• 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

08 December 2016
When it comes to your diet, you’re always looking for the best way to squeeze in those good for you items, right? We all want to be healthy and mindful of what we put into our bodies, but sometimes there are nutritional gaps due to our body’s inability to absorb certain nutrients or a personal disdain for vegetables on the dinner table.Whatever your reasons, it may be time for a check-up in the nutritional department. Family Practice Physician Va...
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 ...

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.