Tuesday, February 28, 2012

Physician Assistant, Jon Bigler Shines in Ashland

Jon Bigler is a physician assistant but residents of Ashland love him like an old fashioned doctor.

He is quick to point out that he is not a doctor and he corrects patients if they call him Dr. Jon. However, Bigler likes nothing better than treating people with the care and concern of a doctor. He makes house calls and doesn’t think twice about giving the elderly, or anyone, a ride to the clinic if they need it.

Jon Bigler with Lori, his wife of nearly 25 years.
“I care a lot about these people. They are great to work with and work for,” he said.

Ashland, nestled in the Red Hills of southwest Kansas, has a growing health care system thanks to Bigler. Ashland Health Center CEO and Administrator Benjamin Anderson said he has never seen a community build its health care around a PA, but that is exactly what Ashland has successfully done.

“He is a gifted communicator. Patients love him.  He manages their care and takes ownership of his patients’ care,” said Anderson.

He recalled a time when Bigler was driving down the street and noticed a patient’s car was idling in the garage with the driver’s door ajar and an open trunk was loaded with groceries. Bigler stopped, entered the home and found the elderly man fast asleep in a chair. “Jon shut the car off, unloaded the groceries and put the man to bed. That’s the kind of guy he is,” Anderson said, noting that he has never had a complaint about Bigler’s bedside manner.

Today, the Ashland Health Center (AHC) has a thriving rural health clinic, a 24-bed critical access hospital, a 21-bed Long Term Care Unit, a six-bed independent living apartment complex and a home health service. In addition to Bigler, AHC has one doctor and two nurse practitioners. Administrators are in the process of recruiting a second doctor.

This is a far different situation than the one Bigler stepped into six years ago. After 11 providers in 20 years passed through Ashland, Anderson says citizens began to lose confidence in their health care system and the hospital was on the verge of closing.

It was Bigler’s commitment that helped turn the tide. People in the community and throughout Clark County learned they could count on him. Anderson sums it up with one word—trust. “He has earned their trust. And the trust we had in him let us build an entire medical staff around him. I have never seen a PA have this kind of impact,” said Anderson, who has been at AHC for three years.

In 2006, Bigler joined Ashland Health Center immediately following graduation from physician assistant training at Wichita State University (WSU). For several years, Bigler was the sole medical provider in Ashland. He has had no less than nine supervising physicians, and until recently, most were at least 30 miles away.

“Jon has hung in there with us and held down the fort. He has literally kept us going,” said Renita Ediger, receptionist, Ashland Health Care Clinic. “For a long time, he did it all—hospital, clinic, ER, nursing home, on-call.”

It was typical for Bigler to be on call from 5 p.m. Sunday all the way through 6 p.m. Friday. People of all ages from across Clark County, population 2,081, learned Bigler was a keeper. He was always there to fix them up after car wrecks and other injuries. He takes care of their lacerations, fever and dehydration. He helps parents address ADHD in their children, a diagnosis he’s familiar with since he has dealt with it his entire life.

Just in the last six months administrators hired Daniel Shuman, DO, a physician Bigler helped select. Shuman has a level of compassion and service AHC has been looking for.

“Jon has the trust of the hospital board, administration and medical staff. He earned that. We wanted him to be part of the search for a physician because if Jon was not comfortable with the person we wanted to hire, we would not hire them,” said Anderson.

Bigler said he has found success in remote Ashland partly because he knows his boundaries. It doesn’t hurt that he likes to be busy—probably an understatement—and he has a sense of humor.

“I know what I can handle and I know what I should package and ship,” he said. “Being out in western Kansas, I have to know my limitations.”

He created a good network of health care advisors and he has the equipment he needs, such as a CT scanner.

One thing Bigler brought to his post, and perhaps a good explanation of his staying power, is maturity. Even though he arrived in Ashland straight-out-of-school, this is his second career. He entered the PA program at the age of 42. Prior, he taught biology and English at Labette County High School for 15 years. He was also the school’s head football and wrestling coach.

“I still miss coaching, but now I help kids in different ways. I can influence students and parents doing this job,” he said, noting that sometimes he still gives young patients advice before a big game.

Though making a livelihood as a PA is his second career, medicine wasn’t too foreign a choice. His late father was a well-known surgeon in Garden City; and two of his brothers are doctors of dermatology and urology.

“If I wanted to get into the conversation around the family dinner table, I had to get into the field of medicine,” jokes Bigler.

He has no regrets about coming to Ashland, but it has not been without sacrifice. His wife of nearly 25 years, Lori, supported his career decision while continuing to teach high school in Wichita until the last of their three daughters graduated high school. She joined him in Ashland just a year-and-a-half ago.

“There has to be a lot of adaptability in a marriage,” Bigler says, “Sometimes patients come before family,” Lori adds.

Now that they are both in Ashland, she teaches at Ashland High School and they are happy to be free of the days when his on-call schedule barely gave him 36 hours to be with the family on weekends.

Bigler is just what the doctor ordered in Ashland. “His job and his family are his life,” said Ediger. “Both he and Lori have been a blessing for our community.”

Now that he’s only on-call four days a week, and he’s not traveling to Wichita on weekends, Bigler likes devoting more time to hobbies. Of course, he likes sports. He was once a wrestler and a gymnast, and he was a yell leader at the University of Kansas. He also enjoys watching and playing tennis.

He’s a handyman and he likes being outdoors whether it’s in the garden or taking in the scenic views of the hills that surround Ashland. He especially likes to hike and hunt for fossils and artifacts, like arrowheads.

Once when he was hunting with his daughter, he stumbled upon a large fossil with large teeth. It was a baby mastodon, an animal that would have resembled a mammoth. People kept asking him, ‘Are you sure it’s not a buffalo head?’ He assured them it was not and now it is on display in the WSU Archaeology Department.

“My medical training came in handy there too,” he said. “Those teeth were just massive.”

Article featured in Kansas Connections
Written by: Jackie Cleary

Friday, February 10, 2012

Former Assistant Professor of Pediatrics at KU School of Medicine opens solo practice in Wichita

Article courtesy of The Wichita Eagle
Thursday, Jan. 26, 2012
By Joe Stumpe


Rebecca Reddy bucked a trend by starting a solo pediatrics practice this month.
But even as more doctors become employees of hospitals and large medical groups, Reddy likes her approach best.
"I went out on my own so I could see my own patients, have a relationship with my own patients," said Reddy, a former assistant professor of pediatrics at the University of Kansas Medical School-Wichita.
That includes helping families improve a child’s health and behavior in ways that will last into adulthood. A good pediatrician, she believes, allows parents to "enjoy their children more and worry about them less."
In the most recent blog on her website, for instance, Reddy gave detailed instructions for curing the "busy little girls syndrome" afflicting many young girls at potty time.
Reddy, 40, grew up in northeastern Kansas, earned her medical degree from the University of Kansas and completed her residency at Texas Children’s Hospital in Houston. She returned to Kansas to teach at KU medical school’s Wichita campus for most of the past decade, interrupted by a part-time stint with a pediatric clinic in Salina. She’s also been medical director of KU’s pediatric hemoglobinopathy and sickle cell clinic.
Reddy said she always knew she wanted to work with children.
“They’re very challenging," said Reddy, who has three children of her own, ages 5 through 10. "You have to be very observant. A lot of times they might not be able to tell you what’s wrong.
"But kids are so rewarding to take care of," she added. "Kids are good. Disease is bad. And kids do bounce back remarkably well."
Reddy still sees patients at Wesley and Via Christi on Harry hospitals, but having her own office where children and parents would feel comfortable was important to her. She said she settled on a location on Rock Road because it’s accessible to patients from the center of the city, whom she had served at the KU clinic, and to a potential new base of patients from the east side. She offers free visits for parents looking for a doctor for their newborns.
Reddy personalized her office with help from friends, starting with a cheery interior design by Sandra Denneler and children’s furniture made by Denneler’s husband, Eric. Stenciled sayings such as "You’ll feel better after a nap" and "Laughter is the best medicine" frame the entrance.
For help with the business aspects of starting a practice, she turned to two friends: Tally Bell, who works for the Neurological Consultants of Kansas Group, along with Reddy’s physician husband, Gautham Reddy; and Nancy Keimer, who had worked as a clinic office manager in Salina.
On her full-time staff are office manager Vicki Gromala and registered nurse Amy Young.
One of the first business decisions she faced was whether to go with a paperless medical records system.
"We did," Reddy said. "It’s a big investment in time."
But she said the system is also more convenient for patients, who can access many of their records with passwords.
Reddy calls her solo practice "a bit of a throwback" but says the long-term relationships she hopes to forge with families "can provide better care. It can keep costs down. It’s better for everybody."
Although Reddy treats patients from birth up to 18 years old, she admits to a bit of age-group favoritism.
"I do love newborns," she said. "I’m accepting newborns tomorrow. Those are the fun ones to have."

Read more here: http://www.kansas.com/2012/01/25/2190975/mother-of-3-opens-solo-pediatrics.html#storylink=cpy#storylink=cpy

Wednesday, February 8, 2012

Check out the new edition of Kansas Connections

The Winter 2012 edition of Kansas Connections is now available online. 

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Next Issue in Progress
We are collecting story ideas for the 2012 Spring edition of Kansas Connections. If you have any rural health care story ideas, please email them to Jenifer Yuza, marketing and communications coordinator.