• 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…

    Continue Reading
  • 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…

    Continue Reading
  • 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…

    Continue Reading
  • 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…

    Continue Reading
  • 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…

    Continue Reading

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. 

Read More


Take the Community Health Needs Assessment

WebHomepageImageNov2016

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...

Breast Cancer Treatment

Mahaska Health Partnership Shares Breast Cancer Treatment Options

October is National Breast Cancer Awareness Month and, in light of the designation, Mahaska Health Partnership is educating the public on the surgical procedures available from the hospital’s general surgeons.

When a person is diagnosed with breast cancer there are several options for treatment, depending on the symptoms, risk factors and stage. MHP General Surgeons Paul Riggs, MD, FACS, and Tim Breon, MD, FACS, perform breast tissue biopsies, lumpectomies and mastectomies.

“Each case of breast cancer is different and will have a different method of treatment,” said Dr. Breon, “We want to preserve as much natural tissue as possible, but removing all of the cancer is our main priority.”

According to the American Cancer Society, a lumpectomy is the removal of a breast tumor or lump and some of the normal tissue that surrounds it to ensure the cancer is removed. The amount of tissue removed varies depending on the size of the lump. Drs. Riggs and Breon will explain how much tissue will be removed and what kind of scar you will have before you have the surgery.

“We often refer to lumpectomies as breast-conserving surgeries because only a portion of the breast is removed,” explained Dr. Breon, “If the cancer is caught soon enough, a full mastectomy may be able to be avoided.

“Following a lumpectomy, the breast is closed in a way that preserves the conformation of the breast; often times making it difficult to notice that surgery was even performed.”

Mastectomies are performed when the cancer is too advanced to do a lumpectomy or less invasive procedure. This surgery involves the removal of the entire breast as a means of treating or preventing breast cancer. Many patients who undergo mastectomies elect to have breast reconstruction surgery to restore natural breast shape.

Lastly, lymph nodes are typically biopsied or removed at the time of the surgery to identify cancers that may spread and to help identify the stage of the disease, ultimately determining the need for chemotherapy.

“If you notice any changes in your breast tissue, contact Dr. Riggs or myself to schedule an appointment,” advised Dr. Breon, “Keep in mind that most breast changes are not cancer, but the only way to know for sure is to seek medical attention.”