• Having a Baby at MHP was all about Family for the Bellingers
    Having a Baby at MHP was all about Family for the Bellingers

    Bryon and Christy Bellinger are the proud parents of 11-year-old Terryk, and recently welcomed George Ivan, born July 6, 2016. They wouldn’t have dreamed o…

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  • After Hysterectomy, Tami O'Day Back to Work in 11 Days
    After Hysterectomy, Tami O'Day Back to Work in 11 Days

    With a household of eight to care for and a fulltime job, the last thing Tami O’Day of Oskaloosa was making time for was herself. Tami thought her 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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  • Janean Wedeking’s Family Gets a Little Bigger with MHP
    Janean Wedeking’s Family Gets a Little Bigger with MHP

    Janean and Derek Wedeking know the value of family, both personally and professionally. Janean is a fourth year medical student who has been on rotations…

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  • Ginger Grubb Appreciates Coordinated Care at MHP
    Ginger Grubb Appreciates Coordinated Care at MHP

    There are few things in life more personal than who you trust with your well-being. For Ginger Grubb, choosing Mahaska Health Partnership for her healthcare…

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Provider Focus

FowlerHeadshotJeffrey Fowler, DO

Dr. Jeffrey Fowler is an OB/GYN at MHP who specializes in the obstetrical and gynecological care for women through every stage of life.

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Latest News & Events

28 July 2016
Curious children make great helpers and one place to channel their enthusiasm is into the kitchen! Whether it’s a future drummer pounding on the pots and pans or a baker’s assistant, many children are eager to be in the midst of the action from an early age. While the mess and noise may make you a bit anxious, there are many benefits of having your kiddos help out in the kitchen. MHP Wellness Coordinator Ann Smith knows how hard it can be to get ...
21 July 2016
While you were pregnant, you expected those frequent urges and trips to the bathroom. Now that the baby is in your arms instead of your belly, you thought those urges would go away, but a laugh, cough or sneeze sends you running for the bathroom. What is going on?! Bladder leakage, or urinary incontinence, affects up to 50% of women after a pregnancy. Your body did amazing things to bring your little one into the world, but it can cause some afte...

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.”