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Biography

Nickie Ralston, cardiovascular nurse practitioner, provides comprehensive care for patients at Goshen Heart & Vascular Center. As a lifelong resident of Goshen, Nickie is dedicated to helping address the healthcare needs of the community. She promotes optimal health by educating her patients about how to prevent cardiovascular disease and manage chronic conditions, such as coronary artery disease, heart failure and atrial fibrillation. Nickie has advanced her critical thinking skills and treatment of chronic health conditions throughout her career, including two decades as a registered nurse in internal medicine and critical care.

Philosophy of Care

Nickie balances her clinical understanding of each patient’s overall condition with evidence-based practices and individual preferences to determine an acceptable course of care.

Research/Clinical Interest

• Prevention
• Managing chronic conditions such as coronary artery disease, heart failure and atrial fibrillation

Education

Board certified Nurse Practitioner

Education:
Master of Science in Nursing
Goshen College | Goshen, IN

Biography

Sadat Rashid, MD, provides comprehensive gastroenterological services for patients with digestive and liver disorders. Dr. Rashid specializes in gastrointestinal oncology and advanced interventional endoscopic procedures. He is specially trained in the advanced techniques to diagnose, stage and treat diseases of the esophagus, stomach, duodenum, pancreas, liver, small intestine and colon. Dr. Rashid has extensive experience with diagnostic and interventional endoscopic techniques to diagnose certain diseases of the gastrointestinal system. He performs various endoscopic procedures to remove diseased tissue from the digestive tract, including endoscopic resections, colonoscopies and radiofrequency ablations. He also is trained in advanced therapies, such as percutaneous endoscopic gastrostomy tube placement.

Philosophy of Care

Dr. Rashid believes quality health care involves all aspects of a person’s life. He approaches each patient with deep personal commitment, building a relationship based on compassion and honesty that helps him provide everyone with the best possible care. Dr. Rashid uses every available resource to care for lifechanging gastrointestinal conditions. He follows the latest recommendations to provide evidence-based medical care. He believes in a multidisciplinary approach to complex patients that involves discussions with pathologists, surgeons, oncologists, radiologists, primary and referring physicians.

Education

Education and training:
Bachelor of Medicine and Bachelor of Surgery
Jawaharlal Nehru Medical College, A.M.U. | Aligarh, U.P. India

Residency:
Chief Residency Internal Medicine
Nassau University Medical Center | East Meadow, NY

Master of Surgery in Ophthalmology
AMU Institute of Ophthalmology | Aligarh, U.P. India

Fellowship:
Advanced Interventional Endoscopy (EUS/ERCP)
Virginia Tech Carilion School of Medicine | Roanoke, VA

Gastroenterology and Hepatology
Nassau University Medical Center | East Meadow, NY

Biography

Kristan Rheinheimer is a board certified nurse practitioner with Goshen Center for Cancer Care. As part of the medical oncology team, she helps patients navigate their chemotherapy and biotherapy. Kristan works side-by-side with patients and a multidisciplinary team to deliver personalized care that is centered around each patient’s preferences and needs.
 
As an Advanced Oncology Nurse Practitioner, Kristan has experience with all forms of infusion therapy. She is specially trained in delivery of chemotherapy and pain management medications.
 
Kristan has devoted most of her nursing career to caring for patients with cancer. She first joined the Goshen Hospital cancer team in 1999 as a staff nurse and was instrumental in developing education programs for patients and nursing Colleagues.

Philosophy of Care

For Kristan, quality care means taking a patient-focused approach from diagnosis to survivorship. She embraces each patient's individuality as she delivers compassionate care in a healing and safe environment. Kristan places strong emphasis on education, symptom management, surveillance and palliative care.

Research/Clinical Interest

• Specifically trained in delivery of chemotherapy
• Pain management medications

Education

Certification - Advanced Oncoogy Cetified Nurse Practitioner

Education and training:
Master of Science in Nursing
University of Saint Frances, Fort Wayne, IN

Bachelor of Science in Nursing
Saint Francis College, Fort Wayne, Indiana

Biography

Neli Ribbens is a registered dietitian at Goshen Center for Cancer Care. She provides nutrition therapy and individualized education to patients and their families from the start of cancer treatment through survivorship.

Neli focuses on symptom management and encourages healthy, supportive nutrition choices for patients going through chemotherapy, radiation or surgery. She works closely with a team of oncologists, naturopathic doctors and mind-body counselors to provide the highest level of care for patients.

Philosophy of Care

Patient education is key to Neli’s approach to nutrition care. She places a high priority on providing evidencebased information about food and the essential role it plays throughout cancer treatment and survivorship. Her holistic approach means Neli considers the whole person, not just the specific site of disease. She forms strong partnerships with patients to help reduce side effects during and after treatment, as well as promote overall nutrition wellness.

Research/Clinical Interest

• Nutrition therapy
• Nutrition education
• Whole Foods Cooking
• Plant-based eating
• Side effect management
• Clinical studies

Education

Certification - Dietitian Nutritionist

Education and training:
Master of Science in Clinical Nutrition
Rush University , Chicago, IL

Bachelor of Science in Nutrition and Dietetics
Illinois State University, Normal, IL

Dietetic Internship:
Rush University Medical Center, Chicago, IL

Philosophy of Care

Jessica strives to include patients in their health care by providing education and discussing personal goals. Together, she works with them to develop the best plan of care.

Research/Clinical Interest

• Peripheral vascular disease management
• Oncological procedures

Education

Board certified Family Nurse Practitioner

Education:
Master of Science in Nursing
Goshen College | Goshen, IN

Biography

Kylee Rohatgi is a board certified family nurse practitioner at Goshen Physicians Family Medicine & Urgent Care. She treats patients of all ages, from newborns to the elderly and everyone in between. Whether treating an infection or managing a chronic condition, Kylee takes a team-based approach to deliver high quality care with the best possible outcomes.

Previous nursing experiences in cardiac medicine and surgery as well as endoscopic procedures have given Kylee a broad understanding of disease processes and patient care. She also has helped advance future leaders in nursing as an assistant professor in nursing at Goshen College.

When Kylee is away from her clinical role, she enjoys traveling, reading, sports, music and spending time with family and friends.

Philosophy of Care

Kylee believes educating patients about their health and wellbeing is a vital part of health care. She focuses on working with patients and their families to provide complete, compassionate care.

Research/Clinical Interest

• Common illnesses
• Chronic diseases and management
• Patient education
• Holistic care

Education

Certified – Family Nurse Practitioner

Education and training:
Master of Science in Nursing
Goshen College | Goshen, IN

Biography

Mark Ranzinger, MD, FACS, is a board certified general surgeon who performs a broad range of surgical procedures. Dr. Ranzinger focuses on minimally invasive surgery using laparoscopic approaches for benign conditions, such as gastroesophageal reflux, paraesophageal hernias, achalasia, splenic diseases and hernias. He also is trained in surgery for certain cancers of the pancreas, adrenal glands and colon.

Philosophy of Care

Throughout his career, Dr. Ranzinger has received numerous honors and awards, both as a teacher and surgeon. Dr. Ranzinger views surgery as a combination of art and science. He believes good clinical judgment is developed by a commitment to lifelong learning and by giving every patient the time and personalized care they need and deserve.

Research/Clinical Interest

• Endoscopy
  • colon & upper GI tract
• Wound Care Management
  • hyperbaric oxygen therapy
• Abdominal Surgery
  • hernias
  • gallbladder
  • inflammatory bowel disease
  • acid reflux/GERD
  • colon
  • small bowel
  • tumor
• Minimally Invasive Surgery

Education

Education and training:
Bachelor of Arts
Walla Walla College, Walla Walla, Washington

Master of Public Health
Loma Linda University School of Public Health, University of East Africa Campus, Baraton, Kenya

Doctor of Medicine
Loma Linda University School of Medicine, Loma Linda, California

Internship:
Wright State University, Dayton, Ohio

Residency:
General Surgery
Wright State University, Dayton, Ohio