Category Archives: Community Health Center of Southeast Kansas

Heart Health Month: Stopping tobacco use

 

Stopping tobacco use can help reduce your risk of developing heart disease, stroke, lung cancer, and other serious health problems. Within a few months after you stop smoking, you may notice improved breathing, circulation, and overall energy levels.

“There are so many benefits from stopping tobacco use,” Community Health Center of Southeast Kansas Clinical Pharmacy Services Manager Jennelle Knight, PharmD, CDCES, says. “It can improve your mental health, reduce stress and increase your lifespan. We at CHC/SEK are committed to assisting all who want to take back control of their health and gain freedom from tobacco.”

CHC/SEK helps patients take the first step towards stopping tobacco use including smoking, vaping, chewing and other forms of tobacco. The health center has a team of counselors, healthcare professionals, and peer support that can provide individual counseling, group counseling, nicotine replacement therapy and other resources.

Patients are provided with the information and support they need to make an informed decision about their health. Staff help patients develop a plan that is tailored to their individual needs. CHC/SEK offers several treatment options to help you stop using tobacco products.

Even for long-term heavy tobacco-users at any age, it can increase life expectancy. Additionally, stopping can improve quality of life as it can reduce the risk of respiratory infections, gum disease, and improve sense of smell and taste.

Tobacco Cessation Medications

Utilizing FDA-approved medication in addition to counseling can more than double your chances of success.

Nicotine replacement therapy (NRT) is a proven and effective way to stop using tobacco. It works by supplying the body with small doses of nicotine without the harmful chemicals found in tobacco. Nicotine is an addictive substance — tobacco contains harmful chemicals. These small doses of nicotine from NRT help reduce cravings and withdrawal symptoms associated with stopping the use of tobacco such as smoking, vaping, and chewing. NRT comes in various forms such as gum, lozenges, and patches.

There are also prescription-only treatment options available to help reduce withdrawal symptoms and cravings.

Health Benefits of Stopping Smoking

Stopping smoking can significantly reduce your risk of developing smoking-related diseases, even if you’ve smoked for many years. The health benefits start almost immediately after you stop smoking, and they continue to improve over time.

Within twenty minutes of stopping smoking, your heart rate and blood pressure drop. Within twelve hours, your carbon monoxide levels return to normal. Within two to twelve weeks, your circulation improves, and lung function increases. These improvements make it easier to exercise and breathe.

Health Benefits of Stopping Vaping

Stopping vaping can have tremendous health benefits, both in the short and long term. By stopping vaping, you are reducing the risks of lung, heart, and brain damage, improving your overall health and well-being.

Within twenty minutes of stopping vaping, your blood pressure and pulse return to typical levels, and the blood circulation throughout your body improves. Your lungs have already begun to clear out mucus and other debris that may have accumulated from vaping. Within 8-12 hours, the high levels of carbon monoxide in your blood significantly decrease, making more oxygen available quickly.

By stopping vaping, you give your body a chance to heal and recover from the damage caused by vaping. You will breathe easier, have more energy, and reduce your risk of developing chronic diseases.

Health Benefits of Stopping Chewing

Chewing tobacco is a harmful habit that can lead to serious health problems. Not only does it increase your risk of oral cancer, but it can also damage your teeth and gums, cause bad breath, and even contribute to heart disease and stroke.

Stopping chewing tobacco can have dramatic health benefits. Within just twenty minutes of stopping, your blood pressure and heart rate begin to reduce, and within a year, your risk of oral cancer decreases by half. Additionally, your sense of taste and smell will improve, and your teeth and gums will become healthier and less prone to decay.

 

Ascension Via Christi Fort Scott Emergency Department Departure: CHC Is Preparing For More People, Bo Co EMS Is Fully Staffed

Mercy Hospital Fort Scott signed an agreement with Ascension Via Christi to provide equipment and furnishings for emergency room services in 2019, following the hospital’s closure in December 2018. Ascension Via Christi pulled out of this site on December 20.

The doors are locked once again at the former Fort Scott  Mercy Hospital Emergency Room. Ascension Via Christi closed them on December 20, 2023, after four years of service. This following AVC’s announcement that they experienced  “a decline in visits and …. other economic challenges,” according to a press release.

December 20: Ascension Via Christi Closes Emergency Department in Fort Scott

Community Health Center of Southeast Kansas in Fort Scott has been preparing for the Ascension Via Christ Emergency Department departure by recruiting more providers,  planning more training, and purchasing additional supplies.

CHC in Fort Scott provides care to about 125 to 150 people daily in its Walk-In Care department, which is part of the center at 2322 S. Main, Krista Postai, CEO of CHC/SEK said.

Community Health Center of Southeast Kansas at Fort Scott is located at 2322 S. Main, on Hwy. 69. The Walk-In Clinic is left in this photo.

The Fort Scott Walk-In Care department sees people from 7 a.m. to 7 p.m. seven days a week.

Editors note: Taken from the CHC Facebook page

All CHC/SEK Walk-In Care locations will close at 4 p.m. on Christmas Eve (Sunday, Dec. 24.)
All CHC/SEK locations will be closed on Christmas Day (Monday, Dec. 25). Normal hours of operation will resume on Tuesday, Dec. 26.

Postai said after visiting with the AVC administration she found that “their late evening/late night volume… was minimal,”  It was then determined to keep their  Walk-In Care hours as established.

“All our clinics are accustomed to having individuals walk in with serious problems (e.g. having a heart attack) and we are going to anticipate more and are preparing for these situations,” Posai said.

“We have been working to ensure that in addition to the medical provider ( a Nurse Practitioner or Physicians Assistant) ), there is always a more experienced registered nurse on duty and we have been recruiting for additional RNs for that purpose,” she said.  “We have evaluated staff skill levels, supplies, and other resources and will provide additional training and supplies as necessary. We already have lab and diagnostic imaging (including CT scanning) and excellent clinical staff in place.”

Krista Postai. Submitted photo.

 

“We have also met with local law enforcement and Emergency Medical Service staff and are working with them to coordinate care for patients, as well as visiting with Via Christi staff and Dr. Stebbins (their ER physician director) to discuss opportunities for closer collaboration on our referrals down to Pittsburg,” she said.

 

“We have reached out to Amberwell Health after reading of their interest in potentially staffing the ER and urged them to connect with us on their next visit to Fort Scott,” she said. “Unfortunately, we have yet to meet with them.”

 

“The concept of participating in the new Rural Emergency Hospital program was researched, but it was determined that only hospitals were eligible and, at this point in time, it is unlikely that will change,” she said.

 

“We are indeed very sorry to see Ascension Via Christi withdraw from Fort Scott, but understand there are other factors influencing their decision,” she said. “We have urged them to reconsider if these matters get resolved but recognize that southeast Kansas is not a major market for Ascension.”

Bourbon County EMS

Bourbon County EMS Director Teri Hulsey said “AVC closing is sad for the community, but we are fully staffed and ready for any call. We have six full-time paramedics and six full-time Emergency Medical Technicians and several part-time.”

“The only change will be transport times,” Hulsey said.

Cardiac patients will be transported to AVC in Pittsburg. Moms about to give birth can go to Nevada Regional Medical Center in Missouri or Pittsburg AVC. “It’s the patient’s choice,” Hulsey said.

“We have two first-out ambulances when a call comes, those go out,” Hulsey said. “For trauma (car wreck, a stroke, fall out of a tree) if we can get a  helicopter either Joplin, MO or Overland Park Regional or Kansas University Medical Center in the Kansas City area. If a flight is not available, the patient will be transported.”

The Bourbon County EMS has seven ambulances that are supplied with “everything we need,” Hulsey said.

CHC/SEK CT Department earns ACR Accreditation

FORT SCOTT — Community Health Center of Southeast Kansas in Fort Scott has been awarded a three-year term of accreditation in computed tomography (CT) for adult and pediatric scans as
the result of a recent review by the American College of Radiology (ACR).

The location is also accredited by the ACR for mammography.
CT scanning — sometimes called CAT scanning — is a noninvasive medical test that helps physicians diagnose and tailor treatments for various medical conditions. Mammograms are X- ray images of your breasts designed to detect cancers and other changes in breast tissue.

The ACR gold seal of accreditation acknowledges CHC/SEK’s commitment to the highest level of ACR practice and technical standards for image quality, patient safety, staff qualifications,
facility equipment, quality control and quality assurance.
“Having CT in our facility gives the patient access to affordable scans if they don’t have insurance, or if they have high deductible insurance, it gives them the option to receive a CT
scan that they wouldn’t receive because they couldn’t afford it,” said Kimberly Wass RT(R). “On- site CT allows our clinicians to diagnose and treat sooner because it removes hospital
scheduling backlogs and transportation barriers for the patients.”

The same is with mammography. Although breast cancer screening cannot prevent breast cancer, it can help find breast cancer early, when it is easier to treat.
Radiologist reports are received quickly and to the doctor, so the patients are notified in a timely manner of what’s going on, Wass said adding, “And, if there’s anything of concern, we’re able to ‘cloud’ our scans to other facilities. We don’t have to worry about creating a disk to be mailed, or carried by the patient if we are sending them on to a specialist or a hospital.”

CHC/SEK has CT and mammography services in Fort Scott and Pittsburg. For more information
about CHC/SEK CT and mammography services call 620-231-9873 or visit www.chcsek.org

CHC/SEK Nurse Practitioner becomes HIV Specialist

CHC/SEK Nurse Practitioner Crystal Garcia, DNP, APRN, FNP-C, AAHIVS, listens to a patient’s heart at the CHC/SEK Coffeyville clinic. Submitted photo.

Community Health Center of Southeast Kansas Nurse Practitioner Crystal Garcia, DNP, APRN, FNP-C, AAHIVS, joins CHC/SEK’s Family Physician Julie Stewart, MD, as the second HIV
Specialist at CHC/SEK.

Garcia recently completed her certification through the American
Academy of HIV Medicine.

“I’m so excited to have another HIV Specialist on our CHC/SEK Infectious Disease team,” Stewart said. “Crystal has a heart for the patients and the knowledge to care for them with
excellence. We are blessed to have her expertise on our growing team as we reach more and more patients each day.”

Prior to the inception of CHC/SEK’s Infectious Disease team, people living with HIV had to travel up to three hours to see their HIV Specialist in Wichita or Kansas City or wait up to 12
weeks for an HIV Specialist to come to them in Pittsburg. Now, between Garcia and Stewart, they can stay in their hometowns and get care five days a week.

Garcia also just entered into a year-long training through the Midwest AIDS Training and Education Center’s (MATEC) Clinical Scholar Program with the University of Kansas School of
Medicine.

The program pairs participants with a mentor, provides access to clinical consultations with otherHIV providers, and there are many opportunities to advance their knowledge through live and
virtual meetings and sessions. Garcia’s mentor is Donna E. Sweet, MD, AAHIVS, MACP, a Professor of Medicine from the University of Kansas School of Medicine-Wichita. Sweet has been at the front of fighting HIV and AIDS in Kansas for 30 years. Garcia has monthly meetings with Sweet and will have the opportunity to shadow her in the clinic several times this fall.

“This program offers so many resources and education that I will be able to pass on to patientsthat we serve to improve their retention in care and their overall health,” Garcia said.
HIV specialists provide and have access to wrap around care that includes evidenced based practice knowledge to help those diagnosed with HIV. This increases engagement in treatment,
retention in care and decreases the effects this virus can have if not adequately controlled, Garcia said.

HIV specialists not only diagnose and treat individuals with HIV, but they also work to prevent others from acquiring it, Garcia said, adding that the treatment of HIV has come so far in the 40 years that individuals with HIV when engaged in care with an HIV specialist, can have a very positive prognosis.

“By being able to care for individuals diagnosed with HIV, we often are a ray of hope in someone’s life that they may not have seen on their own,” Garcia said. “This diagnosis can come
with so many negative thoughts and feelings that often individuals are ashamed and would rather not come into care due to fear and the unknown.

“It is beyond rewarding to be able to help people diagnosed with HIV understand their diagnosis and how it is very manageable throughout their lifespan. As a provider for people living with
HIV, there is a very unique connection that occurs and sometimes the person just needs acceptance and to be heard to see their life is not over and their future can look very parallel to what they planned prior to their diagnosis.”

 

Garcia is also nearing completion of an Internal Medicine fellowship with Stewart, a 12-month program designed to be an internal medicine/infectious disease fellowship within CHC/SEK. She
spent the first three months side-by-side with Stewart for every patient she interacted with, before seeing patients independently at the CHC/SEK Baxter Springs, Columbus, Coffeyville,
Fort Scott, Iola, and Pleasanton clinics.

She also regularly has appointments via Telehealth to
Independence and Parsons. Occasionally, on an emergency basis, she will Telehealth into other clinics, such as CHC/OK in Miami.

“I believe Dr. Stewart and I have built a very solid professional relationship that only adds to
each patient’s care,” Garcia said. “Our patients are aware we are a team and very much operate under this mindset to provide each patient with what they need and want from their healthcare.
“This last year has been a steep learning curve that has forced me to dive deep into myself and hustle for a goal that I truly believe benefits each patient. This fellowship is a huge building
block that enhances my professional ability to improve my practice.”

Low-dose CT lung cancer screenings available at CHC/SEK

Community Health Center of Southeast Kansas at 2322 S. Main,  Fort Scott.

The Community Health Center of Southeast Kansas (CHC/SEK) is helping identify lung cancer in its earliest stages through low-dose CT lung cancer screenings in its Fort Scott and Pittsburg locations.

With a physician’s order, individuals 50-80 years old who currently smoke, or formerly smoked one pack per day for 20 years or two packs per day for 10 years, and who have smoked within
the last 15 years, can receive a noninvasive and inexpensive lung cancer screening.

“Low-dose CT lung cancer screenings are effective, noninvasive, and inexpensive,” says Kimberly Wass, RT, (R). “It only takes a few minutes, causes no discomfort, and exposes you to
a small amount of radiation, the images obtained give us a detailed picture of the patient’s lungs and chest.”

CT scanners combine a series of X-ray images taken from different angles around your body and use computer processing to create cross-sectional images (slices) inside your body. CT scan
images provide more-detailed information than plain X-rays do. The images can help diagnose lung cancer in its earliest and most treatable stages.

In the United States, lung cancer accounts for approximately one-fourth of cancer related deaths because many patients are diagnosed with advanced stages of the disease when treatment options are limited.
According to the Kansas Department of Health and Environment, tobacco use is still one of the leading causes of preventable death, disease, and disability in the state. Almost one in four
(24.6%) Kansas adults (18 years and older) use tobacco and many chronic conditions related to tobacco use and exposure to secondhand smoke.
https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/saved-by-the- scan/quiz

CHC/SEK Can Help When Quitting Tobacco
CHC/SEK can assist you towards stopping your use of tobacco products. Our team of counselors, healthcare professionals, and peer support can provide individual counseling, group
counseling, nicotine replacement therapy, and other resources to help you along your journey.

For medically qualified patients, nicotine replacements such as gum, patches, and lozenges can help you stop using tobacco products. Nicotine replacement therapy (NRT) works by supplying
the body with small doses of nicotine without the harmful chemicals found in tobacco. NRT helps reduce cravings and withdrawal symptoms associated with stopping the use of tobacco
such as smoking, vaping, and chewing.

At CHC/SEK, we encourage our patients to use KanQuit, a free service for all Kansans that provides counseling, support, and other resources to help you stop using tobacco. KanQuit
provides coaching over the phone or online, text messaging, email support, and quit medication (nicotine patches, gum, or lozenges) to those that qualify.

• The Quitline is free. The cost is paid by your public health department, health plan, or employer.
• Quitline is based on proven strategies. KanQuit has already helped more than 1.5 million people in their quit journey.
• The Quitline is self-paced and customized for each person. You decide the details of your plan such as how often you speak with a quit coach and whether you use quit medications.
• The Quitline is staffed by trained coaches, all of whom have completed rigorous Tobacco Treatment Specialist training.
Call 1-800-QUIT-NOW (1-800-784-8669) or visit KSquit.org to get started today.

Local Health Center Offers Public Transportation in Bourbon County

The CareVan is parked in front of the Community Health Center of Southeast Kansas, Fort Scott, at 2322 S. Main Submitted photo.
Since August, the Community Health Center of Southeast Kansas has offered CareVan, which provides transportation for all people in Bourbon County.
“We started rides the beginning of August taking a few people, then September our new driver completed training and we moved them to be Bourbon County only,” said Dee Yount, CareVan Program Manager, said.
They are storing the vehicle at  Fort Scott CHC clinic,  located at 2322 S. Main. The dispatch is in Pittsburg.
“Riders can go anyplace in the county, this is not a CHC-only service,” Yount said. “It is first-come-first-served,  and we take same-day appointments. Our dispatchers answer and take trips when people call in, we try to find a way for everyone to get a ride.”
“We are trying to cover the entire county, Fort Scott is the point that most rides are from,” she said.

Highlights of the service:

  • Anyone can use this service
  • Their rides can go anyplace in the county
  • Last minute scheduling is available
  • Dispatch answers all calls or returns them within 20 minutes
  • It is free
  • The service is wheelchair accessible.

 

Transportation hours are Monday to Friday from 8:30 a.m. to 5:30 p.m., with dispatch hours of Monday to Friday from 8 a.m. to 7 p.m.

 

Services are based on availability, including same-day scheduling.

To schedule an appointment call 833-228-7433.

The project is funded in part by the Kansas Department of Transportation’s Public Transit Program and the Federal Transit Administration.

Contact info:

Dee Yount Program Manager’s phone number is 620. 215. 9626 or email [email protected]

Dispatch is 833. 228. 7433

 

 

As summer comes to a close, virus season is just beginning!

Many area healthcare providers including CHC/SEK have begun to see an end-of-summer increase in viral
illness such as COVID, influenza and other respiratory illnesses.
Fortunately, for most people the COVID variants and the other viral illnesses are mild and generally resolve
without the need for treatment, says Dr. Linda Bean, Chief Medical Officer at CHC/SEK. However, individuals
who are at risk, either due to age or certain medical conditions, and have been exposed or suspect they have
COVID or influenza should follow up with a medical provider to discuss testing and treatment options.
At this point, do not expect mass testing associated with the 2020 pandemic to return. “With the public health
emergency declarations expiring signaling the end of the pandemic, we have also seen an end to the ability to
do mass testing for COVID,” Bean says. “Most health organizations including CHC/SEK now have less access to
testing supplies, and fewer resources dedicated to testing as we did during the pandemic.”
Additionally, the curbside and in-clinic testing once covered for patients during the public health emergency is
no longer “free,” and home testing kits are readily available through retail stores and on-line.
“COVID variants are always going to be around,” Dr. Bean says. “Now, beyond the pandemic, we need to shift
our thinking around them and other respiratory illnesses to managing our risks the best we can, including
staying up to date on COVID and influenza vaccines, which we believe will be available in the next couple of
weeks.”
What should you do if you develop symptoms or have been exposed to COVID, influenza or other
respiratory illnesses?
• Stay home, rest, drink fluids.
• Use over-the-counter medications such as ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) for
fever and body aches.
• For most viral illnesses, you can return to class or work when you have been fever-free for 24 hours
and symptoms are improving.
• If you have suspected or confirmed COVID or influenza, it is recommended that you stay home for 5
days from the start of your symptoms.
• Masks can help reduce transmission.
• Cover coughs and sneezes if you must be around others.
When should you be tested or see a medical provider?
• If you are sick and you are at an increased risk of severe illness due to medical conditions such as
asthma, diabetes, or other conditions that lower your immune system.
• If your symptoms are getting worse or you develop trouble breathing, pain or pressure in the chest,
dizziness or other symptoms that are concerning to you.

CHC/SEK’s CareVan Transportation Program Expands to Bourbon County

Bourbon County residents now have additional access to transportation through the Community Health Center of Southeast Kansas CareVan program.

The ride service officially will roll out on Sept. 15, with a van featuring an accessible wheelchair lift designed to enhance the mobility of individuals with disabilities. Plans call to increase the
number of vehicles as they become available.

The project is funded by the KDOT Public Transportation Program.

Ride services are available 7:30 a.m. to 6:30 p.m. on Monday through Thursday and from 7:30 a.m. to 3:30 p.m. on Friday. Rides are scheduled by calling 833-228-7433. There is no charge to
patients for the service. Donations to the program are accepted.

“In rural communities, we understand that transportation is critical to an individual’s independence, so we do our best to get residents where they need to go,” says Dee Yount, CHC/SEK’s Transportation Program Manager. “We provide in-county trips to doctor’s
appointments, grocery shopping, work locations, social outings, and more, we want to remove the barriers that the lack of transportation can cause so our communities have every opportunity to thrive.”

Although CareVan provides rides to anyone in need of transportation services, Yount reminds potential riders that unlike an on-demand taxi service, reservations must be made and rides are
available on a first come, first served basis.

Riders who need additional support when traveling receive help from trained drivers who will escort riders with door-through-door service, Yount says. Dispatch and drivers are trained to provide more than just safe transportation, but positive social interactions and sense of community with each ride, Yount added. “Our mission is to provide our guests and the communities we serve with dignity, respect and compassion,” he says.

CHC/SEK Fort Scott Offers Mammograms to Women at Open House on August 2

Community Health Center of Southeast Kansas at Fort Scott, June 2023

 

FORT SCOTT – Community Health Center of Southeast Kansas (CHC/SEK) invites women to celebrate their health at its 3D mammography event. “Celebrate You” will be from 7:00 am – 7:00 pm Wednesday, August 2 at 2322 S. Main St.

For women age 40 to 74 years of age, it is recommended to have a screening mammogram every one to two years. CHC/SEK is proud to offer 3D mammography services to area women. According to the American Cancer Society, several studies have shown 3D mammograms provide more detailed imaging and can detect up to 40 percent more cancers than 2D mammograms.

No appointment or referral is required to attend the event. Most insurances are accepted however, no one is denied care. Those who attend will receive free refreshments and a gift. For information about this event, call 620-223-8484.

Community Health Center is hosting a Mammography Event on August 2

Celebrate You!

You’re Invited!

Community Health Center is hosting a Mammography Event for women aged 40 to 74 years of age!

Wednesday, August 2nd

7am-7pm

2322 S. Main St.

• No referral or order required

• Advanced 3D Mammography

• Most Insurances Accepted, No One Is Denied Care

• Free Refreshments & Gift

If you have questions call 620.223.8484

Fort Scott Area Chamber of Commerce | 231 E. Wall Street, Fort Scott, KS 66701

CHC/SEK mammography screening event set for Aug. 2 

Community Health Center of Southeast Kansas at Fort Scott, June 2023
FORT SCOTT — Community Health Center of Southeast Kansas is hosting a mammography screening event on Aug. 2 at its new clinic located 2322 S. Main St, Fort Scott.
For women aged 40 to 74 years of age, it is recommended to have a screening mammogram every one to two years. Stop by the clinic any time between 7 a.m. to 7 p.m. to get screened. No referral or order required. Most insurances are accepted, no one is denied care at CHC/SEK.