Welcome to Sheridan Memorial Hospital
1401 West 5th St. Sheridan, WY — 307.672.1000

News and Community

With school starting, It is extremely important to take proper safety precautions when transporting your children to and from school.
A first-hand account from recent Urgent Care patient, Janet Dale: My recent experience at the Urgent Care at Sheridan Memorial Hospital was a
The CDC is now recommending a third COVID-19 vaccine dose for certain patients with
The fall season is rapidly approaching and for many Wyoming residents, that means hunting season.  Hunting with archery equipment
The Sheridan Memorial Hospital Foundation Staff and Board of Directors are pleased to welcome Sue Belish, the newest Foundation Board Director.
Trouble hearing? Learn about our new audiology services and what options might be available to help you.
Holly Zajic (pronounced Zeitz) loves helping people be the best they can be every day. When you first meet her, it’s the exuberance and energy
How does a bachelor’s degree in Fisheries Biology end up landing you a job in the housekeeping department of your local hospital and ultimately
The Foundation’s successful Clinical Educational Endowment was initiated in 2003 with private donations. Annually it provides nursing
Urgent Care physician, Dr. David Nickerson, offers up these keys to preventing heat stroke and heat
Sheridan Memorial Hospital’s (SMH’s) Transitional Care Unit (TCU) is a hospital-based short-term
Vera Olson was suffering from more than illness when first admitted into the Transitional Care Unit
On Friday, July 2, over 100 golfers and hospital volunteers gathered at The Powder Horn Golf Club to raise awareness and funds for patient
The Sheridan Memorial Hospital Foundation board members and staff are excited to announce, thanks to the generosity of our community; we’ve
David Nickerson, MD, urgent care physician at SMH, has completed the necessary training through the Federal Aviation Administration (FAA)
The use of natural testosterone and testosterone supplements has skyrocketed the past few years. Dr. Christopher Prior offers his insights on this
Sheridan Memorial Hospital’s Covid-19 testing is now being done at the hospital’s Urgent Care
Certified Nursing Assistants (CNAs) provide intimate, hands-on healthcare to patients. A day in the life of a CNA might include taking patients temperature, blood pressure, and other vital signs,
Having a comfortable, private environment to heal and regain strength and confidence for a safe

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.

A first-hand account from recent Urgent Care patient, Janet Dale:

My recent experience at Urgent Care at Sheridan Memorial Hospital was a very positive one.

In early July I noticed a spot on my right shin.  At the time I thought it was a bug bite, perhaps an ingrown hair or even a pimple.  It did itch a bit, but I thought it would just go away.  As time went on, I became concerned because it was not healing but getting worse – it was oozing and getting bigger.  I kept it covered most of the time with a band-aid.  

Finally, on July 25, I looked for Urgent Care Facilities in Sheridan.  I live on the mountain near Burgess Junction so I didn’t want to make a lot of trips to town.  I easily discovered Urgent Care at Sheridan Memorial Hospital.  The website was great and so easy to use.  I scheduled my appointment online at a time that was convenient for me, filled out my paperwork online and had the appointment the following day.  I even received confirmation of the appointment online and also received a reminder phone call!

Check-in at Urgent Care was easy.  I felt very comfortable and everyone was wearing a mask.  I was in with the nurse almost immediately.  She was friendly and efficient.

Dr. Nickerson came in and introduced himself and asked why I was in.  He looked at my leg and told me the sore was not infected but the spot did need to be removed and a biopsy completed.  He told me he could do that today or, if I preferred, I could make an appointment with a dermatologist.  

We discussed how he would do the office surgery and making sure that enough was removed to have clear margins.  I made the choice of having the spot removed in the office.  I did not want to possibly wait weeks to get another appointment and have this spot continue to get worse.  Dr. Nickerson was wonderful in making sure the spot was numb and I would not have any pain.  He showed me the area that he removed and said it would go to the lab.  At that time he asked me to come back in two weeks for stitch removal.

Several days later I called for the lab results.  Dr. Nickerson was out of the office, but the nurse practitioner reviewed my results.  The biopsy was malignant but thankfully the margins were clear.  She carefully reviewed what that meant.  I felt very comfortable after talking with her.   She reiterated that I needed to come in to get my stitches removed and that was included in the cost of my original visit.  There would be no additional charge.

My visit for stitch removal went with no problems.  Again, I scheduled my visit online and everything was smooth.  I received a reminder message and was immediately taken care of upon my arrival.

I could not be more pleased with the care that I received from Dr. Nickerson and his staff.

Janet Dale

To learn more about Sheridan Memorial Hospital’s Urgent Care or to reserve your spot online visit  SheridanUrgentCare.com or call 307.675.5850.

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/

The Sheridan Memorial Hospital Foundation Staff and Board of Directors are pleased to welcome Sue Belish, the newest Foundation Board Director.

During the Foundation’s Annual Meeting, held this past July, the current board unanimously voted to induct Sue into the Foundation board of directors. Additionally, the following Board members were elected as this year’s Foundation officers: President-Richard Garber, Vice President-Rob Johnson, Secretary-Vicki Jorgenson, and Treasurer-Matt Ebzery. Joe Wright will also return back to The Foundation Board, but in a new role, as the Hospital Board of Trustee Representative.

“Sue has dedicated so much of her life and energy into caring for others and improving our community. We are excited to have her join The Foundation Board of Directors,” said Chief Development Officer Cody Sinclair. “Sue will help us meet The Foundation’s mission to cultivate community involvement and support the hospital’s vision: When people think of excellent healthcare, they think of Sheridan.”

Sue likes to spend much of her free time landscaping around her home and reading when she’s not too busy remodeling her kitchen and visiting with her grandchildren as often as possible. Beyond her recent induction into The Foundation, Belish currently serves on the Chandler H. Kibbee and Mercedes K. Kibbee Foundation Board and works for the Wyoming School Boards Association in leadership development. She has also served in the past on the Wyoming State Board of Education, on the Center for a Vital Community Board, on the Tongue River Valley Community Center Board, on the Big Horn Education Fund Board, as an interim administrator for Northern Wyoming Community College District, as the principal for Tongue River Middle School, and as the superintendent of Sheridan County School District #1. Sue shared, “My reason for joining the Foundation is not because I have always had a deep passion for healthcare per say, but because I have an interest in giving back to this community. The many relationships I have formed here have been integral to my own personal success in life and I see serving on the Foundation as an opportunity to give back to that community which has given me so much.”

With all the challenging work ahead of The Foundation, Sue’s leadership, knowledge, and community spirit is a welcome addition to The Foundation Board. The Foundation looks forward to the experience, passion, and perspective Sue will bring in the coming year and all we will accomplish for healthcare in our community – together.

To learn more about The Foundation and its Board of Directors, visit sheridanhospital.org/foundation or call The Foundation Offices at 307.673.2418.

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

Holly Zajic (pronounced Zeitz) loves helping people be the best they can be every day. When you first meet her, it’s the exuberance and energy she conveys that you notice first.  Zajic is the new Chief Ambulatory Officer for Sheridan Memorial Hospital (SMH) and is excited about her new role and new home.

But you may be asking yourself, ‘What is a Chief Ambulatory Officer?’  Zajic acknowledges that ambulatory is a new term that can be used interchangeably to describe outpatient healthcare services.

“I have been asked that question numerous times,” Zajic explains, “And my goal is to partner with our ambulatory (outpatient) teams to advance the care model for our patients and ensure that we continue to provide excellent, safe, timely and reliable care.  I truly believe the future of healthcare is in ambulatory services and driving value for our patients through these services is essential to the health of our community.”

Mike McCafferty, SMH Chief Executive Officer, had this to say when addressing employees at a recent forum for all SMH employees, “The goals we have in front of us as a healthcare system will require exceptional leadership. We have outstanding leaders in our ranks and, going forward, we want to make sure we have the best leaders possible; leaders who will respect and support the work being done every day.  We believe Holly fits this mold and will be a great addition to our organization.”

When talking about the opportunity she has in front of her at SMH, Zajic is very impressed with the level of care and expertise SMH has in place within its ambulatory clinics.

“Not many communities the size of Sheridan has the depth of healthcare services and expertise SMH provides,” she said. “Streamlining and coordinating these services for our patients, is exciting, and I look forward to working with our providers, staff and patients to develop them.”

The ambulatory clinics Zajic will have in her purview include: Women’s Clinic, Internal Medicine, Urgent Care, Occupational Health, Cardiology, ENT, Audiology, Big Horn Surgical, Rheumatology, Geriatric Medicine, Addiction Medicine and Wound Care.

Hailing from the small western Nebraska community of Hemingford, Zajic received her undergraduate and graduate degrees from Chadron State College.  She had spent the majority of her professional career as Chief Operating Officer at Ivinson Memorial Hospital in Laramie.

So why make the move to Sheridan?

“My two boys are in college now and I couldn’t pass up this remarkable opportunity with SMH. Sheridan is absolutely beautiful and I couldn’t pick a better place that fits my interests and hobbies,” Zajic says. “Plus, my twin sister lives here with her family.”

I love everything outdoors and Sheridan has that in abundance. I enjoy mountain biking, paddle boarding, downhill and cross-country skiing and snowshoeing. If I’m not working and you need to find me, I’ll be outdoors.”

Her driving passion of service seems to be what will help Zajic be successful at SMH.

“I am passionate about service to others and creating an environment in which people are able to thrive,” Zajic states. “In healthcare, we have the opportunity to impact lives every day. That really drives me.”

How does a bachelor’s degree in Fisheries Biology end up landing you a job in the housekeeping department of your local hospital and ultimately lead to a position as a Registered Nurse?  Jennifer Meineke, RN at Sheridan Memorial Hospital’s Medical-Surgical unit, can tell you.

Coming out of high school, Meineke, originally from Ohio, was looking to get away from the Midwest and landed in Laramie at the University of Wyoming (UW) where she graduated with the degree that had her working in federal and state fish hatcheries for approximately 20 years. Even though she loved her job and was good at it, she decided a different direction was needed in her life.

“As you age, your back starts hurting, and you start thinking long term and what you want to do with your life and nursing seemed like a good fit,” Meineke said. “I had been a volunteer at one of the local rural fire departments and really enjoyed interacting with the patients.”

It was at this time Meineke made a plan to reach her goal of becoming a nurse. So the next step, obviously, is landing a job in the SMH Environmental Services Department (EVS).  This really was part of her career plan.

“I thought working in housekeeping would give me a really good opportunity to get to know people from across the entire hospital,” Meineke explained. “I know at least one person in each department and I was able to see how they operate and work together. It made my transition into the RN position much easier.”

The other factor that made the EVS position so attractive was the fact her manager was able to work with her schedule. This was important as she took the leap to attend Sheridan College and complete her associate’s degree in nursing. Now she is enrolled at UW, again, this time for a bachelor’s in nursing.

“Luckily a lot of my credits from my previous fisheries degree were science related and transferred to my new degree. I didn’t realize fish and people were so similar,” she said with a chuckle. “Those credits were from classes like biology, genetics and statistics.”

Meineke reached her goal and is now serving as an RN in a Preceptorship at SMH and continues to fit in UW courses towards her bachelor’s degree. Looking back, she is very thankful for the SMH Foundation and specifically the Cato Scholar Award she received. The award is made possible by the Wayland H. Cato, Jr. and Marion R. Cato Foundation.

“That scholarship made a huge difference in my ability to pursue this dream of becoming a nurse,” Meineke said. “It allowed me to be able to do a Preceptorship at Wyoming Medical Center in Casper on the neurology floor. It was very valuable to see how things are done at a different hospital. I am very grateful to the Cato family members for their generosity and vision which supports the Foundation’s Clinical Scholarship Program.”

Meineke is also grateful for Laura Ray and Nicole Haley, the preceptors who are mentoring her as an RN in her current position at SMH.

“There have been a lot of people who have helped me get where I am today and Laura and Nicole have been great,” Meineke said.

She went on to say, “Ada (Kirven) has been very helpful with any Foundation questions I had. My previous EVS Manager Casey Cornell and the current EVS Manager Karen Wemple were always helpful in working with my schedule. Lacey (Johnson) and Meghan (Reinemer) in MedSurg have been very helpful and positive. Our CFO (Chief Financial Officer) Nathan Stutte really helped mentor me when I was helping lead the EVS team during COVID last year. I appreciated Nathan’s approach, he really understands the importance of showing people that you care.”

Meineke is scheduled to graduate from UW with her bachelor’s in nursing degree in August of 2022.

The Foundation’s successful Clinical Educational Endowment was initiated in 2003 with private donations. Annually it provides nursing scholarships and clinical education opportunities for hospital staff members. The goal of the program has remained the same throughout the years, to strengthen and ensure excellent patient-centered care for our patients and their families. The endowment continues to grow with new gifts, and evolve with the growth of Sheridan Memorial Hospital and healthcare needs of our community.

The Foundation proudly announces Miranda Cone as the recipient of the 2021-2022 Cato Scholar Award. Miranda has been a member ofMiranda Cone receiving the 2021-2022 Cato Scholar Award Sheridan Memorial Hospital’s Medical/Surgical team for over two years and is an active community volunteer with The Food Group in Sheridan. The annual Cato Award is possible because of a generous donation from the Wayland H. Cato, Jr. and Marion R. Cato Foundation.

Miranda expects to graduate with her Associate Degree of Nursing from Sheridan College in spring 2022 and work as an RN while completing her BSN. The Foundation along with our hospital’s Nursing Leadership applaud Miranda on her efforts to achieve her goals. As she stated, “Whether in school or at work, I strive to give my best effort and be successful. Becoming a nurse has been a dream of mine since I was in high school, and receiving this scholarship gets me one step closer to achieving that dream.”

Along with The Foundation’s Cato Scholar Award, 27 additional clinical scholarships were awarded to hospital staff members.

Scholarship funds are distributed annually each spring through an application and interview process. Nursing leadership from the hospital, along with Foundation Board members and staff, review and select the recipients. Including this year’s awards, The Foundation has granted nearly $400,000 in nursing and clinical scholarships.  “We are extremely proud of our Sheridan Memorial Hospital staff, and grateful to provide opportunities for development through this endowment built by our generous community,” states Director of Donor Relations Ada Kirven. “The Foundation’s ability to assist in advancing team members with the skills and knowledge they need is a wonderful investment in the hospital’s greatest asset – our people – this program has positivity impacted excellent care for the region, and the endowment will continue for years to come.”

Awardees received scholarship funds for a variety of educational opportunities such as Associate, Bachelor, and Graduate Degrees at a diverse group of colleges and universities; and specialty certifications and training. Recipients come from clinics and departments across the organization including:  Women’s Health Labor and Delivery, Medical/Surgical Unit, Women’s Clinic, Welch Cancer Center, Wyoming Rehab, Wound Care, Emergency Department, ICU, Primary Care, and Surgical Services.

To learn more about The Foundation or make a gift to our educational programs, contact us at sheridanhospital.org/foundation or by calling 307.673.2418 today!

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/

Vera Olson was suffering from more than illness when first admitted into the Transitional Care Unit (TCU) at Sheridan Memorial Hospital in February 2019. On top of experiencing atrial fibrillation and viral sepsis, she was grieving the very recent death of her daughter.

For Vera, looking back today, that first six-week stay in the recuperative wing blurs together. However, one element remains salient: the kindness of the TCU nurses and physical therapists (PT).

“They watched me, they worked with me when I got stronger, they kept the exercises interesting,” Vera remembered. “They made it fun. The TCU [team] seemed to work so well together. It was the highlight of my day.”

“She loved doing therapy with us,” Tiffany Sutton, PT noted. “Even when she was exhausted and sad, she would still come and try to do things with us. We did the therapy, of course, that’s a big part of it — but we also helped her grieve and heal from her daughter’s passing.”

The TCU’s focus on healing patients both physically and mentally was not lost on Vera Olson.

“I will never forget the caring, the support, the lightness of it, and the encouragement that they give you,” she said.

With each day’s dose of exercise, sunshine, and laughter, Vera felt a bit stronger. When she was admitted, she could barely walk for 15 feet and keep her head up, even when assisted. By the time she was discharged, she could walk more than 400 feet independently.

To ease the transition, the TCU team set up home healthcare to visit Vera throughout the week, a service that she deeply appreciated.

“Anytime you can be at home, it’s good,” Vera said.

However, this was not her last trip to the TCU. Due to other health issues, Vera has returned twice more for shorter stays. She would not have returned if it were not such a good experience, she said. “Of all the places I received transitional care, Sheridan Memorial Hospital was by far the best! It was like family caring for me.”

Today, knowing that the TCU team is there for her when she needs them, “Is a very good feeling, very great, very warm,” according to Vera.

To learn more about Transitional Care visit https://www.sheridanhospital.org/medical-services/transitional-care today!

On Friday, July 2, over 100 golfers and hospital volunteers gathered at The Powder Horn Golf Club to raise awareness and funds for patient care programs at Sheridan Memorial Hospital. The Foundation’s 12th Annual Golf Tournament focused on raising funds that will go towards the expansion of our hospital’s Transitional Care Unit (TCU). It’s thanks to generous contributions such as those raised here that Sheridan Memorial Hospital can continue driving forward in providing excellent patient-centered care, for everyone.

This year’s event was a huge success, raising over $17,000 for our Transitional Care Expansion campaign. Over its 12 years, the golf tournament has raised over $265,000 in support of excellent patient care for our community.  Projects funded include the COVID-19 Care Fund, Intensive Care Unit, Cardiac Care, Cath Lab, the Patient GAP Fund – which helps ensure successful recovery for patients after a hospital stay, and various other department projects. Most recently, these funds were able to support the expansion campaign for our hospital’s TCU. This new and improved TCU is on track to house 20 private patient rooms, 12 more than our previous space, as well as a private dining area, separate family meeting & consultation room, and multiple rehab spaces.  

Winners of this year’s Tournament included: 

1st Place Team – Hammer Chevrolet: Troy Baker, Paul Mavrakis, Paul Felker, Anthony Spiegelberg

Others who received recognition for their excellent play included Samantha Spielman, Tayla Legerski, J.T. Grainger, and Will O’Dell.   

According to The Foundation, First Federal Bank and Trust, D.A. Davidson; Kennon; and O’Dell Construction were this year’s Hole-in-One, Gold Sponsors.

Cody Sinclair, Chief Development Officer, wrapped up the event, “It was a great day of golf and philanthropy with funds raised to support expansion of Transitional Care for our community.  Sheridan Memorial Hospital and the care it provides to everyone is remarkable, and The Foundation is appreciative of everyone who was involved.  Thank you to all of our wonderful tournament sponsors, participants, and volunteers for helping make this a great event!” 

To join The Foundation and support future events, visit https://www.sheridanhospital.org/foundation/

The Sheridan Memorial Hospital Foundation board members and staff are excited to announce, thanks to the generosity of our community; we’ve met the $4.4 million fundraising goal for the Transitional Care Expansion. All gifts and pledges in the last month were matched by The Foundation and helped complete the final push to reach the goal. Nearly 1,000 donors from our community made it all possible. 

As initially planned, reaching this goal allowed Sheridan Memorial Hospital to begin construction on the 2nd and 3rd floor of the original 1954 hospital on Thursday, July 1st. The expansion increases the hospital’s eight current Transitional Care rooms to 20 comfortable, private rooms. The new Transitional Care Unit is scheduled to open in the summer of 2022.

Foundation Board President and Campaign Co-Chair Richard Garber shared the good news, “It not only fills the growing need to care for individuals after a hospital stay, but will also help ensure their safe and successful return home. Another positive is that this project repurposes the original 1954 building back to patient care. This is an excellent use of space and, once completed, our professional care team of providers and rehabilitation staff will be able to offer excellent care to more individuals. It all comes down to keeping people in Sheridan, close to home and their loved ones.”

Cody Sinclair, Chief Development Officer for the Foundation, said, “It has been an amazing experience sharing this project with our community, and we appreciate everyone who’s contributed to the success of this campaign. We have heard countless stories of the gratitude our patients and families feel to have excellent healthcare close to home.”

Those still interested in supporting the Transitional Care Expansion are welcome to play a part in the project. Any additional donations and gifts received will be utilized to help the hospital defer additional construction. Initial estimates of the project were at $8 million, while the final cost is $8.3 million.

At the Sheridan Memorial Hospital Board of Trustee meeting held on Wednesday, June 30, at 4 pm, Dr. Doughty, Richard Garber, Ada Kirven and Cody Sinclair presented a ceremonial check to the hospital announcing The Foundation reached its goal of $4.4 million thanks to our generous community.

The Foundation plans to host a celebration of the past year’s successes on July 27th at the hospital starting at 5 pm. The Foundation invites all donors to the event, on the patio in front of the Sheridan Memorial Outpatient Center. For more information, please get in touch with The Foundation at 307.673.2418.

To get the most up to date Foundation information and learn more about the Transitional Care Expansion Project, visit sheridanhospital.org/foundation.

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.

By Dr. Christopher M. Prior, DO, FAAFP – Physician at Sheridan Memorial Hospital’s Internal Medicine Practice

June is Men’s Health Month, and according to studies, 60% of men don’t consult their physician regularly and 33% are less likely to visit the doctor than women. But one area of men’s health is seeing a surge in activity.

Use of testosterone hormone as well as natural testosterone level boosting supplements has skyrocketed in recent years with people looking for treatment of fatigue, poor cognition, difficulty losing weight or gaining too much weight, and erectile dysfunction.  The most common cause of low testosterone is age related low testosterone.  Most adult males lose 1-2% testosterone annually after their mid-thirties.  Chronic diseases such as obesity, sleep apnea, drug and alcohol abuse, hemochromatosis (harmful levels of iron in the body), as well as exposure to radiation or chemotherapeutics are potential causes of low testosterone.  Rarely do genetic disorders lead to hypogonadism (a failure of the gonads, or testes, in men).

 Treating potential causes of hypogonadism before starting testosterone supplementation would be the most common recommendation.  Many people, however, seek over the counter supplements first. Unfortunately, some over the counter supplements can worsen symptoms or have adverse side effects.  For example, there has been an increased number of young men in their 20’s and 30’s diagnosed with secondary hypogonadism caused by taking testosterone boosting supplements or illegally using testosterone hormone.  Inappropriate use of testosterone can worsen sleep apnea, cause polycythemia (increases red blood cell count), elevate prostate specific antigen, increase cholesterol, as well as increase risk for stroke and heart attack.

Many urban areas have seen an increased number of low testosterone retail clinics.  Most of these are cash only, with no insurance coverage for medications, lab tests or the prescription supplementation frequently recommended.  Expensive blood work, estrogen blocking medications, pituitary stimulating hormones as well as testosterone supplementation can be cost prohibitive for most.  While some users claim to feel better, think better, sleep better, and lose weight, there is very little evidence to support these claims.

Recently, the two largest medical organizations in the United States, the American Academy of Family Physicians and American College of Physicians agreed that the only clear reason to treat low testosterone is erectile dysfunction.  While testosterone has been used to help bone density, cognition, anemia, overall well-being, and infertility—there are no articles suggesting benefits in these areas with testosterone supplementation. 

Routine screening of testosterone levels is not recommended for asymptomatic males.  When a patient has symptoms that may be related to hypogonadism they may be screened for low testosterone in addition to the previously listed chronic causes of hypogonadism.  If testosterone levels come back low, testosterone replacement therapy can be initiated, with appropriate monitoring regularly with blood tests and clinical symptoms. This is generally a mutually agreed upon decision by the patient and provider after a review of risks and benefits.

Talk to your primary care provider about your healthcare concerns.  If you don’t have one, check out Sheridan Memorial Hospital’s Internal Medicine practice or call: 307.675.2650

Sheridan Memorial Hospital’s Covid-19 testing is now being done at the hospital’s Urgent Care – located at 1435 Burton Street – one block south and one block west of the hospital – follow signage to Urgent Care.

Persons wishing to be tested for Covid-19 do need an appointment and should still call the hospital’s Covid-19 phone number: 307-672-1004. When a staff member calls them back to schedule their appointment, they will help the caller select the most appropriate test for their needs.

When people arrive for their appointment, they should remain in their vehicle and call to let the staff know they are there.  The notification phone number is posted in the Urgent Care parking lot.  Covid-19 tests are conducted Monday-Friday.

More information about Covid-19 can be found at https://www.sheridanhospital.org/community/coronavirus/

By Barb Hespen DNP, RN, Chief Nursing Officer at Sheridan Memorial Hospital

National Certified Nursing Assistant (CNA) week is June 17-23, 2021.  This week is a way to honor those who work in this demanding profession which requires meeting the basic care needs for patients in hospitals, skilled nursing facilities, in assisted living and in patients’ homes. 

At Sheridan Memorial Hospital (SMH), we have 40 CNAs who are the heart of our patient care areas.  They provide bedside, hands-on care to our patients – assisting the nurses with many, many responsibilities.  CNAs play a critical role in the patient care team — answering the patient’s questions and responding to their needs.  Quite a few of our CNAs perform a dual role as unit clerks, managing information and communication within their departments.

The most common duties that CNAs provide to patients under the direction of Registered Nurses (RN) include:

  • Assisting patients to clean and bathe themselves
  • Helping with dressing and toileting needs
  • Turning and repositioning patients to keep skin healthy and to prevent skin breakdown
  • Serving meals and assisting with eating as needed
  • Completing and documenting Vital Signs (Blood pressure, Temperature, Pulse Rate, Respiratory Rate, and Oxygen Saturation readings)

These duties are clearly very important to patients, as are the CNA’s behavioral skills, including having a high level of patience, compassion, empathy, attention to detail, communication skills, sense of humor, and physical strength.  All of these characteristics of CNAs ensure that patients receive excellent care while in hospitals, nursing homes or in their own homes.

The CNA career is a rewarding and fulfilling one, and these skills are in high demand with the expanding healthcare needs of our aging population.  A CNA can make this a life-long career, or they can build on the learning and experience and expand their schooling into another healthcare field. 

I have worked with CNAs who have cared for patients and their families for 30+ years and are excellent in the care that they provide.  I also have worked with CNAs who have advanced their knowledge by becoming RN’s, Physical Therapists and Lab Technologists.  I started as a CNA early in my career and learned valuable skills that have continued throughout my nursing career.

Please take time this week to thank a CNA who you work with for all of the care that they provide to our patients.  Happy CNA week!

If you are interested in becoming a CNA, learn more about Sheridan College’s CNA course by clicking HERE.  If you are a CNA and would like to join our Team at Sheridan Memorial Hospital, visit our careers page and check out our current job opportunities HERE.

By Cody Sinclair, Chief Development Officer of Sheridan Memorial Hospital

Sheridan Memorial Hospital (SMH) strives to meet community and regional demand for patient care. Over the past year we have become even more aware of the importance of growing and adapting in ways that add value for our patients and appropriately meet the needs of the Sheridan community and region. Providing care close to home ensures people are able to stay near their family and friends when health issues arise.

One area where care close to home is especially important is Transitional Care. Having a comfortable, private environment to heal and regain strength and confidence for a safe return home following a serious illness, injury, or surgery is critical. SMH is fortunate to have an outstanding Transitional Care team of providers, therapists, nurses, and case managers who work with patients to help them recuperate and rehabilitate. The goal is to help each individual regain their strength, confidence and independence for a safe return home and to their lives.

SMH’s Transitional Care service began in 2006. Since then, our patient’s need has continually grown. In 2017, the hospital cared for an average of four patients per day. Today, the hospital averages eight Transitional Care patients per day; however, the need already surpasses the hospital’s current bed capacity to provide or expand with the growing senior population. According to data from the Centers for Medicare & Medicaid Services (CMS), SMH currently serves approximately 17% of all Transitional Care needs for our community, while over 18% of Transitional Care needs are being met outside our community. This means patients and their families may have to leave Sheridan and travel long distances for care. This presents a hardship for families to visit and support their loved one throughout their recovery process. Based on data from two separate third-party vendors, the hospital anticipates a continued increase in patients due to growth in our community, especially in the over 65 and retirement age population. Because the majority of patients (85%) are in this growing demographic, SMH has made plans for an average of 18 to 19 patients per day by 2024 based on this data.

Fortunately, through the support of The Foundation and generous contributions from our community, SMH will expand Transitional Care to fully meet the need for care close to home. The expansion, which includes repurposing space on the 2nd and 3rd floors of the original 1954 hospital, will increase the hospital’s Transitional Care rooms from 8 semi-private rooms to 20 comfortable, private rooms. Thanks to our community’s generosity over the past eight months, The Foundation is nearing its fundraising finish line with a completion goal of June 2021. With our community’s generosity and support, SMH plans to begin construction in July 2021 and open its new Transitional Care Expansion in the summer of 2022.

To learn more about the Transitional Care Expansion, please visit sheridanhospital.org or call our Foundation Office at 307.673.2418.