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

Sepsis 101

You’ve probably heard of sepsis, but do you know what it is? And no, it’s not some spell out of a Harry Potter novel!

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Published Jan 19, 2017

Don’t Let Your Sickness Go Viral!

You more than likely know the difference between a viral and bacterial infection; one is caused by a virus and the other by bacteria of course, right?

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Published Jan 12, 2017

Gynecologic Cancer Awareness

Mahaska Health Partnership Recognizes Gynecologic Cancer Awareness Month

Mahaska Health Partnership OB-GYN Specialist Jeffrey Fowler, DO, urges women to get regular screenings to prevent gynecologic cancer; which includes all cancers that can occur in a woman’s reproductive organs.

According to the Centers for Disease Control (CDC), the most common types of gynecologic cancer are ovarian, cervical, vulvar, vaginal and uterine. Ovarian cancer is the deadliest of these and is sometimes referred to as the “Silent Killer” because of its lack of symptoms. Worldwide, cervical cancer is the third most common cancer for women, but is in decline in the US due to increased screening.

“Getting a regular pap test is the best defense women have for protecting themselves against cervical cancer,” Dr. Fowler stressed. “These tests can usually detect abnormal cells before they become cancerous.”

This past spring, the U.S. Preventative Services Task Force updated recommendations regarding the frequency of pap smear tests in women. Screening with pap tests should begin at age 21, or at the onset of sexual activity. Women ages 30-65 only need to be screened with a pap and HPV test once every five years if they have no abnormal history. Finally, women age 65 and older with no history of abnormal pap tests no longer need cervical screening, but should continue regular physicals.

Dr. Fowler noted that not all gynecological cancers can be detected with a pap test. Each cancer is unique with its own signs and symptoms, risk factors and prevention strategies. All women are at risk for gynecological cancers, but some risk increases with age. “The most important thing to remember is that the earlier the cancer is found, the more effective the treatment will be,” said Dr. Fowler.

Symptoms for gynecologic cancers vary. The CDC suggests you consult your primary care provider if you are experiencing abnormal vaginal bleeding or discharge, pelvic pain or pressure, abdominal or back pain, bloating, changes in bathroom habits or changes is the appearance of your reproductive organs.