Vegetarian Sloppy Joes

Vegetarian Sloppy Joes
Ready in 30 min. Serves 5



  • 2 cups (480 ml) water
  • 1 cup (192 g) green lentils, well rinsed


  • 1.5 Tbsp olive or grape seed oil
  • 1/2 white or yellow onion (55 g),
  • minced (plus more for serving)
  • 2 cloves garlic, minced
  • 1/2 green bell pepper, diced
  • Sea salt and black pepper to taste
  • 1 15-ounce (425 g) can tomato sauce
  • 1-2 Tbsp sugar
  • 1-2 Tbsp worcestershire sauce
  • 1-2 tsp chili powder
  • 1 tsp ground cumin, plus more to
  • taste
  • optional: pinch smoked or regular
  • paprika
  • Whole wheat hamburger buns

1. To a small saucepan, add liquid and rinsed lentils and heat over
medium-high heat. Bring to a low boil, then reduce heat to a simmer
and cook uncovered for about 18 minutes, or until tender. The water
should have a constant simmer (not boil). Drain off any excess liquid
and set aside.

2. In the meantime, heat a large skillet over medium heat. Once hot,
add oil, onion, garlic, and bell pepper. Season with a pinch each salt
and pepper and stir to combine. Sautè for 4-5 minutes, stirring
frequently, or until the peppers and onions are tender and slightly
browned. Next add tomato sauce, sugar, worcestershire sauce, chili
powder, cumin, and paprika (optional). Stir to combine.

3. Once the lentils are cooked, add them to the skillet as well, and stir to
combine. Continue cooking the mixture over medium-low heat until
completely warmed through and thick, stirring occasionally – about
5-10 minutes.

4. Serve the mixture on toasted buns with sliced onion. Best when fresh, though leftover sloppy joe mixture will keep in the refrigerator up to 3 days. Reheat in the microwave, or on the stovetop, adding water if the mixture has dried out.
Nutrition: Serving Size: ¼ recipe; Calories: 329; Protein: 15 g; Fat: 8 g;
Carbohydrates: 54 g; Fiber: 13 g; Sodium: 272 mg


CPAP Orientation Starts at Trinity Sleep Center

For those who are newly diagnosed with sleep apnea, Trinity’s Sleep Center has created an orientation session to help educate them and help them ease into a new life with CPAP technology.

“It’s a class for people newly diagnosed with sleep apnea. We go over what sleep apnea is and what treatment options are available,” said Jutta Schmidt, RPSGT, CCSH, a sleep educator and coordinator of the Trinity Sleep Center.

The purpose of the class is to help patients become successful with CPAP technology. “An informed patient is more likely to be open to trying it,” Schmidt said, noting that the class shows them different modalities, as well as the “tricks of making it work.”

This is done through desensitization, in which “we fit them for a mask, they wear it for a while. Maybe even nap with it here, and work with the sleep educator,” Schmidt said. “It’s like a practice session. We evaluate the fit of the mask and some have obstacles, such as claustrophobia, and we work with them on that.”

Once the patient has been set up, the sleep educator calls the patients 30 days later to see how they are doing. “We can log in to see the patient’s data download to see how they are doing,” Schmidt said. “If the sleep educator sees them struggling, either with issues or them not using it, we work with the patient.”

Orientations are bi-weekly on the first and third Wednesday of each month. They last one to two hours, depending on the number of attendees and the number of questions they have.

“We show them the masks that are available and go over the options with them and answer their questions,” Schmidt said. “Most patients are going to have questions once they get diagnosed. ‘Are they noisey?’, ‘Can I travel with them?’, those kinds of things, to ease their mind.”

For more information about these CPAP classes, call the Trinity Sleep Center at 857-2348.

Sky Force

Since the establishment of NorthStar Criticair in 1992, patients in outlying communities have been able to to benefit from helicopter transportation to Trinity Health in Minot.

Now, in an effort to provide complete critical care transfer service to our region, NorthStar Criticair has expanded with the addition of a fixed wing plane for when patients need to be transferred from Trinity Hospital to another medical center.

Mark Chilson, flight program coordinator for NorthStar Criticair, says more than 100 flights have been completed on the fixed wing service since it was acquired in November 2015. The amount of transports that were being flown out of Trinity for higher-level care warranted the need for a faster mode of transportation. The plane flies at 280 miles per hour,  more than twice as fast as the helicopter, Chilson says.

The plane allows a family member to fly with the patient. The airplane also carries three crew members, including  a pilot.

“We can fly anywhere,” Chilson says, referring to the continental U.S. and Canada. This comes in handy when patients need to go to more specialized hospitals. For example, the plane could be used to fly a young patient to the Denver Children’s Hospital; a burn victim to the Burns Center at Regions Hospital in St. Paul, Minnesota; or a patient to Mayo Clinic in Rochester, Minnesota- all several hours away by ground transport. The usual eight hours  or driving time to Minneapolis can be done in about an hour and 40 minutes by plane, Chilson says.

The service allows the critical care flight crew the ability to respond to patient needs in times of bad weather, when the helicopter is unable to fly, Chilson adds. ”Additionally, the fixed wing service serves as a backup to the rotor wing service when the helicopter is down for routine maintenance or being used on another call.”

Typically, the helicopter is used to fly patients in from outlying hospitals and the airplane is used to fly patients out to other, more specialized hospitals.

NorthStar Criticair serves patients within a 150- mile radius of Trinity Hospital for adult, pediatric, high-risk neonatal and high-risk labor/delivery needs. The service is an extension of Trinity’s mission to improve the health of our region.

Collaborating with Executive Air Taxi Corp., NorthStar Criticair provides air response and rescue care 24 hours a day, every day, with a flight crew, paramedics and other specialists responding within minutes. Whether on a transport intercept with a rural ambulance, an emergency response in remote locations or a patient transfer from a rural facility, NorthStar Criticair represents Trinity Health’s commitment to offer its communities and residents the highest levels of service.

Build Your Own Rice Bowl


Brown Rice


Water Chesnuts

Shredded Carrots

Orange Sauce


Pea Pods

Bell Pepper



-Orange Sauce-

3/4 cup of orange juice

2 tablespoons of honey

2 tablespoons reduced sodium soy sauce

1/2 teaspoon dried ginger

1 tablespoon of cornstarch

Zest of 1 orange

Add the orange juice, honey, soy sauce, ginger, cornstarch, orange zest to a sauce pan; whisk until the cornstarch is dissolved. Let sauce simmer and thick for 3-4 minutes.


Serving Size: 1/4 cup; Calories: 68; Fat: 0; Carbohydrates: 17 g; Protein: 1 g; Fiber: 0; Sodium: 289 mg

How to Live with Sleep Apnea

The National Sleep Foundation estimates that more than 18 million Americans have sleep apnea, a common sleep disorder. Sleep apnea is “an involuntary cessation of breathing” that occurs when a person is asleep, the American Sleep Apnea Association says. Mary Sather, RPSGT, CCSH, a sleep educator with the Trinity Sleep Center, adds that with sleep apnea, there is an absence of breath for 10 seconds or more.

“As you fall asleep and everything begins to relax, the tongue falls back into the throat or the airway collapses,” explained Jutta Schmidt, RPSGT, CCSH, a sleep educator and coordinator of the Trinity Sleep Center. Obstructive sleep apnea (OSA) is the most common type of sleep apnea. It is caused by a blockage of the airway, usually when the soft tissue in the back of the throat collapses during sleep, Schmidt said.

Do you have sleep apnea?

Common sleep apnea symptoms include:

• Waking up with a very sore or dry throat

• Loud, disruptive snoring

• Occasionally waking up with a choking or gasping sensation

• Sleepiness or lack of energy during the day

• Sleepiness while driving

• Morning headaches

• Restless sleep

• Forgetfulness, mood changes, and a decreased interest in sex

• Recurrent awakenings or insomnia

• Frequent nighttime urination

• High blood pressure

Risk factors

While sleep apnea can affect people regardless of gender, race or age, risk factors can include:

• Being male or a post-menopausal woman

• Excessive weight/obesity

• Over the age of 40

• Large neck size (greater than 16 inches for women and 17 inches for men)

• Enlarged tonsils or tongue

• Small lower jaw

• Gastroesophageal reflux (GERD) or heartburn

• Allergies

• Sinus problems

• Family history of sleep apnea


Sleep apnea is diagnosed, either through home sleep studies, which are recorded through a Home Sleep Test, or through a more comprehensive in-lab sleep study; both are conducted by the Trinity Sleep Center. These studies record many perimeters, including breathing, air flow, oxygenation saturation and breathing effort, among others.

The results are read by a board-certified physician, Bahram Kordlar, MD. The patient would then meet with their provider, as well as a sleep educator, who would also monitor and follow up with the patient.


Schmidt estimates that of the treatment options, “over 90 percent” will use a continuous positive airway pressure (CPAP) device, rather than other options such as surgery or a dental appliance (mouthpiece).

“CPAP is the gold standard treatment for obstructive sleep apnea,” Sather added.

The sleep educator, who serves as a liaison between the Trinity Sleep Center, the physician and the Durable Medical Equipment (DME) provider (in this case, KeyCare Medical), will make it an easier and faster process from testing to successful CPAP use, Schmidt said.

If you believe you may have sleep apnea, talk to your provider. Questions can also be directed to the Trinity Sleep Center by calling 857-2348. The Trinity Sleep Center is located at Trinity Hospital – St. Joseph’s

Colorectal Cancer is Preventable

March is


Just thinking about it – the prep, the procedure itself – could be enough to send a shiver down your spine. It isn’t necessarily pleasant, but in the end, colonoscopies can save your life.

According to the National Cancer Institute, studies suggest that colonoscopies have reduced deaths from colorectal cancer by about 60 to 70 percent.

Colorectal cancer, which includes cancer of the colon or the rectum, is the third most common cancer in the United States, not counting skin cancers. The lifetime risk of developing colorectal cancer is about 1 in 21, or 4.7 percent, for men and 1 in 23, or 4.4 percent, for women, the American Cancer Society states on their website, adding that it is expected that there will be 50,260 deaths from colorectal cancer in 2017. The American Cancer Society estimates there will be 95,520 new cases of colon cancer and 39,910 new cases of rectal cancer this year.

“The price to pay to have a colonoscopy is a very small price, when compared to having a diagnosis of colorectal cancer,” said Edmundo Justino, MD, a gastroenterologist with Trinity Health.

Justino said that it is heartbreaking to diagnose someone with colorectal cancer – especially because it is very preventable.

A colonoscopy, which involves an arduous preparation, is an examination of the colon in which a colonoscope is used, via entry from the anus, to inspect the colon and look for polyps or other abnormal signs. The patient is usually sedated during the procedure.

If polyps are found, they may be removed by passing a wire loop through the colonoscope to cut the polyp from the wall of the colon using an electric current.

Prior to the colonoscopy, the patient would drink 16 ounces of solution – a mixture of six ounces of cleanser and ten ounces of water – the night before the colonoscopy, as well as the day of.

“Drinking this is the only way to clean the colon,” Justino said. This is done with a “clear, liquid diet” the day before the procedure.

A 2016 report from the American Cancer Society states that the number of colonoscopies for people over the age of 50 has increased from 19 percent in 2000 to 55 percent in 2013.

However, in North Dakota, Justino says, the numbers of adults over the age of 50 – the recommended age one should get a colonoscopy – is still low.

“In North Dakota, we still rank poorly when compared to other states,” Justino said. When looking at statistics from other stations across the nation, “most states are able to reach close to 50 percent of the population. North Dakota, and a few other states, are in the forties.”

Ideally, Justino adds, “we would like to screen every eligible person – 100 percent.”

Those who are adverse to getting a colonoscopy have recently become acquainted with Cologuard, an alternative testing modality which is considerably less invasive. It involves the study of a stool sample.

“You go to the doctor, obtain a kit, take it home, collect a sample, and send it back,” Justino said.

The test can show abnormalities, but it cannot identify exactly what the abnormality is – is it colon cancer or just a polyp? Occasionally, it means the patient would need a colonoscopy in order to investigate what the abnormality is.

A caveat to this is that the Cologuard test can only apply to those who are low risk, meaning that if a patient has any family history of colorectal cancer or polyps, they are ineligible for the Cologuard test, Justino said. “High risk patients should not be doing Cologuard; they need a colonoscopy.”

Other modalities of screening
Outside of colonoscopies and Cologuard, there are other screening modalities that can be used for colorectal cancer.

High-sensitivity fecal occult blood test – This test checks the stool for blood, which may be a sign of polyps or cancer. Patients can provide stool samples at home, after they receive a kit from their healthcare provider. Those with a positive test will be referred for a colonoscopy. The US Preventive Services Task Force (USPSTF) recommends these tests be done annually, starting at age 50.

Sigmoidoscopy – A sigmoidoscope, a thin tube with a light on the end, uses a tiny video camera to transmit images of the rectum and lower colon (called the sigmoid colon) to help detect polyps or cancer. Physicians can insert special instruments into the scope to biopsy and remove polyps. Typically, if polyps are found, the patient will require a colonoscopy for a more thorough analysis of the entire colon. The procedure, recommended every five years for individuals between 50 and 75, doesn’t typically require sedation. Patients need to give themselves an enema before the procedure to cleanse the lower colon.

Colonoscopies are recommended starting at the age of 50. After the first colonoscopy, someone with an average risk – that is, a person with no family history of cancer or polyps – should get a colonoscopy every 10 years; if there is a family history, it is recommended that they get a colonoscopy every five years.

If there is a family history of colon cancer or polyps, Justino recommends that you not wait until age 50 to get your first colonoscopy. The Cologuard test should be performed every year as an alternative to colonoscopies. Regardless of the modality, screening for colorectal cancer is important – especially as colon cancer is a disease that is very preventable, Justino noted.

Colonoscopies are the only test that studies have shown to decrease mortality, Justino said. “It decreases the number of people who die of colon cancer. There is no reason why people shouldn’t get a colonoscopy in this day in age.”

A referral is needed for a colonoscopy, with an order from your primary care physician. If you need a colonoscopy, please speak to your primary care physician.

Trinity Health’s team in gastroenterology include Rukshana Cader, MD, Edmundo Justino, MD, and Bonnie Ler, FNP-C. Their offices are located at Health Center – Medical Arts, 400 Burdick Expressway East, Minot. They can be reached at 857-7389.

Turkey Tacos with Peach Basil Salsa


Ready in 20 min. Makes 8 tacos.


For the Tacos:
1 tablespoon olive oil
1 yellow or white onion, finely chopped, divided
1/4 teaspoons salt, divided
1 lb ground turkey
1/2 teaspoon garlic powder
1/2 teaspoon cumin
8 corn tortillas, warmed
Hot sauce to taste (optional)
Sliced avocado (optional)

For the Peach Basil Salsa:
4 ripe firm peaches, finely chopped
Juice of 2 limes
1/4 yellow or white onion, finely chopped
2 teaspoons finely chopped basil
1/8 teaspoon salt
1 teaspoon chopped jalapeño (optional)


1. Set aside ¼ of the chopped onion in a medium bowl for the salsa.

2. Heat the olive oil over medium heat in a large sauté pan. Add the remaining 3/4 of the chopped onion and 1/8 teaspoon salt. Sauté 3-5 minutes, stirring occasionally, until the onions are softened.

3. Add the turkey, garlic and cumin. Cook the turkey, stirring occasionally, until browned and cooked through, about 8 minutes.

4. Meanwhile, make the salsa by combining the peaches, lime juice, onion, basil, jalapeño (if using), and salt in a medium bowl, stirring to combine.

5. Make the tacos by filling each tortilla with cooked turkey and topping with peach salsa.


Nutrition: Serving size: 1 taco; Calories: 207; Protein: 15 g; Carbohydrates: 20 g; Fiber: 3 g; Fat: 8 g; Sodium: 130 mg

National Nutrition Month: Loaded Baked Sweet Potatoes

Serves 4


4 medium sweet potatoes

1 teaspoon oil

1 cup chopped yellow onion

1 red bell pepper, diced

2 garlic cloves, minced

1 1/2 tablespoons chili powder

1 teaspoon dried oregano

1/2 teaspoon cumin

1/4 teaspoon chipotle chili powder or cayenne pepper for extra spice

1 – 15 ounce can of low sodium black beans (do not drain)

3/4 cup low sodium tomato sauce

1/4 cup cheddar cheese


Preheat oven to 400 degrees F. Poke holes in sweet potatoes with a fork then place on foil-lined baking sheet. Roast potatoes in the oven for 40-50 minutes or until you can poke a fork or knife into the middle of the potato. While the sweet potatoes are roasting, prepare the chili by heating oil over medium-high heat. Add in onion, bell pepper and garlic; cook until onion softens about 6-8 minutes. Next mix in chili powder, oregano, cumin and chipotle chili powder or cayenne; stir for 1 minute. Mix in beans and tomato sauce. Bring chili to a boil, stirring occasionally. Reduce heat to medium-low and simmer until sweet potatoes are done cooking and chili thickens. Once sweet potatoes are done, split them open. Place about 1/3 – 1/2 cup of chili in each potato, then sprinkle with 2 tablespoons of cheese. (You will most likely have extra chili leftover which you can serve on the side.) Place back in the oven about 5 minutes if you would like to melt the cheese. Top with cilantro, avocado and greek yogurt or sour cream, if desired.


Calories: 307; Fat: 5 g; Protein: 12 g; Carbohydrates: 55 g; Fiber: 15 g; Sodium 357 mg

Nursing Scholarships Awarded

In 2016, Trinity Health Foundation expanded and enhanced its Nursing Scholarship Program in an effort to address the projected shortage of 800,000 nurses across the United States. The goal of the Nursing Scholarship Program is to build a vibrant and talented pool of nurses who will provide the best care possible and improve the health and wellness of our region.

More than 40 people applied to be considered for scholarships. Those who were selected to receive a $3,000 scholarship include:

• Kayla Camp, Minot, attending Dakota College at Bottineau

• Raquel Flory, Minot, attending Minot State University

• Laura Hellmuth, Minot, attending Minot State University

• Alexandra Hemingson, Minot, attending Minot State University

• Heather Morton, Minot, attending Jacksonville University

• Heather Oswalt, Minot, attending Minot State University

• Kylie Peterson, Minot, attending Minot State University

• Megan Schonberger, Minot, attending Minot State University

Upon learning that they were selected for a scholarship, some of the recipients shared the following comments:

“I was excited to learn of my selection for this honor and I am very appreciative of your support. The financial assistance you have provided will help with my nursing school expenses and allow me to have more time to concentrate on my classes. I promise to strive to do my best in nursing school and too soon be able to give back to my community.” – Kayla Camp

“I feel extremely blessed and appreciative to have been chosen as a recipient of such an amazing gift. Your support means a lot to my family and me. Your generosity has inspired me to want to one day give back to nursing students and help them achieve their goal just as you have aided me to do the same.” – Raquel Flory

“Thank you sincerely to all who contributed to the Trinity Health Foundation Nursing Scholarship. Your kindness and generosity is so greatly appreciated. Your positive impact on the lives of future nurses will not be forgotten.” – Laura Hellmuth

“Thank you so much for this generous scholarship. This opens so many doors for me personally and professionally. I am able to focus more on academics, extracurricular opportunities and my family.” – Alexandra Hemingson

The opportunity given to these students would not have been possible without the many wonderful donations that have been given to the Nursing Scholarship Fund. “We cannot thank the donors enough for not only making a difference in the lives of these students, but for also impacting the lives of the patients and families who these students will serve on a daily basis after their graduation,” said Al Evon, director of the Trinity Health Foundation.

The Trinity Health Foundation hope to continue to grow the Nursing Scholarship Fund and assist more students in the future. If you would like to partner with the Foundation by making donations to this fund so that it can overcome the nursing shortage and make a positive difference in the healthcare of our region, please contact the Trinity Health Foundation office at 857-5432 or 857-2430 and one of the staff members would be happy to assist you.

Trinity Employees Honored for Years of Service

Trinity Health honored its long-term employees Tuesday (Feb. 21) at a service awards banquet at The Grand Hotel.  President and CEO John M. Kutch presented certificates to 133 staff members, all of whom celebrated milestone anniversaries with Trinity Health last year.

Receiving a certificate for 45 years of service was Ruth Rexine, RN, a registered nurse who practiced in the Pediatric, Emergency/Trauma and House Supervisor units before joining Trinity’s Podiatry Department.

Fourteen employees received awards for 40 years of service:  Candace Abelseth, Radiology; Liane Anderson and Arlene Walhaug, both Laboratory; Nancy Block, Courier Services; Renee Block, Brenda Lokken, Dorothy Lukach and Barbara Braun, all Trinity Homes; Leora Carver, Same Day Surgery; Lynn English, Clinical Informatics; Elaine Jundt, Trinity Hospital-St. Joseph’s; Mary Keller, ETC; Sharon Samulenok, Nursing Services; and Mary Sander, Post-Anesthesia Recovery.

Others honored were:

35 Years:  Greg Anderson, Community Ambulance; Valerie Bibow and Laureen Klein, both NICU; Bradley Bohan, Surgery; Shelli Ehlke, Candy Seney, Patti Whitson and Michelle Rademacher, all Trinity Homes; Janice Hanson and Marlene Melom, both Clinical Excellence & Patient Safety; Jill Larson, Family Medicine-Kenmare; Jamie Miller, CancerCare; Carla Schieve, Nutritional Services; Gil Smestad and Pamela Wurgler, both Radiology; and LeRae Vangsness, Pediatrics.

30 Years:  Connie Behrens, Dermatology; Kari Berentson, Anesthesiology; Carolyn Bodell and Kerstin Sand, both Pharmacy; Sandra Boschee and Teri Dalby, both Nursing Services; Lana Brandt, Clinic Nursing; Mark Burckhard, Facilities Management; Diane Evanoff and Karen Nitsch, both Radiology; Gail Filipek, Orthopedics; JoAnn Flick, Case Management; Teresa Gathman, Materials Management; Martha Johnson and Bonnie Kallias, both Same Day Surgery; Kimberly Keller, Mary Schaefer-Seney and Tina Lee, all HIM; Jodi Letvin, Laboratory; Joyce Luck, Environmental Services; Susanna Niebuhr, Infection Prevention & Control; Georgette Pratt, ICU; Anna Rostad, Trinity Homes; Joan Rust, NICU; and Kathy Somerville and Kendra Williams, both Ambulatory Surgery Center.

25 Years:  Tonya Anderson, Behavioral Health; Brenda Baier, NorthStar Criticair; Bryan Beyer, Bio-Electronics; Dione Bohl, Patricia Redding and Dawn Rubbelke, all Radiology; Stacy Brey, Cardiothoracic Surgery; Deborah Brockey, Ob/Gyn; Jacqueline Culver, Home Health/Hospice; Vanessa Dahl, Orthopedics; Rhonda Delzer, Nutritional Services; Sara Fisk, Clinical Excellence & Patient Safety; Pamela George and Christy Tranby, both Environmental Services; Doris Heidt, Kathleen Jensen and Darcy Voeller, all Nursing Services; Michelle Hoiby, HIM-Kenmare; Chris Kelly, Revenue Integrity; Mary Keyes, HIM; Jennifer Kragh and Shelly Swearson, both Trinity Homes; Lisa Lemer, Dermatology; Jana Nelson, Susan Scott and Pamela Ness, all RehabCare; Nora Rasmussen, Family Medicine; Ruth Stanley, Family Medicine-Mohall; and Kelly Thom, Convenient Care.

20 Years:  Angela Albright, ICU; Carol Aldridge, Jackie Pabian and Judy Downes, all Home Health/Hospice; Heather Altringer, Cardiopulmonary Rehab; Julene Berdahl, Corporate Finance; Gloria Berg, Nurse Midwifery; Teresa Berntson Hynson, Pharmacy; Heather Boyko, Interventional Radiology; Crystal Brandvold and Tracy Evanson, both Business Services; Dr. Thomas Carver, Neonatology; Diane Christiansen, Nicole Roy and Patricia Halvorson, all Laboratory; Denise Dahl, Surgery; Melita Dalby, Gastroenterology; Melissa Denham, Wanda Kriedeman, Susan Latimer, Michele Schei and Arenda Fowler, all Trinity Homes; DeMaris Fitzpatrick, Family Medicine; Steven Friddle, IT; Keri Frueh and LeAnn Momerak, both Behavioral Health; Cindy Ganje, Environmental Services; Lori Gilberg, Cardiothoracic Surgery; Judy Hanson, RehabCare; Alize Johnson, Communications; Candace Langseth and Dawn Nelson, both Ob/Gyn; Carrie Lewis, Same Day Surgery; Tammy McElwain and Dr. Diana Peterson, both Pediatrics; Madonna Meyer, NICU; Tawnya Nelson, Podiatry; Kari Rist and Dr. Brian Tin-Maung, both Anesthesiology; Janet Shea and Rachelle Vannett, both HIM; Cheryl Ulven, Family Medicine-New Town; Dr. Jeffrey Verhey, Pulmonary and Critical Care Medicine; Paula Wahl and Brenda Willoughby, both Trinity Regional Eyecare; Sandra Wass, Hand Surgery; and Susan Zietlow, Revenue Integrity.