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Yankton Medical Clinic, P.C.Diagnostic Imaging Services, hasattained recognition for its com-mitment to providing a high levelof patient care and quality testingfor the diagnosis of cardiovascu-lar disease (disorders of the heartand blood vessels). YMC hasmaintained accreditation by theIntersocietal Commission for theAccreditation of EchocardiologyLaboratories (ICAEL) since 2000.

Accreditation by the ICAELmeans that Yankton Medical

Clinic, PC has undergone a thor-ough review of its operational andtechnical components by a panelof experts. Patients can rely onICAEL accreditation as a “seal ofapproval” that the facility hasbeen carefully critiqued on allaspects of its operations in thefield of echocardiography.

Echocardiography is a nonin-vasive test that provides cardiacstructure and flow information toaid in the detection and manage-ment of many types of heart dis-ease. This complex imaging tech-nique relies on the experience andtraining of both the physician andsonographer. Their interpretiveand technical abilities determinethe diagnostic accuracy of anechocardiographic examination.

Monday, 2.6.12ON THE WEB: www.yankton.net

HEALTHLINES: heidi.henson@yankton.net 7PRESS DAKOTANhealthlines

The Yankton Medical Clinic is pleased toannounce that Byron S. Nielsen, M.D. hasrecently become Board Certified in Nephrology.

Dr. Nielsen is also Board Certified by theAmerican Board of Internal Medicine inInternal Medicine. He earned Diplomat statusby passing the American Board of InternalMedicine’s stringent certification examination,a test of the physician’s abilities in the fields ofnephrology and adult medicine.

American Board of Internal MedicineDiplomats must continue to demonstrate theircompetence in the specialty by taking recertifi-cation exams every 10 years.

Dr. Nielsen provides the diagnosis and treat-ment of adult kidney diseases including but notlimited to those associated with underlyingmedical ailments, genetic disorders, autoimmune diseases and vas-culitis. He also specializes in the treatment of hypertension, elec-trolyte disturbances, the medical management of kidney stones, andprovides both inpatient and outpatient dialysis.

Steve Gutnik, MD,FACP, Board CertifiedGastroenterologist,was recently recog-nized by SanfordSchool of Medicine ofThe University ofSouth Dakota (SSOM)as an OutstandingFaculty member. Hehas been a facultymember at the SSOMfor 25 years; and anaffiliate of YanktonMedical Clinic, P.C.since 2000.

Representative comments onhis teaching include:

“Dr. Gutnik embod-ies a great teacher andsomeone committed tolifelong learning.”

“Greatly helped meprepare for what toexpect as an internnext year.”

“He is a greatteacher and enjoyshaving students workwith him.”

“Very interested inmy learning and anexcellent instructor.”

“ O u t s t a n d i n gteacher and mentor.”

YMC Earns Breast MRI AccreditationYankton Medical Clinic, P.C. (YMC) has been awarded a three-

year term of accreditation in breast magnetic resonance imaging(MRI) as the result of a recent review by the American College ofRadiology (ACR). MRI of the breast offers valuable information aboutmany breast conditions that may not be obtained by other imagingmodalities, such as mammography or ultrasound.

YMC is Yankton’s only facility equipped with Breast MRI. Inaddition, board certified Radiologist, Will Eidsness, M.D., and a onehundred percent fully board certified staff, assures patients of quali-ty imaging and the highest possible expertise in reading MRI images.

The ACR gold seal of accreditation represents the highest level ofimage quality and patient safety. It is awarded only to facilities meet-ing ACR Practice Guidelines and Technical Standards. The ACR is anational professional organization serving more than 34,000 diag-nostic/interventional radiologists, radiation oncologists, nuclear med-icine physicians, and medical physicists with programs focusing onthe practice of medical imaging and radiation oncology and the deliv-ery of comprehensive health care services.

The best choice for urologic care

Serving patients in Yankton, Vermillion, Norfolk, Creighton, Plainview and Neligh.

Dr. Hathaway with Lewis and Clark Urology specializes in medical and surgical treatment of problems dealing with the kidneys, bladder, prostate, incontinence, male sexual dysfunction and most other urologic conditions. Vasectomy & circumcision consultation welcome. No referral necessary.

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YMC Announces BoardCertification Of Nielsen

Dr. Byron S.Nielsen

Dr. Steve Gutnik

YMC Gastroenterologist RecognizedBy Sanford School of Medicine

YMC Awarded Echo Reaccreditation

Millions of women around the country livewith cardiovascular disease and may notknow it. The consequences of being unin-formed can be fatal.

According to the National Coalition forWomen With Heart Disease, heart disease isthe leading cause of death in Americanwomen. More women die from heart diseasethan breast cancer in any given year, and thePublic Health Agency of Canada says thatheart disease is the leading cause of deathamong Canadian women over the age of 55.That's a frightening reality that might sur-prise some.

What puts women at risk?There are a number of factors that can

put a woman at risk for heart disease. • Hypertension: High blood pressure can

exert extra stress on blood vessel walls andmake them more likely to get clogged.

• Cholesterol levels: Cholesterol in theblood can build up on the inside of blood ves-sels and lead to blockages that can cause anumber of different problems.

• Smoking: Women who smoke have ahigher risk of heart attacks than nonsmok-ing women. Those who smoke and take birthcontrol pills are at an even higher risk.

• Obesity: The chance for heart diseaseincreases with a woman's weight. Even los-ing a little bit of weight can help diminishthe chance.

• Diabetes: High blood sugar can damage

the arteries that supply blood to the heart.• Family history: A woman with blood rel-

atives who were diagnosed with heart dis-ease is at a heightened risk of developingheart disease.

• Lack of physical exercise: Inactivity canpromote heart disease. Daily physical activi-ty can go a long way to help the heart andprevent heart disease.

Preventing heart diseaseRecognizing the risk factors for heart dis-

ease is just the beginning when it comes toprevention. Once those risk factors areknown, it's up to women to take steps to livea more healthy lifestyle. Fortunately, thereare many ways women can do just that.

• Exercise daily. Thirty minutes of exer-cise per day is recommended. This canimprove cardiovascular health by getting theblood moving through the body. It can alsohelp women lose weight, decreasing risk forother ailments as a result.

• Quit smoking. Do not use tobacco prod-ucts. Smoking is one of the biggest risk fac-tors for developing heart disease. Smokingnarrows the arteries in your heart and canalso contribute to the hardening of arteries,called atherosclerosis. This condition canultimately lead to a heart attack. Carbonmonoxide in cigarette smoke replaces someof the oxygen in the blood, according to theMayo Clinic. This can raise blood pressureand force your heart to work harder.

• Eat healthy. Eating foods that are low incholesterol and sodium can help with heartdisease risk. A diet rich in fruits, vegetables,whole grains, low fat dairy products, andother sources of whole fiber can help.Consumption of fish, which is high in omega-3 fatty acids, is also beneficial.

• Maintain a healthy weight. A doctor ornutritionist can help you determine ahealthy weight for your body type andheight. Most use calculations to determine abody mass index, or BMI, which considerscertain factors, including height and weight,to determine if you have a proper amount ofbody fat. Waist circumference is also a toolused to measure how much abdominal fat aperson has.

• Go to the doctor regularly. A doctor canrun certain tests to discover any red flags forpotential heart problems. He or she willcheck blood pressure, cholesterol levels, con-duct screenings for diabetes, and discussfamily history. With all of this information,the doctor will be able to make certainassumptions about heart disease risk andguide you on the path to finding a programthat will be effective for you.

Although heart disease is the foremostkiller of women in North America, it canlargely be prevented and risk factors man-aged with adequate health care. Women liv-ing with any of the aforementioned risk fac-tors should make an appointment with theirdoctor to determine a course of action.

What Every Woman ShouldKnow About Heart Disease

Left to right: Judy Van Heek, RTRM, RDMS, RVT, RDCS; JanetSchrempp, RTR, RDMS, RVT, RDCS; AND Todd Lange, BSRTR,RDMS, RVT, RDCS.

Attached photo left to right: Will Eidsness, MD, Board CertifiedRadiologist; Jean Degroot, RTR(M)(CT)(MR), MRI/CT Team Leader;Tricia Prouty, RTR(M)(CT)(MR); and Allene Sommer,RTR(M)(CT)(MR).

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