• Persistence Pays off When it Comes to Jane Humble's Health
    Persistence Pays off When it Comes to Jane Humble's Health

    Jane Humble of Fremont has rarely been sick, so when she came down with a bug that kept her in bed for a month, her family knew it was serious. “I went t…

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  • Making the Switch to MHP was Perfect Choice For Stice Family
    Making the Switch to MHP was Perfect Choice For Stice Family

    When Sarah and John Stice of Ottumwa found out they were pregnant with their first child, the obvious choice for obstetrical care was local. “We originally b…

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  • BJ Bowie Appreciated Faster Recovery Time After Robotic Hernia Repair
    BJ Bowie Appreciated Faster Recovery Time After Robotic Hernia Repair

    When BJ Bowie needed a hernia repaired, there was no question where he wanted to go for care. He didn’t realize the surgery could be done robotically; h…

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  • Dean Strawn Credits MHP Physical Therapy for Getting Him Back on His Feet
    Dean Strawn Credits MHP Physical Therapy for Getting Him Back on His Feet

    D is for Determination! Without it, Dean Strawn and his wife, Jane, along with his Physical Therapists at MHP, say he wouldn’t be walking, talking and m…

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  • Larry Spoelstra Gets to the Bottom of Health Concerns with Collaborative Care at MHP
    Larry Spoelstra Gets to the Bottom of Health Concerns with Collaborative Care at MHP

    When it comes to healthcare, being able to continue working without interruption is a common concern for many, Larry Spoelstra is no different. “I’ve liv…

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Provider Focus

JohannesHD2016SmallTonya Johannes, ARNP-BC

Tonya Johannes, ARNP-BC, is a Family Nurse Practitioner at MHP who treats patients of all ages and has a special interest in skin care. 

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Latest News & Events

01 December 2016
Whether you’re a woman in need of her yearly mammogram or bringing your child in for an X-ray of a possible broken bone, radiation can be a concern. Do you know what radiation really is?MHP Director of Radiology does! In fact, her entire department would be lost without it! Radiation is used in various medical imaging tests to help determine the best treatment option for patients without extreme measures such as exploratory surgery. The ionizing ...
17 November 2016
Ever leave the Thanksgiving table feeling like you are the stuffed turkey? We’ve all had that experience at one time or another and it can lead to what’s so fondly referred to as a food coma and tight pants, which nobody enjoys! The average person gains one to two pounds every holiday season. May sound innocent enough but if you keep that on over 10 years, it adds up to 20 pounds! Keeping control during your holiday celebrations can leave everyo...

MHP Educates on Psoriasis

Mahaska Health Partnership Educates on Psoriasis

In recognition of August as National Psoriasis Awareness Month, Mahaska Health Partnership sheds light on the most common autoimmune disease in the country.

According to the National Psoriasis Foundation (NPF), psoriasis is a chronic autoimmune disease that occurs on the skin. It is caused by the accelerated growth of skin cells. The most common form of psoriasis, plaque psoriasis, appears as red, raised patches covered with white dead skin cells.

“Psoriasis can be a nuisance for some people and a disabling disease for others,” MHP Family Practice Physician Nick Messamer, MD, said. “You may have periods when your psoriasis symptoms improve or go into remission, alternating with times your condition worsens.”

Most types of psoriasis go through cycles, flaring for a few weeks or months, then subsiding for a time. In most cases, however, the disease eventually returns.

There is no cure for psoriasis, but there are treatments for the disease that may offer significant relief. The most important thing to remember is that psoriasis is not contagious. Certain nonprescription cortisone creams and light exposure to natural sunlight can help to improve and control symptoms.

“The goal of psoriasis treatment is to interrupt the cycle that causes the rapid skin cell production,” explained Dr. Messamer. “Reducing inflammation and removing the scales to smooth the skin helps to decrease the irritation and visible effects.”

The NPF states that psoriasis is associated with elevated risks for other serious, chronic and life threatening conditions, including diabetes, stroke, cancer and cardiovascular disease. As much as 30 percent of people with psoriasis will be diagnosed with psoriatic arthritis, an inflammatory arthritis that causes pain and swelling of the joints and tendons. The emotional, social and physical restrictions of psoriatic arthritis can prove to be debilitating.

If you are experiencing these symptoms, schedule an appointment with your healthcare provider to help manage your psoriasis and determine the best plan of action for your individual diagnosis.