Promise's Piece
May 2014
Melanoma/ Skin Cancer Detection & Prevention Month 
Getting the Word Out
    Skin cancer is the most common type of cancer in the United States. Ultraviolet (UV) rays from the sun are the main cause of skin cancer. UV damage can also cause wrinkles and blotches or spots on your skin. beach-chairs-header.jpg
    These are just some of the reasons why Promise is proud to participate in Melanoma/Skin Cancer Detection and Prevention Month and help raise awareness of the risks of sun damage. During the month of May, join us in taking action to prevent skin cancer and reduce the risk of UV damage.
     You can take steps today to protect your skin:
  • Stay out of the sun between 10:00AM   and 4:00PM
  • Use sunscreen with SPF 30 or higher
  • Cover up with long sleeves and a hat.
  • Check your skin once a month for changes.

Mark your calendars for 
JUNE 7, 2014!
6 Mile Family Ride
35 Mile Ride
50 Mile Ride
Come support Promise and get your blood flowing at WOW4! Following the ride there will be a Burger Feed for all riders and a grand prize drawing for two new kids bikes!
You and your family don't want to miss this exciting event! Add it to your Sioux Center Summer Celebration Schedule!
Register at 
call Promise at 712-722-1700
Promise Birth Center Update:
The Promise Certificate of Need to establish a Birth Center was denied by the Health Facilities Council April 14 on a 1 to 4 vote. It was a disappointing conclusion for the Promise team, for the supporters who came to the hearing and for you, our readers who share our disappointment. The Promise team proudly defended and supported the rights  of Promise patients and women in Northwest Iowa to have a mid-wife attended birth. It was an impressive group of Promise patients, infants, young children, staff, spouses, college students, board members, and more who attended the hearing that day. We felt blessed and we are so thankful to everyone who showed their support for this effort. 
Northwestern College Students that attended the CON hearing. Thanks girls!
We also know the question is, "what next?" We are waiting for the formal decision and for the transcripts, at which time we will access and determine our options and future path. In the end, when one door closes, we look for another opportunity. The goal of the project was to provide our patients and women in Northwest Iowa with the choice of having midwifery services and to give our Promise patients the continuity of care they desire and need. We will continue to focus on this goal and continue to fight for these patients and for women.
Wishing you a happy, healthy month of May!
Promise Community Health Center



Riding on a Second Chance 
Meet Mark Juhl,
 a farmer from Remsen, Iowa. Mark is proud to call Promise Community Health Center his health home. Mark says, "Promise is a place where my feelings are respected and where I am a partner in my health care decisions; not just a patient." 
Mark found Promise after facing a series of health care challenges and multiple frustrations with the health care system. Born with a heart valve condition that deteriorated as Mark approached middle age, Mark found himself needing tests, surgeries, medicines, specialists, and most of the time "feeling misunderstood."
Last summer, Mark developed a surgical complication that landed Mark in the hospital for 19 days, 9 of which were spend in the ICU. Mark received 10 units of blood and 5 units of plasma - he is indebted to blood donors who give back so others can live. 
So, WHY would a 67 year old want to go on RAGBRAI? Because, Mark says," I feel better than I have felt in years." And..."Even if I can't complete every mile, I think I can have fun and I want to do something to give back to Promise, a place that has helped me get my health back!"
Mark's challenge is for YOU to pledge $$ for each mile he rides and he will contribute the $$ raised with your pledges to support the work of Promise in serving others who need health care services like Mark did!
Contact Kellie at Promise with your pledges: or call 722-1700
*There will be a daily post on our Facebook page to track Mark's progress. 
10 Things You Might Not Know About Melanoma
1. It's one of the most common cancers of young adults.
2. It affects people of all skin tones.
3. It may not develop in an existing mole.
4. It can happen in people with few or no moles.
5. It may not be a mole at all.
6. It can appear in areas not exposed to the sun.
7. It's booming in older adults too.
8. It's the deadliest form of skin cancer.
9. ...but it's highly treatable when caught early.
10. It doesn't only strike sun-worshippers or tanning bed users.