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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Care When You Need it, Walk-In!


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

Learning to Live Again


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.”