Archives for Guttenberg Municipal Hospital


David’s Story


Holy Cross native, David Errthum, recently visited with members of the GMHC trauma team who assisted in saving his hand after an accident this past May. (L-R): Amy Sadewasser, Megan Borrett, Dr. Daniel Mansfield, David, Paul Decker, Shelly Klein, ARNP, Dr. Andy Smith, Deb Preston and Brandie Thomkins.

On the afternoon of Wednesday, May 22, David Errthum was at home putting the final touches on a family room remodeling project. His youngest daughter’s graduation party was at their home that Saturday and he only had two pieces of trim to add to complete the room.

David was sawing the wooden trim with a 12” chop saw, when the wood moved. Focused on the cut of the board, David reached his left arm over to hold it, when he sawed through the wood and then nearly severed his hand. David yelled for his wife and daughter, who called 911. Knowing he was in trouble, he wrapped his arm in dishtowels and kneeled on the steps of his deck, applying pressure.

When the Holy Cross ambulance crew arrived they placed a tourniquet on Dave’s arm and had him hold it on ice as they rushed him to Guttenberg Municipal Hospital & Clinics (GMHC).

The ambulance gave GMHC notice that they were to arrive shortly with a severely injured man. The trauma team was activated and was waiting in the Emergency Department when the ambulance arrived. The injury was assessed as a nearly complete amputation of David’s left hand. Only about an inch of tissue kept his hand attached to his arm.

While waiting for the medical helicopter to arrive to transport him to Iowa City, further evaluation was done. Dr. Daniel Mansfield, general surgeon, wanted to do whatever was possible to give David the best chance of saving his hand.


“My surgeons in Iowa City were very impressed with the response time and work done here at GMHC. They credit you all for saving my hand.”


“We gently released the tourniquet and were able to control the arterial bleeding. Then we were able to see if there was any ow from the other artery making it to the hand. And amazingly there was! We knew that this would give him the best chance to save his hand,” said Mansfield.

David’s hand and arm were stabilized in a splint and he was prepared for helicopter transport.

A surgical team at the University of Iowa spent nearly eight hours reconstructing and reattaching David’s hand.


Waving his healing arm, David rode in the Guttenberg ambulance with Paul Decker during the Holy Cross parade in August.

When David awoke, he was surrounded by his wife and all four of his daughters. He was released two days later, on Friday, May 24.

With the overwhelming help of his friends and family, the graduation party for his daughter went on as planned the next day, becoming an appreciation party too.

David recently had an opportunity to visit with the trauma team at GMHC who helped him.

“Thank you,” said David gratefully as he showed them his arm. “My surgeons in Iowa City were very impressed with the response time and work done here at GMHC. They credit you all for saving my hand.”

David’s arm is still in a compression glove and a splint, and with continued physical therapy, he anticipates full use of it once again.

When reflecting on the accident, David was overwhelmed with gratitude for everyone who has assisted him during his recovery. “I’m a pretty independant guy,” he said. “I’m not good at having to rely on others, but this accident gave me so many opportunities to spend time with my family and friends because I had to depend on them. I’m humbled by all who have helped me and will be forever grateful.”

Our Hospital Hero

Kari Harbaugh, Family Resource Center Coordinator, delivering student hygiene kits to a local school.

Kari Harbaugh, GMHC Family Resource Center Coordinator, is selected as a Iowa Hospital Association’s Hospital Hero.

There is no question that each and every Iowa hospital has individuals who really know how to make a difference for their patients, communities and co-workers. We read about individuals and the recognitions they receive from their own hospitals, from state and national peer groups and from the communities where they work and live. They are the mentors, innovators and leaders who earn our admiration by challenging themselves daily to do a little more,” says IHA President Kirk Norris.


Kari Harbaugh, Family Resource Center Coordinator

It is easy to understand why Kari Harbaugh was selected as an Iowa Hospital Association Hero.

Under Kari Harbaugh’s direction, the Family Resource Center has grown to become a full-service center addressing the social determinants of health of our patients. There are over 4000 patient contacts each year. Kari understands that she cannot provide all services that are needed on her own, so she has developed an extensive collaborative network of agencies. She has also partnered with the local schools and churches as a way to reach more people.

“Kari is an amazing advocate for every client she assists. Her work has been so successful in helping our communities, it is becoming a model for other hospitals in Iowa, says Lynn Bockenstedt, GMHC Social Worker.

“Kari works behind the scenes to identify needs and makes every effort to find support, whether it is a much needed meal or a bed for a child sleeping on the floor. She is extremely deserving of this recognition,” adds Lisa Manson, Director of Ambulatory Services, GMHC.

Within the Family Resource Center, patients can find assistance with housing, utilities, food, clothing, and furnishings. Also available is access to transportation and assistance with financial program applications.

Collaboratively Kari provides support with violence and sexual abuse, Veterans assistance, special patient populations, food banks, mental health and childhood resources. Kari collaborates with a separate non-profit organization to provide resources such as a mentoring program, parent education, back to school supplies and Christmas for kids. Kari leads community support groups for cancer, grief, and children. She teaches Safe Sitter classes and leads after school programs and a backpack food program.

“I’m humbled to receive this award and share this honor with the out-standing partners and co-workers that I collaborate with to serve our communities,” says Kari.

Kari will be recognized at the IHA Annual Meeting in Des Moines on October 9th.

Since 2007, the Hospital Heroes program has celebrated more than 100 employees who have acted courageously in a moment’s crisis or who have selflessly served their hospitals and communities throughout their careers. Through the Heroes program, IHA shares the stories of these employees and honors their outstanding work and dedication.

About the Iowa Hospital Association: Among the more than 72,000 people who do their work in Iowa hospitals every day, there are countless heroes. To recognize and promote these individual hospital employees who contribute courageously and selflessly to Iowa hospitals and their communities, the Iowa Hospital Heroes Awards are presented annually at the IHA Annual Meeting in Des Moines.

Since 2007, the Hospital Heroes program has celebrated more than 100 employees who have acted courageously in a moment’s crisis or who have selflessly served their hospitals and communities throughout their careers. Through the Heroes program, IHA shares the stories of these employees and honors their outstanding work and dedication.

Walking Her Way to Better Health

Cindy Niehaus walks alongside GMHC Physical Therapist, Joel Gourley, with the Guttenberg Gallopers Wellness Club on Guttenberg’s River Walk.

When Cindy Niehaus learned about a free wellness club sponsored by GMHC that involved walking, she was ready to join. Cindy attended the initial meeting of the Guttenberg Gallopers Wellness Club, led by Physical Therapist Joel Gourley, last March.

“I knew I needed to do something to improve my overall physical health, and I really enjoy walking,” said Cindy. “I needed accountability partners to keep me committed, and the physical therapy department and Health Coaches were great encouragement for me! We walked twice a week during some very frigid spring days, but I bundled up and walked.”

When Cindy began with the club, she had to stop and rest frequently because of shortness of breath. After walking regularly, Cindy has improved her endurance, now completing the entire stretch (over a mile) without stopping and even while carrying on a conversation.

“This is such a beautiful path to walk, right here along the river. I’m very thankful GMHC started up this club to keep me motivated. I feel great!” Cindy Niehaus, Guttenberg Galloper Member

To learn more about the Guttenberg Gallopers Wellness Club, call 563-252-5527.

The Guttenberg Gallopers Wellness Club meets on Mondays and Wednesdays at 5pm at the Gazebo through October and will begin again in the spring. Walkers, joggers, runners are all welcome to join. Membership is free.

Head-to-Toe Well Child Visits

Healthcare providers play a critical role in monitoring children’s growth and development and identifying problems as early as possible.

At Cornerstone Family Practice, our goal is to develop an ongoing relationship with our young patients so we can treat the whole child with coordinated care.

All children should be screened during well-child visits at scheduled intervals if there are no concerns.


Dr. Andy Smith, Cornerstone Family Practice Physician

A complete history during the well-child visit includes information about birth history; prior and current screenings; diet; sleep; dental care; and medical, surgical, family, and social histories. A head-to-toe examination is performed, including a review of growth and development. Immunizations are reviewed and updated as appropriate.

Well-child visits provide the opportunity to answer parents’ or caregivers’ questions and to provide age-appropriate guidance. Parents who are aware of developmental milestones can observe their child and inform their healthcare provider about any concerns they may have about their child’s development.

Well-child visits are scheduled periodically through early adulthood providing opportunities for healthcare providers to screen for medical problems (including psychosocial concerns), to provide anticipatory guidance, and to promote good health.​

Nicole Makovec, LISW

Nicole Makovec is a Licensed Independent Social Worker (LISW). She is taking new patients. Cornerstone Family Practice Clinics use an integrated model of care. In this model, medical and behavioral problems are treated together. We work closely with your provider and other professionals to deliver the best overall care.

Tamara Holzer, DO

Michael Arnz, DPM

W. Keith Barnhill, PhD, ARNP, CRNA, DAAPM

Mark Odden, MBA, ARNP, CRNA

Tauseef Khan, MD