her daughter-in-

    law and son immediately got her to the hospital.

    In the Emergency Department at Community Memorial

    Hospital (CMH), Grace said she remembers thinking,

    I wanted to stay close to home. The closer to home

    the better!

    Road to recoveryGrace spent four days under the care of the nursing team in

    Winona Healths Intensive Care Unit and Winona Clinics

    Dennis Nolan, MD.

    I had very good care

    in the hospital. I was

    very happy with my

    nurseseven though

    I dont like to be

    waited on, said Grace.

    And I really like Dr.Nolan, she added.

    Hes kind of a smart

    guy. He had me fig-

    ured out. I remember

    the day I was leaving

    the hospital, Dr. Nolan

    said, Now dont go

    out and mow your

    lawn when you get

    home!

    A year later, Grace

    said, Im doing just

    fine. My only problem

    is my hip and I have

    to take pain medicine

    for that sometimes.

    But Im 92 years

    old, and I can live

    with that.

    Graces daughter, Joy

    Schmidtknecht, added,

    Shes still very independent, and shes about the great-

    est mom anyone could ever have. She has a great sense of

    humor.

    Being able to provide expert care for people when they

    need us the most makes this job very rewarding, said Peggy

    Krage-Koenig, RN, the nurse who helped care for Grace

    in the Emergency Department.

    Award-winning heart attack care

    te ea eunies. Clockwise fo op lef: mac Dui, mD;

    Dennis Nolan, mD; Peggy Kage-Koenig, rN; Gace Gloski,

    AmI paien.

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    CMH earned the Premier Awardfor

    high quality, cost effective treatment of

    Acute Myocardial Infarction (AMI) based

    on clinical process measures, clinical

    quality outcome measures and resource

    utilization. The award is based on data

    submitted to Premier, Inc. for reporting

    and benchmarking purposes.

    Winona Health was awarded the

    Minnesota Quality Award

    Advancement Level in recognition of

    progress in building and deploying

    systematic approaches in leadership,

    strategic planning, customer service

    and market focus.

    Winona Healths Community Memorial

    Hospital is ranked one of the Most

    WiredSmall & Rural Hospitals for the

    fifth consecutive year. Winona Health

    won the award for using information

    technology to improve quality,

    satisfaction and patient care.

    Commitment to excellenceGrace is one of many patients who have come to CMH for

    heart attack treatment. Consistently doing the right thing

    for patients put us in the position to win the Premier award,

    said Charles Shepard, MD, Winona Health medical director.

    Written pathways and protocols assure the most up-to-datecare for patients with myocardial infarction, unstable angina

    and heart failure.

    Community Memorial Hospital has been on the leading

    edge of care for heart patients for a long time, noted

    Dr. Shepard. We participated in the first TIMI [thrombolysis

    in myocardial infarction] trial which showed the benefit of

    opening clotted arteries of heart patients, he said.

    He added, We continue to collaborate with our tertiary

    care partners in Rochester and La Crosse. Weve

    developed an organized and consistent approach involving

    initial diagnosis and care in Winona, followed by transfer

    for emergency coronary angiography and angioplasty

    when needed.

    Community Memorial Hospital physicians and staff

    accepted the Premier Award for Quality for treatment of

    acute myocardial infarction (AMI/heart attack) patients at a

    special presentation on July 27. The award recognizes not

    only consistent high quality care, but also efficient use of

    resources.

    In accepting the award, Dr. Shepard emphasized the

    contributions of Andrew Edin, MD, a guiding influence for

    the medical staff; Mary Volkart, RN, a leader in nursing

    care; Marc Dummit, MD, Emergency Department medical

    director; and Brett Whyte, MD, medical director for the

    Winona Area Ambulance Service. These people, along withtheir staffs, are strong links in the chain of care.

    Pysicians and saff a Couniy meoial hospial acceped

    e Peie Qualiy Awad a a pesenaion in e Douglas

    Boye Sugey Lounge a Winona heal on July 2. Picued

    lef o ig: Gay Eans, Winona heal boad cai; racelle

    Sculz, pesiden/CEO; Cales Sepad, mD, Winona heal

    edical dieco; mac Dui, mD, Eegency Depaen

    edical dieco; roge Jones, senio dieco, Peie, Inc.;

    Andew Edin, mD; and may volka, rN.

    National and regional awards and recognition

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    Community commentsOn February 1st, my wife and I were blessed with the birth

    of our first child, Christian. He was delivered by C-section

    at Winona Health by Dr. Birdsall and your wonderful staff.

    The delivery went flawlessly and as new fathers go, I was

    overwhelmed with all that was going on. Once we made it

    to the [Family Birth Center] and our little bundle was

    with us, the shock of what do we do now? was gently

    alleviated by the nurturing and guiding expertise of

    Tweety [Amparo Oevering] and Wendy [Jandt]. These

    compassionate professionals not only cared for us, but

    helped teach us some of the basics.

    We are truly grateful to everyone and look forward to

    having our next family member at Winona Health!

    Denise & Eic muelle

    Founain Ciy

    P.S. We thought the special dinner was a nice touch and

    the food was excellent!

    At first I was walking to the ER and noticed the [Urgent Care]

    sign in front. I was extremely happy to see this service now

    available: less expensive, less waiting and use of ER time that

    could be spent on emergency care. I was having a reaction to

    a bee sting and felt I couldnt wait until Monday. I was in and

    out in much less time. Thank you!

    Kay Kilain

    minnesoa Ciy

    Recognition from theState of Minnesota

    On behalf of the

    Governors cabinet, I

    would like to thank you

    and your staff for hosting

    the Health Cabinet at

    your facility. Winona

    Health is the benchmark

    for Health Information

    Technology (HIT) in

    Minnesota. I commend

    you and your organization

    for the outstanding work.

    As we see more facilities

    moving [toward

    implementation of HIT],

    there is a roadblock that

    many have not been able

    to accomplish: interconnectivity. Winona Health has done this

    and Minnesotas care facilities need to look to you as

    the leader.

    Winona Healths accomplishments show the State of

    Minnesota that we can have an interoperable HIT system.

    We look forward to working with you as you lead the way to

    the 21st Century health care system.

    Cal r. Ludean, Coissione

    minnesoa Depaen of Eployee relaions and

    Cai, Goeno Pawlenys heal Cabine

    Buce mcFalin of Buffalo Ciy aied in e EegencyDepaen (ED) a Couniy meoial hospial wi

    ces pain on July 21. micelle Joanson, rN, began

    onioing is ea y and iediaely called fo

    an ai abulance. Calos moales, mD, dieced ebes

    of e ea in adiniseing life-saing eaen, and

    wiin 0 inues of aiing in e Winona heal ED,

    mcFalin was eceiing balloon angioplasy in La Cosse.

    te nex day, mcFalin aended e wedding of is niece

    Kelsey and e new usband Ada.

    to ead e full ex of e lee,

    please isi winonaeal.og

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    Services

    Allergy & Asthma Clinic

    Alzheimers Care

    Assisted Living Facilities

    Child/Adolescent Psychiatry

    Counseling

    Dialysis

    Emergency Care

    Family Birth Center

    Home Health CareHospice Care

    Laboratory

    Long-term Care

    Medical Services

    Nutrition & Diabetes Education

    Occupational Health

    Orthopaedic Surgery

    Parkview Pharmacy

    Psychiatry - Inpatient/Outpatient

    Radiology

    Rehabilitation Services

    Respiratory Care

    Rushford Clinic

    Sleep Lab

    Sports Medicine

    Surgery - Inpatient/Outpatient

    Urgent Care (weekends)

    NEW

    Ophthalmology

    E-Health Visits (through Winonas Health Onli

    Fo oe infoaion:

    0..60

    winonaeal.og

    Staff in the news

    Carlos Morales, MD, Emergency Department

    physician (left), received board certification in

    Emergency Medicine. Dr. Morales is also board

    certified in Internal Medicine. He is a member of the

    American Medical Association, American College

    of Emergency Physicians, American Association

    of Physician Specialists, Minnesota Medical

    Association and the Mayo Alumni Association.

    Debra Norton, RN, Karen Resch, RN, and Deb Kahoun, RN, successfully

    completed a rigorous exam to receive Critical Care Certification from the

    American Nurses Credentialing Center. The exam tests nurses knowledge

    in handling multiple challenges related to complex clinical situations in theIntensive Care Unit (ICU).

    Christina Friederichs, Winona Healths Director

    of Physician Clinics (right), passed The American

    Academy of Medical Managements exam to

    become a Certified Administrator in Physician

    Practice Management. This achievement reflects

    Friederichs extensive work experience, education and

    professional development.

    Alicia Lalim, Heidi Ramsey and Doug Haberman,

    cardiopulmonary rehabilitation specialists,passed the Registered Clinical

    Exercise Physiologist (RCEP) exam administered by the American College of

    Sports Medicine.

    Chris Schubert, MD, Emergency Department

    physician (left), is a member of Team USA in the

    2006 Short Course Triathlon World Championship

    in Lausanne, Switzerland. The September event

    includes a one-mile swim, 24-mile bike ride and a

    6.2-mile run. To qualify, athletes had to finish in thetop 25 at the 2006 Age Group National competition.

    Looking for a healthcare provider in Winona? Wondering if theres a specialist

    close to home? Medical Staff Directories are now available in the hospitals front

    lobby.Pick up this free resource the next time youre at Winona Health!

    The information contained in the directory is also available on our website.

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    EvENtS, CLASSES & SUPPOrt GrOUPS

    Nonprofit Org

    U.S. Postage

    PAID

    Winona, MN

    Permit No. 72855 Mankato Ave.

    Winona, MN 55987

    For a complete calendar of events and more

    information about our services and programs,

    please visit our website: winonahealth.org.

    We welcome your questions and comments.

    Winona heal Auxiliay Eens

    Birthday Ball

    Saturday, September 9,

    Signatures Event Center

    Holiday Happiness

    November 8-11, B.A. Miller Auditorium

    The 3rd floor of CMH becomes a holiday

    shopping wonderland featuring gifts, holida

    decorations, jewelry, baked goods and more

    Auxiliary Fantasy of Trees

    November 17-18, Friday: 3 pm-7 pm &

    Saturday: 10 am-4 pm

    Watkins Manor, 175 E. Wabasha St.

    For more information about Auxiliary event

    call 507.457.4394.

    Alzheimers Support Group

    Second Wednesday of every month, 6-7 pm

    CMH, Parkview Conference Room

    507.457.4560

    Breastfeeding Class

    October 5, or December 7, 6:30-8:30 pm

    CMH, Lake Winona Manor Classroom$10 per participant/couple. 507.457.4491

    Breastfeeding Support Group

    MOM (Mothers Own Milk)

    Every Wednesday, 1:30-3 pm

    Womens Health Library at Winona Clinic

    No registration required. 507.453.3700

    Childbirth Education Class

    Six-week course, 6:30-8:30 pm

    September 5 - October 10

    October 2 November 6

    November 7 December 12

    CMH, B.A. Miller Auditorium

    Registration required: 507.457.4491

    Childbirth Experience Weekend Class

    Friday, September 15, 6-8 p.m. &

    Saturday, September 16, 8 a.m.-3 p.m.

    or Friday, December 8, 6-8 p.m. &

    Saturday, December 9, 8 a.m.-3 p.m.

    CMH, B.A. Miller Auditorium

    Registration required: 507.457.4491

    Depression Screening

    Thursday, October 5, 2006

    Free. 507.454.2606

    Diabetes Prevention Class

    Class meets four consecutive Mondays,

    6:30-7:30 pm

    October 2, 9, 16 and 23

    $60 individual or couple

    Registration required: 507.457.4149

    Grief Support GroupSecond Wednesday of every month, 3:30-5 pm

    Watkins Manor Parlor, 175 E. Wabasha St.

    Registration required: 507.457.4468

    Healthcare CPR Certification (First timer)

    Two-night course, November 29 & 30, 5-9 pm

    CMH, B.A. Miller Auditorium

    $40. Registration required: 507.457.4491

    Healthcare CPR Recertification

    4-hour course offered:

    September 21, 7:30-11:30 am

    October 3, 7:30-11:30 am

    October 19, 7:30-11:30 am

    November 2, 5-9 pm

    November 16, 7:30-11:30 am

    December 21, 7:30-11:30 am

    Community Memorial Hospital

    B.A. Miller Auditorium

    $30. Registration required: 507.457.4491

    Health Care Directives Workshop

    These sessions are for individuals who are

    seeking assistance in completing personal

    directives.Informational sessions:

    September 18, 6:30-7:30 pmNovember 20, 9:30-10:30 am

    Working sessions:

    September 25, 6:30-7:30 pm

    November 27, 9:30-10:30 am

    CMH, Parkview Conference Room.

    507.457.4316

    Prostate Cancer Support Group

    First Monday of every month, 7-9 pm

    CMH, Parkview Conference Room

    507.457.4491

    Smoking Cessation Class

    4-week class, begins October 5, 6-7 pm

    CMH, Parkview Conference Room$30. Registration encouraged: 507.457.4491

    Watkins Manor Annual Garden Party

    Sunday, September 10, 1-3 pm

    Watkins Manor, 175 E. Wabasha St.

    507.494.7496

    Winona Area Diabetes Expo

    Saturday, November 4, 8:30 am-12.30 pm,

    Winona State University,

    Kryzsko Commons. 507.457.4149

    CMH=Community Memorial Hospital