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1401 West 5th St. Sheridan, WY — 307.672.1000

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Health and Wellness

WBCI Awards Community Grant for Welch Cancer Center Navigation Program and Breast Boutique
Did you know that breast cancer is one of the few
SMH Cardiopulmonary Rehabilitation Opens New Space
The Cardiopulmonary Rehabilitation staff at Sheridan Memorial Hospital are excited to announce the opening of a new rehabilitation
ADDING Positive Changes for 2022
We often look at the New Year as an opportunity to make changes within our lives in some way, shape, or form.  That change could be financial, personal growth, how free time is spent, or a
DEPRESSION
The holidays can be a joyful time, filled with laughter, fun, and togetherness. However, the holidays can bring despair to those who have lost
Celebrating Home Care and Hospice Month
Providing care for patients in their own home, has shown to be a very effective way to treat many ailments and post-operative situations.
Diabetes – The Good News Is That It Can Be Prevented!
November is National Diabetes Month.   There are different types of Diabetes; however, the rise in Type 2 diabetes (T2DM) and Prediabetes in our
Funds Available to Help With Cost of Cancer Screenings
Sometimes it can seem overwhelming when it comes to your own personal healthcare. But there are resources out there to help those in need.
Rehab can help Patients Before, During and After Cancer Treatment
Wyoming Rehab’s Cancer Rehab Program is appropriate for anyone who has been diagnosed with cancer. Special considerations are made based on diagnosis.
Gun Safety Info & Tips
With hunting season upon us, the Trauma Team at Sheridan Memorial Hospital provides these tips for Gun Safety.
Stay On Your Feet This Fall
More than one out of four older adults fall each year. These falls are NOT a normal part of aging and are serious and costly, causing broken bones
Support for COVID-19 Patients Admitted at SMH & Their Families
We know how important you are in the healing of your loved one. The following guide is intended to
Stacy's Story
Stacy Windon was a recent patient in Sheridan Memorial Hospital. Below is her experience in her own words.
Back To School Safety Checklist
With school starting, It is extremely important to take proper safety precautions when transporting your children to and from school.
CDC Recommends a Third COVID-19 Vaccine Dose for Certain Patients
The CDC is now recommending a third COVID-19 vaccine dose for certain patients with
Preventing Archers Shoulder
The fall season is rapidly approaching and for many Wyoming residents, that means hunting season.  Hunting with archery equipment
New Audiology Services at Sheridan Memorial Hospital’s Ear, Nose and Throat Clinic
Trouble hearing? Learn about our new audiology services and what options might be available to help you.
Preventing Heat Stroke and Heat Exhaustion
Urgent Care physician, Dr. David Nickerson, offers up these keys to preventing heat stroke and heat
The Transitional Care Team – Preparing Patients for a Successful Transition Home
Sheridan Memorial Hospital’s (SMH’s) Transitional Care Unit (TCU) is a hospital-based short-term
Urgent Care Physician Receives FAA Aviation Medical Examiner Certification
David Nickerson, MD, urgent care physician at SMH, has completed the necessary training through the Federal Aviation Administration (FAA)
Medical Device Recall Notification - Sleep and Respiratory Care Update from Philips Respironics
Sheridan Memorial Hospital has been advised of a

Did you know that breast cancer is one of the few cancers where early detection can literally be the difference between life and death? Yet, Wyoming ranks among the worst in the nation for breast cancer early detection screenings. Add to that, every single day a Wyoming resident is diagnosed with breast cancer, according to the Department of Health. Enter the Wyoming Breast Cancer Initiative (WBCI).

Started in 2016, WBCI is one of the only non-profits in Wyoming solely dedicated to increasing early detection, decreasing late-stage diagnosis, and supporting breast cancer survivors. Through year-round fundraising efforts, WBCI raises, then disperses funds to local Wyoming programs through grants. WBCI Community Grants are awarded to programs that provide services in one of four funding priority areas: education and awareness, screening and early detection testing, patient navigation and providing support to breast cancer patients and survivors.

The Sheridan Memorial Hospital Foundation is proud to announce it has been chosen as a recipient of a 2022 WBCI Community Grant to provide vital services to the Sheridan community through Sheridan Memorial Hospital’s Welch Cancer Center (WCC). The grant was written and approved to provide patient navigation services throughout diagnosis, treatment and survivorship, personalized essential care for breast cancer patients, and dedicated funds for the WCC’s Breast Boutique. The boutique is an experience complete with compassionate highly trained staff who provide post breast cancer care options including post-op camisoles, breast prosthesis, and bra fittings in a comfortable, private setting. All of the services in the boutique are free of charge.

According to Foundation Director of Donor Relations, Ada Kirven, “We are extremely grateful to receive this successful grant notification. The additional funding plays a major role in allowing the WCC to grow and expand the reach for early breast cancer detection and treatment for better patient outcomes. We want to encourage screening and then work to change the Wyoming breast cancer statistics. Our patients and their families are appreciative to have personalized, exceptional breast cancer care close to home and in a comfortable, safe environment with providers they trust at the WCC.”

Cara Nett, Wyoming Breast Cancer Initiative’s Board President, states, “Since WBCI started, we have granted nearly seven hundred thousand dollars to local Wyoming projects. It’s truly incredible when you stop to think about it. Our funds don’t come from big foundations or businesses, they really come from local Wyoming residents and businesses, many of who have felt the devastation of breast cancer personally. Nothing makes us more proud than knowing we are being good stewards of our donors’ hard earned money. The Welch Cancer Center Navigation Program and Breast Boutique serve as only one example of eighteen other projects in Wyoming we are able to fund. Every funded project brings us closer to our mission of increasing early detection, decreasing late-stage diagnosis and supporting those in the fight of their lives.”

Anyone wanting to learn more about services provided at The Welch Cancer Center and The Breast Boutique should visit https://www.sheridanhospital.org/medical-services/welch-cancer-center/ or call 307.674.6022. To learn more about the Wyoming Breast Cancer Initiative and how you can help support breast cancer projects in Wyoming, please visit www.wyomingbreastcancer.org or like WBCI on social media.

By Cassie Mullins, RN, BSN –Sheridan Memorial Hospital Cardiopulmonary Rehab Supervisor

The Cardiopulmonary Rehabilitation staff at Sheridan Memorial Hospital are excited to announce the opening of a new rehabilitation space.  The 3,000 square-foot facility provides the space and equipment to aid in the treatment of patients with cardiac and pulmonary diseases.  The new space allows patients to access an abundance of cardiovascular equipment, including treadmills, recumbent bikes, ellipticals, an arm ergometer as well as a full complement of weight training equipment.  With several pieces of seated cardiovascular equipment, we can accommodate patients along a broad spectrum of needs and abilities.

Our compassionate and knowledgeable team of registered nurses, respiratory therapists, and exercise physiologists all set the stage for patients to reach their full potential in this spacious, modern facility located on the lower level of the main hospital building. 

We’ve been working on this move for some time and believe the new space will allow us to serve more patients more comfortably.

We have two different programs that work hand in hand – Cardiac Rehab, for those with heart disease, and Pulmonary Rehab, for those with lung disease.  We also offer a maintenance program for patients who have completed their sessions but wish to continue using our facility to exercise and have the support of our staff.

Cardiac Rehab

Cardiac Rehab is a medically supervised exercise program designed to improve a person’s cardiovascular health if they have experienced a heart attack, heart failure, angioplasty, or heart surgery.  In cardiac rehab, patients see other people like themselves exercising, socializing, and learning how to manage their heart disease.  We monitor heart rate and rhythm with a heart monitor worn during exercise and check vital signs before, during, and after exercise.  This information ensures that staff can see how the person’s heart reacts to physical activity in real-time.  We work with patients to encourage a slow and safe increase in physical activity.  In addition to exercise, at Sheridan Memorial Hospital’s Cardiac Rehab program, we also provide education on cardiac disease, exercise safety, a heart-healthy diet, stress management, and medications.

Pulmonary Rehab

Pulmonary Rehab is also a supervised education and exercise program designed to help people with chronic lung diseases such as COPD, Pulmonary Fibrosis, and, more recently, those experiencing ongoing breathing issues after a COVID-19 diagnosis.  Patients in Pulmonary Rehab participate in an exercise program designed to strengthen the muscles involved in breathing and in moving.  They also begin an education program focused on learning how to better manage their lung condition.

The Patient’s Perspective

Tom McClain has been in the program since 2019.  After completing his cardiac rehab sessions, he has continued to participate in the maintenance program, logging over 200 sessions in the last two years.  He has also participated in the educational classes offered to patients in the Pulmonary Rehab program.

Considering himself one of our “regulars,” Tom says:  “I come twice a week.  Socialization is really important to me – there is a group of us who come at the same time, and it makes exercising fun.  We have a lot in common and encourage each other to do our best.  I live alone and really look forward to spending time here.”

Tom adds, “What I particularly like about the hospital program is that there is always a nurse who monitors me – taking my blood pressure and checking my oxygen levels as I go about my workout.  It’s comforting to have a professional on hand, observing me and making sure I’m doing ok.   Besides that, I’m on oxygen, and it is so convenient that I can just plug my oxygen line into the wall as I exercise.”

Tom has seen many changes and likes the new larger space.  “Particularly in the pandemic – it’s great that we can spread out.  While most of the equipment is the same, there are some new machines I can try out.  I have been able to work on strengthening my shoulder in addition to my regular workouts.”

Tom is committed to his health, and exercise is important to him, so committed in fact that he doesn’t just work out at the hospital – he goes to the Y three times a week as well.  Going to both the Y and the hospital’s Cardiopulmonary area are just part of his weekly routine.

The Caring Staff

Because our patients come so often, the Cardiopulmonary staff really gets to know each individual.  A typical program runs from 18-36 sessions, so we learn a lot about our patients: their likes and dislikes, what they care about, and the goals they have.  This also helps us develop a plan together with the patient, to reduce their risk of developing worsening heart disease.  It can also help us provide continued encouragement for the individual to accomplish a health goal like quitting smoking.  If our patients don’t show up, we call to check on them and encourage them to continue their workouts. 

A physician order is required to participate in cardiac or pulmonary rehab.  If you have had a heart attack, heart failure, or heart surgery, or if you have a chronic lung condition, ask your doctor if you could be eligible to be enrolled in cardiac or pulmonary rehab.  For more information, call Cardiopulmonary Rehab at Sheridan Memorial Hospital 307.672.1062.

By Jordan McCoy MS, RDN, LD
Registered Dietitian Nutritionist at Internal Medicine
and
Whitney Weborg PT, DPT
Physical Therapist at Wyoming Rehab

We often look at the New Year as an opportunity to make changes within our lives in some way, shape, or form.  That change could be financial, personal growth, how free time is spent, or a health-related change.  If you are making changes to your health in the New Year, make 2022 the year of ADDING rather than subtracting!

If you’re planning to make a fitness goal, you’re already taking the first step towards making a change. What if, instead of making weight loss goals, we make goals centered around feeling strong, capable, and confident? What if we make goals with the simple purpose of ADDING joy to our lives? This year, We challenge you to table that ambiguous weight loss goal. Take a moment to think about an activity that you would like to do this year that seems out of reach to you right now. Your goal may be to be able to push your grandchild’s stroller to the park and play for an hour, or maybe to be able to get onto the floor to play with them. Maybe your goal is to complete a 5k or the Big Horn Mountain Run. Other examples include completing a hike in the mountains or being able to climb the stairs at War Memorial Stadium to watch a game. Whatever meaningful goal you choose, make sure it ADDS to your life.

If you are ADDING a health and fitness goal to 2022, you should also look to ADD in quality food choices to properly fuel for them.  Over the next few months, focus on ADDING whole foods that are nutrient-rich rather than calorie-rich and nutrient-poor.  ADD whole foods in their natural forms such as meats, vegetables, fruits, naturally occurring carbohydrates such as sweet potatoes, regular potatoes, quinoa and rice (not instant), wholesome dairy products, and healthy fats.  By focusing on ADDING these foods to your daily intake, you most likely will minimize some of the more unhealthy processed foods.  So, where do you start?  Start by ADDING in a whole, nutrient-rich protein at breakfast, such as 2% or 5% Greek yogurt or two scrambled eggs.  ADD in hard-boiled eggs or ADD a handful of raw almonds to a daily snack, rather than the vending machine choice of the day.  Soon, by ADDING in some of these higher-quality foods, your food choices will transform into those nutrient-dense and real foods!

Happy New Year!  Make the year 2022 a year of ADDING health, fitness, and quality food to your daily life.

Interested in learning more? Ask your primary provider about your healthcare concerns and if you could benefit from meeting with a registered dietitian.  If you don’t have a primary provider, check out Sheridan Memorial Hospital’s Internal Medicine practice or call: 307.675.2650

Do you need help with ADDING a fitness goal?  Learn More about Wyoming Rehab and their services by following the link: https://www.sheridanhospital.org/wyomingrehab  or call: 307.674.1632

Sheridan Press Senior Page Column

December 2021

By:

Kristopher Schamber, MD FACP, is a physician with Sheridan Memorial Hospital Internal Medicine and medical director of the SMH Hospice Program. 

and

Cindy Baker is the social worker and bereavement counselor for the SMH Hospice Program and owns a wellness studio where she teaches Ayurveda and yoga.

The holidays can be a joyful time, filled with laughter, fun, and togetherness.  However, the holidays can bring despair to those who have lost loved ones around the same time, are alone, suffering from chronic mental health disorders, struggling with money or illness, and many other situations.

First and foremost, depression is a real disease, just like high blood pressure, diabetes, or any other medical illness.  Depression is not a weakness.

One can experience a short bout of depression or develop new or worsening clinical depression.  

It is important for us all to recognize the symptoms of depression in ourselves and others.  Admittedly, it is often easier for others to see one’s depression.  Depression is more than simply a down or depressed mood.  There are often physical or cognitive symptoms as well, and can include: hopelessness; feeling bad about yourself – or that you are a failure or have let yourself or your family down; little interest or pleasure in doing things; trouble falling or staying asleep, or sleeping too much; feeling tired or having low energy; poor appetite or overeating; trouble concentrating; lack of attention; moving or speaking so slowly that other people noticed; and being forgetful.  

If you are experiencing depression, whether it just came up or is long-standing, be sure to seek out help.   In general, treatment consists of counseling with a licensed professional, medications, or a combination of the two.  Medications are typically reserved for more severe or longer-lasting cases. And medications do not take effect immediately, and in fact, can take many weeks or months for effect.  Counseling, or therapy as it may be called, may have a more immediate effect and can be used when a difficult occasion such as a holiday, anniversary of a death or significant trauma, or similar event may come up for a short period of time.  

If a holiday or anniversary is approaching, it can be helpful to plan something to do on that day to commemorate, acknowledge it or even distract.  It could be something familiar or entirely different, such as planning a hike, planting a tree, lighting a candle, journaling, spending time with a friend who understands, or even scheduling an extra appointment with your therapist. Be sure to practice self-care, making a point to do the things that bring you joy or relieve stress:  take a walk, exercise, call your family and friends, connect with an old friend, or do other activities.

Some people may feel so depressed and helpless that they believe the only way out is to take their own life.  Be sure to tell love-ones or close friends how you feel so they can help support you through the difficult time. Be as honest as you can about how you are feeling, even if suicidal.  This should include a safety plan so that you and your close confidants know what to do if your depression is severe enough that you are considering ending your life.  A safety plan should include consideration of who you call first.  This can include 911, the Wyoming Suicide Prevention Hotline, your primary doctor, the ER, or others.  Ideally, this should include at least one emergency service (i.e., the ER) and a close confidant who knows you and your illness well, one who can stay with you until emergency services arrive, and who can tell your story if you are unable to do so.

If you are supporting someone with depression, your main job is to support and not necessarily heal.  You should recognize that what they are feeling is real and let them know you understand. Our natural instinct is to fix, and often someone who is depressed instead needs a friend who can be a listening presence for their emotions and thoughts to be heard and validated. Make sure you have a clear understanding of their safety plan and confirm that you are a support for them.

By: Ann Aksamit, BSN, RN, CHPN — Home Care and Hospice Manager

Providing care for patients in their own home, has shown to be a very effective way to treat many ailments and post-operative situations. In the last year, Sheridan Memorial Hospital (SMH) Home Care clinicians took care of 245 patients making 4,865 visits to patient homes with great results.

Each November, we celebrate the millions of nurses, home care aides, therapists, social workers, chaplains and volunteers who make a remarkable difference for the patients and families they serve. These heroic caregivers play a central role in our health care system and in homes across the nation.

To recognize their efforts, we call upon all Americans to commemorate the power of caring, both in the home and in their local communities, and join with SMH Homecare and Hospice and the National Association for Home Care & Hospice (NAHC) by celebrating November as National Home Care and Hospice Month.

I can’t say enough about our caring, dedicated home care staff – they do so much for our patients – going above and beyond every day.  During the past 20 months they have tirelessy traveled throughout our community caring for people in their homes.

Home care is the preferred patient setting for health care since the home is the best setting for providing health care to increasing numbers of patients. Not only can care be provided less expensively in the home, but evidence also suggests that home care is a key step toward achieving optimal health outcomes for many patients.  Studies show that patients who have home health visits have improved quality of care.  These visits can also reduce hospitalizations due to chronic conditions or adverse events.

Home Care services are high-tech and the workers are very skilled.  An added benefit is that the home tends to be a more relaxed, less restricted environment where patients can feel comfortable and more in control.

Home Care Services through SMH

SMH Home Care provides care tailored to an individual’s needs.

Some of our skilled services include-

  • Skilled Nursing and Home Health Aide services:
    Pain and symptom management, medication management, IV infusion therapy, central line care, wound and ostomy care, observation and assessment of the patients’ condition, training and education for patients and their families.
  • Physical and Occupational Therapy:
    Assisting home care patients to attain their maximum level of safety and independence. Therapy can follow orthopedic surgery or be done after an acute, chronic illness when a person becomes weak or experiences a decline in functional status
  • Speech Therapy:
    For patients with speech and swallowing problems and cognitive therapy, this can be follow-up after a stroke or other brain injury.

To receive SMH Home care, individuals must meet certain eligibility requirements to qualify for insurance coverage. Patients may also elect to private pay for Home Care services. A person’s eligibility and individual circumstances will be assessed to determine the appropriate level of home care services.

Home care services may be requested by: physicians and healthcare providers, patients, family members, friends, representatives of other healthcare service providers, as well as hospital discharge planners and case managers.

Home care services are often covered by Medicare, Medicaid, and Commercial Insurance while the patient qualifies for the skilled service.

Hospice Services through SMH

When a person has a serious illness or disease and is nearing the end of life’s journey, hospice care can be the support needed. Hospice care focuses on assuring the quality of life that remains rather than providing treatment to prolong life.

When treatment goals change from cure to relief of symptoms, SMH Hospice is here to take care of you and your family. If the time comes for you or your loved one to need hospice services, you can expect a high level of compassion from our staff and volunteers. The services we offer include:

  • Basic medical care with a focus on pain and symptom control
  • Assistance with medication, medical supplies & equipment as needed and appropriate
  • Support with the psychological, emotional, and spiritual end-of-life aspects
  • A break (respite care) for caregivers, family, and others providing care
  • Bereavement support & counseling

For more information about these services, go to our website or call our Home Care and Hospice team at
307-672-1083.

By Jordan McCoy, MS, RDN, LD—Outpatient Dietitian, Diabetes Educator at Sheridan Memorial Hospital’s Internal Medicine

November is National Diabetes Month.   There are different types of Diabetes; however, the rise in Type 2 diabetes (T2DM) and Prediabetes in our community, state and nation continues to exponentially increase.  The good news is, this disease can be prevented!

Diabetes affects major organs in the body, including the heart, blood vessels, nerves, eyes, kidneys and more.  Don’t wait till 2022 to take charge of your health.  Start by getting an easy blood screen for prediabetes and T2DM and make your health a priority today! 

Type 2 Diabetes Mellitus (T2DM) is a disease where a person’s blood glucose or blood sugar is too high. This disease causes a very important hormone in the body called insulin to work incorrectly.  As a result, the insulin is unable to bring the blood sugar into the cells properly.  Prediabetes is a disease where blood sugar levels are higher than normal, but are not yet to the extent of being diagnosed as T2DM.  Some individuals who have been diagnosed with T2DM have a genetic predisposition; however, obesity and habitual inactivity are generally the cause. 

The first line of defense is always lifestyle changes.  Focus on what you can change in your everyday life, such as nutritional choices, physical activity and fitness, better sleep, and decreased alcohol and tobacco use.  Here are some tips to help you along:

  • Decrease your intake of processed foods that are boxed, bagged, and wrapped. Pick whole foods that are nutrient-dense such as meat, eggs, vegetables, whole fruits, whole grains such as brown rice and quinoa, nutrient-dense dairy products (Greek yogurt, cheese, and cottage cheese, etc.), and healthy fats (Olive oil, nuts, and avocados, etc.).  Skip the cold cereal and grab a hardboiled egg.  
  • Start Moving! Prioritize purposeful activity! 
  • Get Adequate Sleep!
  • Get hydrated with water!

Don’t let prediabetes progress to T2DM.  Make those lifestyle changes noted above and take the steps to change your nutrition and get active!

According to the most recent Center for Disease Control Data: 

  • 2 million people of all ages have diabetes, that is 10.5% of the US population
  • 4% of men and 29.2% of women have prediabetes (>18 years)
  • Adolescent’s ages 12-18 years, 1 in 6 have prediabetes who are overweight or obese

Ask your health care provider what kind of diabetes screening is best for you or call SMH Diabetes Education Department at 307-675-2640 with your questions.

Sometimes it can seem overwhelming when it comes to your own personal healthcare. But there are resources out there to help those in need. One such resource is the Sheridan Memorial Hospital Foundation Cancer Screening Fund. These are funds available locally for those in need of, or think they can’t afford, cancer screening. We recently sat down with Cashlee Cates, Patient Financial Advocate with Sheridan Memorial Hospital (SMH), to learn more about this amazing funding source for those in need in our community.

Q:        Tell us about the SMH Cancer Screening Fund.

A:        This fund was set up by the SMH Foundation to provide those in need with critical access to cancer screening. We have so many great philanthropists in our community and this is just one example of how their donations are being used to help with direct patient care.

Q:        How are the funds for this program generated?

A:        The funds are generated through various efforts by, and donations through, the SMH Foundation. Contributions that go toward The Link Partners in Pink and the Welch Comfort Care Fund can be used for numerous cancer screenings. Events like the Link Partners in Pink, Bingo Night at Blacktooth Brewery, andgifts from generous donors directly to cancer screening make up this fund. They work extremely hard to make sure we have dollars available for cancer screenings.

Q:        Who administers the funds?

A:        The funds are administered by the Patient Financial Advocate team here at the hospital. We have six (6) advocates who work with prospective patients to make sure they qualify. We also work very closely with our Foundation as they are the entity working with donors to make sure the funding is always available.

Q:        How do I know if I qualify for the funding?

A:        Each patient wishing to access the funds must fill out an application with one of our financial advocates. The most cirtical criteria is the patient must not exceed 300% of the federal poverty level ($52,260 annually or $4,355 per month).The application process only takes a few minutes to know if you qualify.

Q:        What screenings does the funding cover?

A:        The cancer screening funds cover mammograms, breast ultrasound, breast biopsy, genetic testing, prostate cancer screening and low dose lung screening. The really nice thing about this program is the funds will cover the entire cost for any of these services. If you have questions on another screenings not listed above, or aren’t sure if they’d qualify, we encourage community members to still meet with an advocate. Our goal is to provide healthcare to our community, so we will look for all options available to help our patients.

Q:        If I need multiple cancer screenings, do I have to apply for funds to cover each separate screening?

A:        No. Once you apply and are qualified, your qualification status lasts for one full year from your approval date.

Q:        Who do I contact to apply for funding?

A:        The best way to start the process is to reach out to one of our Patient Financial Advocates at 307.675.4620 or by email at financialadvocates@sheridanhospital.org. They will set up an appointment with you to walk through the application process.

For Donors

If you are interested in learning about becoming a donor to the SMH Cancer Screening Fund, please contact Ada Kirven at 307.673.2417 or via email at adakirven@sheridanhospital.org.

By Charlotte Walter, PT, DPT, ATC – Physical Therapist at Sheridan Memorial Hospital’s Wyoming Rehab

Sheridan Memorial Hospital’s Wyoming Rehab provides a variety of rehabilitative services – each tailored to the patient’s specific needs.

In this post, we focus on Cancer Rehab: a comprehensive treatment approach aimed at improving the function of individuals who are experiencing cancer.

Wyoming Rehab’s Cancer Rehab Program is appropriate for anyone who has been diagnosed with cancer. Special considerations are made based on diagnosis (e.g. breast, colon, lung) as necessary. To determine an appropriate starting point for therapy, we conduct a thorough evaluation of strength, balance, flexibility, gait, endurance, pain and fatigue levels.  Then to further individualize the patient’s therapy program, we discuss current levels of function, goals and concerns with the patient and their care team as needed.

In the past, patients with cancer were told: “go home and take it easy.” This is no longer the case. More and more, research shows that exercise is an essential component of cancer treatment.  Supervised, structured exercise programs have shown increases in aerobic capacity, leg strength, bone mineral density at the spine, and lean body mass when compared with individuals who have not had this type of care/rehab. Exercise is a safe and effective addition to a patient’s cancer treatment plan.

Research also shows that individuals benefit from targeted exercise prior, during, and following cancer treatments. Therapy prior can increase functional strength and endurance before undergoing an intense cancer treatment regimen. Therapy during can enhance cancer treatment approaches, tolerance to treatment, and reduce cancer-related fatigue. Therapy after can rebuild muscle strength, develop compensation strategies around neuropathy or limb loss, manage lingering pain, reduce cancer-related fatigue, and prevent recurrence.

Individuals who have completed or who are currently undergoing cancer treatments may also experience difficulty with recall, memory or focus: also known as “chemo brain.”  Our speech therapists can perform a cognitive evaluation to determine deficits and create a treatment plan to help ease some of these symptoms.

If you feel you would benefit from this specialized program at Wyoming Rehab, consult with your physician.  Learn more about Wyoming Rehab’s Cancer Rehab HERE Or call 307.674-1632.

September 2021

With hunting season upon us, the Trauma Team at Sheridan Memorial Hospital provides these tips for Gun Safety.

  1. Treat every gun as if it is loaded!
  2. ALWAYS keep the gun pointed in a safe direction!
  3. ALWAYS keep your finger off the trigger and keep the safety on until ready to shoot.
  4. Know your target and what is beyond – Never fire in a direction in which there are people or any other potential for mishap. Think first. Shoot second.
  5. Know how to use the gun safely – Before handling a gun, learn how it operates. Know its basic parts, how to safely open and close the action and remove any ammunition from the gun or magazine. Remember, a gun’s mechanical safety device is never foolproof. Nothing can ever replace safe gun handling.
  6. Use only the correct ammunition for your gun and wear ear and eye protection as appropriate.
  7. Never use alcohol, over the counter drugs, or prescription drugs before or while shooting.
  8. Keep guns out of the reach and out of sight of children by storing them securely. Leaving guns unsecured – on a nightstand, table, or other place where a child can gain access – can lead to injuries and fatalities.
  9. Store guns unloaded and secured with effective, child-resistant gun locks in a locked container out of the reach and sight of children.
  10. Store ammunition in a separate locked container out of the reach and sight of children.
  11. Use combination locks and safes, or safes that use fingerprint recognition locks. Keep the combinations carefully hidden.
  12. When a gun is not being stored, keep it in your immediate possession and control at all times. Otherwise, store the gun unloaded, locked and separate from ammunition.
  13. If you carry a gun in your car, make sure to outfit your vehicle with a lockable container so you can securely store the gun when you exit the vehicle.
  14. If a visitor has a gun in a backpack, briefcase, handbag or an unlocked car, provide them with a place to store it securely (locked, unloaded, and separate from ammunition) while they are in your home.
  15. If a family member or loved one is in crisis and may be a risk to themselves or others, consider temporarily removing firearms from your home. Such crises can involve people who are depressed, suicidal, or abusing drugs or alcohol.

For more information go to:

https://gunsafetyrules.nra.org/

https://www.safekids.org/tip/gun-safety-tips

By Charlotte Walter, PT, DPT, ATC – Physical Therapist at Sheridan Memorial Hospital’s Wyoming Rehab

Falls Prevention Awareness Day is coming on September 22,  and I’d like to take this opportunity to remind folks why falls prevention is so important. According to the Centers for Disease Control and Prevention (CDC), more than one out of four older adults – those 65 and older – fall each year. These falls are serious and costly, causing broken bones or head injury. In fact, falls are the most common cause of traumatic brain injuries. Falls can lead to reduced mobility, decreased independence, and an increased fear of falling, all of which profoundly affect an individual’s quality of life. However, less than half of people who do fall tell their doctor.

Falls are not a normal part of aging and can be prevented. Four key steps to falls prevention include speaking to your doctor, staying active, getting your eyes checked and making your home safer.

As mentioned above, many people who fall do not tell their doctor. However, your physician plays a crucial role in keeping you safe. They can evaluate your risk for falling, review your medications to see if any may cause dizziness or drowsiness, and offer suggestions for vitamin D supplementation, seeing a physical therapist, or seeing a podiatrist if needed. Another concern to bring up to your doctor is how frequently you get up at night to use the bathroom. Research shows that individuals that get up more than 2-3 times per night have a significantly higher risk of falling. Your doctor may suggest medications or pelvic floor physical therapy to help address this.

Simply staying active can play a major role in fall prevention. Older adults should engage in regular, intentional physical activity that builds balance, strength, and flexibility. Unfortunately, the COVID-19 pandemic put most in-person exercise classes on hold, but many offerings through the Hub on Smith and the YMCA have returned. Online exercise class options via Zoom are also being offered. Contact these organizations for more information on current class schedules. Keep in mind that physical activity does not have to happen inside a gym. Strength training can be performed using objects around the home. Clear some space and dance to your favorite music to get your heart rate up. Exercise videos can be found on YouTube. Sheridan residents are fortunate to have an abundance of trails and parks available for walking, bicycling and hiking. Gardening and yard work are also forms of physical activity that don’t require exercise equipment. In short: sit less, move more.

If health conditions or physical limitations are preventing you from being physically active, ask your doctor about physical therapy. Physical therapists are highly trained health care professionals with expertise in movement and exercise. Physical therapy is not just for after a surgery or injury, but also an excellent way to prevent injury, falls or deconditioning. A physical therapist can evaluate your strength, balance and endurance and create an individualized plan to help meet your goals for physical activity. Not sure of where to start? Wyoming Rehab provides a free screening for individuals looking for treatment recommendations that do not require a physician referral. Don’t let a small barrier become a wall that continues to limit your physical activity.  

When was the last time you had your eyes checked? Quality of vision is important to provide your brain with accurate information about your position in space. Conditions like cataracts and glaucoma limit your vision. If your eyeglass prescription is outdated or no longer appropriate, that can negatively affect your balance ability. The current recommendation is to have your eyes checked by an eye doctor at least once a year.

Another way to prevent falls is to make your home safer. Take a look around and ask yourself the following questions: Are there papers, shoes, books, or other objects on the stairs? Is a stairway light bulb burnt out? Are there handrails on both sides of the stairs? Are there throw rugs on the floor? When you walk through a room, do you have to walk around furniture? Is your step-stool sturdy? Is the light near the bed hard to reach? Is there a clear path from the bedroom to the bathroom? Is the tub or shower floor slippery? Do you need support when getting off the toilet or out of the shower?  It’s time to consider these and other obstacles that can intensify someone’s fall risk in their own home.

Some easy tweaks can make a big difference.  Want to learn more? Some excellent online resources include the CDC, National Council on Aging and National Institute on Aging websites. Here, you can find articles, action plans, infographics, exercise suggestions, exercise videos and more information on staying active and preventing falls.

Here in Sheridan, we are lucky to have many resources available to older adults, both in-person and online. Take the steps to keep yourself safe, active, and healthy this fall!

Do you have a condition or impairment preventing you from reaching the recommended amounts of physical activity? Don’t continue to put your health at risk. Find out how physical or occupational therapy may help. Reach out to Wyoming Rehab at 307.674.1632 if you would like to schedule a FREE Screen/Treatment Recommendation for a Non-Emergent Physical Impairment or Injury.

Learn More about Wyoming Rehab and their free screenings for non-emergent physicial impairments or injuries by clicking HERE or following the link https://www.sheridanhospital.org/medical-services/rehabilitation-services/

Stacy Windon was a recent patient in Sheridan Memorial Hospital. Below is her experience in her own words.

My fiancé and I both work at VA. When the COVID-19 vaccinations became available, I was adamant he receive the vaccine due to his COPD. I was insistent because I thought it was easier for him to get sick and that he could be extremely sick if he contracted COVID.

At the time, I didn’t get vaccinated, I was hesitant because the vaccine had not been FDA approved, I was leery; plus, I was healthy.

In early August (4th & 5th) we both tested positive for COVID. The difference in our experiences is that he was back to work by the 9th due to being vaccinated; I was in the hospital by the end of the week and had to stay for nine (9) days.  I was shaking, I couldn’t breathe, I couldn’t move, I was not always coherent; it was the scariest time in my life.

Everyone at the hospital was wonderful; the kitchen staff, housekeepers, nurses, CNAs and the doctors. They treated me with respect, never like I was in danger, and I learned a lot from all of them about this virus.

Now, based on instructions from my physician, I have to wait 60 days until I can get the vaccine. In the meantime, I have to make sure I don’t get sick again.

I’m sitting here at home, I can’t get a good breath, I’m on oxygen, I can’t really get around my house. I tried cleaning house recently and the next day I paid for it. I’m carrying a 50 foot air hose everywhere I go in my house.

My advice to those who are questioning the vaccine, if you’re scared, research it. Listen to other people who have had it. Please, please ask questions and make an informed decision. This is not minor by any means. Stacy Windon

With school starting, It is extremely important to take proper safety precautions when transporting your children to and from school. Here’s a checklist to keep kids safe.

Back to School Safety Checklist pdf –Download

August 17, 2021

The CDC is now recommending a third COVID-19 vaccine dose for certain patients with compromised or suppressed immune systems who received their first two doses of an mRNA COVID-19 vaccine (Pfizer or Moderna vaccines).

Studies have shown a third dose is safe and can provide added protection from severe illness or death from COVID-19 in those who have a weakened response to being vaccinated due to certain medical conditions or medications. Statement from CDC Director

Sheridan County Public Health is currently providing third COVID-19 vaccinations to eligible patients.

Third doses of the COVID-19 vaccine aren’t being recommended at this time for healthy individuals. No additional doses are currently being recommended for those who received a dose of the Johnson & Johnson (Janssen) COVID-19 vaccine.

We will provide updated information here as it is available.  For other COVID-19 Information and Resources click HERE or visit https://www.sheridanhospital.org/community/coronavirus/

By Mike Duncan, Physical Therapy Assistant III at Sheridan Memorial Hospital’s Wyoming Rehab

The fall season is rapidly approaching and for many Wyoming residents, that means hunting season.  Hunting with archery equipment or bow hunting thrills many Wyoming hunters.

Archery is truly an amazing sport.  Saxton Pope summarized it perfectly when he said this, “Here we have a weapon of beauty and romance. He who shoots with a bow, puts his life’s energy into it. The force behind the flying shaft must be placed there by the archer. At the moment of greatest strain he must draw every sinew to the utmost; his hand must be steady; his nerves under absolute control; his eye keen and clear. In the hunt he pits his well-trained skill against the instinctive cunning of his quarry. By the most adroit cleverness, he must approach within striking distance, and when he speeds his low whispering shaft and strikes his game, he has won by the strength of arm and nerve. It is a noble sport.”

If you think about the basic actions of shooting a bow – pull back with the fingers or wrist and arm, rotate through the shoulder, hold, and release – it probably becomes clear why upper extremity conditions are some of the most commonly diagnosed injuries among bow hunters. The drawing back of the strings demands a lot from the smaller muscles of the rotator cuff, forearm, wrist, and fingers. Plus, repetitive target practice to improve aim, timing, and other hunting skills can easily result in chronic pain or injury from overuse, referred to as Archers shoulder.

Injuries to the rotator cuff are archery’s most common problem. The rotator cuff is a complex system of muscles and tendons in your upper arm that is used to draw a bow and to raise and rotate your arm. Rotator cuff injuries include tendinitis, bursitis, and, in severe cases, a rotator cuff tear.  Tendonitis is a condition that results from the rotator cuff tendons becoming irritated or damaged.  Bursitis involves the fluid-filled “pillow” that acts as a cushion between the rotator cuff tendon and shoulder blade, which may become irritated or inflamed.  A torn rotator cuff tear may put you out for the season but is not always easy to diagnose.  Symptoms include having trouble lifting, raising your arm, pain when moving, shoulder weakness, or a clicking sound in your shoulder when moving it. If you have any of these symptoms, stop shooting and seek competent medical advice. Through skilled rehabilitation, most archers recover and resume shooting upon completing physical therapy.

Specific exercises and stretches from a qualified professional at Wyoming Rehab will alleviate and can prevent the common conditions associated with Archers shoulder and return you to the range or to the hunt.  Call us today to set up a free screening for non-emergent physical impairments or injuries – 307.674.1632.

Learn more about Wyoming Rehab services by following the link sheridanhospital.org/medical-services/rehabilitation-services/

By Pattie Visscher, Au.D., Audiologist

I’m excited to join the hospital staff as the new audiologist at Sheridan Memorial Hospital’s Ear, Nose and Throat (ENT) clinic.  As an audiologist, I am a healthcare professional who can help prevent, diagnose and treat hearing and balance disorders in people of all ages.   Audiologists help people improve their communication with others around them by offering those with listening difficulties increased access to auditory information via amplification options as well as communication and listening strategies.

I have been practicing audiology for more than 25 years, with an emphasis on pediatric care.  I began my professional career at the Colorado School for the Deaf and the Blind in Colorado Springs.  That experience gave me knowledge of Deaf culture, many types of amplification (traditional hearing aids, bone-anchored hearing aids, and cochlear implants), as well as the opportunity to become fluent in American Sign Language (ASL).  My husband and I moved to Sheridan this summer and are so happy to be here.  

I look forward to offering the Sheridan community comprehensive audiologic care.  At our office, the focus for audiology is diagnostic testing, both to support Dr. Cheryl Varner, our otolaryngologist, and to work with patients directly to monitor hearing status and investigate the need for amplification, possibly with hearing aids. Our diagnostic services include complete hearing evaluations and a variety of testing techniques that specifically determine the status of the middle ear, inner ear and the auditory neural pathways. 

Individuals with hearing loss commonly report feeling they misunderstand others or miss out on important conversations around them.  They have trouble understanding others when in noisy environments such as restaurants.  They have difficulty following dialogue on television programs, and many experience a ringing sound in one or both ears.  Some people report a feeling of pressure or fullness in their ears and many report concerns with balance. Sometimes people suffer from dizziness or vertigo. Knowing and understanding your hearing status gives you the information you need to make informed decisions regarding your hearing.

Dr. Carol Flexer is a well-known professional in the field of audiology.  She is famous for saying, “we hear with our brains,” calling our ears the “doorway” for sound to get to the brain.  She emphasizes the sensory importance of the ears to deliver information to our brains so we can understand and organize auditory information.  Good hearing is so important during childhood development in order for a child to hear and understand and know the difference between mom saying, “good morning” or “no, no, that’s hot, don’t touch.”  Good hearing remains important throughout the lifespan.  Much research has been devoted to examining the connection between cognitive decline and impaired hearing.  Remaining engaged in communication keeps your brain active.  Hearing impairment can lead to withdrawal from social interactions and decreased communicative interactions. 

In today’s world, dealing with hearing loss while attempting to communicate with someone wearing a face covering or mask can be especially difficult.  Many individuals wearing hearing aids have reported difficulty removing a mask without a hearing aid flying across the room.  Shortly after mask mandates began, hearing aid manufacturers saw a spike in claims for hearing aid replacements or repairs due to loss or damage associated with wearing a mask and hearing aids.  There are face covering styles that may work better for individuals with hearing aids, including masks that tie behind the head.  Another option is the use of mask extenders that may reduce fatigue from pressure on your ears and redirect the mask ear loops.  

YouTube has videos with suggestions regarding Face Masks and Hearing aids:

https://www.youtube.com/watch?v=wuPZAjhT_cQ

https://www.youtube.com/watch?v=FLP5CwiZn3I

Here are some hearing-related statistics from the NIDCD (National Institute on Deafness and Other Communication Disorders) that demonstrate how prevalent hearing concerns are in the United States:

  • Approximately 15% of American adults (37.5 million) aged 18 and over report some trouble hearing.
  • Roughly 10% of the U.S. adult population, or about 25 million Americans, has experienced tinnitus lasting at least five minutes in the past year.
  • Five out of 6 children experience an ear infection (otitis media) by the time they are 3 years old.

In the near future, the hospital’s ENT will offer hearing aid services, including consultation, sales, fitting and follow-up.  We plan to offer hearing aids from major manufacturers, including Phonak, Oticon, Resound and Starkey.  Selection and fitting of custom earmolds for hearing protection will also be offered. Audiology’s future goals include offering aural rehabilitation services, where a plan is developed to help target a hearing impaired individual’s specific listening and communication needs.  This may also include aural rehabilitation group activities.  I am also particularly interested in using my previous experience to partner with our local pediatric professionals.

If you are experiencing listening difficulties or suspect you have hearing loss, there are options to help you manage these issues.  Your first step should be to ask your primary care provider if they feel you should see an Audiologist.  A referral to our office is not necessary, but before making an appointment without a referral, you should check with your insurance company to see what is required. 
To make an appointment, call 307.675.4646.

Resources you can check out for more information about Audiology are:

https://www.asha.org/public/hearing/

https://www.nidcd.nih.gov/health/hearing-ear-infections-deafness

To learn more about our Ear, Nose & Throat Clinc here at Sheridan Memorial Hospital and our new Audiology services, click HERE or visit sheridanhospital.org/medical-services/clinics/ear-nose-throat

Summer weather calls many of us to spend more time outdoors.  While this time of year brings a welcome respite from our cold Wyoming winters, it also brings higher temperatures and risk for heat-related illnesses and heat stroke.  As the body’s temperature rises and gets too hot, some of the first symptoms that occur are excessive sweating, cool clammy skin, nausea and vomiting and muscle cramps.  This is known as heat exhaustion, and can occur with or without heat cramps or heat syncope (passing out).

However, if your body’s temperature continues to rise to 104 degrees Fahrenheit or higher, you can progress to heat stroke.  Symptoms of heat stroke include balance difficulties, hallucinations, confusion, passing out, seizures and other complications involving the central nervous system.  Heat stroke can cause permanent brain damage and is life-threatening.

There are several myths regarding heat stroke that should be dispelled.  A common misconception is that you stop sweating when heat stroke occurs.  In reality, heat stroke often occurs during extended exertion in the heat, so people are almost always still sweaty as they enter the territory of heat stroke. 

Another myth is that you must be severely dehydrated to develop heat stroke.  Dehydration may predispose you to heat illness, and can make it worse, but does not have to be present.  Heat stroke can occur after only 20 minutes of exertion and before you have lost much fluid.  The intensity of exertion and temperature are the main contributors.

Keep in mind that things are not always as they appear.  For instance, the most common ways to take your temperature are with an oral or forehead thermometer.  However, your body’s external temperature does not always match its core temperature.  In addition, people who are developing heat stroke may not appear dizzy, confused, or off balance initially while they are in the early stages of heat stroke and may then deteriorate rapidly as their body temperature rises further.

Certain factors can put you at higher risk of developing heat stroke.  These include high environmental temperature, intense exertion, being out of shape, equipment preventing heat loss (football pads, firefighter PPE, and multiple layers of clothes), obesity, sleep deprivation, dehydration, and fever.

Heat stroke is a risk for any age group.  For example, infants do not have the ability to change their environment or clothing on their own.  Children left in hot vehicles are at particular risk.  High school football players are also at risk from intense exercise, sometimes twice a day at the beginning of the season in August.  Working adults such as roofers and firefighters should be aware as they exert themselves in hot environments.  Finally, seniors are also predisposed to heat related illness, particularly if they do not have air conditioning, their air conditioning fails, or there is a power outage.

There are several steps that you can take to prevent heat exhaustion and heat stroke.  Be mindful of the weather forecast and be willing to adjust your plans for the day.  If it is going to be hot, don’t make big plans for exertion and plan to take frequent breaks.  Plan any exercise, hikes, or outdoor work earlier in the day, when it is not as hot. 

Avoid dehydration by drinking plenty of fluids such as water or sports drinks and avoid caffeine and alcohol.  Keep in mind that diarrhea, vomiting, and fever all increase your water loss and can also predispose you to dehydration and heat-related illnesses.  An easy way to track your hydration level is to monitor your urine color.  The darker the urine, the more dehydrated you are.  Hydrate to the point that your urine is pale yellow or clear. 

Also keep in mind that our vehicles are a particular risk for exposure to high temperatures.  A car in the sun can heat up by 20 degrees in only 10 minutes.  A study measuring temperatures in cars parked in the sun on a 95 degree found the average temperature reached to be 116 degrees.  Consider running your vehicle’s air conditioning for 10 minutes before entering and never leave a vulnerable adult or child in a hot vehicle.

If you plan to be outside in the heat, wear loose lightweight clothes and avoid wearing multiple layers that would keep your body from cooling properly.  If you feel that you are getting too hot, remove extra clothing and move to the shade or air conditioning if possible.  Taking a cool shower or bath can also be very effective.  If this is not possible, getting wet and sitting in front of a fan can cool you through evaporation.  Cold packs (or anything else cold such as a bottle of water from the refrigerator) can be placed on your neck and in your armpits and groin to cool you further.

However, if you or someone else continue to worsen despite these measures or begin to experience balance difficulties, confusion, hallucinations, passing out, or seizures seek medical attention immediately, even if you have to call 911.  Enjoy the summer weather, but do so safely.

Sheridan Memorial Hospital’s (SMH’s) Transitional Care Unit (TCU) is a hospital-based short-term care unit for medically complex patients who are transitioning after a hospital stay. This type of care is referred to as sub-acute care, or skilled care, and is a great option for patients who completed acute medical treatment, but still need therapy and assistance to regain their fullest functionality before going home or to next level of care.

Originally established in 2005, the SMH TCU is designed to provide rehabilitation and skilled nursing care to ensure patients meet their healthcare goals. It provides coordination and continuity between various providers, services and settings. The Interdisciplinary Team of professionals serving these patients may include: physical, occupational, speech, pulmonary and respiratory therapists; nurses; Case Management and social workers; dietitians; pharmacists; and physicians.

One of the services most beneficial to any person’s successful transition from a hospital stay to home is this Team. The Team meets regularly with each patient and/or their families and caregivers throughout their stay to ensure the TCU care provided is on track with individualized and established goals. After a serious illness or injury, it can be a challenge to make that transition back to normal life, especially if the “new normal” is different. That’s where TCU care also steps in. It allows patients to take their time adjusting to a new quality of life, emotionally and physically. Days of care in the TCU range anywhere from 3 to 100 days depending on individual patient circumstances and healthcare guidelines.

Our hospital’s Case Managers assist patients and their families when needed with the determination of the most appropriate setting for the next step or level of care. Individual needs are reviewed, discussed and assessed by the Team in conjunction with each patient. Many times this process may include a visit to the patient’s home to ensure it is safe and set up correctly for success. Or it may be an opportunity to connect and introduce patients with other support services available in our area. While TCU care is extensive in its approach, its main focus is to ensure quality, safe care and help patients return to daily environments with the highest level of strength and functionality possible. The TCU helps minimize the chance of a patient’s return visit to the hospital.

The expansion of our hospital’s TCU combines this unique care and the patient experience. Our new TCU on the 2nd and 3rd Floors of the 1954 hospital will ensure a quality stay for patients in a separated environment. Patient goals vary, but may include learning new skills, participating in activities, and socialization. This daily routine is also a big component to prepare for the transition back home. Some of the activities include: cooking and baking in the TCU kitchen, completing laundry tasks, improving mobility through exercise either in the therapy gym or outside on the beautiful SMH campus, practice entering and exiting a vehicle, and a beautiful group dining and activity area with views of the Big Horn Mountains.

The desire of every member of our SMH team is to provide excellent care close to home for our Sheridan community. The TCU Expansion greatly enhances our ability to meet the needs of the patients we serve every day.

To learn more about Transitional Care at Sheridan Memorial hospital click here:  https://www.sheridanhospital.org/medical-services/transitional-care/

David Nickerson, MD, urgent care physician at Sheridan Memorial Hospital, has completed the necessary training through the Federal Aviation Administration (FAA) to become an authorized Aviation Medical Examiner (AME) for second-and third-class pilots. Dr. Nickerson completed the FAA Aerospace Medical Certification Division training in Oklahoma City and has passed the national certification exam.

An AME is a physician designated by the FAA and given the authority to perform flight physical examinations and issue aviation medical certificates if the applicant meets FAA standards. There are approximately 6,000 AMEs nationwide; there are only 10 in Wyoming.

While all pilots must receive some type of health assessment before flying, the levels of certification vary. Generally, the first-class certification is designed for airline transport pilots; second-class for commercial pilots, including corporate aviators, crop dusters and charter pilots; and third-class for student, recreational and private pilots.

For pilots seeking a flight physical medical certificate, the process requires a physical exam, in addition to testing to assess mental, neurological and general health. A vision and hearing test is also performed, as well as a urinalysis to check for diseases or other potential medical conditions.

Dr. Nickerson is board certified in Emergency Medicine and has worked in Emergency Medicine, Urgent Care, and Occupational Health at Sheridan Memorial Hospital for the past eight years.

To schedule your 2nd or 3rd Class Flight Physical with Dr. David Nickerson today, call 307.675.5850.

Sheridan Memorial Hospital has been advised of a worldwide voluntary recall of various continuous positive airway pressure machines (CPAP), BiLevel positive airway pressure machines (BiPAP) and mechanical ventilators that are manufactured by Philips Respironics. This recall is being conducted due to two issues related to the polyester-based polyurethane (PE-PUR) sound abatement foam used in these devices:

1) PE-PUR foam may degrade into particles which may enter the device’s air pathway and be ingested or inhaled by the user, and

2) the PE-PUR foam may off-gas certain chemicals. The foam degradation may be exacerbated by use of unapproved cleaning methods, such as ozone (see FDA safety communication on use of ozone cleaners), and off-gassing may occur during initial operation and may possibly continue throughout the device’s useful life.

Philips Respironics advises patients and customers to take the following actions:

  • For patients using BiLevel PAP and CPAP devices: Discontinue use of affected units and consult with physicians to determine the benefits of continuing therapy and potential risks.
  • For patients using life-sustaining mechanical ventilator devices: DO NOT discontinue or alter prescribed therapy, without consulting your physician to determine appropriate next steps.
  • Recommend that customers and patients halt use of ozone-related cleaning products, and adhere to their device Instructions for use for approved cleaning methods.
  • Additionally, Philips is reminding customers and patients to review the age of their BiLevel PAP and CPAP devices, as they are typically recommended to be replaced after five years of use.

BiPAP and CPAP machines are used to treat sleep apnea and other airway access disorders.

Devices that may be impacted by this recall have been manufactured before April 26, 2021 and could include the following models:

Continuous Ventilator, Non-life supporting:

  • DreamStation ASV
  • DreamStation ST, AVAPS
  • SystemOne ASV4
  • C-Series ASV
  • C-Series S/T and AVAPS
  • OmniLab Advanced+

Noncontinuous Ventilator:

  • SystemOne (Q-Series)
  • DreamStation
  • DreamStation Go
  • Dorma 400
  • Dorma 500
  • REMstar SE Auto

Continuous ventilator:

  • Trilogy 100
  • Trilogy 200
  • Garbin Plus, Aeris, LifeVent

Continuous Ventilator, Minimum Ventilatory Support, Facility Use:

  • A-Series BiPAP Hybrid A30 (not marketed in the US)
  • A-Series BiPAP V30 Auto

Continuous Ventilator, Non-life Supporting:

  • A-Series BiPAP A40; (not marketed in the US)
  • A-Series BiPAP A30; (not marketed in the US)

Products that are not affected may have different sound abatement foam materials, as new materials and technologies are available over time. Also, sound abatement foam in unaffected devices may be placed in a different location due to device design. Products not affected by this recall notification include:

  • Trilogy Evo
  • Trilogy Evo OBM
  • EV300
  • Trilogy 202
  • A-Series Pro and EFL
  • M-Series
  • DreamStation 2
  • Omnilab (original based on Harmony 2)
  • Dorma 100, Dorma 200, & REMstar SE
  • All oxygen concentrators, respiratory drug delivery products, airway clearance products.

This is very concerning and very difficult to maneuver. HMR is working directly with Philips Respironics to coordinate options for patients. All high-risk HMR ventilator patients have been transferred to a non-recalled machine. There are not any of these devices used in the hospital or inpatient areas. The impact is with HRM issued devices and the patients who use them.

Guidance from Philips Respironics includes:

  • Discontinue use of the device and consult with your physician regarding the most appropriate options for continued treatment. It is important to consult with your physician to determine if the benefit of continuing therapy with your device outweighs the risk.
    • If continuing use of the device is determined as the best treatment option by your provider, a Philips Respironics approved filter is available for an out-of-pocket, up-front cost through HMR.
  • Philips Respironics will be contacting every patient directly regarding repair or replacement
    • If a device is more than five years old, contact HMR to initiate a replacement
    • If a device is less than five years old, your device will be covered through Philips under manufacturer warranty and you will be contacted directly by Philips Respironics
  • With your device serial number on-hand, Visit their website at philipssrcupdate.expertinquiry.com for the device portal that can help determine if your unit is impacted.

Visit philips.com/src-update or call 1.877.907.7508 for assistance directly from Philips Respironics.