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Advanced Rehabilitation
Returning to work in an industrial field after injury isn't easy. Let’s carry the load together. Our work hardening space offers the equipment found at your job site—ladders, wheelbarrows, scaffolding, a rooftop surface, containers to lift—so you can practice the skills you’ll need out there. Our experienced therapists work with Workers’ Compensation nurses and providers to get you back to work. ...
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MyChart Online Visit
Looking for convenient, affordable care for minor illnesses? MyChart Online Visit is an online questionnaire that allows Gundersen patients to receive non-urgent medical care through MyChart, all for $47. ...
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Orthopedics
Maybe it’s a nagging pain in your knee or hip. Maybe it’s a sports injury. No matter the cause, conditions of the bones, joints and muscles can keep you from the activities you enjoy. Turn to our orthopedic specialists for a wide range of surgical and non-surgical treatments. Our surgeons work hand-in-hand with physical therapists and other specialists to get you back on your feet. We have the most fellowship trained Orthopedic surgeons in the re ...
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Heart Valve Treatment
A healthy heart depends on four functional valves. Defects, aging and several other conditions can thicken or weaken them. Left untreated, the heart can fail. Our heart experts can help with medication and lifestyle changes. When surgery is the best option, Gundersen has a dedicated heart valve team you’ll love. ...
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Heart Rhythm Disorders
Hearts should follow a rhythm. If yours beats irregularly, you may have a heart rhythm disorder, called an arrhythmia. Some arrhythmias are harmless, but others are serious. Our heart experts use diagnostic tests and technology to manage and treat what used to be a life-threatening condition.  ...
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Ophthalmology & Optometry
Whether it’s a routine eye exam or surgery for an eye disease or injury, you can count on our team of vision specialists. We offer full-service eye care for you and your family at more than a dozen eye clinics/optical shops in the tri-state area. ...
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Inpatient Rehabilitation
Inpatient rehabilitation is about more than recovering from an illness or injury. It’s about helping you maximize your independence and quality of life. During your stay on our rehab unit, you’ll take part in comprehensive therapy programs daily. Your rehab team will include specialized rehab doctors, therapists, nurses and others. On your toughest days, we’ll be here to motivate you. After all, our No. 1 goal is getting you back to your life and ...
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Neonatal Intensive Care Unit
When the tiniest patients have the biggest needs, our NICU team uses advanced technology to deliver expert care. Our Neonatal Transport Team cares for newborns while they're being transferred by ambulance or helicopter in the Tri-State Region. When it's time to go home, we'll make sure the whole family has what it needs. ...
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Pregnancy & Birth
Whether you’re starting a family or growing it, bringing a child into the world is an incredible journey. Our experienced team delivers more newborns than any other facility in our area. Our experts are here for you every step of the way. ...

Clinical evaluation of a Borrelia modified two-tiered testing (MTTT) shows increased early sensitivity for Borrelia burgdorferi but not other endemic Borrelia species in a high incidence region for Lyme disease in Wisconsin

Arick P Sabin
A modified two-tiered testing algorithm (MTTT; ZEUS Scientific) for Borrelia burgdorferi was recently FDA-cleared. We evaluated the MTTT algorithm to confirm Lyme disease and compared the findings in parallel with those obtained using standard two-tiered testing (STTT). Medical records from patients who submitted sera for laboratory confirmation of Lyme-like disease were reviewed. Three hundred twenty patient samples were run by the STTT and MTTT approaches and the results compared. Positive...

Detection of antibodies to decorin-binding protein A (DbpA) and DbpB after infection of dogs with <em>Borrelia burgdorferi</em> by tick challenge

Darby G Oldenburg
We characterized the antibody response to decorin-binding protein A (DbpA) or DbpB from immune serum samples collected from 27 dogs infected with Borrelia burgdorferi by Ixodes scapularis ticks. Immunoglobulin M (IgM) antibodies to DbpA or DbpB were rarely detected, but high levels of IgG antibodies to DbpA were detected in 16 of 27 of the immune sera collected 1 mo after infection, 20 of 25 of the sera collected after 2 mo, and each of the 23, 17, or 11 serum samples evaluated after 3, 4, or 5...

Emergence and onward transmission of a SARS-CoV-2 E484K variant among household contacts of a bamlanivimab-treated patient

Arick P Sabin
The implementation of monoclonal antibody therapeutics during the COVID-19 pandemic altered the selective pressures encountered by SARS-CoV-2, raising the possibility of selection for resistant variants. Within-host viral evolution was reported in treated immunocompromised individuals but whether this signifies a real risk of onward transmission is unclear. We used a regional SARS-CoV-2 sequencing program to monitor lineages with clinically relevant variants in identified patients, which...

Emergence and onward transmission of a SARS-CoV-2 E484K variant among household contacts of a bamlanivimab-treated patient

Arick P Sabin
The implementation of monoclonal antibody therapeutics during the COVID-19 pandemic altered the selective pressures encountered by SARS-CoV-2, raising the possibility of selection for resistant variants. Within-host viral evolution was reported in treated immunocompromised individuals but whether this signifies a real risk of onward transmission is unclear. We used a regional SARS-CoV-2 sequencing program to monitor lineages with clinically relevant variants in identified patients, which...

Optimized infection control practices augment the robust protective effect of vaccination for ESRD patients during a hemodialysis facility SARS-CoV-2 outbreak

Megan E Meller
CONCLUSIONS: Prompt recognition of an infection cluster and rapid intervention efforts successfully ended the outbreak. Alongside consistent adherence to core infection prevention measures, vaccination was highly effective in reducing disease incidence and morbidity in this vulnerable population.

1900 South Ave.
La Crosse, WI 54601

(608) 782-7300
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