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Mar 27, 2015 · Leave a Reply

An Unexpected Stop in Lake City Provides Comfort and a Smooth Transition Home

By Hoyt Finnamore @HoytFinnamore

Bob Boehmer connects with his care team in Rochester via a telemedicine link. Gail and Bob Boehmer recall driving through Lake City, Minnesota, many times on their way to northern Wisconsin, where they first met. Neither of them ever imagined the town on Lake Pepin would become a home away from home.

The Waterloo, Iowa, couple recently spent six weeks in Lake City. It wasn’t something they’d planned. But then life happened. And after three helicopter rides and multiple surgeries at Mayo Clinic, Bob found himself in need of just the kind of healing environment Mayo Clinic Health System in Lake City offers through the Mayo Transitional Care program. The program provides patients recovering from major illness or surgery with transitional nursing care and therapy until they’re ready to go back home.

Although uncertain at first, the Boehmers say Lake City’s connection with Mayo Clinic not only helped Bob heal but also eased their minds and lifted their spirits. 

Two hearts connected

Gail and Bob met in Northern Wisconsin 51 years ago. Gail was playing guitar at a resort restaurant when they first met. “It was truly love at first sight,” she says. They married a few years later and eventually settled in Waterloo, where they raised their three children.

They have had their share of ups and downs, Gail says, but there was nothing quite like the phone call she received in 2006.

“I flat-lined at work,” Bob says. “I had a major heart attack.”

One of Bob’s coworkers called Gail immediately and told her Bob had passed away. Minutes later, another call came in. A defibrillator had shocked Bob’s heart back into rhythm.

Gail insisted Bob be airlifted to Mayo Clinic. She wanted the best care for him. “He’s everything to me,” she says. At Mayo Clinic, Bob had successful quadruple bypass surgery. But he wasn’t done with his heart issues.

Back for another round

Bod had a history of poor circulation, and in early 2014, doctors discovered that Bob also had an abdominal aortic aneurysm. This happens when a lower portion of the body’s main artery (aorta) becomes weakened and enlarges. He needed open-abdominal surgery to remove the damaged section of the aorta so it could be replaced with a synthetic tube.

“Bob could not undergo surgery at that time due to a heart arrhythmia that his surgeon wanted to have corrected before he could operate,” Gail explains. So Peter Noseworthy, M.D., a cardiologist at Mayo Clinic, worked with Bob for several months to get his heart ready for surgery.

After more than 13 hours in the operating room in October 2014, Thomas Bower, M.D., vascular surgeon at Mayo Clinic, and his team successfully repaired Bob’s damaged aorta. The team also did a procedure to help improve his circulation.

“Dr. Bower is an amazing surgeon and human being. He saved Bob’s life, and we are so grateful,” Gail says. “We also can’t say enough about the Bower team. They are wonderful, compassionate and the world’s finest professionals. We wish to extend a special thank you to Laurie Vlasak and Sarah Hayden, who were with us through a difficult time in every way.”

Next, the Boehmers went back to Iowa. Bob needed additional care for his abdominal wounds and chose a hospital close to home. But he acquired a severe infection.

“The infection infiltrated his new surgery, and Bob began to hemorrhage,” Gail says. Once again, he was airlifted to Rochester, where another team, led by Steven Moran, M.D., a plastic and reconstructive surgeon, removed the infected tissue.

Technology connects experts on the road to recovery

A close-up of the telemedicine link in action. While recovering from the reconstructive surgery, Bob’s health care team recommended Mayo Transitional Care in Lake City for additional wound care Bob needed before he could go home.

“Best decision we ever made,” Bob says about agreeing to go to Lake City in mid-December.

Gail says they were unsure at first about leaving Rochester, but Bob’s team eased their anxiety when they explained that Lake City’s hospital is part of Mayo Clinic Health System and has telemedicine technology that would allow the team in Rochester to remain an integral part of the wound care team. Using high-definition videoconferencing, telemedicine offers an interactive, real-time visit between patients and providers. Bob’s transitional care team in Lake City facilitated weekly telemedicine appointments with care team members in Rochester.

The telemedicine unit has zoom features which offer close-up views of any area. “They’re able to focus in on the wound,” Gail says. “The team in Rochester helped direct the next steps in Bob’s care. The communication was outstanding.”

“The transition to Lake City was a gift for them and for us,” says Laurie Vlasak, a nurse practitioner in Vascular and Endovasular Surgery, who worked closely with the Boehmers as part of Dr. Bower’s team. “I believe his care was enhanced by this collaboration. This truly is a story that brought out all the best parts of what we try to accomplish at Mayo Clinic – highly skilled providers, collaboration amongst specialties, with a focus on what was in the best interest of the patient.”

Gail and Bob credit the staff in Lake City for not only helping Bob feel well enough to go home but also for offering a warm and healing experience.

“Lake City has such wonderful nursing staff, very loving. I know all of their names. They are all in my heart,” Gail says. “Our special thanks to Deb Bremer, who, with her professional, kind and caring personality, helped make our entire experience wonderful, despite the circumstances. Also our deep thanks to Dr. Steve Adamson and Jolene Swanson, as well as Steve Johnson and Marcia Walker in therapy, for their patience, deep concern and effort to always protect Bob. We owe everyone a loving thank you.”



Tags: Cardiac Surgery, Cardiovascular Diseases, Dr Peter Noseworthy, Dr Steven Moran, Dr Thomas Bower, Lake City, telemedicine, Transitional Care

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