What are the chances? Father-son same rare cancer more than two decades apart

There are fewer than 20,000 cases in the United States each year, but this father and son were both diagnosed with testicular cancer.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealth.org

The way Daniel Gabriel “Gabe” Ganser sees it he can thank his dad.

“Dad always said, ‘if you ever have a problem, check it out.’ I’ve always been on top of it because of my dad,” said Ganser, 23. So when he felt pain in his testicle, he called his parents George and Stephanie Ganser.

It was 1995 when George Ganser was diagnosed with testicular cancer. He was treated with radiation at IU Health and has been cancer free ever since. Gabe is the first child born after George Ganser’s treatment. The couple is also the parents to Samantha, 27 and Louis, 29. Mary, 20, was also born after George Ganser’s diagnosis.

“I was told I probably wouldn’t have any more children after my treatment. That’s how he got his middle name ‘Gabriel,’” said George Ganser. What are the odds the father and son would both be diagnosed with testicular cancer? Slim. The American Cancer Society estimates about 9,610 new cases of testicular cancer will be diagnosed in 2020. The average age at diagnosis is about 33 but about six percent of the cases can occur in teens and young men. More than 90 percent of the cases of testicular cancer start as germ cell tumors.

Gabe Ganser came to IU Health Simon Cancer Center where he is in the care of Dr. Lawrence Einhorn – known for his successful treatment of testicular cancer – germ cell tumors – using a mix of high dose chemotherapies and peripheral stem cell transplant.

“The incidence of testis cancer is one in 400 American men and thus it is by definition, a rare cancer. However, since it is a young man’s disease, it is the most common cancer in males between the ages of 15 and 35,” said Dr. Einhorn. “If you have a first degree relative (brother or father) with testis cancer, your chance of testis cancer significantly increases, but still only one in 300.”

It was September 6 when Gabe Ganser was diagnosed. Five days later he underwent an orchiectomy. He began chemotherapy in early December.

“I have my ups and downs – some nausea and fatigue but overall I’m doing pretty good,” said Ganser, a senior communications major at the University of Dayton. He hopes to return to campus this semester and graduate with his peers in May.

One of the biggest adjustments has been learning to slow down.

A 2016 graduate of St. Theodore Guerin High School – where he won the “St. Augustine Medal” for volunteerism – Ganser is known for his school and community involvement. In high school he played football and golf, was president of the Catholic Life Committee and a founding member of Eagles’ Wings. The club focuses on providing service to those in need such as meals, homemade blankets or spiritual jars for the sick. Club members have shown up at funerals to provide emotional support to family. In college Ganser helped lead a Catholic retreat for youth, served as a seventh grade basketball coach, a campus RA and University fellow, and a church Eucharist minister and reader.

The idea of service is something Ganser learned early in life from his parents. “It’s overwhelming seeing it come full circle in what others are doing to support us,” said Ganser.

It’s also a little overwhelming for his family to again return to IU Health Simon Cancer Center.

“When we moved from South Bend in 1990 we knew we wouldn’t be close to the lakes in Michigan but if we ever got sick, we’d be close to a great hospital. I was treated here, three of our children were born at IU Health, and now we’re back,” said George Ganser.

“I think I’m blessed to have Dr. Einhorn as a doctor,” said Gabe. “He’s deliberate with his wording and confident that I’ll be cured and healed from this disease. He’s made me feel that confidence since the first time I talked to him.”

Mother-daughter fight breast cancer together

They tested negative for an inherited case of breast cancer but this mother and daughter were both diagnosed within months of each other.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealth.org

One of the first questions people want to know: “Is this genetic?” The answer for Tara Haisley and Bette Jarvis is “No.”

It was just something that happened. They were both diagnosed with breast cancer within four months of each other. Both were diagnosed through a mammogram at IU Health.

It was August 2019 when Tara learned the results of her annual mammogram. The first spot was on her left side; a second spot was later discovered on her right side. Under the care of Dr. Carla Fisher she underwent three surgeries to remove the masses and growth in the lymph nodes. Radiation followed. She remains in the care of hematologist/oncologist Dr. Erin Newton.

Jarvis was diagnosed in November and underwent surgery to remove the lump and infected lymph nodes. Four weeks of radiation followed and she was given an “all clear.”

After a recent check up, Haisley entered the waiting room at IU Health Simon Cancer Center greeted by her mom, father, stepmom and cousin. She offered a “thumbs up” that was followed by hugs of joy. Haisley turned 50 this month and says this is the best gift of all.

The mother and daughter live together in their Jonesboro home. Haisley is Jarvis’ only daughter.

“This has brought us so much closer. We’ve worked off each other’s strength,” said Jarvis. They enjoy gardening together and camping. When they were going through treatment, sometimes that camping meant a “stay-cation.” They pitched a tent in their back yard, slept on an air mattress and cooked over a fire pit.

New Nurse: Rachel’s Story – Week 10

New IU Health Methodist Hospital nurse Rachel Ketelaar gains confidence in her patient care in her 10th week.

Monday

  • I am feeling more and more confident each and every day. Ty has been gone for appointments and meetings, leaving me on my own for a few hours. I felt pretty good about how I handled myself and cared for our 5 patients.

Wednesday and Thursday

  • Back in class again, for advanced cardiac life support trainings. Lots of watching videos and listening to lectures on Wednesday. On Thursday we put the learnings into practice. We ran patient codes, figured out what was going on with the patients and how to treat them. Still nervous that I’m going to forget all that I’ve learned when under pressure. But I know I have studied well and am prepared for this class!
  • I didn’t really do anything “new” this week but I am still learning so much each and every day. I’m so glad I chose to be a nurse — it is definitely the profession for me! And this week I scheduled my work hours for the next two months, when I’ll be on my own without a preceptor. This is exciting, partly because I get to choose the days I want to work!
Since I usually pack a lunch, I don’t use the hospital cafeteria much. I found this solarium room for lunching that I like. It offers a great view of the city and lots of light.

Read more:

New Nurse: Rachel’s Story – Week 1
New Nurse: Rachel’s Story – Week 2
New Nurse: Rachel’s Story – Week 3
New Nurse: Rachel’s Story – Week 4
New Nurse: Rachel’s Story – Week 5
New Nurse: Rachel’s Story – Week 6
New Nurse: Rachel’s Story – Week 7
New Nurse: Rachel’s Story – Week 8
New Nurse: Rachel’s Story – Week 9
New Nurse: Rachel’s Story – Week 10

Apply Yourself – Being a nurse at Indiana University Health means building a professional nursing career designed by you, with competitive benefits and a culture that embraces your unique strengths and supports your personal and professional goals. If you are seeking an organization where you can engage professionally, develop clinical expertise, embrace learning, foster new relationships and fuel your spirit of inquiry, apply today.

He wants to be known as ‘the 40-year-old guy who crushed pancreatic cancer”

Diagnosed with pancreatic cancer, Chad Handley knew he was in for a fight. When he heard the words “five years to live,” he came up swinging.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealth.org

His wife Jen was by his side. He calls her “his rock.” She smiled through tears as Chad Handley recently rang the bell at IU Health Simon Cancer Center signaling the end of his chemotherapy. On a chalkboard he wrote the words, “Much Love.”

There were a million other messages he could have written but this was one that he hopes transcends all things related to cancer.

“Cancer is here. It’s not going anywhere so I chose to stick with ‘much love,’” said Handley. After experiencing chest pain in June, Handley made an appointment with his family physician. Through additional tests, a mass was discovered on the head of his pancreas. Handley’s diagnosis was pancreatic cancer and he was initially given five years to live.

Through a friend, Handley discovered IU Health Dr. Max Schmidt and on July 1 he underwent a Pancreaticoduodenectomy (commonly called a “Whipple procedure”). The surgery involved removing the head of his pancreas, gallbladder, bile duct and a portion of his small intestine. After surgery he began seeing oncologist Dr. Patrick Loehrer and started chemotherapy on August 12.

The night before his last treatment he wrote: “Tomorrow ends another round of my battle with Pancreatic cancer. I’ve learned a lot about life, myself, my family, and how beautiful our lives are. When I was diagnosed June 10th, I was scared, mad, and scrambling about how to fight this. I felt like I was living each day as a battle – one day at a time, not knowing what the next day might bring.”

There were setbacks along the way, but still he persevered.

“With the unwavering support of my wife, my kids, my family, my business partners, my hometown friends, my college friends, parents of my kids’ friends, and a ton more people who I’ve met through my life, we lowered our heads and we battled through,” wrote Handley.

Throughout treatment Handley pushed himself physically – first taking mile-long walks with regular workouts and then increasing the distance and intensity of exercise. He maintained a strict diet and focused on life in two-week journeys: Chemotherapy on Monday followed by midweek works outs and coaching his kids Quinn, 11, and Darby, 9.

“I’d cry, sweat, work and build myself up for the next treatment. My mom, sister, aunts, uncles and numerous others were there to make sure I never faltered. I had in my head on my kids and that they would never see me sick,” he wrote. Each time he set a goal, he crushed it and added more. It was something he had control over and something he knew would strengthen him as he kept his eye on recovery.

In December he and his family traveled to Arizona where he tackled a five-mile hike and climbed the scenic Devils Bridge trail in Sedona.

With his chemotherapy complete, Handley said: “I 100 percent know this battle is not over but I do believe I have dominated the first couple of rounds and I have no plans of slowing down. IU Health Simon Cancer Center, Dr. Schmidt, Dr. Loehrer, physician assistant Natasha Porter, and all the nurses mean the world to us. My life is now turning to three-month scans and we will attack each one as we have attacked these treatments. I want to be known as the 40-year-old guy who crushes pancreatic cancer.”

Medical assistant’s message to her kids: “Don’t give up on your goals.”

Medical Assistant Jess Polley is working toward completing a dream she had years ago – she wants to be a nurse.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealth.org

Her co-workers say it like this: “She is working her tail off to become a nurse.”

Last year Jess Polley, 33, joined IU Health as a medical assistant working with breast and gynecological cancer patients at University Hospital. She first became a medical assistant in 2010 and had aspirations of going on to nursing school.

“I got pregnant and had a Riley baby so I couldn’t take the time off to go back to school,” said Polley. She and her husband Jerry have a blended family of four children ages, 13, 12, 8 and 6. Once her children became a little older, she decided to pursue that dream. She was accepted into nursing school last May and is taking advantage of IU Health’s tuition benefits program.

“I always wanted to be a nurse but I was knee deep with kids and took another path. Now I’m knee deep in nursing and hoping to show my kids that you don’t give up on your goals,” said Polley, who has just over a year remaining until she completes her bachelor’s degree.

Why nursing?

“I love taking care of people. I love my patients’ stories and being an active part of their medical care. It’s such a reward to care for people even in their last days,” said Polley. “I think I have the ability to make everybody feel special from the time I get them until the time they leave. I can make new connections with first time patients and I can catch up with returning patients.”

More about Polley:

  • Advice to other moms considering returning to school: “It will be work but in the end it will be worth it. When you work full-time and go to school full-time make sure you have a good support network. I couldn’t do this without my husband and parents and my co-workers are amazing. They are always sending me encouraging text messages and asking what I’ve learned.”
  • Running is her passion. She is currently training for her eleventh half marathon and hoping to earn her Spartan Trifecta medal this year. She also works part-time at the Baxter YMCA teaching kick boxing classes.

Coming from around the world to help at home

Working tirelessly behind-the-scenes is a group of IU Health team members who have a special skill – making the hospital feel like home away from home.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealth.org

She came here from the Ivory Coast 16 years ago and began working at IU Health a few years later. Oumou Komara, married with two teen-age daughters is one of several members of the IU Health housekeeping staff who understand what it’s like to be away from home.

“This was my first job. I’ve met amazing people who have helped me improve my English and settle into the country I now call home,” said Komara. “I like being around the patients and I like to make them feel comfortable.” She is assigned to 3 South at IU Health University Hospital.

Deb Klahn, Training Manager for Environmental Services (EVS) at IU Health says there are 400 EVS employees at the downtown hospitals. She estimates about 80 are from different countries including Saudi Arabia, Ethiopia, Poland and Taiwan.

In the EVS offices a large map hangs on the wall and team members add a pin to show their country of origin.

“We’re such a diverse group that our plan was to give team members a chance to talk about their countries,” said Carla Thomson, a department manager.

Team members go through extensive training in areas including chemical safety, infection prevention, and ergonomics. The training can last from two weeks to 30 days with employees working with a preceptor to gain hands-on training. They also learn about personal protection when handling bio-hazardous wastes.

“We tell people that we save lives every day. You don’t have to be clinical to have a hand in patient care,” said Michael Bigelow, also a manager.

Housekeeping is responsible for cleaning and disinfecting all the rooms after patients are discharged, and then maintaining that standard of cleanliness during a patient’s stay. Some housekeeping staff members also run UVC lights – to check for germs – especially in isolation rooms. They also clean shared areas of the hospitals and the nurse stations.

“Every day I come here and I am thankful that I have a job that I like and nice people to work with,” said Komara.

IU Health grants more than $900,000 to community organizations

Twenty-four local organizations are benefiting from grants awarded by IU Health. In 2019, IU Health Community Outreach and Engagement awarded more than $900,000 to community organizations and institutions which—like IU Health—are addressing the health needs of the community. These needs include access to affordable healthcare, behavioral health and substance abuse, healthy weight and nutrition and social determinants of health.

“We are honored to support so many amazing organizations throughout our community that are working to make Indiana a healthier state,” says Kevin Armstrong, executive vice president and chief of staff at IU Health. “It takes reaching outside of our hospital walls to make a difference in the overall health of our Hoosiers and we are grateful for the opportunity to do so.”

Here are several organizations that are using grant dollars to improve the health of our communities:

Access to Affordable Healthcare:

  • Covering Kids and Families received $25,000 to assist in increasing health insurance enrollment and retention.
  • LifeSmart Youth received $50,000 toward a new initiative called Tween Education & Access to Community Health (TEACH), which aims to help advance racial health equity and access to care by providing culturally-relevant, medically-accurate reproductive health education to 4,000 Black and Latina youth ages 8 – 12 (grades 4 – 7) in Marion County schools and summer camps.

Behavioral Health and Substance Abuse:

  • Volunteers of America Ohio & Indiana’s (VOAOHIN) Fresh Start Recovery Center received a $75,000 grant to provide residential addiction treatment to pregnant women and mothers. It also allows up to two children ages 5 and under to live with their mother while they receive services.
  • Goodwill Foundation of Central and Southern Indiana
    received $75,000 to help Goodwill Education Initiatives (GEI) Resilience Initiative support resilience work across 15 Excel Center locations by leveraging groundbreaking research on neuroplasticity—the ability of the brain to reorganize itself—and to train staff and students on enhancing their resilience and mitigating the effects of trauma.
  • Additional grant winners:
    • Reach for Youth
    • Lutheran Foundation
    • Indy Public Safety Foundation

Healthy Weight and Nutrition:

  • United Way of Central Indiana, Inc.’s initiative Jump IN for Healthy Kids received a $50,000 grant to address the epidemic of childhood obesity with a specific focus on implementing strategies that create healthy places, healthy neighborhoods, and healthy communities in Marion County.
  • Playworks, a national non-profit organization that partners with Indianapolis schools and youth organizations to help them leverage play for positive outcomes, received a $22,500 grant.
  • Additional grant winners:
    • Indianapolis Parks Foundation

Social Determinants of Health:

  • A $100,000 grant was awarded to Gleaners Food Bank’s Hope Initiative to help increase the volume of fresh produce distributed in Gleaner’s service areas.
  • Indiana Legal Services, Inc. received a $75,000 grant for its Medical Legal Partnership that provides civil legal aid to patients and families who need legal assistance for health-related matters at Riley Hospital for Children at IU Health.
  • Additional grant winners include:
    • Brandywine Creek Farms
    • Lawrence Community Gardens
    • Greater Indy Habitat for Humanity
    • 500 Festival
    • Groundwork Indy
    • Marion County Public Health Department
    • Junior Achievement of Central Indiana
    • Girls on the Run Central Indiana

In 2018, IU Health provided over $711 million in total community benefit and served more than one million Hoosiers. Nearly 4,000 team members devoted thousands of volunteer hours to community projects through employee volunteer programs to help enhance the well-being of all Hoosiers.

If you’re interested in learning more about how these organizations impact the communities IU Health serves, keep an eye on the team portal for a more in-depth look at some of the winning organizations.

Questions? Contact communitybenefit@iuhealth.org.

Friends share new bond – Kidney; third transplant for family of eight

They met as freshmen at an all-male school in Ohio. Years went by, they remained friends and when one needed a kidney, the other became his donor.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealthorg

The day before Luke Siekierski was scheduled to go in for his kidney transplant he was out bird hunting near his Clay City home. He was accompanied by one of his long-time friends Drew Stichter who was scheduled to accompany him to IU Health University Hospital the next day. Stichter was donating his kidney to his friend.

It was April 12, 2019 when Siekierski, 36, received his new kidney under the care of IU Health transplant surgeon Dr. William Goggins. But it was years earlier that Stichter had indicated his willingness to give his friend the gift of life.

Kidney disease was something familiar to the Siekierski family from Toledo, Ohio; Luke is the youngest of six children of the late Jerry Siekierski and his wife Jane. His older sister Natalie received a kidney transplant in 2013 and his father received a transplant in 2004. His brother Peter awaits a new kidney. All were diagnosed with polycystic kidney disease, an inherited disorder characterized by cysts that develop on the kidney interfering with the organ’s ability to filter wastes. Siekierski recently returned to IU Health University Hospital where his bad kidney was removed. He is under the care of Drs. Chandru Sundaram and Asif A. Sharfuddin. His transplant coordinators are Alisha Turner and Christine Molby.

“When my dad had his transplant, we knew I’d eventually need a transplant. Drew said then ‘when you’re ready, I want to be tested,” said Siekierski. It is the kind of friend Drew is. It also represents one of the principals that formed their friendship.

The friends first met as freshmen at St. John’s Jesuit High School & Academy in Toledo, Ohio. The all-male campus is home to about 850 students who learn early on the school’s motto: “Men for Others.” Students engage in theology classes and Christian service and are encouraged to “go forth and do more in the world.” They are encouraged to do everything to the best of their abilities to make the world a better place to live.

Over the years Siekierski had seen his long-time friend practice that motto – coming to his aid after a break up with a girlfriend, stepping up to help a stranger change a flat tire.

“He’s just like that. He’d stop what he was doing and help anyone. He was a standout,” said Siekierski. He remembers first meeting his friend in homeroom at St. John’s –the class was organized alphabetically. Stichter remembers the two playing football and other intramural sports together their freshman year. The friendship continued after the two graduated. Siekierski attended the University of Toledo and Stichter attended Purdue. Eventually Siekierski took a job in Clay City to work in agriculture and Stichter moved to Colorado where he worked in construction management and recently took a leap of faith into restaurant management.

“Luke’s and IU, Notre Dame and Chicago fan and I’m a Purdue grad and a Detroit fan so there has been a lot of back and forth over the years,” said Stichter. His friend raised labs and they both have hunting dogs that they enjoy taking out for sport. They’ve been to weddings and bachelor parties of mutual friends and Sierkierski has vacationed in Colorado.

As his health became poor, Siekierski said his breathing was labored. It was difficult to take in all the outdoor fun he enjoyed for years – hunting, camping and kayaking. His infected kidneys also slowed him down – weighing 13 pounds each.

When Siekierski was ready for his transplant, his friend tested and was a match.

“It’s one of the ultimate selfless acts and it’s not as bad as you think,” said Stichter. “We had wonderful support from donor coordinators, nurses, doctors, family and friends and I got to see firsthand what it’s like to help save a life which is the biggest high there is.”

Siekierski remained hospitalized for two weeks and says he is doing great since his recent nephrectomy.

“I’m fortunate to have come to IU Health,” said Siekierski. “After the transplant everyone was very attentive and assertive about follow ups and labs. Even when I went back members of the transplant team stopped by just to see how I’m doing.”

Mom, two daughters same infusion, same day for rare disease

There were varying symptoms with no real diagnosis –until Lisa Barrick’s sixth grandchild was born. It was a pregnancy that changed three lives.

By IU Health Senior Journalist T.J. Banes, tfender1@iuhealth.org

Three women rest in chairs with three IV poles nearby at IU Health Simon Cancer Center. Mom is on the left, her eldest daughter, Tiffany is in the middle, and youngest daughter, Taylor is to the right.

Bundled in a blanket and reclining in the chair, Taylor is lacking energy. Her symptoms are the most pronounced of the three. In fact, it was her third pregnancy that helped the family find a name for the ill effects they have experienced for years. Lisa Barrick turned 52 this month and she’s not even sure when she started feeling bad. She just knows something has always been wrong.

Taylor was pregnant with her fourth child when she began showing signs of protein spilling into her blood and into her urine. Her older sister had similar symptoms during pregnancy. There were other issues too – Tiffany experienced two strokes; her mother has been diagnosed with Lactate dehydrogenase (LDH) and cardiomyopathy. High levels of LDH may indicate tissue damage. Cardiomyopathy is a disease that makes it difficult for the heart to pump blood to other parts of her body. Barrick’s brother had a kidney transplant years ago so the family began to suspect the focus of their problems was related to a kidney disease.

After Taylor’s last pregnancy Barrick began researching the symptoms and feeling certain that all the symptoms were part of a bigger diagnosis. She also began looking for hospitals that offered specialized genetic research.

“That’s when I found Dr. Bryan Hainline and we began to get tested and find a name to put with our symptoms,” said Barrick. IU Health’s Dr. Hainline specializes in medical and molecular genetics. Tests resulted in that name “Fabry disease.” An inherited disorder, the disease is caused by a defect on the “X” chromosome – genetic mutations tend to occur mostly in males and rarely in females. According to the National Institutes of Health it’s estimated that it affects about one in 40,000 males in the United States. The disease can affect various parts of the body including the kidneys, heart and skin. The genetic mutations that cause the disease interfere with an enzyme that processes biomolecules known as sphingolipids. The result is substances build up in the walls of blood vessels and other organs causing the symptoms that Barrick and her daughters felt.

Those symptoms are different for all three but include stomach pain, foamy urine, irritability and anxiety and rapid heart rate. It can also cause ringing in the ears, cloudy vision, abnormal sweating, pain and burning in the hands and feet, and small dark red spots around the belly button and knees.

Under Hainline’s care Barrick and her daughters began infusions of Fabrazyme, a man-made replacement for the enzyme deficiency. They anticipate taking the treatment every two weeks for the rest of their lives. The daughters are also in the process of having their children tested for the rare disease.

“Basically, I got it from my mother, she got it from her mother and so on,” said Barrick. “For years we’ve been treating symptoms and now we are treating the disease. It won’t reverse the damage that has already occurred, but it will slow the progression. Today is a new day. We now have a name. “

IU Health Urgent Care Center opens in Downtown Indianapolis

The new center is easily accessible on foot for a wide mix of Downtown residents and commuters, and there is also a free parking lot onsite for patients.

By Maureen Gilmer, IU Health senior journalist, mgilmer1@iuhealth.org

Busy Downtown Indianapolis workers, students and residents now have a convenient place to go when they need treatment for a minor illness or injury.

IU Health opened its latest Urgent Care Center in a former coffee shop at 222 W. Michigan St., across from the Downtown Kroger.

The center is open seven days a week, 365 days a year, offering prompt care for non-emergent illnesses and injuries, as well as sports physicals, lab work and X-ray services with a physician’s order.

Melissa Cash, regional administrator for IU Health Urgent Care, said the Downtown location has six exam rooms and an X-ray suite, and it will be staffed by an advanced practice provider and at least three clinicians.

While the center is easily accessible on foot for a wide mix of Downtown residents and commuters, there is also a free parking lot onsite for patients.

As is the case with most of its Urgent Care Centers, IU Health is renting the space for the Downtown center. It underwent months of rehab inside and out before opening Jan. 5.

Patient volume is yet to be seen, but Cash expects it to be a popular location because of its proximity to IU Health’s Downtown campus, IUPUI and commuter traffic, both vehicles and pedestrians.

On average, the IU Health clinics in Central Indiana see anywhere from 60 to 120 patients a day depending on the season, Cash said.

“Flu season is here, so we’re expecting a pretty strong opening.”

While micro-hospitals are popping up around the city, IU Health is committed to the Urgent Care model, a low-cost alternative to other higher-cost settings of care, Cash said.

“We really focus on getting patients in and out quickly for minor urgent care illness and injuries,” she said. “If they need a higher level of care, we can facilitate that. Anyone who needs to be seen in the ER, we can triage and send them over to the hospital.”

The Downtown location will be open from 7 a.m. to 7 p.m. Monday through Friday, and 9 a.m. to 3 p.m. Saturday and Sunday.

Photo by Mike Dickbernd, IU Health visual journalist, mdickbernd@iuhealth.org