Cuddler Program

Jul 27, 2020

Freeman NICU Caring Cuddler Program Provides Enriching Benefits

The Freeman NICU Cuddler Program gives parents the much-needed help when they’re unable to be with their little ones.

Although the birth of a baby is an expected event, the delivery of a baby who needs intensive medical care is often unexpected. Occasionally, obligations at home and work mean families cannot visit the hospital each day to spend time with their new bundle of joy. Understanding the importance of infants being held and comforted, Freeman launched the Neonatal Intensive Care Unit (NICU) Cuddler Program, in November 2019, giving parents the much-needed help when they’re unable to be with their little ones.

For most situations in which a newborn would benefit from human contact, the first choice is the baby’s mother or other family members. In some circumstances, though, the mother is sick or the family needs to tend to other children at home. Maybe the family lives far away, and they can’t be with the baby all the time. In those cases, having an extra pair of cuddly arms may come in handy. “For most parents, having their baby in the neonatal ICU is the most stressful time of their lives. Any parent will attest that no amount of time spent at their child's bedside is long enough,” explained Dr. Rahul Oberoi, Freeman NICU physician. “Due to various reasons, a lot of families are unable to visit their baby even daily. As a medical community, we know the reduced interaction and bonding a neonate experiences while in the NICU can have long-lasting implications. This is where the Cuddler Program can help bridge the gap in order to improve long term brain and developmental outcomes. Feedback thus far from parents has been positive, and the support from the community has been tremendous!”

Some would describe it as the coolest volunteer opportunity ever, providing snuggles, love and developmentally appropriate support under the guidance and direction of the medical staff in the Freeman NICU. “One of the biggest benefits the Cuddler Team provides is the knowledge and satisfaction that we’re helping soothe the youngest of our next generation, at a crucial time when they’re in need of additional comforting,” said Karen Graham, RN, Cuddler Program Coordinator. “We exist to fill the gap when parents or family members are unable to be with their newborn patient. For a Cuddler to have a tiny patient totally relax in their arms, while they’re talking, reading or singing softly to them, is such a joy and a privilege. And it’s truly a team effort! The NICU nurses, physicians, staff and Cuddlers all work together to help these little angels have a positive beginning in life.”

A Cuddler volunteer is a trained adult who’s able to hold and talk to the baby in soothing and stimulating tones and words, sing to the baby in rhymes and favorite lullabies, and console the baby with positive touch and sensitive comfort. The typical role of a volunteer Cuddler is not to replace the baby’s family but to provide additional support. “Several years ago, I learned of NICU Cuddlers in California, and it was my dream to begin a Cuddler Program in my hometown of Joplin when I retired,” said Graham. “While being employed at Freeman, Paula Baker, Freeman President and CEO, Dr. Dennis Estep, Freeman Chief Medical Officer, Children’s Miracle Network Hospitals and Freeman Health System allowed me the opportunity to start the program for our tiniest patients, and we began our first shift on November 6, 2019. The program was made available from funding provided through our Children’s Miracle Network Hospital’s partnership at Freeman.”

Requirements to become a volunteer Cuddler include: interview and selection process, background check, drug screen, physical plus immunizations and flu shots. Program training with the Freeman Cuddler Coordinator, Freeman Volunteer Services Program Manager and NICU nurses includes safety, confidentiality, handwashing protocol and infection prevention and control. The Cuddlers do not feed, change or get up and walk with infants. The popular program is currently full and therefore not accepting applications.

For questions regarding the Freeman Cuddler Program please contact Karen Graham, RN, at 417.347.3922 or kegraham@freemanhealth.com.

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Radon

Jan 08, 2020

Understanding The Health Risks of Radon

The U.S. Environmental Protection Agency (EPA) has designated January as National Radon Action Month and a time when health agencies across the country urge all Americans to have their homes tested for radon.

Do you know the number one cause of lung cancer besides smoking? Hint: it’s a radioactive gas we all breathe every day, usually in small levels. And you cannot see it, smell it or touch it. If you guessed radon, you’re correct!

The U.S. Environmental Protection Agency (EPA) has designated January as National Radon Action Month and a time when health agencies across the country urge all Americans to have their homes tested for radon. Many people are not aware that dangerous levels of radon gas can accumulate in their home. In fact, radon accounts for about 21,000 deaths from lung cancer each year, according to the EPA. While that figure is nowhere near the 480,000 deaths a year caused by smoking, it’s still significant. According to the American Cancer Society, radon is the number one cause of lung cancer among non-smokers.

What is Radon Gas?

Radon is a gas that occurs naturally outdoors in harmless amounts. It’s produced from the breakdown of uranium in soil and rocks, and sometimes it gets concentrated in homes built on soil with natural uranium deposits. It can be detected in homes, offices and schools entering buildings through cracks in floors and walls, construction joints or gaps around service pipes, electrical wires and sump pits. Old homes, new homes, homes with basements and homes without basements can all have radon problems, although radon levels are usually highest in basements or crawl spaces. The EPA reports elevated levels of radon gas have been measured in every state and estimates nearly one out of every 15 homes in America has elevated radon levels.

Dangers of Radon Gas

People who breathe in radioactive particles, swallow water with high radon levels or are exposed to radon for a long period of time are susceptible to lung damage and lung cancer.

This may damage the cells in the lining of the lungs and increase a person's risk of lung cancer. The risk is higher in those who have lived for many years in a radon-contaminated house.

Smokers who are exposed to elevated levels of radon gas have a 10 times higher risk of developing lung cancer, according to the Centers for Disease Prevention and Control. When radon exceeds acceptable levels, the result can be deadly, and it may take years before the health problems appear.

There aren’t widely available medical tests to measure whether you have been exposed to radon, but if you think you might have been, talk with your doctor about whether you should get regular health checkups and tests to look for possible signs of lung cancer. Symptoms include shortness of breath (difficulty breathing), a new or worsening cough, pain or tightness in the chest, hoarseness or trouble swallowing. If you smoke and you know you’ve been exposed to high levels of radon, it’s important to quit smoking.

Radon Testing

Because there are no symptoms of radon exposure, the only way to know whether you’re exposed is by using tools that measure radon levels. Radon can only be detected using test kits designed for testing radon. In Missouri, you can request a free radon test kit on the Missouri Health & Senior Services website, health.mo.gov. According to the website, Missouri DHSS has a grant from the EPA to promote awareness and increase radon testing in the state of Missouri. Enviro Sciences Inc. has been awarded the contract to provide Missouri residents with a radon test kit upon request. Each residence will be limited to one test kit for the current year. You may also consider hiring a professional tester. Short-term (2–90 day) and long-term (more than 90-day) test kits are available, with the long-term kit producing more accurate results. Do-it-yourself test kits also are available for purchase at many local hardware stores and online retailers such as Amazon.

About the Author

Grant Pierson, DO, specializes in pulmonary and sleep medicine. He earned his medical degree from the Kansas City University of Medicine & Biosciences in Kansas City, Missouri; performed his residency at St. John Medical Center in Westlake, Ohio, and completed his pulmonary critical care medicine fellowship at Parkview Medical Center in Pueblo, Colorado. He completed his sleep medicine fellowship at the University of Kansas Medical Center in Kansas City, Kansas. Dr. Pierson is currently seeing new patients at the Freeman Lung Institute. The Freeman Lung Institute specializes in high-quality care and offers information on the latest treatment and therapy options to help patients live a stronger life. Talk to your primary care physician about radon exposure or call our office at 417.347.8315 for an appointment or visit freemanhealth.com/lung.

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Save my Spot

Jan 21, 2020

Save My Spot

Get In Line By Going Online

When you or a family member need to be seen at an Urgent Care, sitting in the waiting room is sometimes the worst part of the experience. Freeman has introduced a new service that can significantly decrease your wait time. Freeman Save My Spot check-in tool enables you to get in line from your home, office or wherever!

Save My Spot is a new service that we are providing to our patients that works like call-ahead seating at your favorite restaurant. It is not an appointment time, but it does allow you to do some of your waiting in the comfort of your own home instead of in the waiting room.

Save My Spot is a free, fast and convenient way to be seen by a Freeman healthcare provider. Get in line by going online. Simply visit freemanhealth.com/savemyspot on your computer, tablet or smartphone. You will be able to choose the time and location for your visit that best works for your schedule. Once you arrive at Freeman Urgent Care, there is a tracker in the waiting room will let you know how many patients are ahead of you.

Using Save My Spot is NOT required to be seen at our facilities. Walking in is always welcome! Wait times for both locations are updated every 30 minutes at freemanhealth.com/urgentcare. If you or someone you know is experiencing a life threatening illness or injury, call 911 or proceed to the nearest emergency room.

Freeman has an Urgent Care in both Joplin and Webb City. Freeman Urgent Care offers a convenient, cost-effective alternative for minor medical care provided by physicians and is the only Urgent Care in the region accredited by the Urgent Care Association (UCA).

Freeman Urgent Locations:

1130 E. 32nd St.
Joplin, MO
417.347.2273

1636 S. Madison St.
Webb City, MO
417.347.2273

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Ozark Center

Mar 23, 2020

More than Fun and Games

All areas of a child’s life improve with increase access to free play.

In the last decade, the time children spend in active play (i.e. play that does not involve screen time) has decreased. This is problematic because while play may seem like fun and games to adults, it is actually crucial to a child’s development.

All areas of a child’s life improve with increase access to free play. From infancy through adolescence, play improves children’s abilities to handle toxic stress in their lives. The joy of playing, along with the interaction with parents and/or peers, helps manage the body’s stress response.

Play also helps improve children’s social skills and problem-solving skills by providing opportunities to interact, negotiate and develop language skills. Kids who engage more in more free play do better in the classroom, too. The American Academy of Pediatrics reports that children who engaged in active hour for even one hour per day were able to think more creatively and multitask better.

Of course, there are also physical benefits to play. The exercise involved in play promotes core strength and balance, healthy weight and cardiovascular fitness. Just as importantly, it enhances the immune system, decreases depression and increases motor skills.

Parents can help their kids get more playtime by:

  • Get the kids outdoors. Enjoy time outside together.
  • Put the screens down. Try having a designated place to put the screens when everyone gets home and spend time together rather than on your phones.
  • Use low-tech, simple toys. Even a box can be a great toy for a young child. Simple toys like puzzles, blocks and books also increase creativity.
  • Get together with family and friends. Adults can relax and watch the kids while the children play together.

For additional ideas about how to integrate more playtime in your child’s life, visit healthychildren.org.

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OC mark

Mar 06, 2020

Making Our Community Safer with CIT

CIT is a police and mental health collaborative program that focuses on interactions between law enforcement and those living with a mental illness.

“Data suggests that around 10% of all police contacts with the public involve persons with serious mental illnesses,” said Debbie Fitzgerald, Ozark Center Director of Crisis Services and Southwest Missouri CIT Council Co-Chair.

For police, mental health calls can be time-consuming and divert officers from other crime-fighting activities. That’s where our local crisis intervention team (CIT) comes in.

CIT is a police and mental health collaborative program that focuses on interactions between law enforcement and those living with a mental illness. CIT trains officers to recognize mental illness and substance use, and teaches techniques to de-escalate a crisis, reducing the need for arrest and incarceration. CIT also involves changes in police department procedures, as well as collaboration with mental health providers and other community stakeholders.

“Officers with CIT training respond more compassionately – there’s less stigma for them when they encounter citizens with mental illness in the community,” said Fitzgerald.

In CIT, officers receive 40 hours of training provided by mental health clinicians (like those at Ozark Center), police trainers and consumer and family advocates. This training includes information about the signs and symptoms of mental illnesses, mental health treatment, co-occurring disorders, legal issues and de-escalation techniques. CIT curriculums may also include content about developmental disabilities, older adult issues, trauma and excited delirium.

During the training, officers visit agencies in the community and interact with panels of providers, as well as with family members of and individuals with mental illnesses. They also receive training on resiliency, burn-out and stress reduction for themselves.

“Officers have a very hard job, and the vicarious trauma they experience puts them at an increased risk for suicide,” Fitzgerald said. “CIT training increases safety for everyone – both for those with mental health issues as well as for the responding officers.”

After receiving CIT training, officers are more aware of providers and services for mental health and drug and alcohol treatment. “They share in a collaborative partnership,” Fitzgerald said, “and they know how to access services and treatment. They use force less and are able to reduce the amount of time spent on mental health/substance use calls.”

Ozark Center, Joplin Police Department and Jasper County Sheriff department are all members of the Missouri State CIT Council, as well as the Southwest Missouri CIT Council. For more information about mental health training through Ozark Center, visit ozarkcenter.com/CrisisTraining

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OC mark

Jan 28, 2020

More Than Just the Winter Blues

Current research suggests that SAD is influenced by low levels of serotonin (sometimes called the “happy chemical”) and changes in circadian rhythm, due to decreased exposure to sunlight during the winter months.

Many of us feel a little down when the weather has been dreary or we haven’t been around much sunlight. Seasonal affective disorder (SAD) is more than just the winter blues, though – it is a type of major depressive disorder that recurs seasonally in the fall and winter. In fact, a true SAD diagnosis requires that the depression has occurred seasonally at least twice.

What symptoms might you notice with SAD?

Because SAD is a form of major depressive disorder, the symptoms are quite similar to what you would typically see in someone with depression, including:

  • Feeling down or depressed more often than not
  • Diminished interest or pleasure in activities
  • Sleeping more (or some cases, less) than usual
  • Eating more (or sometimes less) than usual
  • Feelings of worthlessness or hopelessness
  • Fatigue or loss of energy
  • Suicidal thoughts
  • Symptoms that cause social, emotional or occupational impairment

The distinguishing factor is that SAD is seasonally regulated, with symptoms disappearing in the spring and summer.

What causes SAD?

Current research suggests that SAD is influenced by low levels of serotonin (sometimes called the “happy chemical”) and changes in circadian rhythm, due to decreased exposure to sunlight during the winter months.

How is SAD treated?

If symptoms are severe enough that they are impacting daily life, you should see a mental health provider. A medical exam and blood tests may be done to eliminate the possibility that something else is causing your symptoms. (For example, thyroid dysfunction can mimic depression, so it must be ruled out.)

Some treatment options for SAD include:

  • Antidepressants are sometimes used to treat SAD and can even be used as a preventative for SAD for individuals who have been previously diagnosed.
  • Psychotherapy, such as cognitive behavioral therapy, can be very helpful in helping individuals understand the thoughts and feelings that influence their behaviors.
  • Light therapy uses a lightbox to expose the individual to particular light waves that mimic sunlight.
  • Self-care can also make a meaningful difference.
    • Exercise regularly. Exercise like yoga or tai-chi, which emphasize mind-body connection, is especially helpful.
    • Eat healthy foods. Get your fruits and veggies.
    • Get good sleep. Ensure you’re getting at least eight hours a night.
    • Get more exposure to sunlight by opening blinds, sitting closer to windows or spending time outside.
    • Stick to your treatment plan and take your medication as prescribed. If you experience side effects or have difficulty sticking to your medication schedule, let your prescriber know.

If you have any concerns about the mental health of a loved one or yourself, call Ozark Center at 417.347.7567The Ozark Center Crisis Line is also available at 417.347.7720 or 800.247.0661 for immediate assistance, day or night. You can also text REGISTER to 720.7.TXTOZK for an anonymous two-way texting counseling session.

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Eating Disorder Group

Feb 21, 2020

Relationships and Eating Disorders Recovery

Society’s understanding of eating disorders is often riddled with stereotypes about who gets them and myths about what causes them.

National Eating Disorders Awareness Week 2020 has arrived, along with an invitation to reflect on our journeys and what we have learned. As people, our growth (hopefully) never stops, and I am no exception. More on that in a moment.

Society’s understanding of eating disorders is often riddled with stereotypes about who gets them and myths about what causes them. Who could blame us? Our brains are hardwired to explain the nonsensical, and eating disorders are no different.

One myth is that parents and families are to blame for their loved one’s eating disorder. Trust me, I get it. I spend my days listening to stories about the first diet my client’s mother put them on, jumpstarting their eating disorder at age 7 or 8. My clients and I process their spouses calling them “fat” and detailing what they perceive to be the moral failings in my clients’ bodies. It’s hard to not point fingers.

This is not to say these things are not harmful. They become part of the story eating disorders whispers in my clients’ ears day in and day out. These judgments complicate recovery and threaten clients’ sense of safety or comfort in relationships. But I must also somewhat begrudgingly admit that finding the exact cause may not be the most important step.

We must not lose sight of the reality of eating disorders: The fact is that every 62 minutes, at least one person dies as a result of their eating disorder. Although it is valuable to find clarity as to why, the truth of these illnesses is not so black and white.

In reality, we as loved ones can absolutely have caused harm and maybe even contributed to the development of an eating disorder, but it is unlikely that there is a single cause, as these illnesses have roots in our genetics, culture, neurobiology and even our gut microbiome.

At the same time, families can be a powerful force for recovery. It may come through being an active part of treatment, or it may be lovingly standing by someone’s side as they wage this fight for a life worth living. Given essential education, the right support and the chance, loved ones can make all the difference.

Please know this may not be true for you, and that is okay. Because what is also true is that you can choose who you identify as your family, and this is not always defined by blood relationships. What is most important is that you not do this alone.

The power of families has been one of my greatest lessons as a professional. In the past, I could logically acknowledge the impact of parents, siblings, partners and family of choice. Yet what I have come to know is that these connections can be truly transformative.

Eating disorders become all the more powerful when we allow them to separate us from the ones who care about us. Eating disorders thrive on darkness and isolation, but recovery is made possible by connection and relationships. Please learn from where I have faltered, and stay open to how family of any kind can transform your healing.

 

About the Author

Dr. Jenny Copeland, clinical psychologist, practices at Ozark Center in Joplin, MO. Dr. Copeland specializes in the treatment of eating disorders. She has extensive experience in psychological assessment and treatment of people with diverse clinical concerns. Visit ozarkcenter.com/reconnect to learn more about eating disorders services at Ozark Center.

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Joy of Movement

Jan 16, 2019

The Joy of Movement

As a hospice volunteer, I have the unique opportunity to work alongside patients as they reflect on their lives thus far.

As a hospice volunteer, I have the unique opportunity to work alongside patients as they reflect on their lives thus far. As I sat with one such patient, we discussed what she wished she would have done more of. She immediately responded “dance” because this was not something she was allowed to do growing up.

So, I put on her favorite song. As she sat in her wheelchair, shrugging her shoulders up and down to the rhythm, she immediately lit up with joy as she found freedom with the music. She presented joy so tangibly, with such a physical presence in the room. What a great representation of joyful movement I had encountered!

Joyful movement knows no bounds; it does not discriminate. There is no right or wrong way to engage in it. The idea is to move our bodies – all bodies – in ways that promote pleasure and joy in our lives.

When pleasure becomes the focus of how we move, it can change our outlook on why we move, fueling the mind, spirit and body, no matter its size or ability. Movement can elevate mood, strengthen muscles, ease digestion, promote better sleep, alleviate stress and more. Joyful movement can help you live more freely in the body that you have, and help your body feel like home.

We get to determine how and when we move, as well as how and when we rest. We can be mindful in the way we move, becoming more present with and aware of our body. There are numerous ways to engage in joyful movement. It is completely possible to dislike exercise but love movement! Juggling may not be considered exercise, but it can be considered joyful movement. What about dancing around the house, gardening or vacuuming?

When we move, we learn to feel at home in our bodies and become more present with ourselves. When we find gratitude in our bodies, we truly live in our bodies as they are now – not how we think they should be.

Our bodies bring us life, motion and being. Celebrate all of the miracles of our bodies and appreciate the uniqueness that is you.

About the Author

Haley Mona, BS, is a graduate of Pittsburg State University with a Bachelor of Science in psychology with an emphasis in substance use. She is an intern with the Reconnect Eating Disorders Clinic as a part of her Master of Science in psychology.

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Cancer Doctor Holding Hands

Mar 20, 2019

Don’t Assume When It Comes to Colorectal Cancer

Prevention can mean everything, so if any of these factors apply to you or a loved one, seeing a doctor is the first step.

You have a voice that can spread the word about colorectal cancer. Awareness and prevention of this disease is important because a diagnosis can change everything for a family. This Colorectal Cancer Awareness Month, the Colorectal Cancer Alliance is making sure people don’t assume anything about this disease – don’t assume you’re too young. Don’t assume everyone knows what colorectal cancer is. Don’t assume you’re alone. And don’t assume you can’t contribute to awareness.

What should you know?

Colorectal cancer affects men and women equally, and about 1 in 23 Americans are diagnosed with colorectal cancer. Those at risk include:

  • Individuals with a personal or family history with polyps or cancer
  • People over 50
  • Those with ulcerative colitis or Crohn’s disease
  • Individuals with the genetic conditions HNPCC or FAP
  • Certain ethnicities, including Jews of Eastern European descent, African Americans, Native Americans, Alaskan Natives and Latinos

Prevention can mean everything, so if any of these factors apply to you or a loved one, seeing a doctor is the first step. More than half the people diagnosed with colorectal cancer have no symptoms, but there are warning signs to be aware of. If you experience these, you should talk to your doctor:

  • Trouble going to the bathroom
  • Blood in your stool
  • Persistent stomach aches
  • Nausea or vomiting
  • Unexplained weight loss
  • Weakness or fatigue

You can help spread awareness about colorectal cancer. Ninety percent of new cases occur in people 50 and older, but diagnoses are on the rise for those under 50, as well. Don’t ignore the symptoms and risks associated with the disease. Ask family members if they’ve been screened and encourage them to do so if they haven’t. Promote a healthy diet, regular exercise, limiting alcohol intake and not smoking. You should also encourage loved ones to know their family health history. This helps prevent many diseases and conditions.

Don’t assume you can’t help end colorectal cancer. Visit freemanhealth.com/colon for more information or talk to your doctor.

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Lab Scientist

Apr 22, 2020

Celebrating the Lifesaving Hidden Value of Lab Professionals

Your doctor would like to run some tests – you've had your blood drawn and your sample has been sent off to the lab.

Your doctor would like to run some tests – you've had your blood drawn and your sample has been sent off to the lab. You met the phlebotomist who drew your blood sample, but have you ever wondered who actually receives your sample and conducts the tests?

Though you may never see them face-to-face, a variety of skilled and educated laboratory professionals work behind the scenes, playing a crucial role in your healthcare. An estimated 70% of all decisions regarding a patient’s diagnosis and treatment, hospital admission and discharge are based on laboratory test results. In fact, Freeman laboratory professionals report over 3.5 million tests each year! That’s why Freeman Health System is recognizing our amazing lab professionals April 21 – 27 during Medical Laboratory Professionals Week (MLPW).

Freeman employees working in the clinical laboratory collect specimens and conduct tests that provide crucial information for detecting, analyzing, diagnosing, evaluating and monitoring disease. They’re the health detectives behind the magnifying glass – or more likely, a microscope – who generate vitally important data for identifying and treating life-threating diseases such as cancer, heart disease and HIV, as well as common ailments such as the sniffles or strep throat. They use state-of-the-art technology to provide comprehensive diagnostic services, analyzing not just patient’s blood samples but also urine, body fluids, tissue and stool. If bacteria, fungus or parasites are lurking, Freeman’s highly skilled lab “investigators” will track down the culprits and provide the proof to help physicians determine the best treatment for their patients. The lab is also responsible for supplying life-saving blood products for transfusion.

Because lab results impact the healthcare patients receive, Freeman’s laboratory professionals are specially educated, trained and certified. In addition, Freeman lab directors and coordinators have extensive training and many years of experience, enabling them to oversee testing and ensure strict quality control and quality management systems are followed. Like all clinical laboratories in the United States, Freeman labs are regulated by the federal government under the Clinical Laboratory Improvement Amendments (CLIA). The regulations for the CLIA amendments have quality standards for laboratory testing to ensure results are accurate, reliable and timely and include standards for the education and training of laboratory personnel.

Solving the riddle of health begins with the gifted and dedicated laboratory professionals, clinicians and administrative staff at Freeman who service the residents of the Four States. Freeman’s team of compassionate lab professionals strive to provide excellence in care, enriching the lives of everyone.

About the Author

Karen Watts, BS, MT (ASCP), has worked at Freeman Health System for eight years and served as Director of Laboratory Services for five years. She oversees the Freeman Lab Services Department, which is open 24 hours a day, seven days a week, and offers clinical and pathology services. The lab provides testing for all areas of the hospital including the emergency room, operating room, cardiovascular operating room, all patient rooms and outpatient testing. To learn more, visit freemanhealth.com/services/laboratory-services or call 417.347.3575.

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