Special Services

Aural Rehabilitation

Aural Rehabilitation is a process designed to improve communication and quality of life for individuals with hearing loss.  It involves a combination of strategies, including hearing aids, cochlear implants, and counseling to help people with better communication.  The goal is to enhance listening skills, speech comprehension, and overall hearing-related well-being.  At BCH Audiology Services we complement hearing aid use with two different programs.

Cochlear Implant Programming

We have the programming equipment to perform MAP modifications and other adjustments you may need with your cochlear implant.  We are able to program and trouble shoot the Cochlear brand cochlear implants. The Nucleus 8 is the most recent model of cochlear implant.  We can help with upgrades if your insurance company has approved you for one!

Auditory Brainstem Response Testing

Auditory Brainstem Response (ABR) testing is a diagnostic procedure used to assess the funciton of the auditory nerve and brainstem pathways.  It involves placing electrodes on the scalp to measure the electrical activity in response to sounds, usually clicks or tones.  ABR testing is valuable in diagnosing hearing disorders, especially in infants and individuals who can’t provide verbal feedback.  It helps us determine the integrity of the auditory pathway and aids in the identification of hearing issues or neurological abnormalities. 


The Parkinson's Empowerment Group at Butler County Health targets so many aspects and symptoms of Parkinson’s. It improves a person’s posture, mobility, balance, and coordination, as well as cognition and ability to multi-task. I also like the flexibility of the program and being able to adjust exercises from each position to fit the need of each individual patient.  

Andy Valenti, Physical Therapist Assistant

My strategy in nutrition coaching is to focus on the positive – what things could we add to increase the variety of healthy foods in your routine?  By focusing on adding more healthy choices, you will not feel deprived as you gradually leave out less nutritious choices.  My goal is to help you get a personalized approach to wellness that you can achieve and maintain with your current lifestyle.

Sandra Burwell, Registered Dietitian

Butler County Health has felt like home to me from the beginning of my employment.  I have spent more than 5 years working in an environment that has challenged me to pursue my nursing skills in many different areas such as the Emergency Department, Obstetrics, Inpatient Care, Outpatient Care and as Quality Improvement and Patient Safety Coordinator.

Tara Palensky, RN

BCH Roots to Shoots Pediatric Therapy Clinic eliminates the need for long commutes to distant facilities like Madonna, allowing Aria to maximize her therapy sessions and educational opportunities.  It is significant for Aria’s overall well-being as it reduces the stress and agitation she had from extended travel.  The staff is like our family to us.

Jennifer Prothman

The communication between us and Leia’s Roots to Shoots therapists is excellent.  We are given the tools and resources to practice techniques at home for ongoing progress and development so she can continue to thrive.  The entire staff at Roots to Shoots goes above and beyond what needs to be done; from teaching her to wear something as simple as a mask, to helping her feel comfortable riding in another vehicle like a school bus.  They are our angels.

Stacey Bykerk

I feel having a 3D mammogram was a blessing for me since it detected my Stage 1 cancer.  The technicians were very helpful as they explained how the machine worked compared to the 2D method.  A big difference is that the 3D machines moves above your head from one size to another and gives a more complete image of the breast.  The testing time also seemed shorter than the standard mammogram.

Judy Dubs

I had a bunion on my foot and I wanted it removed,  but I really didn't want to travel too far to have the procedure done.  So when Butler County Health started providing Podiatry Services, I made an appointment right away.  Dr. Carlston is professional and personable.  He took the time to explain what happens during the procedure and afterwards.

Jill Pokorny

Being able to have my blood drawn at Butler County Health saves me a weekly trip to Omaha.  It is simple to schedule an appointment that works with my schedule and the staff is quick and efficient at drawing my blood samples.

Tanner Zeilinger