News & Events at Grand River Medical Group

News & Events

Memorial Day Holiday Hours

Category: News

Memorial Day

Saturday, May 26th

Pediatric Clinic OPEN 8:00a.m. – 12:00p.m. (Walk-ins welcome from 9:00a.m.- 11:00a.m.)

Acute Clinic (located in the NW Arterial Hy-Vee) OPEN 8:30a.m. – 4:00p.m.

Multi-specialty Clinic including Lab & Radiology CLOSED

(Family Medicine, Nephrology/Hypertension, Dermatology/Allergy Clinics closed as usual)

Monday, May 28th

Acute Clinic (located in the NW Arterial Hy-Vee) OPEN 8:30a.m. – 3:00p.m.

All primary & specialty care clinics CLOSED for the Memorial Day Holiday  (including; Family Medicine, Multi-specialty, Pediatrics, Nephrology/Hypertension, Dermatology/Allergy Clinics)


The Importance of a Physical Exam and why you should see your Primary Care Physician

Category: Pediatrics

Boy looking at doctorAll schools in Iowa require a Pre-Participation Physical Exam, widely known as a “sports physical,” prior to your child’s first practice of the season, to ensure that they are healthy and able to compete in sports.  Each sports physical exam on the schools record is good for one calendar year, with a grace period not to exceed (30) days. This means your child will need a sports physical exam each year they compete in an extracurricular activity requiring a sports physical exam. This physical can be complete at their annual wellness exam throughout the year. Read the rest of this entry »


Lung Cancer Awareness

According to the CDC, lung cancer is the leading cause of death and the second most common cancer in men and women in the US. Non-small cell, small cell, and lung carcinoid tumor are the three main types of lung cancer. Knowing which type of lung cancer you have will determine which type of treatment plan is best for you.

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Keeping Kids Safe: Food Allergies During the Holidays

Category: Pediatrics

The holidays are coming up, and we know that everyone is looking forward to enjoying a holiday meal with their family and friends. But, for parents of children with food allergies, this time of year can bring uncertainty and unease. Help keep your little ones safe this holiday season with the following food allergy tips!

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October is Breast Cancer Awareness Month

Breast Cancer is the most common cancer in American women.

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A Minute of Exercise Per Day Could Prevent Osteoporosis

Category: Orthopedics

Even the busiest person can find a spare minute in their day to exercise. That’s good news because a recent study has found that women who get just one minute of exercise per day had four percent higher bone density. If you have two minutes, that’s even better! Those who exercised for over two minutes had a bone density six percent higher than those who exercise under one minute per day.

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Flu Shot Clinic

Receiving the flu vaccine is the best way to protect you and your family from the flu each year. The CDC recommends anyone over the age of 6 months receives a flu vaccine every “flu season”, in the United States the flu season can be as early as October and end as late as May. At Grand River Medical Group we want to ensure our patients can protect themselves from the flu virus, by offering flu clinics at our office locations below. No Appointment necessary!

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Importance of Sports Physicals

Category: Health

Primary Care Office Locations

Call to schedule a sports physical at any of our primary care offices or walk in to our Acute Clinic.

Family Medicine Clinic
320 N. Grandview Ave, Suite D
Monday – Thursday8:00am-5:30pm

Multispecialty Clinic
1515 Delhi St, Suite 100
Monday – Friday7:30am-5:00pm

Pediatric Clinic
1500 Delhi St, Suite 3500
Monday – Friday7:30am-6:00pm

Grand River Medical Group Acute Clinic,
located within the Asbury Hy-Vee, can also
perform sport and daycare physicals.
Monday – Friday7:30am-7:00pm
Saturday & Sunday8:30am-4:00pm
Walk-ins Welcome

The Importance of a Sports Physical Exam and why you should see your Primary Care Physician

All schools in Iowa require a Pre-Participation Physical Exam, widely known as a “sports physical”, prior to your child’s first practice of the season, to ensure that they are healthy and able to compete in sports. Each sports physical exam is good for one calendar year, with a grace period not to exceed (30) days. This means your child will need a sports physical exam each year they compete in an extracurricular activity requiring a physical exam, but can complete this at their annual wellness exam throughout the year.

Many think a sport physical is just that, seeing a healthcare professional to fill out this Iowa required form so that their child can participate. Although this is an important aspect for your child to be able to participate in their sport activity it is also important for your child to be seen by their primary care physician so they are able to provide a comprehensive health examination.

As convenience becomes one of the top priorities for patients when searching for healthcare many families may seek out the assistance of a chiropractor or urgent care to complete the sports physical examination. Although these settings may provide families with an increased convenience of walk in access or quicker appointment times it is important to note the difference in the level of services provided from various healthcare professionals.

Grand River Medical Group’s physicians, physician assistants, and nurse practitioners are trained to exam your child’s entire well-being, not just examine the items on the required Pre-Participation Physical Exam forms. Scheduling your child a yearly wellness checkup is the standard of care and a vital opportunity to keep your child healthy. Our physicians analyze risk based on family history, assess behavioral issues, do a comprehensive examination and provide guidance and education on the major changes that happen as a child matures. Your child will also receive hemoglobin screenings for anemia, discussion of BMI and whether lipid/diabetes screening bloodwork is recommended, as well as administration of adolescent vaccines such as meningococcal and HPV. These are examples of increased care you would receive by going to your primary care office versus a chiropractor, pop-up clinic, or some urgent care centers.

Sometimes life gets busy and you are rushing at the last minute to get the form completed and you aren’t able to see your child’s primary care physician until after the due date. At Grand River Medical Group’s Acute Clinic, our nurse practitioners are available to complete the sports physical examination with walk in, nights and weekend access, as well as schedule a follow up annual wellness exam with one of our primary care physicians, physician assistants, or nurse practitioners.

We understand the importance of developing relationships with your physician, and that is why we treat our patients like family. At Grand River Medical Group, we want you to feel comfortable coming to your primary care physician for all illnesses, injuries, and annual exams. Call one of our locations today to schedule your appointment.


Spring Allergies

Spring is in the Air – Bringing Springtime Pollens

With spring approaching and temperatures beginning to rise, tree pollen season is coming. Seasonal pollens can trigger asthma symptoms in many susceptible people. Grand River Medical Group’s Adrian G. Letz, MD, who specializes in allergy, asthma, and immunology care, notes the importance of identifying controlled and uncontrolled asthma.

What is Asthma?

Asthma is defined as a chronic disease involving the airways in the lungs, according to the American Academy of Allergy Asthma & Immunology (AAAAI). In asthma, the airways, or bronchial tubes, swell up and the muscles surrounding them can tighten, triggering symptoms. Coughing, wheezing, shortness of breath, and/or chest tightness are the most common symptoms of asthma. Asthma attacks can often be associated with allergies, like being exposed to pet dander, dust mites, pollen, or mold. Smoke, pollution, or cold air can also trigger asthma attacks.

How do I know if my asthma is controlled or uncontrolled?

Dr. Letz suggests using the “rule of twos” to help identify whether your asthma is controlled or not. Your asthma may not be well controlled if:

  • You have daytime symptoms more than twice a week.
  • You have nighttime symptoms more than twice a month.
  • You use your rescue inhaler more than twice a week (apart from exercise).
  • You require more than two courses of oral steroids a year for asthma.

If any of the above statements apply to you, it is important that you reach out to your doctor for help. Grand River Medical Group can help you get your asthma under control, so that you can live life without limits.

What’s the best treatment for asthma?

It’s important to note that not everyone’s asthma treatment plan is going to be the same. Comprehensive asthma care includes a detailed patient history, physical exam, and pulmonary function testing. Often times, the evaluation includes allergy testing. Long-term controller medications can be recommended for certain patients to reduce symptoms, improve quality of life, and decrease asthma exacerbations. Immunotherapy (allergy shots) is also very effective for appropriate patients who have allergic asthma.

Grand River Medical Group Allergy & Immunology Team: Adrian G. Letz, MD; Vickie Pauly, LPN; Katie Flores, RN; and Tammy Dupont, Medical Assistant

Asthma | AAAAI. (2017). Retrieved March 03, 2017, from


Six Way to Become an Active Patient

February 4th is World Cancer Day, and Grand River Medical Group would like to spread their knowledge and support to all of those battling this disease. Cancer can be a scary thing. Just know that you’re not alone. Our oncology team is here to assist you in becoming a more active patient throughout your fight with cancer.

Express your concerns. Ask questions. There are many unknowns in the medical world, especially when it comes to cancer. But your medical oncologist is going to the the best person to inform you of what is to come. Leading up to your appointment, write down the different questions that you think of in order to better remember then when the right time comes.

Have a shoulder to lean on. Facing serious health concerns on your own can be a difficult task. While your doctor is always there to support you, it’s nice to have someone who knows you a little better to accompany you to these difficult appointments. Having a family member or friend with you can also help you remember everything that was said during your appointment.

Be honest with yourself, and with your doctor. Sliding important health related information under the rug can be easier than telling the truth, but your health isn’t something to mess around with. Being completely and fully honest with your oncology team is the only way they can better serve you as a patient. Update your doctor frequently if any new health concerns arise, or if you start a new medication.

Utilize your resources. Learn about the different medical staff our group has to offer. The Nurse Practitioner or the oncology nurses will be available to provide guidance and assist in answering questions. Knowing who to reach out to when your doctor is not available will help you get the answers you need faster.

Know your options. Many different options will arise at many different times, but it is important to fully understand each and every one of them. Share your thoughts and concerns with your doctor and oncology team when they come about. This will help your doctor direct you towards the option you are going to be most comfortable and confident with.

Have a plan of action. Once a decision has been made between you and your doctor, know what you can do to ensure the best results. Do you have to change your diet? Or the way you exercise? Are there other habits you need to drop? Or perhaps there are habits you need to develop. Having this plan written down will help you stick to it.

Grand River Medical Group Medical Oncology Team: Mark Hermann, MD; Tony Heiar, ARNP; Laura Noel, BSN; Sandy Eggers, RN; Bobye Manning, RN; Sarah Jo Kohn, LPN; Carrier Schlosser, LPN

HealthWise Staff. (2016, July 26.) Cancer Support: Being an Active Patient. Retrieved January 20, 2017, from