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Nawab Joins Greater Regional Medical Staff

Greater Regional Medical Center welcomes Qurrat-Ul-Ain “Annie” Nawab, M.D., to the Greater Regional medical staff.   Dr. Nawab is a board certified internal medicine physician with secondary practice specialties and board certification in critical care, sleep medicine and pulmonology.   

Prior to joining Greater Regional, Nawab worked as a Pulmonologist/Intensivist and Sleep Medicine Specialist since 2008 at Mercy Hospital in Joplin, Missouri.  Nawab, recognized as one of 417 Magazine’s Top Pulmonologists in Southwest Missouri, served as Chief of the Medical Staff in 2013-14 and Director of the Sleep Lab during 2011-2014 while in Joplin.  

Nawab obtained her medical degree at the Agakhan University Medical School in Karachi, Pakistan in 1999.  She completed her internship at Methodist Healthcare University Hospital in Memphis, TN and her Residency and Fellowship at the University of Tennessee. 
 Nawab will be Director of the Greater Regional Pulmonary & Sleep Medicine Center at Greater Regional and will also serve in a rotation with the hospitalist program on the Patient Care Floor at Greater Regional.

Greater Regional Adds 24/7 Fetal Monitoring Expertise
Decision support and remote web access enhances Labor and Delivery outcomes,
safety and best practices

Continuing its commitment to deliver safe, quality health outcomes to the Labor and Delivery (L&D) patients of southwest rural Iowa, Greater Regional Medical Center, in Creston, has implemented PeriGen’s PeriCALM® fetal surveillance system.

“With PeriGen’s PeriCALM, the evidence-based decision support system is like having a maternal fetal expert looking over your shoulder throughout the labor process, offering reassurance and consultation when needed,” said Gwen Buck, R.N., Greater Regional’s chief nursing officer.  “When we get busy handling multiple deliveries, PeriCALM’s fetal heart monitoring and alert capabilities ensure that we stay on top of all developments. We expect our outstanding quality care for newborns and their mothers to continue and PeriCALM helps assure the highest level of safety.”

With PeriCALM’s remote web access, Greater Regional on-call physicians can log onto the system’s spilt screen to instantly view the mother and baby’s fetal heart tracings in current state and over two hours. They can also access automated, real-time pattern recognition at the bedside. These capabilities allow physicians working remotely to see for themselves the same PeriCALM annotations nurses are seeing, creating more productive conversations. This dialogue empowers the Greater Regional Birthing Center team to make decisions with greater confidence, mitigating the potential for complications and risk.

The Greater Regional Birthing Center typically delivers between 150 and 250 babies annually.

“PeriGen supports Greater Regional Medical Center’s mission to provide the highest quality healthcare and service and to be our community’s provider of choice,” said Buck. “PeriCALM technology also helps us support our core values by encouraging teamwork in making it easier for physicians, nurses and midwives to view and interpret the same fetal strip data at the same time and collaborate on the patient’s care.” 

Continuing, she added, “Above all, PeriCALM enhances our integrity and compassion by applying evidence-based decision support annotations to promote better outcomes – all of which demonstrates our striving for best practice, excellence and the respect we have for our patients. This ensures we’re delivering the very best care.”

“PeriCALM gives our OB staff a sense of reliability and security in the decision process by creating better communication between physicians, nurses and midwives,” said Denise Riley, R.N., OB/GYN coordinator at Greater Regional. “It ensures we’re able to maintain the high quality level we’ve established, and that our interpretation of the data is following evidence-based best practices.”

“Greater Regional Medical Center has established an outstanding reputation for its quality of care and dedication to achieving positive outcomes for its patient community spread across rural southwest and south central Iowa,” said Matthew Sappern, PeriGen’s CEO. “We are excited to bring our sophisticated PeriCALM complete perinatal system to grow with their technology needs now and into the future.”

Greater Regional Expands Oncology Services Locally

Greater Regional Cancer Center recently announced the addition of Dr. Brian Freeman to the medical oncology hematology clinic.  Dr. Freeman will hold clinics on the first and third Monday of each month beginning Monday, April 7.  

 Dr. Freeman joins Dr. Bradley Hiatt in providing medical oncology services locally.  Both physicians are members of Medical Oncology Hematology Associates in Des Moines.  Dr. Hiatt will continue to hold clinics each Tuesday at the Cancer Center. In addition, Dr. Robert Shreck, another member of Medical Oncology Hematology Associates will provide coverage of the clinics in the absence of one of the regular providers.

 Katy Wiley, Cancer Center Director stated, “We are excited to expand our medical oncology clinics.  We believe this will increase convenience and access to local cancer care and service.”

 For more information, please contact the Greater Regional Cancer Center at 641-782-3693 or visit

Greater Regional Diabetes Education Merits
ADA Recognition

The Greater Regional Diabetes Education program has been awarded continued Recognition from the American Diabetes Association (ADA).  The prestigious award recognizes quality diabetes self-management education programs.  The ADA believes that the Greater Regional Diabetes Education Program offers high-quality education that is an essential component of effective diabetes treatment.

The ADA Education Recognition Certification assures that educational programs meet the National Standards for Diabetes Self-Management Education Programs.  Programs apply for Recognition voluntarily.  Programs that achieve Recognition status have a staff of knowledgeable health professionals who can provide participants with comprehensive information about diabetes management. 

According to the American Diabetes Association, there are 25.8 million people or 8.5% of the population in the United States who have diabetes.  While an estimated 18.8 million have been diagnosed, unfortunately, 7.0 million people are not aware that they have the disease.  Each day approximately 5,205 people are diagnosed with diabetes.  Many will first learn that they have they disease when they are treated for one of its life-threatening complications – heart disease and stroke, kidney disease, blindness, and nerve disease and amputation. 

Assuring high-quality education for patient self-care is one of the primary goals of the Education Recognition program.  Through the support of the health care team and increased knowledge and awareness of diabetes, the patient can assume a major part of the responsibility for his/her diabetes management.  Unnecessary hospital admissions and some of the acute and chronic complications of diabetes may be prevented through self-management education. 

For more information, please contact the Greater Regional Diabetes Education program at 641-782-3845 or visit

Greater Regional Offers 3D Mammography

Women who undergo routine mammograms now have the latest screening and diagnostic technology available to them at Greater Regional Medical Center in Creston.

Greater Regional is one of the first women’s centers in Iowa to offer tomosynthesis for breast cancer screening. Breast tomosynthesis helps radiologists identify and characterize individual breast structures without the confusion of overlapping tissue. 

The center’s Selenia® Dimensions® breast tomosynthesis system is made by Hologic, a world leader in digital mammography. The Selenia Dimensions system offers exceptionally sharp breast images, an advanced ergonomic design providing more patient comfort, and the ground-breaking tomosynthesis platform designed to deliver superior screening and diagnostic performance.

Breast cancer screening with tomosynthesis when combined with a conventional 2D mammography has a higher cancer detection rate than conventional 2D mammography alone.   Radiologists are reporting that tomosynthesis technology gives them increased confidence with a significant reduction in recall rates.

During a tomosynthesis exam, multiple, low-dose images of the breast are acquired at different angles.  These images are then used to produce a series of one-millimeter thick slices that can be viewed as a 3D reconstruction of the breast.

By offering women the latest technology in mammography, Greater Regional hopes to increase the number of area women who will be routinely screened.  Breast cancer is the second leading cause of cancer death among women, exceeded only by lung cancer.  Statistics indicate that one in eight women will develop breast cancer sometime in her lifetime. The stage at which breast cancer is detected influences a woman’s chance of survival. If detected early, the five-year survival rate is 98 percent. 

Greater Regional is committed to the fight against breast cancer. In offering breast tomosynthesis digital mammography, Greater Regional provides the latest in imaging quality. If you would like to schedule a mammogram or have questions about this important breast health procedure, please contact 641-782-3508 or visit our web site