General Practitioners

• Warts
• Arthritis
• Medical Weight Loss
  Our Registered Dietitian provides individual and group health and wellness activities that compliment each client’s own life whether they are looking for weight loss or nutritional management for high cholesterol, high blood pressure or diabetes. We also work with clients who have special dietary considerations such as Celiac Disease, food allergies, G.I. issues and more.
• Stroke Rehabilitation
  The American Heart Association awarded two $42,500 grants to organizations with ideas to improve and advance care for rural stroke patients in Nebraska during it’s Nebraska Mission: Lifeline Stroke Advancing Stroke Care Summit on May 4.
• Nutritional Counseling
  Cardiac rehabilitation is a medically supervised program to help you recover after a heart attack, from other forms of heart disease or after surgery to treat heart disease. Cardiac rehabilitation is now approved for PAD (peripheral artery disease) that will help with circulatory condition which is narrowed blood vessels reduce blood flow to the limbs. Cardiac rehabilitation is often divided into phases that involve various levels of monitored exercise, nutritional counseling, emotional support, and support and education about lifestyle changes to reduce your risks of heart problems.
• Pediatric Care
  Dr. Smith received appointments to both the West Point Military Academy and the United States Air Force Academy. Upon graduating Magna Cum Laude with a Bachelor of Science in biology from Metropolitan State College, Dr. Smith received his Doctor of Medicine degree at the University of Iowa. He completed his internship and residency at North Colorado Family Medicine in Greeley, Colorado. Dr. Smith has an interest in primary care for patients of all ages. He is trained in family practice, obstetrics, pediatrics, and geriatrics. He has specialized training in endoscopy procedures.
• Primary Care
  Tri Valley Health System wants to ensure that we have a correct list of all the medications that you take, including the dosage and instructions for use and to help you understand why and how to take your medications. Prescription and over the counter medications are used frequently to treat thousands of unique health issues, but many times, patients are not openly communicating with their primary care provider about all the medications they are taking. Patients may assume that their primary care doctor is aware of medications prescribed by specialists or other providers, but that is not always the case. Therefore, it is vital that patients bring in their medication bottles or have a detailed, accurate list of all medications they are taking.
• Smoking Cessation
• Ear Infections
  For illnesses and injuries that need attention today but don’t need to be an ER visit. Times to use the Walk-In Clinic would be for flu symptoms, cough/cold, ear infection, eye infection, sinus infection, rashes, minor burns and cuts, insect bites or stings, sprains, strains and sport injuries.
• Family Practice
  Dr. Deaver has been with Tri Valley Health System since 1987 as a family practice provider. Dr. Deaver provides OB/GYN services, endoscopies and allergy consultations.
• Emergency Care
  Jordan would also like to remind people that understanding the signs of stroke is the first step to getting the treatment they need. Remembering to act F.A.S.T. can help them reduce the effects of stroke to the brain. “F.A.S.T. is Face. Arms. Speech. Time,” says Jordan. “If you notice someone’s face droop on one side, one arm drifting downward, or slurred speech, that means it’s time to dial 911 and get to the emergency room right away. At Tri Valley Health System we are now even more prepared to provide comprehensive care through our ER staff and telemedicine specialists.”
• Colonoscopy
• Diabetic Foot Care
• Electrocardiogram
• Urinary Incontinence
  Dr. Robert Santa-Cruz is a fellowship-trained, board certified Urologic surgeon who will see male and female patients at Tri Valley Health System on the first and third Fridays of the month. Dr. Santa-Cruz specializes in minimally invasive techniques that treat male and female urologic cancers, urinary incontinence, benign prostatic hyperplasia, and sexual dysfunction. Dr. Santa-Cruz received his medical degree from the University of Miami School of Medicine. He completed his residency in Urologic Surgery from Duke University Medical Center and his fellowship in Urologic Oncology & Laprascopy from the University of North Carolina. Dr. Santa-Cruz is a 20 year plus member of the American Urology Association and the Society of Robotic Surgery.
• Immunizations

Ophthalmologists

• Glaucoma
• Ophthalmology
• Cataracts
  Dr. Clinch received his medical degree from the University of Nebraska Medical Center. He completed his Internship at Naval Medical Center in Virginia and his Residency at Ohio State University. Dr. Clinch provides cataract surgery and YAG procedures at Tri Valley Health System.
• Cataract Surgery
  Beginning in February, Dr. Thomas Clinch will begin offering cataract surgery at Tri Valley Health System. Tri Valley Health System CEO Jessica Fisher said, "We are extremely excited to be offering this line of service to our patients are are looking forward to partnering with Dr. Clinch and his team." Patients can schedule an appointment at 308-865-2760.

Gynecologists

• Gynecology
  Dr. Pankratz received his medical degree from the University of Nebraska College of Medicine in Omaha in 1992 and he served his residency training at Truman Medical Center/St. Luke's Hospital in Kansas City, Missouri. He is certified by the American Board of Obstetrics and Gynecology and is a Fellow of the American College of Obstetricians and Gynecologists.
• Obstetrics
  Tri Valley Health System features three rural health clinics to serve the residents of southwest Nebraska and northwest Kansas. Located in Arapahoe, Cambridge and Indianola, these clinics are served by Tri Valley’s skilled m edical staff and provide family medical care in convenient locations. From obstetrics to annual physicals and treatment for illness or injury, we provide family medical care for every member of your household. Tri Valley’s Medical Clinics offer a range of services with the ability to refer to visiting specialists when needed.
• Labor and Delivery
  They work with patients of all ages in many areas of the hospital including intensive care units, labor and delivery units, surgery, pre-op area, post-op area, procedure room and the emergency room. They are also airway and breathing specialists and may be called upon to place endotracheal tubes in order to save a patient’s life.

Internists

• Internal Medicine
  Dr. Denney received his medical degree from Creighton University and specializes in cardiovascular disease, nuclear cardiology & internal medicine.
• Urology
  Dr. Robert Santa-Cruz is a fellowship-trained, board certified Urologic surgeon who specializes in minimally invasive techniques that treat male and female urologic cancers, urinary incontinence, benign prostatic hyperplasia, and sexual dysfunction. Dr. Santa-Cruz received his medical degree from the University of Miami School of Medicine. He completed his residency in Urologic Surgery from Duke University Medical Center and his fellowship in Urologic Oncology & Laprascopy from the University of North Carolina. Dr. Santa-Cruz is a 20 year plus member of the American Urology Association and the Society of Robotic Surgery. Dr. Santa-Cruz is certified with the Federal Aviation Administration as an aviation medical examiner and can perform medical physicals for pilots.
• Kidney Stones
  Tri Valley Health System Specialist Dr. Kenneth McCalla is providing lithotripsy, a non-invasive treatment for kidney stones. The non-invasive procedure, called shockwave lithotripsy, utilizes a special device called a lithotripter that generates controlled pressure waves or “shockwaves” outside of the body. Patients are carefully positioned on the lithotripter’s table so the shockwaves can be precisely directed at the patient’s kidney stones. Over the course of treatment the stones crumble to sand size pieces and these are eliminated naturally through the urine. A shockwave lithotripsy procedure for a single stone may take up to an hour and is performed by a urologist in the operating room under anesthesia. For most patients the procedure is done as an outpatient.
• Endoscopy
  When in need of a surgical procedure, Tri Valley Health System offers advanced equipment operated by a skilled staff within a superior facility. At Tri Valley Health System, visiting specialists provide a wide range of surgical procedures, including general, orthopedic and OB/GYN. Our own local physicians, Dr. Lennie Deaver, Dr. Shelly Kaspar-Cope, Dr. Shiuvaun Jaeger, and Dr. Michael Powell also perform procedures, including cesarean sections and endoscopy.
• Lung Cancer
  Cigarette smoking history of at least 20 pack years (ex. 1 pack (=20 cigarettes) per year for 20 years or 2 packs per year for 10 years)

Neurologists

• Neurology
  Tri Valley Health System is expanding services, providing local, around-the- clock treatment for stroke patients through telemedicine. Telestroke/Acute Neurology services will be available for patients starting Monday, August 8.
• Carpal Tunnel Syndrome
• Multiple Sclerosis
  Individuals suffering from various medical conditions may benefit from these services including: Stroke, Parkinson’s Disease, Amyotrophic Lateral Sclerosis (ALS), Traumatic Brain Injury, Right Hemisphere Brain Injury, Oral and Laryngeal Cancers, Huntington’s disease, Multiple Sclerosis and Dementia.

Psychiatrists

• Stress Management
  Jim was elected to the Board in 2018. He graduated from Hastings College with a BS in Education-1974 and an AA Degree from Cypress College of Mortuary Science-1978. Jim is a licensed Funeral Director with the State of Nebraska and he purchased both the Lockenour Mortuary (1991) and Herrmann Funeral Home in McCook (2012). He is currently the President of the Citizens Advisory Board. He has also served as a peer and Board member on the NSP Troop D Critical Incident Stress Management Team and the Cambridge Chamber of Commerce. He has been an active member of the community. Jim and his wife Joyce (Groneweg) Thompson have 6 children and 13 grandchildren.
• Psychiatry
  Dr. Daniel Gillette is a psychiatrist from Sioux City, Iowa. He received his medical degree from the University of Nebraska College of Medicine and has been in practice for more than 20 years. He completed his residency at the University of Kansas at Wichita and a fellowship in Child and Adolescent Psychiatry at the University of New Mexico. He is board certified with the American Board of Psychiatry and Neurology.

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• Ultrasound
  They also provide sedation for scopes including gastroscopies and colonoscopies and for other minor surgeries. Furthermore, they can use ultrasound to place central lines for difficult IV starts and place special nerve blocks for post-operative pain control.
• MRI
  Dr. Ferrer earned her Doctor of Medicine from Los Andes University in Venezuela, graduating with high honors. She then completed the Cardiology Fellowship Program at Los Andes University Hospital and began practice as a Non-Invasive Cardiologist. She has completed an Internal Medicine Residency at HCA Brandon Regional Hospital and Cardiovascular Disease Fellowship at HCA Healthcare Aventura Hospital & Medical Center in Miami. Dr. Ferrer is board certified in Internal Medicine and board eligible in Cardiovascular Disease and Echocardiography. She is bilingual in Spanish and English, and Level II Certified in Cardiovascular CT, Cardiac MRI and Echocardiography.
• Radiology
• X-Rays
• Nuclear Medicine
  Dr. Deaver has been with Tri Valley Health System since 1987 as a family practice provider. Dr. Deaver is Medical Director for the Cambridge, Wilsonville and Hendley EMT Services. He is also a neonatal resuscitation instructor. Dr. Deaver provides OB/GYN services and is very involved with Nuclear Medicine in conjunction with Bryan Health.
• Mammography
  Tri Valley Health System’s Digital Mammography system features exceptional image quality and reduced radiation dose. The mammography system also utilizes Computer Aided Detection (CAD), which is used to flag suspicious areas to aid the Radiologist in diagnosing the images.
• Computed Tomography
  Low Dose CT for Lung Cancer Screening - Specialized low dose CT scan to screen for lung cancer on patients with a history of smoking. Eligibility requirements include...

Surgeons

• General Surgery
  Tri Valley Health System Surgical Services state-of-the-art equipment includes a wireless, hi-definition video platform system. The area housing this department is highly advanced and provides our surgeons and patients with an ideal environment for various inpatient and outpatient procedures.
• Orthopedics
  Dr. Wilkinson completed his medical degree from the University of Nebraska in Omaha. He then completed his residency in general surgery at Maricopa County General Hospital & in orthopedic surgery from Phoenix Integrated Orthopedics. Dr. Wilkinson offers orthopedic treatment in joint replacement surgery, sports medicine, trauma and general orthopedics. Dr. Wilkinson also utilizes the Conformis joint replacement system.
• Arthroscopy
• Wound Care
  The wound healing center is staffed with a multidisciplinary team of physicians, along with mid-level providers and nurses with advanced training in wound care, who will customize the most effective treatment plan to stimulate healing.
• Ankle Surgery
  Dr. Raska is a member of American Podiatric Medical Association, American College of Foot & Ankle Surgeons, American Board of Podiatric Surgeons, Chairman of Nebraska Board of Podiatry and a past President of North Platte Medical Association. He is licensed to practice in Nebraska and is board certified through the American Board of Foot & Ankle Surgery. Dr. Raska manages all aspects of his specialty, including...
• Joint Replacement
  Tri Valley Health System would like to welcome orthopedic surgeon Dr. Ryan Carr. Dr. Carr is a board-certified and fellowship trained orthopedic surgeon who specializes in disorders of the shoulder, hip, and knee. Procedures he performs include joint replacement, advanced arthroscopic reconstruction surgery, and fracture management. Dr. Carr received his medical degree from Chicago Medical School and completed his surgical residency in the Department of Orthopedic Surgery at University of Illinois. Prior to practicing in Denver, he was team physician for both professional and high school sports teams. In 2014, Dr. Carr was awarded the Vernon L. Nickel Research Award from the Orthopedic Research Association. When he is not in the office, he enjoys skiing, mountain biking, and spending time with his wife, two children, and great dane. Dr. Carr will begin seeing patients at Tri Valley Health System on May 9 and will be here on the 2nd and 4th Mondays of the month. To schedule an appointment with Dr. Carr call 308-697-1172.
• Cyst Removal
• Orthopedic Surgery
  Dr. Carr is a board-certified and fellowship trained orthopedic surgeon who specializes in disorders of the shoulder, hip, and knee. Procedures he performs include joint replacement, advanced arthroscopic reconstruction surgery, and fracture management. Dr. Carr received his medical degree from Chicago Medical School and completed his surgical residency in the Department of Orthopedic Surgery at University of Illinois. Prior to practicing in Denver, he was team physician for both professional and high school sports teams. In 2014, Dr. Carr was awarded the Vernon L. Nickel Research Award from the Orthopedic Research Association.
• Vasectomy
• Robotic Surgery
• Arthroscopy
• Hysterectomy
• Hip Replacement
  The Conformis Hip System, introduced in July 2018, is the only primary total hip replacement system on the market designed with 3D imaging technology to provide a stem and acetabular cup size that matches each patient’s specific anatomy. The implant system includes a single-piece stem with patient-specific neck, acetabular cup, iPoly XE
• Mohs Surgery
  Premier Dermatology & Mohs Surgery Center will be providing dermatology services at Tri Valley Health System starting on April 20, 2023. Dr. Adams will be seeing patients at Tri Valley Health System on the third Thursday of every month.
• Reconstructive Surgery

Plastic Surgeons

• Botox
• Blepharoplasty

Dermatologists

• Skin Cancer
  From 2013-2016, Dr. Adams served on the Board of Directors of the American Society for Mohs Surgery. In 2016, he served as the President of the Kansas Society of Dermatology and Dermatologic Surgery. Dr. Adams has also been selected as one of “America’s Top Physicians.” He currently serves as a Clinical Assistant Professor at the University of Kansas School of Medicine. Dr. Adams received his medical degree from the University of Southern California. He has been practicing at Advanced Dermatology and Skin Cancer Center, PA since 1998.
• Dermatology
  Tri Valley Health System is very excited to be able to offer expert dermatology care to this area. For an appointment call (402) 462-4872 or toll-free at (888) 806-6571.
• Acne Treatment
• Cyst
• Eczema
• Lesions
  CT for Electromagnetic Bronchoscopy - Specialized CT protocol used in assistance during a specialized bronchoscopy. The pulmonologist uses a 3D bronchial map from a recent CT of the chest to navigate through the bronchial pathways to a desired location within the lung to biopsy lesions, stage lymph nodes or insert markers to guide radiotherapy.
• Psoriasis
  Some of the conditions Dr. Adams will treat include: acne, all types of skin cancer, irregular moles, melanoma, eczema, poison ivy, psoriasis, rosacea, skin abnormalities, skin infections, warts and more.

Physical Therapists

• Sports Medicine
  Dr. Carr offers orthopedic treatment in joint replacement surgery, sports medicine, trauma and general orthopedics. Dr. Carr also utilizes the Conformis joint replacement system.
• Physical Therapy
  Physical therapy develops, maintains and restores mobility and function to our patients who may be impaired by pain, injury or the aging process. Tri Valley Health System Rehabilitation experts are highly trained in manual techniques, custom designed exercises, and pain-relieving modality treatments. Common impairments treated within our state-of-the-art facility include low back pain, joint injuries and replacements, balance deficits, neurological disease, pediatric developmental delays and generalized weakness.
• Occupational Therapy
  Our occupational therapists provide rehabilitation to individuals and aid them in obtaining skills to help lead independent and satisfying lives. A doctor’s referral is needed for most insurance providers to cover Occupational Therapy services. We will work closely with your doctor and keep them updated on your plan of care.
• Manual Therapy
  Orthopedics: We treat hand, wrist and elbow injuries including fractures, nerve compression, tendon injuries and various post-operative diagnoses through a variety of techniques, such as custom splints, manual therapy and exercise.
• Geriatrics
• Orthotics and Prosthetic Therapy

Podiatrists

• General Podiatry
  Dr. Richard Raska attended medical school at Scholl College of Podiatric Medicine in Chicago, IL. Dr. Raska completed surgical residency through Southwest Detroit Hospital.
• Diabetic Foot Care
  Dr. Russell Carlston is a highly-skilled foot and ankle surgeon. A Colorado native, he attended the University of Colorado in Colorado Springs. After that he attended Barry University in Miami, FL, where he earned a Doctorate of Podiatric Medicine. He went on to complete a three-year residency in Podiatric Medicine and Surgery with the added credential in Reconstructive Rearfoot/Ankle Surgery at St. Joseph Medical Center in Houston, TX. While in residency, he gained comprehensive training in forefoot, midfoot, and rearfoot surgery, trauma, wound care, diabetic foot care, and reconstructive surgery.
• Hammertoes

Allergists

• Allergies
  There are several methods of allergy testing and treatment. At Tri Valley Health System, the MQT (Modified Quantitative Protocol), Intradermal and/or RAST technique are utilized.