National Rural Health Day 2024: MCHC Staff on the Power of Rural Healthcare

Created in 2011 by the National Organization of State Offices of Rural Health (NOSORH), National Rural Health Day is an annual celebration of rural healthcare providers and other organizations dedicated to addressing the unique healthcare needs of rural communities. 

With dozens of webinars and other events highlighting various aspects of rural healthcare, National Rural Health Day helps healthcare providers, community partners, and individuals celebrate the healthcare wins and address the struggles of their communities.

This year’s National Rural Health Day was on Thursday, November 21st. To celebrate at MCHC, we asked some of our long-term staff what they think is the power of rural healthcare. Here’s what they had to say.

An Interview With MCHC Staff: The Power of Rural Healthcare

Jim Clark—Director of Plant & Maintenance, 37 Years of Experience

What do you love about working in rural healthcare?

I love working in rural healthcare because I love providing for a community that I have been part of for most of my life. 

What would you say to a college graduate about why they should consider working in rural instead of urban healthcare?

I would ask them if they like living in a small community and getting to know the people they work with. There is more of a personal touch in the small communities. 

What do you think is the biggest challenge facing rural healthcare today?

The biggest challenge facing rural healthcare is staffing shortages, as well as finding quality employees. 

What traits does someone need to have to work in rural healthcare?

You have to be willing to step up and be able to work in many different departments and wear many different hats.

Pat Aho—Dietary Services, 34 Years of Service

What do you love about working in rural healthcare?

It gives me the chance to help people when they are in the most vulnerable time of their life. 

What would you say to a college graduate about why they should consider working in rural instead of urban healthcare?

You have a chance to get to know the people you work with versus in urban healthcare you see so many people, you don’t get the same closeness. 

What do you think is the biggest challenge facing rural healthcare today?

I think smaller communities have a harder time keeping up with the benefits they can offer compared to urban areas. Urban areas have more resources and can offer employees more pay and better benefits.

What traits does someone need to have to work in rural healthcare?

I think someone in rural healthcare needs to be compassionate and understanding of people’s wants and needs.

LaDonna Kinnoin—Purchasing/CSR, 35 Years of Experience

What do you love about working in rural healthcare?

I love taking care of people and being able to provide what they need so they do not have to travel so far to get the care they need. 

What would you say to a college graduate about why they should consider working in rural instead of urban healthcare?

I would tell them that it is very rewarding.

What do you think is the biggest challenge facing rural healthcare today?

In my job, it’s the cost of supplies. Because we are a smaller facility, we do not get some of the discounts offered when you buy in bulk.

What traits does someone need to have to work in rural healthcare?

Someone working in rural healthcare needs to be friendly, kind, and want to help others.

Janel Borud, RN—Clinic Director, 27 Years of Experience 

What do you love about working in rural healthcare?

I love working in rural healthcare because I get to know our patients more intimately due to our smaller population. I have assisted in caring for the same patients from birth to adulthood and cared for their parents and grandparents. It is a sense of community. 

What would you say to a college graduate about why they should consider working in rural instead of urban healthcare?

There are plenty of loan repayment/forgiveness options when working in a rural area. Also, due to the deficit of healthcare workers in rural areas, facilities work hard to incentivize those open positions. Help in relocating may also be part of the incentive package. Being rural also means specialists are few and far between, giving you the opportunity to see a wider scope of patients and gaining a great deal of experience. 

What do you think is the biggest challenge facing rural healthcare today?

Lack of healthcare workers, increased cost of delivering care, insurance companies not paying enough for the cost of care for patients, and the inability of the patients to pay their share of the high treatment cost. I don’t think this is only an issue within rural healthcare, as healthcare facilities in urban areas are seeing this as well.

What traits does someone need to have to work in rural healthcare?

They need to enjoy a slower pace of life, be adaptable and versatile, enjoy community, and have a team player mentality.

Taina Karow, RN — 39 years of experience

What do you love about working in rural healthcare?

I love rural healthcare because it is extremely rewarding to me to do what I love in such a wonderful community of people who I have come to know and love, with genuine concern for their wellbeing. 

What would you say to a college graduate about why they should consider working in rural instead of urban healthcare?

It is the heartfelt care I want to give our patients, always knowing that I am caring for someone’s loved one as I would my own. This comes easily because of the interpersonal relationships that develop in a rural community. 

I am also thankful and honored to work in a rural hospital, as a team player who cares about others and works together for the common good of our patients. Each day we have an opportunity to make a difference in someone’s life. That is the beauty of community and rural health. For the small things I do, it comes back to me tenfold. 

Please join us in thanking the entire MCHC team for their dedicated work throughout the year to ensure our community has the quality healthcare they need to thrive. Together, we’ll continue to build a healthy community for many years to come.

Looking for a career in rural healthcare? MCHC is hiring! Check out our careers page for open positions.

Bravera Bank Donates To Mountrail Bethel Home Project

We’re thrilled to share that Bravera Bank has made a five-year, $100,000 pledge towards the new nursing home portion of our building project!

Bravera Bank: A Longtime Supporter of MCHC and the Surrounding Community

Stanley branch Market President Heath Hetzel says that Bravera focuses on giving back and supporting their communities. The hospital and nursing home are a huge part of not just Stanley, but all surrounding communities. 

When Bravera sees a need across their footprint, they want to support and be a part of meeting that need. Youth and healthcare make up a large part of where they want to allocate their giving, as hospitals and schools are two of the largest employers within communities. 

Our own Steph Everett, Administrator of Mountrail Bethel Home and CEO of MCMC shared:

“Bravera Bank has been a longtime supporter of the building projects at the Mountrail County Health Center over the years. We are thankful for their ongoing leadership and support in improving our community, and are so grateful for their generosity and what a blessing they are to the new Nursing Home project.” 

MCHC Building Project Timeline

The first phase of construction for the MCHC project is our new 36-bed nursing home (including ten basic care rooms), the same number of beds as the current nursing home. This Nursing Home phase is expected to take roughly two years and, once completed, will come up to where the current north wing is located.

On the hospital side, renovations will start with a new entrance near the existing sunroom at Mountrail Bethel Home (MBH). There will be a gift shop and a new waiting room. Construction down the current south wing of the nursing home will include adding an out-patient infusion suite, a pharmacy suite, and an MRI suite.

In addition, purchasing will be moving from the basement to the upper level. The downstairs area will be renovated to accommodate a new specialty clinic that will allow us to bring in more specialists and include a minor procedure room. The ambulance bay by the emergency room will be extended to accommodate the larger sizes of newer ambulances.

As the final part of construction, we will also be adding seven new single apartments to Rosen Place. The assisted living facility currently has a waiting list of 31, showing the need for the new apartments. These apartments will be located along the rest of the current south wing of the nursing home. 

Thank you, Bravera Bank, for your generous donation! 


If you or someone you know would like to contribute to the construction of these vital healthcare facilities, visit the Mountrail County Health Foundation website.

Groundbreaking Starts MCHC Project

A groundbreaking ceremony was held in the courtyard at Mountrail Bethel Home on Wednesday, July 17 to mark the start of a four-year project on the Mountrail County Health Center’s campus.

The event featured comments from many involved in the project. MCHC CEO/Administrator Steph Everett highlighted the significance of the project as it creates a new home for the Mountrail Bethel Home residents. With 31 on the waiting list at Rosen place, the project will also add more units for the assisted living. Everett expressed gratitude to the Mountrail County Commissioners, saying they could not have started on the project yet without their support in pledging $25 million toward the $29 million cost of the nursing home phase of the project.

Dr. Mark Longmuir spoke about how long this project has been on the list of projects. He said he started as a CNA in 1997 and they were already discussing the need. The projects already completed include a new chapel at MBH, upgrades to the ER and the clinic expansion, but this project will update the remaining facilities. He expressed his gratitude to everyone who has donated to the various projects, saying he is looking forward to the final completion.

Mike Bratton of McGough Construction, the CMAR for the project, spoke about the project. As a Stanley High School graduate, he is excited to be part of this project and to work with the team at MCHC and EAPC, the architects for the project.

Ryan Gjellstad, president of the board, also expressed how it is nice to have not only McGough with their experience in the field, but also someone local as part of this project. He said that Stanley deserves this new, updated facility. The growth will be great for everyone. He expressed his appreciation to the former board members and board chairpersons, doctors, employees and county for all of the time put it to taking this project from planning to today.

Representative Don Longmuir spoke about how this project is a beautiful example of cooperation and a shining example of what can be done when entities work together. He also commended the tenacity of the various boards in never giving up on this goal.

Former board chairman Heath Hetzel said that the courtyard where the event was held was a special place, just outside the new chapel at Bethel Home. When the nursing home wing comes down, the chapel will be a focal point to the newly completed project. He asked that residents bear with them during the construction. He said that it was amazing to see the county partner with them in such a big way and he is excited to see the project begin. Lord willing, he said, the project will be complete in 42 months.

Pastor Erin Tormanen offered the invocation and blessing for the project, pointing towards scripture and the commandment to love the Lord with all your heart and your neighbor as yourself. The facility will be one of those ways as the doors will open and residents will receive the care and assistance they need including the emotional and spiritual care and help. He encouraged everyone to never lose sight of the rare and beautiful treasure of souls that will fill the rooms in the new nursing home.

The residents at Mountrail Bethel Home were given the shovels for the ceremonial groundbreaking. Lunch was served in the Rosen Place parking lot with Bravera Bank on hand to do the cooking.

Construction will get underway this week with the demolition of the former Centennial Court. The first phase of the construction will follow on that site with a new 36 bed nursing home, including ten basic care rooms, the same number of beds as the current nursing home. This Nursing Home phase is expected to take roughly two years and once completed will come up to where the current north wing is located.

On the hospital side, renovations will start with a new entrance near the existing sunroom at Mountrail Bethel Home (MBH). There will be a gift shop and a new waiting room. Construction down the current south wing of the nursing home will include adding an out-patient infusion suite, pharmacy suite and an MRI suite.

Purchasing will be moving from the basement to the upper level. The downstairs area will be renovated to accommodate a new specialty clinic that will allow the facility to bring in more specialists. It will also include a minor procedure room.

The ambulance bay by the emergency room will be extended to accommodate the larger sizes of the newer ambulances.

They will also be adding seven new apartments to Rosen Place. The assisted living facility currently has a waiting list of 31, showing the need for the new apartments. These will all be single apartments based on the footprint space available. These apartments will be located along the rest of the current south wing of the nursing home. The Rosen Place addition is the final part of construction.

The entire project cost is estimated at $47 million, with $29 million of that for the new nursing home. The Mountrail County Commissioners have stepped up and have pledged $25 million over two years for the nursing home portion of the project. A grant for $15 million is guaranteed and an additional $10 million is pending the outcome of the property tax elimination bill.

MCHC has set a goal to fundraise an additional $15 million dollars for this project. Everett says they have additional funding sources set aside for the project. That includes funds available from Mountrail Bethel Home, Mountrail County Medical Center, Rosen Place, Mountrail County Health Foundation, kitchen funds set aside in a donation, and 340B money. They will also continue to look at grant opportunities along with the fundraising campaign. The Foundation continues to accept donations from the public including the ability to donate on their website: www.mountrailcountyhealthfoundation.org/how-you-canhelp.

A Farewell To Centennial Court

With work slated to begin on the new MCMC project this summer, a farewell to Centennial Court was held on Wednesday, May 29. The public was invited to the event that included a short program and a time to share memories of Centennial Court.

Pastor Erin Tormanen opened the program by quoting Psalm 71:9, which reads “Do not cast me away when I am old; do not forsake me when my strength is gone,” (New International Version). He said that people are often troubled by the past, present, and future, perplexed by the challenges, but that can be alleviated by placing faith in God’s faithfulness and covenants.

As you look across cultures, all too often those can feel cast off. In his five years in Stanley, he said, he has had the opportunity to share both at the chapel at Bethel Home and Centennial Court and is thankful and give praise for this place that does not cast off, but rather provides a place to come and have a rich life. He also pointed out, it was not the building, but rather the residents and staff that provided the legacy. As the work at Centennial Court comes to an end, God is not done but rather following his plan and what replaces Centennial Court will build a new legacy. Indeed, he said, it is time to yield to the changes, glorify what is to come and rejoice in what has been, as he offered a prayer of blessing.

Ardis Loock, who was the director at Centennial Court for 21 years, shared her memories of what a wonderful place this was to work. While she shared that she hates to see it go, she knows that what will come will be just as nice.

MBH Activities Director Chuck Repnow shared his thankfulness for the location and opportunities it has given for the residents over the years, saying that the community has shown its desire to take care of its loved ones here, providing a quality of life and more. He praised the foresight to provide the connection between assisted living, the nursing home, hospital and aquatic center.

MBH Social Worker Kelly Wilhelmi spoke about the use of the building during COVID, to provide a unit with the staff to take care of them allowing them to stay at home. She said they were able to have their own employees provide care during the worst possible times while also allowing families to be able to visit their loved ones, often times through the windows, but also in the comfort of their own community.

Melissa Peterson, who has worked at Centennial Court since its opening, says that the importance of the facility was the people she got to meet, who she says enriched her life even more than she gave them.

Others attending shared memories of the gathering space, which was used for birthdays, family gatherings and more. Those memories will always be there as the facility moves forward with the new construction.

It has been more than a year since the Mountrail County Health Foundation began the Partnering for the Future Campaign to add new services to the hospital, expand residences at Rosen Place and build a brand new, state-of-the-art nursing home facility. The first phase of the construction will be a new 36 bed nursing home, which will start with the demolition of Centennial Court in July. Once that phase is complete work can begin to remove the old nursing home and begin hospital renovations and finally the addition of new apartments to Rosen Place.

Breast Cancer Stories: How Early Detection Helped Janis Thompson Become a Breast Cancer Survivor

Early detection through routine mammograms dramatically improves your chances of survival. In fact, according to the American Cancer Society, when breast cancer is detected early and is localized to the breast, the 5-year relative survival rate is 99%!

Janis Thompson found this to be true in her own experience. Diagnosed in 2021, within months Janis received chemotherapy and underwent a mastectomy of her right breast. Today, she is a breast cancer survivor — totally cancer-free!

We recently sat down with Janis to hear her story of diagnosis and treatment, as well as her advice for other women who are diagnosed with breast cancer.

When were you diagnosed, and what was your prognosis at the time?

They found something in my right breast in January or February of 2021, and I started chemo in April of 2021. I had my surgery (a mastectomy to remove my right breast) in July — I remember that because it was right after my granddaughter got married.

Luckily, my cancer was localized. When they did surgery, they didn’t find anything in my lymph nodes or anywhere else, so that was good.

How was your breast cancer detected? 

I have a mammogram every year. I came over here to Stanley to have it done, and they saw something, so they sent me to Bismarck for treatment. Before the diagnosis, I didn’t have any symptoms, and the only history of cancer in my family was prostate cancer in my dad and brother.

How old were you when you started getting regular mammograms? 

I don’t remember exactly, but I was pretty young. 

In 1970, when I was 28, they found something in my left breast. I was three months’ pregnant with my son at the time, and the doctor told me that when I went in for surgery, if they found cancer, they were going to have to take both of my breasts and my baby. So it really scared me.  But, thankfully, everything turned out to be fine. 

After that, I had to go to the doctor a lot because they would find these little cysts that they would take out with a syringe. What they removed was always coffee-colored, so they told me it was nothing to worry about.

Where did you receive your treatments? 

I was in California at the time of my first surgery in 1970. I moved back home to North Dakota in 1972, so my treatments after that were done here. My surgery and chemo treatments were done at Sanford in Bismarck, and I received my other care at MCHC in Stanley

What was your experience like there? 

It was wonderful, he was a great doctor (Dr. Bennett at MCHC). This is crazy, but I felt so close to him — he knew everything about my breasts!

When I was diagnosed in 2021, I had chemo first, and I was kind of sick from it. I gained weight because I didn’t feel well and couldn’t do as much as I usually would. 

The type of cancer I had was called spindle cell neoplasm. My oncologist (Thandiwe Gray, M.D.) told me there were five of us who had the same kind of cancer at the same time, and we had the same chemo (which was different from other kinds of chemo). 

My chemo was from April to July of 2021, and my surgery was in July of 2021. By December, I was starting to feel like myself again. I went in for a lung biopsy between my surgery and then, because they thought I had lung cancer (but it turned out to be nothing). When we went in for the diagnosis, I cried because I was so happy! 

Now, I’m following up with yearly mammograms. 

Any advice you’d share with other women going through breast cancer treatment right now?

Have a support system, that’s the main thing. My husband was so good! My daughter and granddaughter did a lot for us too. They came over and did things for us. My granddaughter brought us groceries, and they both came and cleaned the house. At the time I was scared I’d go out and get COVID too, you know, so the only place we went was to the clinic in Bismarck. 

I had company at that time, and they didn’t want to get me sick, because you’re so susceptible to disease. So when people came to visit us, they’d visit in the garage or outside when it was warmer. It was hard. 

Even now, you have to stay away from people for a while after chemo, because of all the stuff you could get. Don’t think you can run around as much as you did before! You have to take care of yourself.

After a while, though, you have to get out and do stuff — don’t let yourself get stuck inside for too long! I was stuck inside for a year or more, scared to go out. I started back volunteering at the nursing home a couple of months ago now. I worked there for years. Now I go on Friday nights and dance with them. 

I’m doing great now. Well, I have other things — I have to have knee surgery in June, and I had my right shoulder done about 5 months ago…all kinds of operations! The scariest one was the breast cancer, though, it really was.

Another thing that helped me get through my treatment was that I read from my Bible and from the Jesus Calling devotional (by Sarah Young) every day — it’s something I always do and have done, but I wouldn’t have been able to get through it all without my Jesus.

Early Detection Could Save Your Life. Schedule Your Mammogram Today!

Thank you, Janis, for sharing your story with us! And congratulations on being cancer-free!

Take a page out of this breast cancer survivor’s book, and make sure to get routine mammograms — even if you don’t have a family history of cancer. Mammograms are quick, easy, and one of the best things you can do to take charge of your health and invest in your future.

Contact us today to set up your yearly mammogram at MCHC!

Colorectal Cancer Awareness Month — Here’s What You Need To Know About Screening

March was Colorectal Cancer Awareness Month, but it’s always a good time to schedule your screening!

Since 2000, March has been the time for ​​colon cancer patients, survivors, caregivers, and advocates join together to spread awareness of colorectal cancer and the importance of prevention. 

In honor of this year’s Colorectal Cancer Awareness Month, we sat down with Abbey Ruland, PA-C at Mountrail County Medical Center, to learn her best tips and helpful information about colorectal cancer screenings. While Colorectal Cancer Awareness Month has passed, these things are always important to keep in mind.

Read on to learn some facts about colon cancer, the recommended timeline for screenings, and the different types of screenings available.

Did You Know…? Facts About Colon Cancer

Each year, around 150,000 people are diagnosed with colon cancer in the U.S. 

It is the fourth most commonly diagnosed cancer and the second deadliest type of cancer in the U.S. The average age of diagnosis is 66 years old, but people in their 40s and 50s are increasingly being diagnosed as well. In fact, about 10% of those diagnosed with colorectal cancer are now under age 50. 

The good news is that screenings can detect colorectal cancer — and when detected early, it is a highly treatable form of cancer. While more than 50,000 people will die from colon cancer this year, many more will survive their diagnosis, thanks to regular screenings.

How Often Should You Have a Colorectal Cancer Screening?

Previously, it was recommended that people start to get regular colon cancer screenings once they hit age 50. However, due to the increasing trend of colon cancer in younger people, that recommendation has changed — we now recommend screening starting at age 45. 

If caught in the early (precancerous) stages, colon cancer or colonic polyps can easily be removed during a colonoscopy. This is great news, because that means those polyps cannot continue to grow into colon cancer! In fact, if everyone had their screening done early enough, we could nearly wipe out advanced colon cancer. 

But having a colonoscopy is not exactly everyone’s idea of fun (it would be strange if it was!), so let’s talk about the various screening options available.

What Colon Cancer Screening Options Are Available?

Colonoscopy

The “gold standard” in colon cancer screening is the colonoscopy. This procedure is done at an outside facility: Most of our patients have them done in Minot, Tioga, or Bismarck, but we are happy to arrange your screening where it is most convenient for you.

A colonoscopy usually involves a day of “prep” in which the colon is cleaned out. This involves drinking clear liquids, taking laxatives, and spending a significant amount of time in the bathroom. Then the next day, you go to the facility for the colonoscopy, are sedated, and a surgeon uses a camera to look through the colon to find any abnormalities. (Note that because you are given sedation for the procedure, you will need to have a driver pick you up afterwards.)

The best part of a colonoscopy is that if any polyps are found, they can be removed, and the problem is solved before it even begins! 

If your colonoscopy is totally normal, we recommend having one every 10 years. 

DNA Stool Testing and FIT Tests

For many patients, a colonoscopy is not the only screening option available. There are a number of less invasive screening tools, including DNA stool-based testing (a.k.a., Cologuard) and FIT tests.

To qualify for either of these tests, patients need to be considered “low risk.” This means they need to have no family history of either colon cancer or precancerous polyps. Also, patients who have a history of precancerous polyps on previous colonoscopies do not qualify for stool screening tests.

DNA stool testing consists of a kit you can receive in the mail. You then place a stool sample in the appropriate container and mail it back to the company. The company will test the stool for blood and other DNA markers that can indicate colon cancer or precancerous polyps. 

If your results are negative, we recommend retesting every three years. If your results are positive, that may mean the test found cancer, but more commonly it means it found precancerous polyps that need to be removed. We would then schedule you for a colonoscopy for further evaluation, and if there is a precancerous polyp it will be removed during the procedure.

The FIT test is more basic than the DNA test, as it only checks for blood in the stool. This test needs to be completed yearly and is a little more likely to miss a cancer or precancerous polyp. Again, if the test returns a positive result it would be followed by a colonoscopy for further evaluation.

Neither of these tests require any prep, and both can be done from home, keeping you from missing a day or two of work. 

In addition, we now have standing orders in place for our patients for these tests, which means if you’re a regular patient who is at low risk, you can give us a call, speak to a nurse, and place an order for these tests to be completed…without even coming in for an appointment!

Schedule Your Colorectal Cancer Screening With MCMC Today

At MCMC, our goal is to help each of our patients live their longest, best life. We want to find problems before they begin — which is why colorectal cancer screening is so important. We encourage you to schedule an annual wellness exam to make sure we are keeping you in tip-top shape! Please don’t hesitate to schedule an appointment or reach out to the nurses to ask about getting your colorectal cancer screening scheduled today.

New Faces At MCHC

13 Sep 2023 Events, News

New faces are joining the staff at Mountrail County Health Center, including a new director of nursing and a new nurse practitioner. April Warren started as a new DON on the hospital side last month. A familiar face, Carol Hynek, is now a new nurse practitioner at the facility.

April Warren started on August 21 and brings a wide range of experience to the job. With a doctorate in organizational leadership, she has been an FNP since 2008. She has worked in emergency medicine, mental/behavioral health and psychiatry. She also founded a private practice in Minot, which she operated for seven years before closing the practice in 2020 because of covid.

She was the department chair of the nursing program at MSU and worked as a nurse practitioner with inpatient psychiatry at Trinity Health. She also was an advanced practice provider and behavioral health division lead. She says that she has always had two or three jobs at a time until now.

Coming to MCHC, she says she is passionate about nursing and clinical excellence. She has a love for rural health. A colleague had reached out to her about the open position and asked if she would be willing to consider the job. While she was not looking for a change, she says that she visited with MCHC and made the decision. She said that she loved the people and the facility’s commitment to the community in providing the best healthcare.

Looking at her job, she says that healthcare is a challenge right now, including staffing crises everywhere. That is where she says rural healthcare becomes even more important, sharing the commitment to clinical excellence and providing comprehensive quality care to the residents of Stanley and the surrounding areas.

She and her husband, Chad, live between Minot and Burlington. Chad is a federal contractor on the Minot Air Force Base and retired military. They have two daughters, Emily and Alaina. Both daughters attend UND and the couple have been empty nesters as of August 18.

In her free time, she says she loves to fish and go to the lake. She also loves to visit family in the UP of Michigan, where her husband calls home. Her parents live in Bismarck.

Carol Hynek will be working in the clinic and ER as a nurse practitioner, having started on August 23. She says that she will be working on her schedule as she continues her facility training, but will be seeing patients on a part-time basis in the clinic.

Hynek was an RN for 15 years, having only worked at MCHC as an RN. She has worn many hats over the years, including at the hospital and nursing home. She has been the care coordinator at the nursing home. She has assisted Dr. Williams with podiatry surgeries. She also helped with the cardiac rehab and taught the medication assistance course. When the facility implemented electronic health records, she was the clinical lead.

Hynek decided to go back to school and earned her doctorate degree in nursing practice and family nurse practitioner from the University of Mary, graduating in April of 2023. She says that she always wanted to advance her education to this level and also wanted to come back to Stanley to practice as this is home.

She too looks at the struggle of staffing rural healthcare. She says that her goal is to provide quality care to the rural residents in the community and surrounding area. Advancing her education, she says, is the best way she could do that and serve the people of the community.

Growing up in Kerkhoven, MN, she met her husband, Blair, at NDSU. The couple has lived in Stanley for the past fifteen years. They have five children, Jack, Ben, Jacob, Abe and Ella. Her hobbies include gardening, outdoor activities and traveling, especially to the mountains. They also include chasing after her five children and all of their activities.

Hynek says that she is excited about returning to MCHC. She says it is a great environment with great staff and a positive attitude. She is excited to work with the clinical staff throughout the facility. As a new provider, she is learning from the current providers. She says as she continues to grow and become more confident as a provider, she looks forward to providing high quality, evidence based care to our rural population. “We are always looking to improve the care we give at MCMC”, says Steph Everett. CEO. “I am thrilled to have April and Carol join our team. This allows us to become even stronger in our goal of providing well-rounded, truly amazing Healthcare for Mountrail County and beyond.”

New Therapy Services To Be Offered At MCMC

8 Feb 2023 Events, News

Tara Schaefer-Nygaard is now offering mental health therapy services at the Mountrail County Health Center once a week. Originally from Minot, she has a Master of Social Work and is a licensed clinical social worker. She received her Bachelors in Social Work from Minot State University in 2002 and her masters from Northwest Nazarene University in Nampa, Idaho in 2012.

She says that being a helper is a family thing. She grew up in a large family and her parents always described her as a helper. She began her career in social work working with children and families and says that she knew that she could do more than just casework. She worked in various ways with social work including foster care case management, the home and community based services program, as well as the foster to adoptions programs and infant development.

It was while she was working with infant development that it struck her that she was capable of doing more and needed to do that. Another factor was when they returned to Minot and she had the opportunity to work at the Dakota Boys and Girls Ranch. That, she says, was eye opening.

While there she realized that it was important to be equipped for expanding knowledge, tackling different behavior issues, and fine tuning the skills. As a clinical team member, it sparked her to learn more. She then moved on to working at the Minot Air Force Base.

It was during this time that she became certified in Eye Movement Desensitization and Reprocessing (EMDR) therapy. This is an evidence based trauma therapy that helps clients work through not only trauma, but also depression, anxiety, and other disorders.

She describes it as an amazing process to experience with a person. It is transformational for them to come through to the other side of a trauma and those symptoms to not have that power over them any longer. There is, she says, a resonance that will happen when they sense where it is held, blocked or stored, and then see the relief and physical change in the person. It is very powerful, she also says it almost feels selfish to feel rewarded after being a part of this and see them take control over the things that have controlled them.

The decision to go into private practice, she says, came when she decided it was time to be her own boss, choosing to set her own guidelines on how she wanted to work. That transition came in mid-October of last year. She opened New Hope Counseling in November of 2018, seeing a limited number of patients per week, but decided to make the change to full-time.

She says that she recognized the limited number of professionals available and that it was even more challenging and difficult for clients in rural communities. She says that she was able to make the choice to expand to a rural outreach clinic. She reached out to Mountrail County Health Center in Stanley and the process began. Her first day in Stanley was Wednesday, Feb. 1.

She chose Wednesdays as her one day per week because there are fewer holidays in the middle of the week. That means less need to reschedule appointments for clients. The other four days of the week are spent at her office in Minot.

Patients are able to self-refer to her clinic. They can also be referred by their primary care physician, a school, law enforcement or a social worker. Most insurance companies will cover therapy, depending on the patient’s coverage plan.

As therapy becomes more accepted, she says her goal is to help patients focus on their internal resiliency, helping them to build the skills to get through their challenges and difficult times. That includes helping them learn how to help themselves, sit with the discomfort knowing that when it resolves they will be okay so they can move through to the other side.

While she can work with younger children depending on the circumstances, she prefers to work with patients ages ten and up. The majority of her experience is with children ages ten and up, adults and family therapy.

Her love for what she does is apparent, saying that therapists need to love what they do. There can be challenging cases and difficult things to hear, but the best part is seeing patients heal and be part of that journey. She says that it is an honor to walk alongside them and earn that trust. The biggest honor, she says, is to have that trust.

Tara has also just been notified that she has been nominated to be a member of the Western Area Health Education Advisory Board. That board works with area colleges to get North Dakota residents back and into rural areas. She says it is another way she can impact bringing more providers to rural communities.

Tara’s husband, Kurt, is an oil gauger at Kinder-Morgan and a retired Army veteran. Between them, they have five children that all live in North Dakota and they are expecting their first grandchild in July. Kurt is originally from the Watford City area and they met after he retired from the Army and returned to North Dakota.

In their free time, they enjoy camping. They also enjoy spending time with family. Family time is a primary focus for them.

“This has been almost a decade in the making,” says Steph Everett, CEO of the Mountrail County Medical Center. “Janel and I have been working every angle to find mental health providers for our clinic.  It’s a true blessing we can bring Tara in once a week. And there is more to come with this Specialist line in the near future for MCMC!” You can schedule appointments with Tara Schaefer-Nygaard by contacting Mountrail County Health Center at 628-2505.

New Provider Starts at MCMC

27 Jan 2022 Events, News

Another provider has joined the staff at the Mountrail County Medical Center this month in the clinic. Brittany Haugtvedt, FNP started on Monday, Jan. 17. She will be seeing patients Tuesday through Friday at the clinic.

Growing up in Beach, ND, she received her undergraduate degree at the University of Mary and her graduate degree at UND. She worked for five years at the Minot Health Clinic and was a nurse there as well.

She says that she chose to become an FNP because she wanted something better for her family. When she was accepted into the program, she found that it was a way for her to offer a different approach to finding the cause of diseases in her patients and assist them to improve their lives.

She will be working in the clinic seeing family practice patients. She says that her favorite thing is to help patients find the root cause for their illness or disease and help focus on wellness.

She says that her focus will primarily be patients twelve and older, although she looks forward to helping all patients.

She will be bringing different testings and treatments to the table with her practice. That includes advance hormone testing, food sensitivity testing, and gene sight testing which helps find what medicines work best when treating patients with conditions like anxiety and depression. MTHFR testing looks for gene mutations in patients that lead to conditions. She will also be offering advanced stool testing, thyroid management, and male and female bioidentical hormone replacement management as well as 3×4 genetic testing.

In the future, she also hopes to bring PRP, or plasma rich protein, treatments to the practice. PRP is a process of drawing blood from a patient and then spinning it down to pull off the plasma. This has benefits for patients in joint injections to help with cellular regeneration. It is also used for “vampire facials”, a process using micro needling and plasma regeneration. She says that PRP is also beneficial in sports injuries instead of steroids. It helps create regeneration in the body, often allowing it to heal internally and prolong the need for surgery.

She says that she looks forward to offering modern or functional medicine that focusses on the use of supplements, rather than just medication to help patients promote their health and wellness.

In the future, she also hopes to offer sclerotherapy for spider vein treatment for patients. This process helps decrease the appearance or erase those spider veins.

About her move to MCMC, Haugtvedt says that the facility has welcomed her with open arms. The change, she says, will allow her to better her family life by providing her with more family time. While she was not expecting to make the change, she says it all came together and presented her with an opportunity she  was interested in. She wanted more time at home, and even with the time spent on the road, it will even out and be a much better fit for her family.

She also says that she looks forward to meeting new patients and helping them find their inner wellness. She loves what she does. That includes helping patients find the complex answers to change their lives as they deal with illness. Getting to the root problem is important to a positive outcome.

Haugtvedt lives in Burlington with her husband, Chad, who works for BNSF. They have three children ages eleven, ten and nine. Her hobbies include spending time with her family and anything outdoors including hunting, camping and fishing. She enjoys cooking and also repurposing items. She used to have a business called Sweet Repeats that was based on repurposing items, but now she says she does it just for fun.

“We are excited to have Brittany join our family at MCHC. We originally interviewed Brittany for the ER position we had available. We enjoyed her energy and willingness to learn more for that position. So we had to figure out a way to bring her to MCMC! We love the new services she can offer for our clinic,” said Steph Everett, Administrator/CEO/Foundation Director/PR and Marketing Director Mountrail Bethel Home/Mountrail County Medical Center/Mountrail County Health Foundation.

Skittle Skool

Giving Our Youth the Knowledge to Create a Choose for Change towards Their Future Paths

Stanley, ND – The Mountrail County Health Foundation, the Stanley Park District and the Stanley High School teamed up again this year to bring Skittle Skool to all SHS students from
7th to 12th Grade.  The focus this year’s theme was:  Blue Jays Show Up For…Myself, My Family, My Friends, My Future.

 Twenty-one presenters addressed the following thirteen topics through creative and interactive activities and conversation:

✓ Stacy Schaffer from 31:8 Project covering “Sexting – Importance of cell phone use responsibility”
✓ Kris Halvorson from the Stanley Police Department and Hillary Burchett from the Stanley Ambulance Service covering “How and When to call 9-11 for an overdose and the danger of Nar Can usage”
✓ Virginia Dohms from North Central Human Service covering “Healthy Dating Relationships”
✓ Michelle Svangstu from Upper Missouri District Health Unit covering “Long term effects of smoking and chewing and how vapping is not a safe alternative”
✓ Abbey Ruland and Tammie Braaflat from the Mountrail County Medical Center covering “Safe Sex, STD’s, HPV and the importance of the HPV vaccine”
✓ Tara Nardacci and Dr. Longmuir from the Mountrail County Medical Center and Gerald White and his team from the Three Affiliated Tribes Drug Task Force covering “Prescription drug abuse and what it can lead to”
✓ Shelly Kinney from Mountrail County Social Services covering “Drug exposure and its effects”
✓ Terry Goldade from Northland Community Health Center covering “The effects of “screens and screen time” on Mental Health”
✓ Brenna Thompson from Pospishil and Associates covering “Suicide, Cutting and Self Harm”
✓ Bob Hayes from Bob Hayes Addiction Services covering “Alcohol Abuse and Addiction”
✓ Stephanie Nishek from Dakota Natural Health Center covering “Importance of a healthy diet for your developing brain”
✓ Pastor Carter Hill from Prairie Lutheran Parish covering “Being cruel is easy: Bullying Online and Off”Stacy Schaffer from 31:8 Project covering “Sexting – Importance of cell phone use responsibility”
✓ Kris Halvorson from the Stanley Police Department and Hillary Burchett from the Stanley Ambulance Service covering “How and When to call 9-11 for an overdose and the danger of Nar Can usage”
✓ Virginia Dohms from North Central Human Service covering “Healthy Dating Relationships”
✓ Michelle Svangstu from Upper Missouri District Health Unit covering “Long term effects of smoking and chewing and how vapping is not a safe alternative”
✓ Abbey Ruland and Tammie Braaflat from the Mountrail County Medical Center covering “Safe Sex, STD’s, HPV and the importance of the HPV vaccine”
✓ Tara Nardacci and Dr. Longmuir from the Mountrail County Medical Center and Gerald White and his team from the Three Affiliated Tribes Drug Task Force covering “Prescription drug abuse and what it can lead to”
✓ Shelly Kinney from Mountrail County Social Services covering “Drug exposure and its effects”
✓ Terry Goldade from Northland Community Health Center covering “The effects of “screens and screen time” on Mental Health”
✓ Brenna Thompson from Pospishil and Associates covering “Suicide, Cutting and Self Harm”
✓ Bob Hayes from Bob Hayes Addiction Services covering “Alcohol Abuse and Addiction”
✓ Stephanie Nishek from Dakota Natural Health Center covering “Importance of a healthy diet for your developing brain”
✓ Pastor Carter Hill from Prairie Lutheran Parish covering “Being cruel is easy: Bullying Online and Off”Stacy Schaffer from 31:8 Project and BCI Agent, Dr. Analena Lunde from the Victims of Crime division covering the topic of how technology influences the mind and how it effects your mental health and beyond.

✓  Al Schmidt from the Berthold Police Department covering the topic of drugs.

✓  Heather Jenkins from the Domestic Violence  Program NWND covering the topic of Healthy Dating Relationships.

✓  Becky Fladeland from Upper Missouri District Health Unit covering the topic of the long term effects of esmoking and chewing and how vapping is not a safe alternative.

✓ Abbey Ruland and Tammie Braaflat from the Mountrail County Medical Center covering the topic of Abstinence and STI’s.

✓ Chris Pulver and Mike Schott from the ND State Highway Patrol covering the topic of Law and Legalities for Teens.

✓ Alyssa Kreutzfeldt from bar 33 Leadership covering the topic of I Choose.

✓ Brenna Thompson from Crossroads Therapy covering the topic of Self Harm.

✓ Sarah Sorenson covering the topic of Be a Daymaker.

✓ Stephanie Nishek from Dakota Natural Health Center covering the topic of Nutrition for the Brain.

✓ National Guard Members doing a team building segment with the students.  

✓ Andie Roise teaching the students the importance of yoga and meditation.

✓ Brandi Larson covering the topic of Getting Involved In Your Community.

“We are go grateful to all the speakers that took the time to come talk to our Youth,” states Steph Everett, Mountrail County Health Foundation Director.  “Some of these topics are hard to talk about on a regular basis. So bringing in different faces and voices for the students to hear allows them to hear the topic a bit differently.  We hope last Wednesday made an impact on them.”

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