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Zika Virus and Pregnancy

If you’re pregnant and think you may have been exposed to Zika, see your health care provider right away and get tested.

If you get Zika during pregnancy, you can pass it to your baby. Zika infection during pregnancy can cause a serious birth defect called microcephaly and other problems, like miscarriage and stillbirth.

Download this important fact sheet:

» Zika virus and pregnancy fact sheet (English)

» El virus del Zika y el embarazo (Español)


Take steps in just minutes to maintain or improve your health.

Small changes that only take a little time can go a long way to improve or maintain good health. In Five Minutes or Less, You Can:

1.    Wash hands
Handwashing is one of the best things we can do to keep from getting sick and avoid spreading germs to others.

2.    Buckle up
Seat belts reduce serious crash-related injuries and deaths by about half. Seat belt use is the most effective way to save lives and reduce injuries in crashes.

3.    Protect your skin
Skin cancer is the most common cancer in the United States. To protect your skin http://www.cdc.gov/cancer/skin/basic_info/prevention.htm use a sunscreen with SPF 15 or higher, seek shade, cover up and avoid indoor tanning.

4.    Read food labels
Look at nutrition labels http://www.fda.gov/Food/IngredientsPackagingLabeling/LabelingNutrition/ucm274593.htm to know what you’re eating. See how much fat, cholesterol, sodium, sugars, and other ingredients are in your food.

5.    Find a physician near you.
Schedule a visit to know your status.

6.    Test your smoke alarm
Test your smoke alarm http://www.cdc.gov/family/minutes/tips/checkbatteries/index.htm once a month to make sure it works properly. Replace the batteries if needed during the time change each spring and fall.

7.    Listen to a health podcast
CDC offers many podcasts http://www2c.cdc.gov/podcasts/ on a variety of topics. Listen to them for health and safety information.

8.    Know the signs and symptoms of a heart attack and stroke
Every year about 735,000 Americans http://www.cdc.gov/heartdisease/facts.htm have a heart attack. Learn the symptoms of a heart attack http://www.cdc.gov/heartdisease/signs_symptoms.htm and stroke http://www.cdc.gov/Stroke/signs_symptoms.htm.

These tips are just a few of the many things you can do in five minutes or less. Learn more http://www.cdc.gov/family/minutes/ small steps you can take to improve your health @ http://www.cdc.gov/features/fiveminutes/index.html

Essure…Tubal Sterilization without Hormones, Surgery or Scars

If your family is complete, maybe it’s time for us to talk about Essure, a permanent birth control solution that has been trusted by women and doctors for over ten years. It is the most effective form of permanent birth control currently available. With Essure, there are no hormones, no cutting, and no general anesthesia. The best news, Essure may be covered at no cost to you under the Affordable Care Act.

The Essure procedure is very simple: a soft, flexible micro-insert is placed into your fallopian tubes to create a natural barrier that prevents sperm from reaching the egg. The procedure is done in the comfort of our office and takes about 10 minutes to perform. It requires little or no downtime afterwards.

The Essure procedure offers women the following benefits:

  • No incisions
  • No general anesthesia
  • No slowing down to recover
  • No hormones
  • No guessing – a simple test afterwards will confirm, that your tubes are blocked.
  • No waiting for your partner to get his vasectomy done!
  • …and never having to worry about unplanned pregnancy again!

Please contact our office today at (402) 463-6793 to schedule a consultation to learn more about the Essure procedure. You can also visit the Essure website to learn more.

Outpatient Hysterectomy…Surgery in the morning, home in the afternoon!

In the event that your doctor recommends hysterectomy, we are pleased to offer our patients the most advanced surgical techniques, including same day discharge. Your hysterectomy can now be done as a true outpatient procedure. This allows you to return home the hispanic mid couple shutterstock_40275283-2same day so that you can rest and recuperate in the comfort of your own home. Women treated in this fashion recover more quickly and are able to return to full activity sooner. Our patients are very happy with this.

Most of our hysterectomies are accomplished in a minimally invasive approach through the vagina or with the laparoscope. If possible, vaginal hysterectomy is the preferred approach as it is safest and allows for the quickest recovery. If a vaginal hysterectomy is not possible, laparoscopic surgery can be done. This is preferable to robotic hysterectomy as it involves fewer incisions (3 vs 5), shorter operating times, and it is a more cost-effective option for patients.

If you need a hysterectomy, rest assured in knowing that our physicians are very experienced in this procedure. We will work hard to make certain that you have an excellent experience so that you can get back to your life as soon as possible. Contact our office for more information on your minimally invasive surgery options.

New Treatment for Urinary Incontinence

Dr. Tyler Adam now offers an innovative treatment for urinary and fecal incontinence called InterStim Therapy. InterStim is approved for the treatment of overactive bladder, urinary retention, and fecal incontinence in patients who have not found success with medications and physical therapy. This FDA approved procedure has provided symptom relief for over 100,000 patients worldwide.

Potential patients first undergo a test procedure to determine if InterStim Therapy will work for them. This procedure is done while the patient is awake, using local anesthesia, and takes about 10 minutes. Approximately 75% of patients will respond to the test and will be a candidate to proceed with long term therapy. Clinical studies have shown that InterStim Therapy is a safe procedure that provides significant long term benefits for patients. Additionally, most insurance payers, including Medicare, provide coverage for the procedure.

If you would like additional information, please call our office at 402-463-6793 to schedule an appointment with Dr. Tyler Adam to see if InterStim Therapy is the right choice for you.

2115 N. Kansas Ave., Suite 204
Hastings, NE 68901
Phone: (402) 463-6793

Grand Island
1010 Diers Avenue
Grand Island, NE 68803
Phone: (308) 381-1490

After Hours: (402) 462-8566

Office Hours
Hastings and Grand Island:
8 AM - 5:30 PM Mon-Fri

Connect with Us!


  • dr_todd_pankratz_rnd

    Todd A Pankratz, MD
  • dr_jill_fish_rnd

    Jill L Fish, MD
  • dr_tyler_adam_rnd

    Tyler Adam, MD
  • Andrea Curtis, APRN

    Andrea Curtis, APRN
  • lindsay-van-pelt
    Lindsay Van Pelt, APRN
  • holly-eckhart-rnd
    Holly Eckhart, CNM
  • katelyn-mazuch-rnd
    Katelyn Mazuch, CNM
  • Melissa-Wiles-158
    Melissa Wiles, PLMHP

Minimally Invasive

We're proud to be recognized as an AAGL Center of Excellence in Minimally Invasive Gynecology


Patient Forms

» New Patient Registration Packet (PDF)
» HIPAA Privacy Statement (PDF)
» HIPAA Notice (PDF)
» HIPAA Authorization Form (PDF)