Helping couples start and grow their families is truly rewarding.
Patients in fertility care let you see their grief, their relationship dynamics, their stress, their hope after loss. That level of trust is rare in medicine. You’re not just treating ovaries or sperm counts—you’re holding identity, expectations, and sometimes years of quiet shame. Being steady when they feel shattered is powerful. It’s quiet, but it matters deeply.
If you are having trouble conceiving, we want you to know that you are not alone—and you are not failing.
Fertility challenges are common, medical, and deeply human, and needing help to build your family is no different than needing care for any other health condition. With the right support, clear information, and a compassionate team, there are often more options—and more hope—than people realize.
We’d like you to meet MaKenzie and Jerad Ristau who conceived their son Bode with the aid of fertility treatments. They share their story because many people go through it, but nobody talks about it.
We hope you enjoy their story.
Happy spring!
Larissa & Galen
Starting a Family with Fertility Care
BY MARIE WOOD / PHOTOS BY MICHELLE ISEBRAND PHOTOGRAPHY
When MaKenzie Ristau called the Mankato Clinic to get her results from her blood test, she expected to hear “I’m so sorry, it was negative.” Instead, she heard “Everything looks great. You’re pregnant!”
“You’re not expecting to hear the words, ‘You’re pregnant.’ You’re just not,” MaKenzie says.
She sobbed. When she called her husband, Jerad Ristau, he burst into tears. Then she called the nurse back two times to repeat the instructions because she didn’t hear anything after “You’re Pregnant.”
When the Ristaus married in May 2024, they began trying to conceive. MaKenzie was 23 and Jerad was 27. MaKenzie’s periods weren’t regular and at-home ovulation tests didn’t turn positive. She saw her family medicine provider, Alyssa Richardson, DNP, and was sent to Fertility Services in October 2024.
MaKenzie remembers.
The nurses assured MaKenzie that she wasn’t alone. In fact, fertility issues occur in 15-20% of all couples.
“People don’t talk about it enough. It’s a hidden disease,” Jerad says.
Jerad reassured MaKenzie that this was not her fault. “We will figure out how to overcome this. We just gotta believe. Our faith helped us through this.”
“We were blessed with a super short journey. We don’t take that for granted.”
By May 2025, they were pregnant and they welcomed Baby Bode into the world on January 28, 2026!
“He’s here, he’s healthy,” Jerad says. “He came out perfect.”
“We were blessed with a super short journey. We don’t take that for granted,” MaKenzie says.
The fertility journey can be emotional for couples.
The first call to Fertility Services was difficult. “The thing that women are supposed to be doing isn’t happening for me. You can’t talk about it, you don’t want to share it. All of those emotions are flooding through my head,”
The first step is a consultation in Fertility Services with Galen Beckel, physician assistant, or Larissa Halvorson, nurse practitioner. Medical history, lab tests, and ultrasounds aid in ruling out barriers to conception.
MaKenzie was diagnosed with polycystic ovary syndrome (PCOS) which causes missed or irregular periods and unpredictable ovulation. PCOS is one of the most common causes of infertility in women.
Next, Galen and Larissa created a treatment plan with the Ristaus.
MaKenzie began taking medication to aid in follicular (egg) growth. With frequent ultrasounds, injectable medication can be given at the optimal time to trigger ovulation. After that, the care team gave the couple a plan for the timing of intimacy and intrauterine insemination (IUI). IUI injects sperm into a woman’s uterus to increase the chances of achieving pregnancy. To achieve pregnancy, MaKenzie and Jerad completed four IUI treatments at Mankato Clinic.
“It’s a super eye-opening experience. It’s honestly amazing when you go through fertility and see how everything has to line up,” MaKenzie says.
the Ristaus.
The fertility team—Galen, Larissa and their nurses—became like one big family to the Ristaus. Open and friendly conversations at the clinic helped MaKenzie and Jerad find humor and stay positive. They also became closer as a couple.
Once pregnant, MaKenzie transitioned to Dr. Carla Goerish, Mankato Clinic obstetrician. Her pregnancy went well and she felt good. At week 36, she developed gestational hypertension and Bode was born by a planned C-section a few weeks early.
After two years of fertility and OB appointments, they are settling into a new routine as parents and as a family.
“I look at him all the time and I think about the whole journey. Now we have a human being,” MaKenzie says.
Expert Advice
The fertility journey is as emotional as it is medical, so we make space for both. We normalize feelings like grief, anxiety and relationship strain, screen for depression, and encourage open communication between partners so they stay connected rather than isolated.
Clear, honest expectations and discussion of mental health are some of our priorities. We want patients to feel supported, informed and empowered— whatever path they choose.
Couples and individuals wonder when it’s time to seek help to conceive. If you’re under 35 and have been trying for 12 months—or over 35 and trying for 6 months—it’s reasonable to seek evaluation. If you have irregular cycles, known conditions like PCOS, endometriosis, prior pelvic infections, or a history of testicular issues, seek help sooner.
We also assist same sex couples & single females in achieving pregnancy.
Main Street Clinic 507-389-8522 mankatoclinic.com/specialties/ fertility-services
1
REFRESH YOUR HEALTH
Move Your Body
Moving feels good and boosts our mood. Being active helps us manage our weight, build strong muscles and bones and relieve stress. Walking is a great place to start. Invite a friend or family member. Start with a 10-minute walk and gradually add 5 minutes until you reach your goal. If you’re able, find other activities you love, such as swimming, water aerobics, biking, dancing or yoga.
2
Get Outside
Being outdoors in nature can boost our physical and mental health. A breath of fresh air really can clear our minds. Studies show that 20 minutes in a natural space can drop our stress hormone levels. Walk a local trail, go for a hike, garden and get your hands dirty, visit parks, look for birds and listen for the sounds of spring.
3
Brighten Your Plate
Colorful fruits and vegetables—packed with nutrients, vitamins and minerals—help you feel full longer and support digestive health. They’re also tasty and refreshing. Aim to fill half your plate with fruits and vegetables. Try adding a fruit or vegetable to breakfast, lunch, supper and snacks.
5Simple Ways to Refresh Your Health This Season
As the world reawakens, we naturally feel a sense of renewal. That’s why spring is a good time to refresh our health and reset our habits. Here are our Top 5 Tips to spring clean your health routine.
4 Just Add Water
Water helps regulate body temperature, aids digestion, cushions joints, balances body chemicals and acts as a shock absorber for the brain and spinal cord. Our water needs vary based on age, gender, activity level and medications. Fill up your water bottle often, enjoy water with meals and swap a soda or an energy drink for water.
5 Get Ready For Bed
Reset your sleep routine. Stop streaming, watching TV and scrolling on your phone an hour before bedtime. Try to sleep and wake at the same time every day. Brush your teeth, wash your face, get in your PJs and go to bed. It’s best to sleep in a cool, dark bedroom. Lights out!
Focus On Wellness
Take the next step to improving your health by making goals. Do you want to walk a mile, run a marathon, join a pickleball league, play with your children or grandchildren? Your primary care provider can help you meet your health goals.
A primary care provider is a family medicine or internal medicine physician or practitioner. Pediatricians and gynecologists also offer primary care. Your primary care provider is your personal guide to help you lead a healthy lifestyle, prevent disease and coordinate care with specialists.
To meet our primary care providers and request an appointment online, visit mankatoclinic.com/providers-welcoming-new-patients.
Plan Ahead: Schedule Well-Child Visits
Summer is the perfect time for well-child visits— especially for school-aged kids. As we all know, summer sneaks up on us and flies by. Make those appointments now and get those check-ups on your calendar. Clinic and family schedules fill quickly. Book early and enjoy a stress-free summer!
Well-Child Visits: The American Academy of Pediatrics recommends well-child visits every year from age 3 to 20. When children are younger, you may have many questions about your child’s physical and emotional development and well-being. Your healthcare provider is here to answer those questions. As children get older, they may have their own questions. We love to see children taking an active role in their health and welcome open and honest conversations in every visit. Routine visits help children and parents build a trusting relationship with their pediatric or family medicine provider.
In the well-child visit, we measure growth and development and discuss milestones such as school readiness, riding a bike, reading, friendships and independence. We guide children to build healthy habits in moving, playing, eating, sleeping and safety. We also check in on their mental and emotional health.
Prevent Disease: When it comes to childhood vaccines, there is a lot of information, and we can help parents and caregivers sort through it. Vaccines are one of the most reliable ways to protect children from serious illnesses like polio and measles and seasonal viruses like the flu and rotavirus. As always, we approach vaccines as a decision we make with families. Your pediatrician and family medicine provider are happy to answer your questions.
School Readiness: Kindergarten is a big step. We can help you prepare for this milestone as starting school can be emotional for children and parents alike. If your child has asthma or food allergies, we need to complete school forms that outline medical plans and allow the use of a rescue inhaler or EpiPen. As your child grows, a well-child visit every summer can ensure your child is ready for the new school year.
Sports Physical: From seventh to 12th grade, sports physicals are required for athletes playing high school sports in Minnesota. The law requires teen athletes to get a sports physical every three years. To begin tryouts
or practice, athletes must turn their completed sports physical form into their coach or athletic director.
Sports physicals are key to making sure your teen can play safely, prevent injury and maintain good health lifelong. We look closely at your child’s medical history and heart health. We want to know if your child has ever passed out, felt dizzy or had chest pain during exercise. We may also ask about the use of steroids, supplements, alcohol or drugs.
A sports physical can be done at the same time as your child’s annual check-up. Simply let us know when you make the appointment. We’ll complete the sports physical form and a physical exam. We record height, weight and vital signs, check muscles, joints, strength and flexibility.
We encourage athletes who have had a change in their health—chest pain, injury, concussion or asthma—to get checked out before the season begins.
Prepare for your visit: Jot down questions you want to ask. Check in with your school nurse or school district health office for forms. Clinics also require health history forms at every well-child visit. When you make your appointment, we’ll send you online forms to complete. To make the appointment go smoothly, fill out forms prior to the visit.
See you this summer!
DR. NANCY NELSON, PEDIATRICIAN
Children’s Health Center, Mankato
507-389-8529
mankatoclinic.com/ specialties/pediatrics
Daniels Health Center, St. Peter 507-934-2325
The Reality of Youth Vaping
BY RENAE DANBERRY MAPS Substance Use Counselor, and Madison Coleman, Advocate, Nicotine-Free Greater Mankato
“It’s in the bathrooms, in the parking lot, between classes…It’s just part of school.”
This is what students tell Renae Danberry, Mankato Area Public Schools Substance Use Counselor. Vaping happens in bathrooms, hallways and even classrooms. Adults may not see it, but students see it every day.
For many teens, vaping starts with curiosity. “My friend had one and said, ‘It’s just flavor.’ I didn’t think it was a big deal.” But what begins as a simple try can turn into a habit that is hard to control. One student said, “When I try not to vape, I get shaky or angry. That’s when I realized I might be addicted.”
RESOURCES
My Life, My Quit
A free, confidential teen quit program.
Text Start My Quit to 36072 or visit mylifemyquit.com
Room to Breathe Reflection Journal
Many youth vape to cope with stress or anxiety. This journal helps teens reflect and build healthier coping skills. Order a free copy at aroomtobreathe.org
Vaping has become so common some teens believe everyone is doing it, even when that’s not true. When something feels normal, it’s harder for teens to see the risks.
Teens are not to blame; the commercial tobacco industry is targeting them.
Vapes come in flavors like watermelon ice, strawberry milk, mango, and mint. These sweet flavors taste like candy and make vaping seem harmless. Yet vapes deliver a high level of nicotine and toxic chemicals very quickly. Many students say flavor is the reason they tried it. “If it tasted bad, I wouldn’t have started,” one shared.
These products are designed to appeal to young people. They come in bright colors, fun flavors, and are small enough to hide in sleeves, pockets or backpacks. Use of nicotine pouches—which have no smell or vapor at all—is also on the rise.
Even students who don’t vape say it’s stressful to watch friends become addicted or deal with peer pressure. They wish vaping would disappear from their schools.
Students can’t face this alone. Join our coalition Nicotine-Free Greater Mankato advocates for local policies that limit flavored tobacco sales to protect kids from the dangers of vaping. Together, we can help young people lead nicotine-free lives and build a stronger, healthier community.
Visit LoveYourLungsMankato.org
Signs Your Child May Be Vaping
z Sweet, fruity, or minty smells
z More frequent bathroom trips
z Irritability or restlessness
z Trouble focusing or finishing schoolwork
z Hidden small devices, pods, or round pouches
z Coughing, throat irritation, or headaches
z Sudden changes in mood or friend groups
These signs could mean your child is struggling with nicotine addiction.
DR. KATIE SMENTEK Pediatrician
Mankato Clinic
Children’s Health Center
507-389-8529
mankatoclinic.com/specialties/pediatrics
“Every time I walk into the bathroom, I can smell that fruity smell.”
Kids Want to Quit
How Parents Can Help
Many teens want to stop vaping but don’t know how. Some fear getting in trouble, others feel embarrassed.
The first step is opening the door to conversation. When you make it safe for your child to talk, they feel supported rather than judged. You might try:
“I’ve heard vaping and nicotine pouches are common in schools. What’s your take?”
“I’ve noticed a few things that make me wonder if you might be vaping. I care about you, and I want to help.”
Tips for parents:
z Stay calm and listen first. Many teens vape because they feel stressed or anxious.
z Avoid anger or shame. This pushes teens to hide the problem.
z Quitting is hard. Withdrawal can cause headaches, irritability, and trouble focusing. Slips and relapses are common and part of the process.
z Get support. Lean on your pediatrician, family medicine provider or mental health professional. You don’t have to handle this alone.
Don’t Get Hooked: How to Spot a Phishing Attack
Phishing attacks continue to remain one of the biggest cyber threats, targeting both individuals and businesses alike. According to the U.S. Army Reserve, 3.4 billion phishing emails are sent daily around the globe. These phishing attacks can lead to data breaches, ransomware infections, identity theft and more. The first step in protecting yourself from a phishing scam is learning to spot the warning signs.
What is phishing? Phishing is a cyberattack that attempts to gain access to your money or your personal information, primarily carried out via email. These scammers may pretend to be reputable companies, friends, coworkers or other trusted individuals, when in fact, they are fake accounts sending emails that may contain malicious links or attachments.
What to look out for – Imagine you are scrolling through your email inbox and come across a message that appears to be from a shipping company. The email claims that the company was unable to deliver a package to you, and for you to receive the shipment, you must click a link to verify your information immediately.
The contents of this message should send off warning signals in your mind.
As scammers increasingly use artificial intelligence to craft emails, traditional warning signs like spelling mistakes, poor grammar, and formatting issues are less common. Instead, be alert for these red flags that may indicate a phishing attempt:
z Suspicious sender addresses – Review the sender’s address to see if it matches the email address typically used by this individual or company. Scammers will make small domain name changes in the hope that you will not recognize the difference.
z Requests sensitive information – One goal of a phishing email is to gain access to your personal information and/or devices. Real companies will not ask for sensitive information including Social Security numbers, passwords or debit card numbers by email or phone.
z Urgent language – In an attempt to trick an individual into believing the fake email, the scammer will urge you to act quickly, hoping you won’t think through the warning signs of the communication. If an email urges you to act immediately, take a moment to examine it because it is likely a scam.
z Unexpected attachments or links – The quickest way for these scammers to obtain your information or gain access to your device is by convincing you to open an attached file or click on a link. Clicking the link or attachment may unleash a virus on your device, giving the scammer remote access to steal your personal information. Avoid opening or downloading unexpected files and clicking on links without investigating them. If you are suspicious of it, err on the side of caution by not clicking it. Instead, use a trusted form of communication to reach the person and confirm whether the message is legitimate.
z Generic wording – Because the individuals behind phishing scams do not have your personal information, they tend to use very generic wording such as “Valued Customer” when addressing you instead of your name. If the message seems overly vague, this could be a sign that it is a phishing attack.
How to Report Phishing
If you believe that you have received a phishing email, you should report it immediately.
z Report it to the Federal Trade Commission at reportfraud.ftc.gov/
z Delete the email.
If you receive a phishing email at work, review your company’s IT policy for phishing reporting.
ERIK HAGEDORN West Bank, Mankato
nonjudgmental
• 24-hour response to hospitals & law enforcement centers
• Emotional support and validation
• Safety planning
• Online support groups
• Emergency shelter
• Supervised visits and exchanges
• Supporting filing restraining orders
• Explaining legal/court processes
• Interpreters or bilingual advocacy available
Strawberry Overnight Oats
Fiber is a part of plant foods that your body cannot digest. Imagine fiber as a broom that helps sweep your digestive system clean! Fiber helps promote healthy digestion and prevents and relieves constipation.
The average American adult is not consuming enough fiber. By jumpstarting your day with these overnight oats, you can boost your fiber intake.
Adding too much fiber too quickly can lead to GI distress; add fiber slowly over a couple of weeks! Drink PLENTY of water. Fiber works best when it can absorb water.
RACHEL ARENDS, DIETETIC INTERN Minnesota State University, Mankato Rachel completed an internship in the Mankato Clinic Diabetes Care Center in January 2026.
INGREDIENTS
½ c quick oats
½ c milk (dairy or plant based)
1/8 c water
¼ c Greek yogurt, strawberry or vanilla
¼ c strawberries, washed & sliced
1 tbsp chia seeds
½ tsp vanilla extra
Pinch of salt
INSTRUCTIONS
1. Find a mason jar, small glass container, or something similar.
2. Combine quick oats, milk, water, Greek yogurt, chia seeds, vanilla extract, and salt in your container and mix until smooth.
3. Once smooth, gently mix in strawberries.
4. Store oats in the fridge overnight (or for at least 4 hours).
In the morning, enjoy your oatmeal cold or hot! If you want a prepped breakfast for more than 1 day, simply use the same ingredients and make two or three containers!
How to store: Place the lid on the container and store in the refrigerator. These store nicely for up to 3-5 days.
Everyday Thriver
Holly Callaghan
BY KELLY DEVRIENDT-SIMMONS
Holly Callaghan defines thriving as paying close attention to how she spends her time and energy, and ensuring both are aligned with her values.
“Aligning goals with the means to achieve them and aligning daily life with what matters most is how I thrive,” she explains.
It’s a perspective rooted in intentionality rather than constant striving—expansive, yet grounded.
Holly describes herself as a “try hard,” but not in an exhausting way. For her, the phrase reflects curiosity and a genuine desire to see what’s possible with a little effort, creativity, and courage. That mindset shows up across many areas of her life.
She finds artistic expression through music—both performing with her band, 3 Hour Download, and singing in worship settings at Hosanna. Professionally, she channels her curiosity and care into her work with GreenSeam, supporting businesses and strengthening regional economic development. Equally important to her thriving is investing time in deep, meaningful relationships with friends and neighbors. Each of these pursuits reflects her values and gives her a sense of purpose.
But thriving, Holly is quick to point out, doesn’t mean being constantly “on.” With a wide range of interests and a natural “heck yeah” attitude, she’s learned that rest isn’t optional. “Leaving space to recharge is just as essential as saying yes to meaningful work,” she says.
Balance is non-negotiable.
When life feels full, self-care becomes less about indulgence and more about awareness. Holly pays attention to multiple dimensions of health—social, emotional, occupational, spiritual and physical. When one area feels depleted, she approaches it with curiosity instead of self-criticism, asking what might restore balance.
“Sometimes the answer is connection, sometimes reflection,” she laughs. “Sometimes it’s scones—blueberry scones, to be precise. They’re a load-bearing pillar of self-care.”
Staying grounded through life’s ups and downs always circles back to values. Music, for Holly, isn’t just personal expression—it’s about shared joy. Watching people sing along, dance, and connect reminds her of how and why it matters.
Her professional work follows the same thread. Supporting agribusiness growth through GreenSeam isn’t just a job; it’s a way to help communities flourish. “As economies grow, so do opportunities, jobs, and quality of life,” she says.
That perspective was shaped over time by strong role models. With a creatively driven mother and a father who loves economics and systems, Holly sees her path as a natural blend of both influences—a self-described “singer slash economic developer.”
One mindset shift proved especially transformative: realizing that showing up matters more than showing up perfectly. “Presence, even on off days, creates momentum,” she reflects.
A short daily practice of journaling, breathing, or meditation has become a powerful reset, offering clarity that feels almost disproportionate to the time invested.
“Aligning goals with the means to achieve them and aligning daily life with what matters most is how I thrive.”
Thriving, in Holly’s view, is alignment over perfection, presence over pressure, and joy meant to be shared. And in that steady, intentional rhythm, she’s doing exactly that— living, contributing, and thriving.
To catch 3 Hour Download visit facebook.com/3hourdownload
To learn more about GreenSeam, visit greenseam.org
EMILY JEWISON, RN Departments of Psychiatry and Psychology
I joined Mankato Clinic in May 2023 before becoming an RN Care Manager in January 2026. I work together with patients, families and providers to coordinate all aspects of care. I serve adults and children to support mental health care, manage complex diseases and connect people to resources. I also have experience in family medicine, internal medicine and urgency care.
I hold an RN degree from Rasmussen University and a certification in Advanced Care Planning and Hospice. I’m originally from Minnesota Lake.
Hi, I’m Emily.
“My approach to care centers on understanding each patient as a whole person, not just the diagnosis. I aim to support mental health in a thoughtful, compassionate way that reflects each individual’s medical needs, mental health needs and personal goals.”
What makes you thrive?
Spending time with my family grounds me and gives me energy. I thrive when I’m outdoors— walking or hiking, soaking up fresh air, and slowing down enough to truly enjoy the moment.
What did you want to be when you grew up?
I wanted to be a chef. I’ve always loved the creativity of cooking and the way food brings people together—it felt like a joyful, hands-on way to care for others.
If you could travel anywhere in the world, where would you go?
Denmark, Norway, and Sweden. A Scandinavian adventure is my dream trip—especially experiencing it alongside my husband, taking in the landscapes, culture, and quieter pace of life.
What else do you like to do?
I love fishing and boating and playing pickleball with my son. I’m also an avid reader and enjoy unwinding with a good book whenever I can.
MANKATO CLINIC DEPARTMENTS OF PSYCHIATRY AND PSYCHOLOGY
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Choose with Confidence, Choose OrthoEdge
• Close to home
• More than 13,000 orthopedic procedures since 2014
• 250 years of combined orthopedic surgery experience
• River’s Edge Hospital is a DNV-GL Healthcare Certified Orthopedic Center of Excellence
• OFC providing orthopedic care to the area since 1957
JAYA WADHAWAN, MD
Mankato Clinic Pediatrics
I joined the Mankato Clinic as a pediatrician in March 2026. Board certified in pediatrics, I am a fellow of the American Academy of Pediatrics. I completed my residency in pediatrics at The Brooklyn Hospital Center, Brooklyn, NY. I earned my Medical Degree from St. Geroge’s University School of Medicine, Grenada.
In my spare time, I enjoy traveling, pickleball and hiking with my husband and dog.
Hi, I’m Dr. Wadhawan.
What makes you thrive?
On a day to day, I thrive when I start my days off right—which means a nice cup of coffee! Overall, I really value work-life balance. On my down time, I enjoy traveling, exploring new cultures, foods and experiences, staying active and spending time with my family and friends!
Why did you join the Mankato Clinic?
I joined Mankato Clinic because it is a physicianled organization that values collaboration among a talented team of pediatricians and specialists. I am excited to be part of a clinic that not only provides excellent care but also engages with the community it serves.
What do you love to do in the spring?
I love taking my dog on walks, discovering new hikes in the area and refreshing our home after a long winter!
“I strive to create an environment where both children and parents feel heard and comfortable in the care decisions we make together. I value building long-term relationships with families and truly enjoy watching children grow and being part of their important milestones.”
What did you want to be when you grew up?
I was always drawn to journalism because I enjoy reading, writing and following current events that shape our world—skills that now help me communicate with families and understand them on a deeper level.
What are your favorite activities?
I enjoy practicing yoga to center my mind and body. I have also recently been embracing my pickleball era. When looking for a fun challenge, my husband and I love tackling an escape room together!
MANKATO CLINIC PEDIATRICS
Mankato Clinic Children's Health Center 507-389-8529
mankatoclinic.com/specialties/pediatrics
RACHEL
SCHROEDER, APRN, CNP
Mankato Clinic Extended Care
I joined the Mankato Clinic in January 2026. As a nurse practitioner in Extended Care, I deliver primary care to patients within their assisted living communities. By visiting patients in the place they call home, I bring a sense of comfort, security and convenience to our patients and their families.
My clinical interests include internal medicine and geriatrics. I earned my Master of Science in Nursing from Purdue University Global, West Lafayette, Indiana.
I’m originally from Wells and enjoy camping with family, ATV and pontoon rides, watching movies and crafting with my Cricut machine.
Hi, I’m Rachel.
What makes you thrive?
Staying busy, complex work schedules, kids sports and family time.
What do you love to do in the spring?
I am a summer girl. In the spring I try to avoid the mud and love to watch the weather warm up. What did you want to be when you grew up? I wanted to be a paralegal.
What surprises people about you?
That I have multiple degrees, some in nonnursing fields. And that I really don’t love pizza. I will eat it, but I would never choose it.
“As part of the Extended Care department, I strive to provide compassionate, patient focused care.”
What’s your favorite thing to cook?
Beef Stroganoff
If you could travel anywhere, where would you go?
The Maldives. I love warm weather, clear water and beaches. I have always wanted to stay in an overwater bungalow.
What are your favorite activities?
I like to ride in our side-by-side, boat, fish, ice fish, golf, camp and play bingo. I like to read, although my kids say audiobooks aren’t reading.
I’m a physician assistant and joined the Mankato Clinic General Surgery team in January 2026.
I earned my Master of Science in Physician Assistant Studies at A.T. Still University, Mesa, AZ, and my Bachelor of Science in biology from Gustavus Adolphus College, St. Peter. I’m originally from Mankato.
In my free time, I enjoy spending time with my family—getting out on local lakes in the summer, skiing together in the winter and playing card games. I love traveling and exploring new places. Most of all, I enjoy supporting my kids—being their number one fan—at their music and sporting events.
Hi, I’m Tammy.
What makes you thrive?
I thrive when spending time with family and friends, especially if we are doing anything outdoors enjoying the sunshine. I love to travel and explore new places and recently went on my first medical mission trip to Guatemala.
What do you love to do in the spring?
Going for walks in the warmer weather and playing outside with my children.
What did you want to be when you grew up?
I always wanted to work in the medical field. As a child, I wanted to be a nurse or a doctor. I learned about the PA profession in college and ultimately pursued a career as a physician assistant.
“I am committed to providing compassionate, patient-centered care. I believe informed patients are empowered patients. I take the time to listen, answer questions and explain so you can feel confident in your care.”
What surprises people about you?
During a January-term in college, I studied alternative medicine in India where I lived in a rural village for several weeks.
Do you have any hidden talents? What can you do?
I play the cello. After playing the cello through high school and college, I recently started playing again with my daughter who is a pianist.
MANKATO CLINIC GENERAL SURGERY
Main Street Clinic 507-389-8537 mankatoclinic.com/specialties/surgery
You can move beyond just managing symptoms. ElectroDermal Screening (EDS) at Natural Remedy Wellness helps identify areas of stress and imbalance in the body so you can begin supporting root cause layers and move toward better health.
A1C UNDERSTANDING HEMOGLOBIN
Diabetes remains one of the most common chronic health conditions, but early detection can make a significant difference in longterm health. One of the most important tools for screening and monitoring is the hemoglobin A1c test, often called simply A1c. This simple blood test provides powerful insight into your average blood sugar levels over the past two to three months. It reflects how much glucose has attached to hemoglobin in your red blood cells, which live roughly 90 days.
HOW A1C DIFFERS FROM FASTING GLUCOSE
A fasting glucose test measures blood sugar at one moment in time, after at least eight hours without food. It offers a “snapshot” of your current blood sugar. In contrast, A1c reflects longterm patterns and is not affected by recent meals, stress, or illness. This makes A1c especially valuable for identifying chronic elevations in blood sugar that might not appear on a single fasting test.
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WHO SHOULD BE SCREENED?
The CDC recommends A1c screening for anyone age 45 or older. Younger adults should also be tested if they have overweight and at least one additional risk factor, such as a family history of diabetes, high blood pressure, inactivity, or a history of gestational diabetes.
Higher A1c levels reflect more prolonged exposure to high blood sugar, which increases the risk of nerve damage, kidney disease, and other complications.
The A1c test does not require fasting and can be done at any time of day. It is one of the simplest and most reliable ways to understand your longterm blood sugar patterns and identify risks early. Whether you are monitoring an existing diagnosis or staying proactive about your health, knowing your A1c empowers you to take informed action for a healthier future.
IN THIS FREE DIABETES CLASS, you’ll learn simple strategies for building balanced meals, pairing carbohydrates with protein and fiber, and supporting steady blood sugar throughout
Scan this QR code to find your Hy-Vee dietitian
GUIDED CARE Together We Thrive
BY MARIE WOOD
Join Our Team
Our purpose is to care for people. It fuels our passion and commitment. Our actions demonstrate it and it’s in everything we do every day.
Alexis Petersen, LPN, and Sara Palmer, CMA, Allergy and Family Medicine, bring joy, heart and compassion to our patients, clinic and community. That’s why Alexis and Sara received the 2025 Thrive Ambassador award.
“In Allergy, I see patients who struggle daily with asthma, seasonal allergies and chronic symptoms. It’s incredibly fulfilling to help them feel better and breathe easier,” Sara says.
“I love being able to support our patients, listen to their needs and help improve their quality of life in meaningful ways,” Alexis says.
Alexis and Sara work closely with Dr. Vasan Ramanuja, Allergist. They offer hands-on care and behind-the-scenes coordination: allergy and asthma testing, immunotherapy to reduce allergy symptoms, educating patients, preparing forms, answering patient calls, and managing medication refills. Cross trained in Family Medicine, they back up coworkers to provide a wide range of care.
When it comes to team building, Sara and Alexis are all in!
“That energy carries over into patient care. When we’re enjoying our work and supporting each other, our patients feel it too,” Alexis says.
They are involved in the community from Baby & Kids Expo to ringing bells for The Salvation Army. At the Career Expo for local 10th graders and Scrubs Camp which brings high school students into the clinic for hands-on learning, Alexis and Sara inspire young people to pursue a career in health care.
“It is rewarding to support causes that make our community stronger, healthier and more connected,” Sara adds.
Both Sara and Alexis recommend Mankato Clinic as an employer because staff are valued, respected, and heard. They also point out a sense of teamwork and opportunity for professional growth.
“Mankato Clinic is more than just a workplace—it truly feels like a family,” Alexis says.
WE ARE HIRING
See current opportunities and more about our culture and community at mankatoclinic.com/join-our-team
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2026 Women of Distinction Women
Distinction of
Distinctive Difference Business
Advancing Racial Justice Grant Recipients
The Women of Distinction event is a powerful celebration of leadership, impact, and meaningful change. For more than 50 years, this honored tradition has recognized the extraordinary contributions of women and organizations whose work reflects and advances the mission of the YWCA.
eliminating racism + empowering women
On April 23, 2026, our community will come together at the Country Inn & Suites to celebrate the individuals who help shape a stronger, more equitable Greater Mankato. This gathering is an opportunity to recognize the dedication, leadership, and compassion of those whose efforts uplift others and create lasting change.
The Women of Distinction celebration honors individuals whose work, service, and vision inspire progress within our community. More than an award, it is a moment to reflect on the power of leadership, collaboration, and commitment to building a future where everyone can thrive. Join us as we celebrate the extraordinary people whose passion and impact make our community better for all.
April 23, 2026 | 5:30pm
Country Inn & Suites, Mankato
Tickets are $70 per person or $500 for a table. Scan the QR code to register today.
Helen Bednar
SkyAnne Walker Linda Good
Yusra Omar
Natasha Weis
Martha Croyle
SkyAnne Walker Community Advocate and Justice Leader
SkyAnne Walker is a Ho-Chunk/Winnebago community leader whose work advances equity, food justice, and opportunities for Indigenous families in the Greater Mankato region. Through leadership with organizations such as the Native American Parental Advisory Committee, the St. Peter Good Neighbor Diversity Council, and Blue Earth Community Farm, she builds partnerships that expand access to culturally relevant food, resources, and community support. Her food recovery and distribution efforts intentionally serve Indigenous families and help strengthen a more equitable regional food system.
SkyAnne also uplifts women and youth through mentorship, cultural programming, and community events, including organizing graduation feather ceremonies and supporting Indigenous cultural celebrations. Her collaborative leadership style centers listening, relationship-building, and trust, allowing her to bridge communities across healthcare, food systems, and local organizations. By advocating for culturally responsive resources and creating opportunities for emerging growers and entrepreneurs, SkyAnne helps break down systemic barriers and build long-term pathways toward racial justice, economic empowerment, and community well-being.
Linda Good Pioneer of Empowerment and Community Connection
Linda Good has demonstrated decades of leadership dedicated to empowering women and strengthening the Greater Mankato community. In the 1970s, she helped establish the Southern Minnesota Women’s Center at the Mankato YWCA, which later evolved into the Women’s Center at Minnesota State University, Mankato—an enduring institution advancing gender equity and social change. Through this work and ongoing advocacy, she has contributed to systems that elevate women’s voices, challenge isolation, and address inequities affecting women and families.
Linda continues to foster inclusive community spaces through her leadership of the VINE Memoir Group, which she co-founded in 2011. The group provides a supportive environment—primarily for older women—to share personal stories, build connections, and experience healing and empowerment. Her leadership emphasizes dignity, respect, and cross-cultural understanding, welcoming individuals from diverse backgrounds and life experiences. Through mentorship, relationship-building, and sustained community engagement, Linda’s work uplifts others and contributes to a more inclusive and compassionate community.
Helen Bednar Storyteller and Community Changemaker
Helen Bednar is recognized for her community-centered leadership and commitment to strengthening inclusive opportunities across the Greater Mankato region. Through board service and volunteer leadership with organizations such as MY Place, the Mankato Symphony Orchestra, VINE Faith in Action, and the Flamboyant Flamingo Flock Foundation, she supports youth development, arts access, family stability, and community care. Helen also contributes to culturally inclusive initiatives such as the Day of the Dead celebration in Old Town Mankato, helping foster cross-cultural understanding and belonging.
Helen’s leadership is characterized by using her professional skills in storytelling, design, and communication to elevate community organizations and expand their reach. She has supported initiatives that empower women and girls, including storytelling and advocacy connected to the YWCA’s Trades Trailblazers Tiny Home project, which introduces young women to trade careers and builds confidence through hands-on experience.
Her impact reflects a collaborative approach to leadership that uplifts others, strengthens community partnerships, and increases access to resources and opportunities for diverse groups. Through sustained service and behind-the-scenes leadership, Helen helps build more inclusive systems and community spaces that benefit women, families, and marginalized populations across Southern Minnesota.
Lasting Imprint Delivers
Life-Saving Tools & Skills
BY MARIE WOOD
“Every minute matters when it comes to an emergency, especially one that involves the heart,” says Amanda Rueter, Executive Director of Lasting Imprint.
That’s why AEDs are a common sight in workplaces, churches, schools and parks. When a person has a cardiac arrest, the best chance for survival is CPR combined with an AED device. Automated external defibrillators (AED) deliver an electrical shock, or defibrillation, to help the heart restore a regular rhythm.
In February 2026, with funding from the Mankato Clinic Foundation, Lasting Imprint donated an AED to Hillside Church in Mankato. Lasting Imprint founder Kristen Thomas, American Heart Association instructor, trained church members on a Saturday morning.
“In the event of a cardiac emergency there are trained people on site who will be able to intervene and help to the best of their ability,” Amanda says. “Once people are trained, they are then able to take those skills out into the community at large and be able to apply what they know to any given emergency.”
Lasting Imprint is a non-profit that raises awareness and funds to fight congenital heart defects (CHD) and support heart families who are raising children with CHD. Providing AEDs and training is one aspect of its mission.
Amanda joined Lasting Imprint when she was pregnant with her son who has CHD. Now 11 years later, she is executive director. As a member of Hillside Church, it’s good to know the church her son attends has an AED and members ready to respond.
Elissa Karels, Nurse Practitioner at North Mankato Family Medicine, board member of Lasting Imprint, explains: “Our goal is to increase public access to AEDs and to make people more comfortable using this device. Training and practice before a cardiac arrest occurs in real life is key as it’s often chaotic. The AED is also helpful as it will provide clear instructions on use and when to provide CPR.”
Elissa joined the Lasting Imprint Board of Directors because close family friends have a child with a heart condition.
“We have met some amazing heart families and kiddos and continue to raise funds to assist with CHD research as about 1 in 100 babies will have a congenital heart defect, making this the most common birth defect in infants,” Elissa says.
As a heart mom, Amanda knows firsthand that Lasting Imprint connects with heart families to make a tough diagnosis more bearable. She’s also proud of their work in the community.
“We not only educate people on what CHD is and how it affects those diagnosed with it but also provide tangible ways to help ANYONE with a cardiac emergency. By installing AEDs where they are needed and providing the training, people feel confident in using that knowledge to potentially save a life,” Amanda says.
To get involved in Lasting Imprint, visit lastingimprint.org
AMANDA RUETER, ADMINISTRATIVE PASTOR AMY MILTIMORE OF HILLSIDE, WITH LASTING IMPRINT BOARD MEMBERS TRACY CULBERTSON, KIMBERLY DAUER, LESA DRYSDALE AND ELISSA KARELS PARTICIPATED IN THE TRAINING SESSION.
LESA DRYSDALE PRACTICES CPR COMPRESSIONS WITH ELISSA KARELS.
Giving back to the community is part of who we are at the Mankato Clinic. The Mankato Clinic Foundation’s mission is to support health and wellness in the communities we serve.
In Quarter 1 of 2026, we approved $161,693 in grants to local organizations.
z Greater Mankato Area United Way
First Steps program for healthy pregnancies and babies ($59,693) 2026 Project Community Connect ($2,000)
z WellShare International Project Well-Being and Community Health Worker Hub ($25,000)
z Educare Foundation
Grants for teachers to enhance classroom learning ($25,000)
z Region Nine Development Commission Food rescue ($10,000)
z Children’s Museum of Southern Minnesota
Healthy Me exhibit ($7,500)
z A Fresh Start
Intake and delivery coordinator for clients emerging from homelessness ($5,000)
z Life-Work Planning Center
Women in Transition Pre-employment program ($5,000)
z PACT Ministries
Monthly food distribution ($5,000)
z Feeding Our Communities Partners Maple River Schools food programs ($5,000)
z Connecting Kids
Scholarships for water safety and swim lessons ($5,000)
z MN Valley Action Council Bike helmets for children in Head Start ($3,000)
z St. Peter North Elementary School Fourth Grade Kindness Retreat ($2,500)
z Junior Achievement North JA BizTown ($1,500)
The foundation receives most of its funding from Mankato Clinic physicians, along with giving by Mankato Clinic staff and community members. In the last 10 years, the Foundation has given more than $3 million in local grants and scholarships.
Join the fun and fellowship at the Senior Expo. The Vendor Hall features a free goodie bag, prizes, treats, vendors and a wealth of information. Live music and free portraits from 1 to 3 pm.
MY Place Block Party 2025
Thursday, April 16, 6-9 PM
Celebrate and support MY (Mankato Youth) Place. Enjoy a casual and fun evening filled with games, music, food and more. The Block Party benefits MY Place, a free after school and summer program and center for children in grades K-8 to build social, academic and health skills.
Project Community Connect
Tuesday, April 21, 1-4 PM
Project Community Connect offers local resources and services to improve lives in one place. People can access a variety of resources to include food, housing, employment, haircuts, legal aid, medical/dental and clothing. Event offers a free bag lunch and free childcare.
Healthy Me
Spring/Summer Exhibit During Regular Hours Tuesdays-Sundays
Healthy Me is a hands-on exhibit for children to learn about lifelong health habits and step into the roles of doctors, nurses, health professionals and patients. Stations include a Doctor’s Office, A Toothy Grin, X-Ray Lab, Eat a Rainbow and Move & Groove.
Saint Peter Community Center 600 S 5th St, Saint Peter
For more information, visit saintpetermn.gov/537/ Annual-Senior-Expo
Free Event
MY Place 1315 Stadium Road, Mankato
For more information, visit myplacemankato.org
Tickets are $90 each.
Mayo Clinic Health System Event Center
1 Civic Center Plaza, Mankato
For more information, visit mankatounitedway.org/projectcommunity-connect
Free Event
Children’s Museum of Southern Minnesota 1401 S Riverfront Drive, Mankato
For more information, visit cmsouthernmn.org
Daily Admission fees with discounts available for those who qualify
Clean Homes & Workplaces Make Healthy Environments
Make It Vanderberg Clean!
Providing a clean work environment for employees or living space for your family is an essential part of good health. Vanderberg Clean can help make your home or business a clean, safe and healthy place to live and work. Years of experience and a commitment to quality make Vanderberg Clean the area’s most trusted cleaning service provider!
Vanderberg Clean offers comprehensive cleaning services for both Residential and Commercial locations!
Carpet Cleaning
Janitorial Services
Construction Cleaning
Hard Surface Cleaning
General Cleaning
Critical Cleaning
Spring Cleaning
That’s why Mankato trusts Vanderberg Clean
That’s
why Mankato trusts Vanderberg Clean
Now is the perfect time to refresh your floors. Months of tracked-in snow, salt, sand, and moisture can settle deep into carpet fibers and collect in the grout lines of tile and the textured surfaces of LVT. While regular vacuuming and mopping help, they often can’t reach the buildup that winter leaves behind.
Vanderberg Clean’s professional staff uses specialized equipment and solutions designed for each flooring type, lifting out stubborn residue and restoring the look of your floors, leaving your home and workspace healthier, cleaner, and brighter.
