Author: Winneshiek Medical Center

WinnMed in Decorah, Iowa has been awarded a $700,000 federal appropriations grant for surgical equipment, sponsored by Congresswoman Ashely Hinson. The award was announced to WinnMed leadership following the re-opening of the government in November. The dollars will support the recent purchase of a da Vinci 5 Surgical Robot, the newest version of this robotic equipment by Intuitive. It is only the second in the state of Iowa, following University of Iowa Hospitals and Clinics.

Congresswoman Hinson said, “Earlier this year, I got to tour the improvements underway at WinnMed in Decorah and see their lifesaving services firsthand. I’m so proud to have helped secure federal funding for surgical department upgrades at WinnMed. This project will equip WinnMed with state-of-the-art surgical technology—expanding access to safe, minimally invasive surgeries in rural Iowa and reducing the need for residents to travel long distances for care. I will continue fighting to improve access to care in rural Iowa.”

The da Vinci 5 allows surgeons to perform complex procedures through small incisions, which can lead to less pain, shorter hospital stays, and faster recovery times. Its advanced features include improved ergonomics for surgeons, high-definition 3D visualization, and refined instrument control, all designed to elevate the surgical experience. Erik Brink, D.O., WinnMed General Surgeon, was the first to use the equipment in early November. He said, “It was an honor and privilege to begin to offer the very best in safety and minimally invasive surgical techniques. Many patients will benefit from the increased capability of WinnMed.”

WinnMed Chief Administrative Officer said, “We are incredibly thankful to receive the appropriations grant and be selected by Congresswoman Hinson’s office as one of her projects to fund. Coming at a time of rapid growth at WinnMed, being able to have support to help fund much needed (but expensive) equipment like a surgical robot helps accelerate our progress to bring this technology to our region.”

Expert Insight from Michael D’Netto, M.D.

An estimated 10% of Americans report a penicillin allergy, but studies show that over 90% of them are not truly allergic. Mislabeling can lead to the use of less effective or more expensive antibiotics, increasing the risk of side effects, antibiotic resistance, and longer hospital stays.

At WinnMed in Decorah,Michael D’Netto, M.D., Mayo Clinic Health System Allergist and Immunologist, offers penicillin allergy testing to help patients safely determine whether they are truly allergic—and potentially remove the label for good.

“Many patients carry a penicillin allergy label for years based on childhood reactions or vague symptoms,” says Dr. D’Netto. “But with proper evaluation and testing, we can often confirm they’re not allergic and open the door to safer, more effective treatments.”

What Is Penicillin Allergy Testing?

The evaluation may include:

• Skin testing using small amounts of penicillin and its components, and/or
• A supervised oral challenge with amoxicillin

This process is safe, quick, and highly accurate. A negative result means the patient can safely take penicillin and related antibiotics in the future.

Why It Matters

Removing an incorrect penicillin allergy label can:

• Improve treatment outcomes
• Reduce healthcare costs
• Support antibiotic stewardship
• Lower the risk of drug-resistant infections 

“Penicillin allergy testing is one of the most impactful things we can do for long-term patient safety,” Dr. D’Netto adds.

If you’ve been told you’re allergic to penicillin, talk to your provider about a referral to Dr. D’Netto for testing. You may not be allergic after all—and that knowledge could change your care for the better.

Make an appointment

Dr. D’Netto is accepting new patients at WinnMed in Decorah.  Call WinnMed at 563-382-2911 or request an appointment online through WinnMed’s online portal, MyChart.

WinnMed has awarded Surgery & Infusion RN, Kristen Mashek, the DAISY Award for Extraordinary Nurses, a national recognition celebrating nurses who deliver exceptional, compassionate care.

Kristen was nominated by a longtime patient who described her as “the epitome of what an award-winning nurse should be.” The patient praised Kristen’s ability to bring comfort and positivity during challenging treatments, noting that her “bubbly voice and bright smile” consistently make a difference. Whether she’s providing direct care or simply passing by, Kristen goes above and beyond to ensure patients feel cared for and supported. Kristen has served as a registered nurse at WinnMed since 2017.

The DAISY (Diseases Attacking the Immune SYstem) Award is an international recognition program that honors and celebrates the skillful care nurses provide every day. The DAISY Foundation was established by the family of J. Patrick Barnes after he died from complications of the auto-immune disease ITP in 1999. During his hospitalization, they deeply appreciated the care and compassion shown to Patrick and his entire family. When he died, they felt compelled to say “thank you” to nurses in a very public way.

Anyone may thank a deserving nurse. To nominate an extraordinary WinnMed nurse, fill out the online form at https://winnmed.org/daisy-award

Expert Advice from Dr. Michael D’Netto

For many, pets are family—but for those with allergies, they can also be a source of sneezing, congestion, and discomfort. Fortunately, with the right strategies, it’s possible to manage pet allergies while keeping your furry companion indoors.

Create Pet-Free Zones

Keep bedrooms and other key areas off-limits to pets to reduce allergen exposure where you rest and sleep.

Bathe and Groom Regularly

Weekly baths and frequent brushing (ideally by a non-allergic household member) can significantly reduce dander.

Clean Smart

Use HEPA filters in vacuums and air purifiers, wash pet bedding weekly, and consider replacing carpets with hard flooring.

Manage Symptoms

Medications like antihistamines and nasal sprays can help.

Allergen immunotherapy

For long-term relief, allergy shots (immunotherapy) may be an option. This is the one treatment option which modifies the underlying cause of allergic symptoms in response to a pet, rather than attempted avoidance or symptom management with medications.

“Pet allergies don’t always mean you have to give up your pet,” says Michael D’Netto, M.D., a Mayo Clinic Health System board-certified Allergist and Immunologist at WinnMed in Decorah. “With a combination of environmental control, medical treatment, and expert guidance, many people can live comfortably with their animals.”

Get Tested

If you’re unsure whether your symptoms are pet-related, an allergist can perform testing to confirm and guide treatment.

Make an appointment

Dr. D’Netto is accepting new patients at WinnMed in Decorah.  Call WinnMed at 563-382-2911 or request an appointment online through WinnMed’s online portal, MyChart.

For individuals with severe insect sting allergies, a single sting can trigger a life-threatening reaction known as anaphylaxis. Fortunately, a highly effective treatment called venom immunotherapy (VIT) is available—and at WinnMed, patients can receive this specialized care under the expert guidance of Michael D’Netto, M.D., a Mayo Clinic Health System board-certified Allergist and Immunologist.

Venom immunotherapy is a long-term treatment that works by gradually desensitizing the immune system to insect venom. It involves regular injections of purified venom extracts from stinging insects such as honeybees, wasps, hornets, and yellow jackets. Over time, the body builds tolerance, significantly reducing the risk of a severe allergic reaction with future stings 

“Venom immunotherapy is more than just symptom management—it’s a preventive therapy that can save lives. This is done by essentially re-programming the immune system to no longer react to venoms in an allergic manner,” says Dr. D’Netto. “For patients who’ve experienced anaphylaxis due to one of the aforementioned stinging insects, this treatment offers peace of mind and long-term protection.”

The treatment typically spans 3 to 5 years, with a build-up phase followed by a maintenance phase. Studies show that venom immunotherapy is 95–98% effective in preventing systemic allergic reactions to future stings 

Dr. D’Netto begins with a comprehensive allergy evaluation, including skin or blood testing, to confirm venom sensitivity. From there, he develops a personalized treatment plan tailored to each patient’s needs and risk factors.

If you or a loved one has experienced a serious reaction to an insect sting, talk to your provider about a referral to Dr. D’Netto. Venom immunotherapy could be the key to a safer, more confident life outdoors.

Make an appointment

Dr. D’Netto is accepting new patients at WinnMed in Decorah.  Call WinnMed at 563-382-2911 or request an appointment online through WinnMed’s online portal, MyChart.

Expert Advice from Michael D’Netto, M.D.

If you’re struggling with persistent allergy symptoms despite medications or avoidance strategies, allergy shots—also known as subcutaneous immunotherapy (SCIT)—may be a game-changing option. But are they right for you?

“Allergy shots are the only treatment that can actually retrain the immune system to stop overreacting to allergens,” says Michael D’Netto, M.D., a Mayo Clinic Health System board-certified Allergist and Immunologist at WinnMed in Decorah. “Unlike medications, they don’t just mask symptoms—they address the root cause.”

Pros of Allergy Shots

• Long-Term Relief: Allergy shots can reduce or eliminate symptoms for years, even after treatment ends.
• Fewer Medications: Many patients are able to reduce or stop allergy medications over time.
• Prevention of New Allergies: Immunotherapy may prevent the development of new allergies and reduce the risk of asthma, particularly in children.
• Customized Treatment: Shots are tailored to your specific allergens, based on allergy testing.

Cons of Allergy Shots

• Time Commitment: Treatment typically lasts 3 to 5 years, with weekly injections during the build-up phase and monthly injections during the maintenance phase.
• Possible Reactions: Mild side effects include redness or swelling at the injection site. Rarely, more serious reactions like anaphylaxis can occur, which is why patients are monitored for 30 minutes after each shot.
• Not for Food Allergies: Allergy shots are effective for environmental allergens and insect stings, but not for food allergies.

Is It Right for You?

“If your allergies are affecting your quality of life, and medications aren’t enough, allergy shots may be the best long-term solution,” Dr. D’Netto explains. “We’ll work together to determine if you’re a good candidate.”

Make an appointment

Dr. D’Netto is accepting new patients at WinnMed in Decorah.  Call WinnMed at 563-382-2911 or request an appointment online through WinnMed’s online portal, MyChart.

WinnMed is proud to announce it has been recognized as a 2025 Top Workplace by the Des Moines Register, a distinction that reflects the strength of its culture, the dedication of its team, and its commitment to delivering exceptional care across the region. The award is based on results from a recent staff satisfaction survey that was compared to other businesses’ results across the state.

“This award is a testament to the incredible people who make WinnMed what it is,” said Steve Slessor, Chief Administrative Officer. “I feel fortunate to have joined a wonderful culture here at WinnMed. Since day one, I have been incredibly impressed by the caliber of our physicians, advanced practice providers and staff as well as their ability to work together effectively to better patient care. Even more impressive is that we have been not only maintain our great culture through our growth, but also add a layer of excitement with all we are doing.”

WinnMed’s success is rooted in its people. With nearly 650 staff members—including Mayo Clinic Health System physicians—WinnMed has grown from approximately 500 employees in 2022, adding over 100 team members in less than three years. This growth reflects the organization’s commitment to meeting community needs while staying true to its mission, vision, and values.

“Our strength lies in our professional and compassionate workforce,” said Laurie Bulman, director of Human Resources. “We are working hard to create a strong culture that our employees are proud to be part of. They bring our mission to life every day, and this recognition is a reflection of their dedication.”

WinnMed’s culture of excellence has led to strong employee retention and successful recruitment. Over the past year, the organization has celebrated multiple retirements of staff with over 40 years of service—an extraordinary testament to the longevity and loyalty across the organization.

This stability has enabled WinnMed to expand its services significantly, adding specialties such as rheumatology, allergy, OB/GYN, dermatology, comprehensive wound care, and retail pharmacy. With consistently high patient experience scores, strong financial performance, and an 80% increase in net revenue over the past five years, WinnMed continues to stand out among rural hospitals.

As WinnMed looks to the future, it remains focused on creating an environment where staff want to come to work—and stay. “A business can’t be successful without its people,” said Slessor. “Creating a workplace where people feel valued and empowered is critical to our continued success.”

Every fall, Medicare beneficiaries can review and change their Prescription Drug Plan or Medicare Advantage Plan during the Open Enrollment Period from October 15 to December 7. Iowans who miss the open enrollment deadline most likely will have to wait a full year before making changes to their plan. Changes to Medicare plans will be effective January 1, 2026. 

Medicare Prescription Drug Plan and Medicare Advantage Plan costs, benefits, covered prescriptions and provider networks can change each year. Following the 2025 cap on prescription drug copayments, and new price negotiations on 10 high-cost sole-source drugs starting in 2026, many plans are significantly adjusting their benefits and coverage options. This is a critical time to read all mail from your plan or provider and stay informed of possible changes.

Medicare beneficiaries receive an Annual Notice of Change (ANOC) each September from their Prescription Drug Plan or Medicare Advantage Plan. This is a summary of any changes in the plan that will take effect on January 1 of the next year (i.e. premium cost, coverage, copays, and service area).

Some beneficiaries will also receive notice that their plan may not continue next year, and they will need to find a new plan during the Open Enrollment Period.

If a Medicare beneficiary is happy with current coverage after reviewing plan changes and options for the year ahead, no action is necessary during Open Enrollment – they will automatically be re-enrolled for the following year, as long as their Part D or Medicare Advantage plan has not been cancelled. However, it is smart to always compare the current plan to other options available for the year ahead.

2026 plan details for the year ahead can be found at: Medicare.gov/plan-compare. Through the Medicare.gov Plan Finder, Medicare beneficiaries can see and compare plan options available in their zip code in 2026, even incorporating their specific prescriptions and pharmacies.

Local Medicare Help

The Iowa Insurance Division’s Senior Health Insurance Information Program (SHIIP) is available to offer free, unbiased and confidential assistance to Iowans in this process.  Volunteer counselors can help people understand their Medicare benefits by:

• Checking a client’s current Part D or Medicare Advantage plan to make sure drugs are covered at the lowest cost and with the least amount of restrictions
• Reviewing a client’s employer coverage and comparing it to other Medicare options
• Checking to see if clients are eligible for Part D “Extra Help”
• Providing education to help clients understand options if not currently on a drug plan

SHIIP counselors review all plans and do not promote any particular plan or company.  To help you compare plans during the open enrollment period, volunteer SHIIP counselors are available by appointment locally at WinnMed in Decorah by calling 563-387-3036.  In-person and telephone appointments will be offered to clients.

Karla Bakken, SHIIP coordinator at WinnMed, says, “I encourage seniors to schedule an appointment with a SHIIP counselor early this season and not wait.  Those who wait until the end of the enrollment period to start the process may miss the deadline.”  The deadline for changing plans is December 7, 2025.

For SHIIP support, call WinnMed at 563-387-3036.

Expert Insight from Dr. Michael D’Netto, M.D.

If you’ve ever wondered whether you—or your child—might eventually “outgrow” allergies, the answer is: sometimes, yes. But it depends on the type of allergy, your age, and how your immune system changes over time.

“Some allergies, especially in children, can fade with age,” says Michael D’Netto, M.D., a Mayo Clinic Health System board-certified Allergist and Immunologist at WinnMed in Decorah. “But others, particularly environmental or more severe food allergies, may persist.”

Childhood Allergies

Children are more likely to outgrow certain food allergies—especially to milk or eggs. Studies show that up to 80% of children with milk or egg allergies may tolerate these foods later in life.

However, allergies to peanuts, tree nuts and shellfish are less likely to resolve. Roughly 20% of children with peanut allergies will outgrow them. 

Environmental Allergies

Allergies to pollen, dust mites, mold, or pet dander—known as environmental allergies—are less likely to disappear completely. However, symptoms may become milder over time or respond better to treatment.

“Even if you don’t fully outgrow environmental allergies, many patients find that with the right treatment plan—including medications or immunotherapy—they can live comfortably,” Dr. D’Netto explains.

Testing and Monitoring

If you suspect your allergies have changed, an Allergist can perform updated testing to confirm. This is especially important before reintroducing foods or stopping medications.

“Never assume an allergy is gone without proper testing,” Dr. D’Netto cautions. “We can safely evaluate whether your immune system has changed—and guide you on next steps.”

Make an appointment

Dr. D’Netto is accepting new patients at WinnMed in Decorah.  Call WinnMed at 563-382-2911 or request an appointment online through WinnMed’s online portal, MyChart.

Influenza season is approaching, and it is an important and effective prevention strategy to get a flu shot.

When should I get a flu shot and how long does it last?

Influenza season generally begins in November and ends in March. However, there’s no set timeframe; the flu can start to spread earlier in the fall and last through May. The flu shot protects against the influenza virus for about six months. The Centers for Disease Control (CDC) recommends adults get the annual flu shot in September or October. You can benefit from the vaccine even if you don’t get it until after the flu season starts.

What types of vaccine are available this year?

The injection is the trivalent flu vaccine, which is designed to protect against three different flu viruses; two influenza A viruses and one influenza B virus, and is for ages 6 months and older. High Dose is preferred for ages 65+, and also protects against three different flu viruses.  Flu mist is not available. 

Who should get a flu shot?

The CDC recommends all people 6 months and older should receive the flu vaccine. It is especially important for pregnant women to get vaccinated because of their increased risk for influenza-related complications. Pregnant women can get vaccinated during any trimester, including the first. It takes about two weeks after vaccination for antibodies to develop in the body that protect against flu.

How will flu shots be given this year?

At WinnMed, influenza vaccines will be available through an appointment, though walk-ins will be accepted as the vaccine schedule allows.  (If you have a scheduled appointment for another reason, you may also get a flu shot at that time.)  Flu vaccine charges will be submitted to your insurance. Influenza vaccine is available in WinnMed’s Decorah, Ossian and Mabel Clinics, and the WinnMed Pharmacy.  Make an appointment by calling:

• Decorah Clinic: 563-382-2911
• Ossian Clinic: 563-532-9500
• Mabel Clinic: 507-493-5115
• WinnMed Pharmacy: No walk-ins. Schedule online.

Can I get a COVID-19 Vaccine?

The federal Advisory Committee on Immunization Practices (ACIP) must provide their approval of this season’s COVID-19 vaccines and boosters. COVID-19 vaccines will not be shipped to customers like WinnMed until ACIP has made recommendations for the 2025-2026 season. Once shipped, WinnMed will offer COVID-19 vaccines and boosters by appointment.