• 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 ...

Learning to Live Again

AmyVroegh

As a young wife and mother of two daughters who are always on the go, Amy Vroegh was almost crippled by heavy periods and cramping. She suffered for five years before a consultation with MHP’s OB/GYN Specialist Dr. Jeffrey Fowler changed her life.

“I would have heavy bleeding for 5 to 15 days at a time,” Amy shared “I would wake in the middle of the night with horrible cramps and have to soak in the tub for relief. It was so bad at times, I would miss activities with my family because it was easier to stay home.”

Amy first saw Dr. Fowler in August 2012. After discussing her history of multiple c-sections, ovarian cysts and trying numerous contraceptives; Dr. Fowler suggested endometrial ablation. “Amy was a good candidate for the procedure because a thorough pre-op evaluation was able to rule out any other serious medical conditions,” Dr. Fowler explained.

I’ve never had a doctor be so detailed and explain things to me in such a caring way in terms that were easy for me to understand,” Amy said. “I really felt like he paid attention to me, listening intently to my questions and making sure I was aware of all aspects of the procedure.”

Endometrial ablation is a good alternative for women considering a hysterectomy due to heavy menstrual cycles. “As long as a woman is done having children and other, more serious medical conditions are ruled out, this minimally invasive technique that can be used to almost permanently stop uterine bleeding.”

Dr. Fowler explained that, during the procedure, small instruments are inserted through the cervix and used to destroy the lining of the uterus. “The procedure does not require any incisions or a stay in the hospital.”

Amy’s procedure took approximately 15 minutes; she only spent a total of 4 hours at MHP and was able to return to work on Monday. “I was groggy the day after surgery, but had no pain. I couldn’t be happier with the outcome! I went from having a horrible period every two weeks to hardly anything every other month with absolutely no cramping.

“I can live my life now, however I want. My daughters love swimming and my oldest keeps us busy with softball. It’s no longer a question of whether I’m feeling up to it, it’s what time are we going,” Amy stressed.  “I’m so happy I had the surgery and so thankful for Dr. Fowler.”