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Fall 2010

Caring for superheroes


...and the rest of us.

Healthy starts here.


A team Approach.—

Dear Family, friends & neig hbors, Radiologists Matt Hayes,


MD, and Laurel Littrell,
MD, work closely with
local physicians and

T his issue of Healthy Connections is about caring for you


and your superheroes. Who are the superheroes in your
life? Here at Winona Health, superheroes are all around us.
patients.

Below: Paul Horner,


Healthy Connections is a free lead MRI Technologist,
They are the team in our Emergency Department caring
quarterly publication from demonstrates the MRI.
for a heart attack patient, the staff at Lake Winona Manor
Winona Health to provide
caring for your family member — and all of our clinical and
information on health, wellness
support staff who make sure your visit is a good one.
and healthcare services.
It takes more than a superhero effort these days to predict the future of healthcare.
Comments or questions about With all the expected changes in the healthcare reform act, it is a challenge to forecast
this publication or Winona
what will happen over the next six months – let alone the next five to ten years.
Health may be submitted to
winonahealth.org and click One thing we know for sure: dwindling reimbursements, advancing technology and
on ‘Contact Us’ or call the more complex patient needs are forcing the transformation of healthcare providers.
Winona Health Marketing Winona Health has been preparing for this impending transformation for many years.
Communications Department Our focus on high-quality, evidence-based practices, patient satisfaction and fiscal
at 507.457.4157. stewardship has given us a strong foundation.

From the cover


Winona Health has been actively applying Lean management principles to improve our
healthcare delivery model. Used effectively in manufacturing companies for decades, Why an MRI? • Winona Health
(front, l-r) Aiden, 5; Libby, 7; (back, l-r)
Lean thinking begins with identifying and driving out waste so that all work adds value
and better serves each customer’s needs. Winona Health’s state-of-the-art MRI Unit radiologists
Caleb, 5; Scott Birdsall, MD, OB/GYN; Laurel Littrell, MD,
Suzanne Cooley, CNM, Midwife; Ava, Lean involves staff from all departments focusing on identified areas for improvement. and Matt Hayes, MD,
18 months; Troy Shelton, MD, OB/GYN;
Spencer, 18 months.
Teams are empowered to redesign processes to improve flow, reduce waste and
ultimately provide increased value to our patients and families. As we rigorously apply
Lean throughout our organization, it is having a positive impact on safety, quality,
W inona Health physicians have a
variety of high-tech options for
diagnosing problems. When is an MRI the
“If you need an MRI, there is
no reason to go anywhere else.
are board-certified
and Mayo-trained.

productivity, cost and our patients’ satisfaction. Here are just a few examples of • MRI results are read
improvements made through Lean initiatives:
right option? An MRI (Magnetic Resonance We have the technology
Imaging) exam is a painless, non-invasive on-site and results
procedure that, unlike CT scans and x-rays, right here.” are available in three
• Urgent Care Clinic: Reduced the wait time for patients to be seen by a healthcare
provider by 70% and the overall time spent at the clinic by 50%. uses no radiation. Instead, it uses a powerful - Laurel Littrell, MD days or less.
magnet, radio waves and a computer to
• Hospital admission and discharge process: Reduced the duplication of forms and provide visual images of specific areas • Digital images
information gathering by 70% and provided more direct nursing time with patients. inside the body. providers to ensure the MRI exam is become part of each
tailored to each patient’s situation. This patient’s Electronic
• CT Scans: Reduced the wait time for scheduled CT scans by 100%.
“The MRI provides exceptional detail to is a real benefit and not always found in Medical Record
As we implement healthcare reform, we each must take responsibility for stimulating help us diagnosis many types of injuries larger facilities.” (EMR).
conversation and action. We must take superhero actions to improve our healthcare and conditions,” said radiologist Matthew
delivery model while continuing to care for every member of our community. Hayes, MD. “Once we pinpoint the cause, A patient-centered design.
Winona Health is here to assist you in your efforts to improve and/or the patient’s physician can determine the Winona Health’s MRI unit has a shorter
maintain your health and well-being. Thank you for letting us be a part best course of treatment.” “barrel” than others, and it’s open at both
of your life. ends, making it much more comfortable
Radiologist Laurel Littrell, MD, said for those who are claustrophobic. It’s also
Warm regards, Winona Health’s Radiology Department one of the quietest units available. “Our
is unique. “Dr. Hayes and I have a close goal is to ease anxiety and keep patients
relationship with local physicians and our comfortable while providing the highest
patients. This is a big advantage as we can quality of care,” said Paul Honer, lead MRI
Rachelle H. Schultz quickly communicate with the referring Technologist.
President/CEO

2 Healthy Connections • Fall 2010 Healthy Connections • Fall 2010 3


Local bone health What you
should know: Prenatal Care for You and
study leads to a Osteoporosis is a disease in
which an individual’s bones
become weak and are
Y our Future Superhero
lifestyle change more likely to break. One

W
in two women age 50 and
hether you’re pregnant or thinking about starting
older, and nearly one in

K elly Hein, age 44, learned she


had low bone density when she
participated in a research study conducted
four men will break a bone
because of osteoporosis in
their lifetimes.
a family, prenatal appointments are an important
part of a healthy family. The prenatal care providers in
Winona Health’s Center for Women’s Health agree that
in the Winona area by Ann C. F. Olson, outstanding care includes providing emotional support
PhD, a Winona Health certified nurse The National Osteoporosis to mothers-to-be throughout their pregnancy.
practitioner and Winona State University Foundation recommends
associate professor. the following steps for Scott Birdsall, MD, an obstetrician/gynecologist has
better bone health: thirty years of experience in women’s health and
Fighting osteoporosis.—Kelly Hein,
Dr. Olson’s goal in conducting the works out at the YMCA in Winona. Hein was • Get your daily developed the Center for Women’s Health at Winona
research was to learn whether women diagnosed with osteoporosis when she was 42. recommended amounts Health. Dr. Birdsall believes prenatal care is important
would take a more proactive approach of calcium and vitamin D. because it helps create good communication between
Dr. Olson encourages women to
to maintaining bone health if they found a healthcare provider and a patient. “Listening to my
be proactive about talking to their • Engage in regular
out earlier that they were at risk for patients and addressing their questions and concerns
healthcare provider about risk factors for weight-bearing and
osteoporosis. muscle strengthening creates mutual respect which goes hand-in-hand with
osteoporosis. “If women are aware of
exercise. good prenatal care,” he said.
“I was fortunate to be part of the study,” their risks sooner, they will begin taking
says Hein. “I learned at the age of 42 that steps to maintain their bone health, which, • Avoid smoking and Obstetrician/gynecologist Troy Shelton, MD, agrees.
I had osteoporosis, rather than waiting ultimately, will decrease much of the pain excessive alcohol “My prenatal patients go through several changes not Winona Health’s Center for Women’s Health
another 23 years when current standards and cost associated with osteoporotic consumption. just physically, but emotionally. As a husband, father Providers—Troy Shelton, MD, OB/GYN, Suzanne Cooley,
allow for testing.” fractures,” Dr. Olson said. and healthcare provider at Winona Health for six years, CNM, Midwife, and Scott Birdsall, MD, OB/GYN provide more
• Talk to your healthcare than care, they provide support for their patients.
provider about bone I see firsthand that prenatal care is vital to the health of
Dr. Olson explains, “In our study of As a result of the study, Hein said, “I
health and find out a family and I truly want the best care for them.”
150 Winona area women aged 35-55, will take steps now to improve my bone Resources to help you transition into parenthood.
32% were found to have low bone strength. I want to continue to lead an if you are at risk for
osteoporosis. “It’s proven that women who receive regular prenatal Winona Health offers classes to help parents-to-
density, which is a significant risk active life, and now I have the information care have healthier babies,” adds Suzanne Cooley, be prepare for labor and delivery and parenthood.
for postmenopausal osteoporosis and I need to help make that happen.” a Certified Nurse Midwife (CNM). For twenty-two Childbirth Education Classes help expectant parents
subsequent fracture.” years, Cooley has provided education about alternative learn how to positively cope with the emotional and
The research study was sponsored by the Winona State University Foundation, the University of Arizona birthing options, nutrition and psychological changes to physical changes that occur during pregnancy and birth.
College of Nursing, the national Osteoporosis Foundation and Winona Health. Bone density testing was done OB patients and says it is important to provide support A one-evening Breastfeeding Class provides
using state-of-the-art technology in Winona Health’s Diagnostic Imaging Center. for prenatal patients and their family as a whole. information and answers to questions about
breastfeeding. All About Baby is a free,
Dr. Birdsall emphasized that a unique feature of OB care weekly drop-in group for parents to weigh
at Winona Health is that ninety percent of the time, the their baby, get answers to questions and
Winona Health’s Center for Women’s Health presents the first of a four-session prenatal care provider you see at Winona Health will be meet other parents. For a schedule of
series on women’s health and wellness: the same one to deliver your baby. “This isn’t usually upcoming classes or to register, visit
the case in larger healthcare facilities,” said Birdsall. winonahealth.org or call 507.457.4491.
How dense are we? Smart steps to stronger bones.
To make an appointment for prenatal care, routine physicals or women’s health issues, contact:
Thursday, October 28, 2010, 5:30-7 p.m.
Ann Olson, PhD, RN, CPN, FAANP, Winona Health’s Center for Women’s Health, 507.457.7701
Ann Olson, PhD, RN, CPN, FAANP, certified Women’s Health/Family Nurse Practitioner certified Women’s Health/Family

D id y o u
and associate professor, and Heidi Ferris, dietitian will provide information and answer

same one to deliver your baby. This isn’t usually the case in larger healthcare facilities.
Nurse Practitioner at Winona
your questions about improving or maintaining bone health. Health and associate professor
at WSU Rochester campus.
k n ow? 90% of the time, the prenatal care provider you see at Winona Health will be the

4 Healthy Connections • Fall 2010 Healthy Connections • Fall 2010 5


“go-to” resource for a variety of Development concerns include:
health-related issues. His or her  Nutrition, exercise/activity,
main goal is to help your child stay fitness or weight issues
fit and healthy.

Here are a few important reasons


to schedule regular checkups:
 Behavioral issues
 Emotional issues
 Challenges or changes within
M e et
 Stay current on immunizations
the family such as a new baby Kristi Schulte, PA-C
 Assess and monitor overall or separation or divorce Kristi Schulte, PA-C, received her
health bachelor’s degree at Winona State
 Learning disabilities and
University, then attended
 Track growth and development available resources
Midwestern University in Arizona
 Get answers to your questions “Make the most of well-child visits with an emphasis in Physician
and concerns Assistant Studies. She received
by writing down your questions
her national certification in
and bringing them to your
Your child’s healthcare provider, September 2008 and has been
appointment,” encourages seeing patients at Winona Health
whether a pediatrician or a family
Schulte. “Parents have an Family Medicine since October
practice expert, also is here to
important job. We truly are 2008. Schulte is very excited
support you as a parent.
committed to helping you raise about joining the Pediatrics
He or she can offer insight into strong and healthy kids so Department and focusing on
they’ll grow up to be strong providing care for children.
any areas of concern during your
child’s development. and healthy adults.”

Caring for superheroes...and the rest of us.


When your child needs medical attention, Winona Health Family Practice, Pediatric
and Urgent Care professionals provide the care you need at locations listed below.

Family Practice
Winona Lewiston And life can be unpredictable —
E. Allen Beguin, MD Mary Kramer, CNP
William Davis, MD
URGENT CARE
Even Superheroes need checkups. Jonathan Knight, DO Rushford
David Lofgren, MD
Wayne Kelly, MD
Joy Stevens, PA-C
Open 7 days a week.
Here’s why!
Lynette Lamp, MD
Rebecca Lossen, MD
No appointment needed.
Mary Michener, MD Pediatrics 420 E. Sarnia St. • 507.474.7830
Nicholas Modjeski, MD Saune Carlisle, MD Monday–Thursday 8 a.m.–8 p.m.
Who are these superheroes? — (l-r) Spencer, 18 months; Lydia, 4; Kristi Schulte, PA-C; Jackson, 7; Brooke, 5; and Libby, 7. Thomas Retzinger, MD Michael Severson, MD
Friday–Sunday 8 a.m.–5 p.m.
Robert Wilfahrt, MD Kristi Schulte, PA-C

P
The Emergency Department is always open
Your children seem, and ediatric physician assistant, Kristi Schulte, PA-C, Donna Kamann, CNP
at Winona Health, 855 Mankato Ave.
most likely are, as healthy said, “Just as well-baby checkups are important in Christina Nitti Velasquez, CNP
monitoring the growth and development of newborns,
as a superhero. For more information about healthcare providers at Winona Health, visit winonahealth.org and click on Find a Provider.
regular checkups, although less frequent, are also important
to your child’s overall health.”
So why take them In addition to treating illnesses and injuries and providing
to the doctor? referrals to specialists if their expertise is needed, your
pediatrician or family healthcare provider is a valuable
Call to make an appointment. 507.454.3680 • Lewiston: 507.523.2127 • Rushford: 507.864.7726

6 Healthy Connections • Fall 2010 Healthy Connections • Fall 2010 7


Q &withA Play it safe to prevent
sports-related eye injuries
Suffering the ‘Blues’?
—You are not alone.
In the heat of competition or out of the blue during
Gary Hayes, MD scrimmage, an eye injury can happen in an instant. School
sports that are inherently higher risk for eye injuries are
Winona Health’s Behavioral Health Department offers options

M
wrestling, racquet sports and hockey. Other sports high ost people know they will see many different healthcare
Winona Health’s oral surgeon answers your on the list are baseball and basketball. Athletes of all ages providers during their lifetime but few think they will
questions about wisdom teeth. should be sure to wear appropriate eye protection. need assistance for a mental health problem. The statistics
“Protective eyewear greatly decreases the chance of injury, show otherwise. Depression affects approximately one in six
Q: When do most people have their wisdom
but in the event of an eye injury, remain calm,” advises adults over a lifetime; one in four women and one in 10 men.
teeth removed and what are the benefits?
Laurel Quinn, MD, ophthalmologist at Winona Health’s “Everyone feels ‘blue’ at certain times during his or her
It’s most common for high school and college students
to have their wisdom teeth removed. This is when the Eye Care Center. “Simply put, if the injury affects or alters life,” said psychiatrist Cullen Schwemer, MD. “Feelings
roots of the teeth are developing and before the wisdom vision, you should seek immediate medical attention.” of sadness or discouragement are perfectly normal,
Winona Health Psychiatric and Counseling staff—
teeth get to the sensory nerve that goes to the lower lip. especially during particularly difficult times. But when
An eye injury that results (l-r) Dee Herzing, MS, LPC, LICSW; Cullen Schwemer, MD; Laurie
As wisdom teeth grow, their roots become longer and a person cannot ‘snap out of it’ or get over these feelings,
in vision loss is a terrible Stenseth, MSW, LICSW; Betsy Rowekamp, RNC; and Diane Petz, MS, LP.
complications become more likely. A dentist may do a they may be suffering from depression.”
thing to take with you for
screening test to see if there is enough room for all four
wisdom teeth; if there is not, or if teeth cause problems the rest of your life,” says
Dr. Quinn. “It’s well worth
such as infection or discomfort, they should be removed.
Having wisdom teeth removed at an early age decreases it to take precautions to Know the signs. The signs and symptoms of clinical depression are:
the risk of nerve damage, pain and swelling. protect your child’s vision.” • Persistent sad, anxious or “empty” mood • Difficulty with concentration, memory or decision making
• Changes in sleep patterns • Fatigue, loss of energy
Q: What should I do if I think my wisdom teeth Fitting a Superhero.—
need to be removed? Heather Hauser, optician, • Change in appetite and weight • Feeling guilty, hopeless or worthless
Patients do not need a referral from a dentist to have helps find the perfect frame.
• Restlessness, irritability • Thoughts of suicide or death
their wisdom teeth removed—so anyone experiencing
pain or discomfort can call for a consultation.
• Loss of pleasure and interest in once-enjoyable activities
Free Depression Screening Day, October 7
Q: How long does it take to have your wisdom The latest styles. Great savings. • Persistent physical symptoms such as chronic pain or
digestive disorders For additional information see page 12.
teeth removed and what is the recovery time?
The Winona Health Eye Care Center offers a
If my patients prefer deep sedation to avoid feeling If you experience five or more of these symptoms for two weeks or longer, you should see
anything during surgery, the procedure takes 20% discount on all children’s glasses, every day!
a doctor or qualified mental health professional.
approximately two hours. Winona Health is the only
location in Southeast Minnesota to provide this
Along with the latest eyewear styles for children
option. The level of sedation is based on a patient’s and teens, Winona Health’s Eye Care Center carries “Too many people believe that it is a ‘normal’ part of life and that they can treat it themselves. But left untreated,
health, anxiety level and the procedure being done — a selection of sportswear glasses for youth that depression causes unnecessary suffering and disruption in one’s life and work,” said Dr. Schwemer.
we personalize the plan for each individual. Recovery incorporates special shatter- resistant materials.
and limited activity is suggested for two to four days In time of crisis, the Winona Health Inpatient Behavioral Health Unit offers immediate care. John Rislove, director
after surgery. of Behavioral Health, said “Winona Health’s secure, 11-bed inpatient unit offers emergency help for individuals with a
For an appointment, contact:
variety of issues such as anxiety, depression, suicidal thoughts, schizophrenia, bipolar disorders and other mental illnesses.”
If you have questions about oral surgery, contact: Winona Health Eye Care Center
3rd floor of Winona Clinic “The Winona area community is fortunate to have a continuum of care that includes inpatient care options for individuals
Winona Health Oral Surgery needing mental health treatment or counseling,” added Rislove. “If an individual needs inpatient treatment, our staff
507.457.7700 507.474.4760 completes an assessment and develops ongoing care which includes meeting with a psychiatrist, nursing care, group and
Dr. Gary Hayes, DDS, is a fellow in oral and maxillofacial surgery. In his 32 years of practice,
individual counseling, and social work planning for discharge. For most people, the length of stay in the inpatient unit is
he has performed more than 1,500 surgeries a year, many of which are wisdom teeth cases. just under five days.”

D id y o u Myth: Eating carrots can improve vision.


Fact: Although it’s true that carrots are rich in vitamin A, which is essential for sight, so are many
To learn more or to schedule a confidential appointment, call Winona Health Psychiatric & Counseling Services, located on
k n ow? other foods. A well-balanced diet can provide the vitamin A needed for good vision. the Winona Health campus in the Parkview Office Building, 507.454.2606.

8 Healthy Connections • Fall 2010 Healthy Connections • Fall 2010 9


Winona Health News & Notes
After 34 years:
Winona Health Emergency Department Patient and nurse reunite
earns Level IV trauma designation
Winona Health’s Emergency
Department recently earned a
Services and medical director
for Winona Area Ambulance
I n late 2009, Winona Health received a letter and photo (below,
right) from Troy Rasmussen, Rosemount, MN. When he was
only four years old, Troy was a patient at Community Memorial
Level IV trauma designation Service. “For example, head Hospital and fondly remembered his caring nurse. Could we
from the state of Minnesota. injuries are immediately help find her? We did. Over the Christmas holidays, Troy and
The Emergency Department transferred to Level I trauma his nurse Karen Shaw reunited after 34 years. Troy wrote:
team participated in an intense centers and general surgical
designation process to become emergencies are handled here.”
part of Minnesota’s state-wide
trauma system. The designation process Dear Winona Health,
your hospital more than
included an outside review of I’d like to share an experience I had at en I was four years old,
wh
“Earning this designation the hospital’s resources and Level IV Trauma designation —Winona Health’s 34 years ago. In the summer of 1975, nt. I was taken to the
ide
means that we’ve demonstrated capabilities to care for trauma Emergency Department recently earned a Level IV trauma I was badly burned in a camp fire acc and treated for severe
that we’re able to get trauma patients. Winona Health met designation from the state of Minnesota. Among the Winona hospital where I was sta bili zed
hands.
patients the level of care they standards of commitment, many staff involved in this effort were (l-r): Brett Whyte,
MD, Beth Poulin, trauma coordinator and manager of
burns on my legs, abdomen, arms and
need quickly,” said Brett clinical and equipment nitely
Emergency/Urgent Care Services; and Carlos Morales, MD,
iev e the re are mo me nts in our liv es that greatly shape our future, that defi
Whyte, MD, Winona Health’s resources and staff training. I bel for
Emergency Department physician. my life saved, but someone who cared r
medical chief for Emergency being one of those times. Not only was ber her afte
a difference that I still remem
me during my stay there made such she was a nurse assigned to my care and
and
all these years. Her name was Karen d were truly what gave me the strength to
gol
Winona Health welcomes two new healthcare providers, recovery. Her smile and her heart of the lonely days away from my family.
endure the painful bandage changes and
general surgeon, Lee Trombetta, MD and pathologist, Ronald England, DO. and tel l you of my ang el Ka ren , wh o I still remember after all these years.
I felt I needed to share this story her du ty, but wh at she couldn’t have known was that she
made
wa s onl y doi ng
Lee Trombetta MD, a board Ronald G. England, DO, FCAP, a board certified I’m sure she thought she luc ky eno ugh to be given a second chance.
nce to a little boy wh o wa s
certified general surgeon, joined pathologist, has also joined the Winona Health medical such a differe
Sincerely yours,
the Winona Health medical team. Pathologists are doctors who analyze blood and Troy Alan Rasmussen
team. Previously, Dr. Trombetta tissue, looking for abnormalities in order to determine the nepin County
Troy is a Deputy Sheriff in Hen
was a general surgeon at cause and development of disease.

Brooke Army Medical Center
Dr. England is board certified in Anatomic and Clinical
in San Antonio, Texas. He’s also
Pathology. He earned his Doctor of Osteopathic Medicine
served as general surgeon at
degree at Western University of Health Sciences in “Hearing from Troy was such a surprise.
Womack Army Medical Center Karen Shaw, RN, has been a nurse at Winona Health
Pomona, California, and completed his pathology You do your best to care for people every day, and
in Fort Bragg, North Carolina where he was chief of the for 37 years, serving first in the hospital’s Pediatric
residency at the University of California Irvine Medical
Breast Health Clinic. and Medical units. In 1995, she transitioned to it’s so rewarding to know that you made a difference
Center. In addition, he completed a pathology internship
Dr. Trombetta received his Doctor of Medicine degree at Cedars-Sinai Medical Center in Los Angeles, California Occupational Health. to someone. Troy’s letter was truly a gift”
at Creighton University School of Medicine in Omaha, and a Surgical Pathology Fellowship at Harbor UCLA - Karen Shaw, RN
Nebraska, and completed his general surgery residency Medical Center in Los Angeles, California.

and internship at Madigan Army Medical Center in


Dr. England most recently served as a pathologist at
Tacoma, Washington. He is a fellow of the American
Northern Diagnostic Pathology in Redding, California. Is there someone at Winona Health you wish to honor as your guardian angel?
College of Surgeons and a member of The Society of

He is a member of the College of American Pathologists Winona Health Foundation’s Guardian Angel program honors healthcare providers or staff members who have made a
American Gastrointestinal Endoscopic Surgeons. lasting impression. Guardian Angels receive a letter about the donation made in their honor and contributions can be
and the American Osteopathic Association.
directed to the area of the donor’s choice. If you would like to recognize an individual who made a difference to you,
For more information about healthcare providers at Winona Health, visit winonahealth.org and click on Find a Provider. contact the Winona Health Foundation at 507.457.4342.

10 Healthy Connections • Fall 2010 Healthy Connections • Fall 2010 11


Nonprofit Org
U.S. Postage
PO Box 5600 | 855 Mankato Ave. | Winona, MN 55987 | winonahealth.org PAID
Winona, MN
Permit No. 72

Events, classes & support Groups


For a complete calendar of events and for more information about our services and programs, please visit us online: winonahealth.org.
All About Baby Healthcare CPR Recertification Community Health Talk
Tuesdays, 12-1:30 p.m. for Healthcare Providers
Women’s Health Library, 3rd floor, Monday, October 4, 4-7 p.m. How dense are we? Smart steps to
Center for Women’s Health Thursday, October 21, 8-11 a.m. stronger bones.
Winona Clinic, 507.494.0812 Thursday, November 18, 8-11 a.m. Thursday, October 28, 5:30-7 p.m.
Tuesday, November 30, 4-7 p.m. B.A. Miller Auditorium, 3rd floor
Alzheimer’s and Related Dementia
B.A. Miller Auditorium
Support and Education
3-hour course, Cost for class: $40
2nd Wednesday of the month, 6-7 p.m.
Registration required: 507.457.4491 Winona Health Foundation
Parkview Conference Room
For more information, 507.494.7496 Healthcare Directives and Auxiliary Events
Informational sessions:
Breastfeeding Class WH Auxiliary Birthday Ball
Monday, September 20, 6:30-7:30 p.m.
Tuesday, November 16, 6:30-8:30 p.m. Saturday, September 25
Monday, November 15, 9:30-10:30 a.m.
$10 per participant/couple Visions Event Center
B.A. Miller Auditorium, 3rd floor Working sessions:
Registration required: 507.457.4491 Monday, September 27, 6:30-7:30 p.m. Glady D. Miller Gift Shop
Monday, November 22, 9:30-10:30 a.m. Holiday Happiness
Childbirth Education Series
Parkview Conference Room Wednesday, November 10 - Saturday,
Six-week program options:
For more information, call 507.474.3328 November 13, B.A. Miller Auditorium
Wednesdays, October 6 – November 10
Mondays, November 1 – December 6 Holiday gifts and decorations, jewelry,
Prostate Cancer Screening Day
6:30-8:30 p.m. baked goods and more!
Thursday, October 28
Weekend (two day) program option: 7:30-9:30 a.m. and 4:30-6:30 p.m. Fantasy of Trees
Friday, October 22, 6-8 p.m. 2nd floor Winona Clinic, $15.
Friday, November 19 - Saturday,
Saturday, October 23, 8 a.m.-3 p.m. Call for an appointment: 507.457.4481
November 20,
Walk-ins accepted as time permits.
B.A. Miller Auditorium, 3rd floor Watkins Manor, 175 E Wabasha St.
Registration required: 507.457.4491 Diabetes Expo
For more information about Auxiliary
Saturday, November 13, 8:30 a.m.-12:30 p.m.
Little Ones Remembered and Foundation events, call 507.474.3328.
2nd floor Winona Clinic
Outreach Group
Free! Speakers, exhibits and information
3rd Tuesday of every month, 6:30-8 p.m. for people living with or working to
Watkins Great Hall, 175 E. Wabasha St. prevent diabetes.
Call for more information: 507.474.3042 Winona Health on the Web:
Survival Skills Through the Holidays
Free Depression Screening Day Tips for managing holiday-related challenges, winonahealth.org
Thursday, October 7, 10 a.m.-4 p.m. from managing stress to eating well. facebook.com/winonahealth
Parkview Office Building, 825 Mankato Ave. Tuesdays, November 9 and 16, 6-7 p.m.
No appointment necessary twitter.com/winonahealth
Two-session program:
For more information: 507.454.2606 $20 per person/$30 per couple youtube.com/winonahealthvideo
Winona Clinic Conference Room, 2nd floor
To register: 507.457.7600
Events are on the Winona Health Campus located at 855 Mankato Ave., Winona, MN except when noted.

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