Fall/Winter 2017
the magazine from FirstHealth of the Carolinas
A Harvest of Health Care www.firsthealth.org
CEO Message
Taking health care where it’s needed
R David J. Kilarski Chief Executive Officer FirstHealth of the Carolinas
eaders of a certain age may recall a time when a physician who made house calls attended to most of a family’s health care needs. This familiar gent (at the time, almost always male) carried a weathered black bag filled with the necessary “tools of his trade”: a blood pressure cuff, a stethoscope, thermometers, syringes, various medications, tongue depressors, antiseptics, bandages and the like. With few exceptions, he examined, diagnosed and treated his patients in their home. As medicine became more sophisticated and as advancing technology became central to the scenario, however, specialists replaced the general practitioner and hospital-based services came to dominate the health care scene. That was the 20th century. This is the 21st. And the health care world continues to evolve. As you will learn from this issue of FirstHealth, outpatient services have once again become a health care focus – not as offered by a house-calling general practitioner with a bulging black bag but via a host of community services covering the health care continuum of care. This is especially true for FirstHealth of the Carolinas as we seek to meet the needs of the outlying regions of our coverage area by moving specialized outpatient services into them. Our goal is two-fold: 1) to offer services in the communities where our patients live so they don’t have to travel great distances for specialized care and 2) to reduce costs – for you, our patients, and for us. For a prime example of this changing health care scene, consider the summer 2017 opening of a cardiology office at FirstHealth Montgomery Memorial Hospital (featured on page 8 of this publication). At this convenient location, a seasoned invasive and interventional cardiologist, Dr. Scott Denardo, now cares for patients who previously had to leave their community for first-rate cardiology services. We have also broken ground on a major capital project in Lee County that is anchored by a medically based fitness center. An adjacent medical office building will not only allow us to consolidate some of the services we already provide in Lee County but will also allow us to expand our health care footprint in the community with new programs as they are identified. And, in Richmond County, where we recently discontinued the operation of clinical services at our inpatient facility in Hamlet, we plan to repurpose the building for outpatient services. We are especially interested in accommodating the significant number of behavioral health patients in the Sandhills region and will be working with community partners to achieve that goal. In the past 10 years, FirstHealth’s outpatient volume has grown from 38 percent to more than 45 percent of total revenue. That does not include outpatient growth for services performed outside hospital walls including imaging, outpatient surgery and convenient care. Since we expect that growth to continue, you can see that outpatient services are important to us. They are also important to you. Health care is rapidly changing, and our movement to provide quality care throughout the region with expansion of outpatient facilities will continue.
(800) 213-3284 • www.firsthealth.org 1
Fall/Winter 2017
the magazine from FirstHealth of the Carolinas
155 Memorial Drive P.O. Box 3000 Pinehurst, NC 28374 firsthealth.org FirstHealth is published by the Communications Department of FirstHealth of the Carolinas in conjunction with StayWell
Editor
Brenda Bouser
Contributing Photographer Don McKenzie
Board of Directors FirstHealth of the Carolinas
Departments 1
CEO Message
16
New Providers
18 Letters
Mrs. Carolyn D. Helms, Chair Mr. Sherwood Blackwood, Vice Chair Mr. Jimmy Preslar, Treasurer Mr. Hew Fulton, Immediate Past Chair David M. Cowherd, M.D. John N. Ellis, M.D. Mrs. Nancy B. Kaeser Mr. David J. Kilarski Ms. Tracy A. Leinbach Mr. Brian McMurray
Chief Executive Officer, FirstHealth of the Carolinas President, FirstHealth Moore Regional Hospital. . . . . . Mr. David J. Kilarski Chief Financial Officer, FirstHealth of the Carolinas. Chief Medical Officer FirstHealth of the Carolinas .
. . Mrs.
. . . . . . . . . . . . . . . . . . . . . John
President, FirstHealth Physician Group . Regional President, Eastern Region. Vice President, Human Resources FirstHealth of the Carolinas . . . . . .
Lynn S. DeJaco
. . . . . . . . . . . . . . . Mrs.
. . . . . . . . . . . . . . . . Mr.
Features 3
Following Your Health Care Experience in MyChart
4
Convenient Care to Emergency Department
6
Caring for People in Lee County
8
Taking World-Class Heart Care Into Underserved Communities
F. Krahnert Jr., M.D.
. . . . . . . . . . . . Daniel
R. Barnes, D.O.
Susan K. Beaty, R.N.
Daniel F. Biediger
Chief Operating Officer FirstHealth Moore Regional Hospital. . . . . . . . . . . . . . Mr. Brian T. Canfield Vice President, Finance & Support Services FirstHealth of the Carolinas . . . . . . . . . . . . . . Chief Information Officer FirstHealth of the Carolinas .
. . . . . . . . . . . . . . . . . . . . . Mr.
Vice President, Strategy & Innovation FirstHealth of the Carolinas . . . . . . . . . Regional President, Southern Region Vice President, Quality FirstHealth of the Carolinas .
. . . . . . . . Mr.
Jeffrey A. Casey David B. Dillehunt
. . . . . . . . . . . . . Mrs.
. . . . . . . . . . . . . . Mr.
Amy Graham
John J. Jackson
. . . . . . . . . . . . . . . . . . . . . Mrs.
Cindy McNeill-McDonald, R.N.
Chief Nursing Officer FirstHealth Moore Regional Hospital. . . . . . . . . . . . . . Mrs. Karen Robeano, DNP, R.N. President, Foundation of FirstHealth . . . . . . . . . . . . . . Mrs. Kathleen Stockham Regional President, Western Region. . . . . . . . . . . . . . . . . . Mrs. Beth Walker, R.N.
The not-for-profit FirstHealth of the Carolinas is headquartered in Pinehurst, North Carolina, and comprises Moore Regional Hospital, Montgomery Memorial Hospital, Moore Regional Hospital-Richmond, Moore Regional Hospital-Hoke, The Foundation of FirstHealth, FirstCarolinaCare Insurance Company and the FirstHealth Physician Group. Comments on FirstHealth magazine or changes of address should be directed to bbouser@firsthealth.org or to (910) 715-4278.
StayWell 407 Norwalk St. Greensboro, NC 27407 (336) 547-8970 President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bill Moore Creative Director. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jan McLean Senior Editor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Richard Krisher Production Director. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Traci Marsh © Copyright 2017 by StayWell, an operating company of StayWell/MediMedia USA, and FirstHealth of the Carolinas, Inc. No part of this publication may be reproduced or transmitted in any form or by any means without written permission from StayWell. Articles in this publication are written by professional journalists who strive to present reliable, up-to-date health information. However, personal decisions regarding health, finance, exercise and other matters should be made only after consultation with the reader’s physician or professional adviser. All editorial rights reserved. Opinions expressed herein are not necessarily those of StayWell or FirstHealth of the Carolinas. Models are used for illustrative purposes only.
2 Fall/Winter 2017
www.firsthealth.org
On the cover: With this issue of FirstHealth, we introduce a continuing feature called A Recipe for the Season in which we’ll share a recipe whose major ingredient is a veggie or fruit abundant during that time of the year. Check out the recipe for yummy and healthy Pumpkin Muffins on page 15.
Mr. Tom Pashley Mr. Gary VonCannon Raymond Washington, M.D. Mrs. Rusti Welch Ellen Willard, M.D.
Corporate Officers
A Harvest of Health Care
10 FirstHealth Services by County 12 ‘We Are ROCK STEADY’ 14 Introducing Occupational Health & Wellness 15 New Feature: A Recipe for the Season For more information on any of the programs or services offered by FirstHealth of the Carolinas, please call (800) 213-3284 or visit www.firsthealth.org.
Following Your Health Care Experience in MyChart
D
otty Garman spent 51 years as a nurse, the last 19 supervising the Emergency Department at FirstHealth Moore Regional Hospital. During that half-century, Garman saw numerous changes in access to health care information, but few have pleased her as much as the MyChart patient portal in FirstHealth’s new Epic information system. Garman spent a night as a patient at Moore Regional earlier this year and afterward was able to access her test results and contact her FirstHealth medical providers through MyChart. “Being able to see the results of my blood tests and radiology tests, that was wonderful to me,” she says.
“MyChart is a tool that can help us empower patients to be engaged members of their own care team. They are more compliant with instructions and more engaged in their management when they are in a more collaborative relationship with their health care providers.” Chrystal Eller, M.D. FirstHealth Family Medicine, Troy
How to Sign Up To sign up for FirstHealth MyChart, you must: ●●
Have been a patient at a FirstHealth facility (hospital or clinic)
●●
Be able to use the email address you provided during a previous FirstHealth registration. (If you don’t remember it, or if you were registered with us before we started to collect that information, you must contact FirstHealth’s HIMS Privacy line at (910) 715-2434 and have the staff set up or verify your email address in the Epic system.)
With MyChart, FirstHealth patients can not only review their health care history and communicate with To begin your FirstHealth MyChart registration process, go to their providers, but also pay their bills on line, schedule www.firsthealthmychart.org. Once you click on the link, you’ll medical appointments and request prescription refills. see the MyChart activation page. Choose the second green option, “I They also get a single bill for one FirstHealth need a MyChart Activation Code.” encounter instead of the multiple billing statements After being prompted for some basic demographics and an email they got before MyChart. address, you will get an email with a “sign up” button. When you click on it, you will be taken to a page with an authorization code. Chrystal Eller, M.D., of FirstHealth Family After you provide more simple demographics, you can set up your Medicine-Troy, has been pleased by the patient username and password and use your new patient portal. reception to MyChart. So far, 80 of her patients are among the more than 5,000 throughout the FirstHealth system to become MyChart users. “I have patients of all ages signed up,” she says, “and several have proxy accounts that allow them to access records and communicate with providers on behalf of a spouse, children and parents.” During office visits, Dr. Eller encourages her patients to sign up by reminding them of MyChart’s many benefits, especially for people with busy lives. “For patients with hectic schedules or limited breaks at work, or those who have played phone tag trying to get their test results, this opportunity to manage their care in a way that is convenient to them is often the deal maker,” she says. “If they choose, I can even send the link to MyChart directly to their email account during my time in the exam room.”
(800) 213-3284 • www.firsthealth.org 3
Continuous Care Convenient Care to Emergency Department Steve Kapa, PA-C, took one look at his tiny patient and saw that she needed more care than he would be able to deliver at FirstHealth Convenient Care, Whispering Pines. So Kapa, a physician assistant with 13 years of emergency room experience, started Gabriella Davis on oxygen, called 911 and alerted the Emergency Department at FirstHealth Moore Regional Hospital in Pinehurst about what to expect. Thanks to Kapa, paramedics from Moore County EMS, Emergency Department physician Darrell Simpkins, M.D., and the ED staff, Gabriella celebrated her third birthday just a couple of months after she almost drowned in the pool of a family friend. If not for the quick transition from Convenient Care to EMS to Emergency Department, the outcome could have been tragically different. “I was comforted and impressed with the knowledge and professionalism of the entire staff and the urgent yet thoughtful way they engaged with my daughter as a team to help her,” says Gabriella’s mother, Lauren. “They were very comforting to me as well, which I needed.” On most days, FirstHealth’s Convenient Care offices and emergency departments operate independently of Darrell Simpkins, M.D., of the Moore Regional Hospital Emergency one another, but they are well prepared to work together to Department with Gabriella Davis and her mom, Lauren provide the continuous care that patients like Gabriella require. According to Dr. Simpkins, Gabriella’s case took a group effort. “The Convenient Care staff recognized something needed to be done and called EMS,” he says. “It was one step after the other to give higher care. It was FirstHealth working together.”
Epic Will Help Two physicians on the front lines of FirstHealth medical care say the advanced communications provided by the organization’s new Epic information systems technology will enhance the continuous care of FirstHealth services. “We waited for a long time to have all FirstHealth points of care able to see real-
4 Fall/Winter 2017
time information that came from another provider,” says James Liffrig, M.D., medical director of FirstHealth Convenient Care. “It really is real time. As soon as information goes in a computer, it can be seen by anybody else in the system. Epic has been a real boon, and I’m sure it will continue to be.”
“We have a great health care community in which we interact with one another,” says Matthew Harmody, M.D., medical director of FirstHealth Emergency Services. “This continuity of care is important. It existed preEpic, but it’s much more efficient with Epic.”
FirstHealth Convenient Care When I had a probable sinus infection, my primary care provider was not able to see me, so I went to FirstHealth Convenient Care in Hamlet. I was seen quickly by Diedre Bass, PA-C, who diagnosed me with sinus and ear infections and gave me prescriptions to help resolve the problems. However, during the exam, Diedre discovered another possible problem, an irregular flutter in my heart. I attribute her finding to her thoroughness. She immediately communicated with my primary care provider and assisted in making a follow-up appointment with him to determine my next steps. When I saw my primary care provider, he noted that I do indeed have an irregular flutter and referred me to a cardiologist at Moore Regional Hospital. I am thankful to Diedre for providing good health care and feel that this is a prime example of how different FirstHealth services work together for the benefit of the patient. Mary Jo Geanes Rockingham, North Carolina
Convenient Care Locations Hamlet Whispering Pines 1021 W. Hamlet Ave. 7473-C Highway 22 (next to Food Lion) (across from Richmond Community College) (910) 215-5100 (910) 417-4100 7 days a week; 8 a.m. to 8 p.m. 7 days a week; 10 a.m. to 7 p.m. Pinehurst Sanford 150 Ivey Lane (Harris Teeter 1602 Westover Drive (near Davison’s Shopping Center) Steaks) 7 days a week; 8 a.m. to 8 p.m. (919) 897-2250 (910) 215-5200 7 days a week; 8 a.m. to 8 p.m. Raeford (Opening This Fall) 4565 Fayetteville Road (Walmart Shopping Center) 7 days a week; 8 a.m. to 8 p.m. (910) 878-5100
FirstHealth Emergency Departments
My wife woke to a very scary situation on March 3, 2017. She was choking for air. She has COPD, and the recent pine pollen had worsened her condition. I took her to the ER on the FirstHealth Hoke campus. I went in and asked for help as she could hardly walk. Two registered nurses were at my car immediately and got her inside. Dr. Geoffrey Martin assessed my wife and started to care for her. We could not ask for better care than was provided to my wife. Dr. Martin and his team of nurses were very professional, but above all they were very kind and respectful during this entire process. We are retired military, and we appreciate so much the kindness of this team of medical professionals. Thank you, FirstHealth Hoke campus, for being there. Bruce Simmons U.S. Army Retired Raeford, North Carolina
ED Locations Moore Regional Hospital 155 Memorial Drive, Pinehurst (The emergency entrance is off Highway 211) Montgomery Memorial Hospital 520 Allen St., Troy Moore Regional-Richmond 925 S. Long Drive, Rockingham Moore Regional-Hoke 6408 Fayetteville Road, Raeford
(800) 213-3284 • www.firsthealth.org 5
Caring for People in Lee County Medical Office Building The three-story, 40,000-squarefoot Medical Office Building will include an ambulance pickup, a secondary provider entry and a mobile imaging pad as well as second-floor office space for FirstHealthaffiliated medical specialties (to be announced) and third-floor space for third-party specialties.
The new FirstHealth campus in Lee County will be located on 23 acres at 2919 Beechtree Drive off US 1 in Sanford.
Project Milestones Groundbreaking October 2017
Vertical Building Construction Begins November 2017
Shell Buildings Complete Late Spring 2018
Buildings Upfitted Summer/Fall 2018
Open for Patients Late Fall 2018
FirstHealth Breaks Ground for Medical Building and Fitness Center FirstHealth of the Carolinas has broken ground for a new multispecialty clinic and fitness center on a 23-acre site north of Sanford in Lee County. The new FirstHealth campus is located at 2919 Beechtree Drive off US 1. “The planning for construction is well underway, and we hope to be open for Lee County residents in the fall of
6 Fall/Winter 2017
2018,” says FirstHealth CEO David J. Kilarski. “This project will provide us with the opportunity to serve our current Lee County patients in a new capacity while introducing new residents to our exceptional services.” FirstHealth already provides a variety of medical services in Lee County. “We look forward to expanding our current services, as well as bringing
new FirstHealth services to Lee County,” says Chief Medical Officer John F. Krahnert Jr., M.D. “Our mission is to care for people, and our goal is to provide quality care to those in need. We hope that this newest FirstHealth campus will better allow us to care for patients in Lee County and beyond.”
FirstHealth Services Currently in Lee County FirstHealth Back & Neck Pain 1227 Carthage St. Sanford (919) 774-0665 FirstHealth Cardiology-Pinehurst Medical Clinic 110 Fields Drive, Suite A Sanford (919) 777-9005 FirstHealth Convenient Care-Sanford 1602 Westover Drive Sanford (919) 897-2250 FirstHealth Physical Therapy 1227 Carthage St. Sanford (919) 774-1595 FirstHealth Sanford Hematology Oncology a division of Moore Regional Hospital 1212 Central Drive, Suite 201 Sanford (919) 775-8183 FirstHealth Vascular & Vein 1818 Doctors Drive Sanford (919) 895-6340
Fitness Center The 25,000-square-foot fitness center will include a pool, physical therapy area, indoor walking track, free-weights and cardio areas and a child care facility.
(800) 213-3284 • www.firsthealth.org 7
Taking World-Class Heart Care Into Underserved Communities
B
renda Glover recalls a telephone call she got and interprets noninvasive cardiovascular studies that from her daughter-in-law this summer. include electrocardiograms, echocardiograms and “Dr. Denardo is back,” her daughter-instress tests. He performs invasive and interventional law had said. “Call and get an appointment.” procedures, such as angioplasty and stent placement, in There was a reason for this unusual Moore Regional’s Reid Heart Center. family communication. Glover’s husband, Gerald, has a long history of heart problems “I am excited about providing cardiovascular that began with a heart attack in 1996. care to residents of Montgomery County. Afterward, he had seven stent implants, all done by Scott Denardo, M.D., and a triple This community has a very real need for bypass. Since he now has a pacemaker these services.” following a recent stroke, his family is Scott Denardo, M.D. understandably concerned about his care. A resident of Candor in Montgomery County, Glover was one of the last patients Dr. Denardo saw before he left an earlier interventional cardiology affiliation with FirstHealth for several years of teaching and research. Now that he has returned to the FirstHealth community, in a full-time cardiology practice on the campus of FirstHealth Montgomery Memorial Hospital, the Glovers are happy to have him back. “He’s a really good doctor,” Gerald Glover says. “He takes a lot of time with you, and he doesn’t mind sitting there talking to you. It doesn’t matter what question you ask Dr. Denardo, he finds you an answer.” The opening of Dr. Denardo’s practice in Montgomery County is the latest in a series of moves to take FirstHealth’s nationally recognized heart services program outside the flagship FirstHealth Moore Regional Hospital in Pinehurst – often to communities lacking in local access to cardiac care. According to Daniel Barnes, D.O., president of the FirstHealth Physician Group, patient convenience and access to care is at the core of every initiative. “Dr. Denardo is an outstanding physician,” Dr. Barnes says. “His presence in Montgomery County will help ensure patients have access to high-quality cardiology care that is close to home.” In his Montgomery County location, Dr. Denardo provides cardiovascular consultations and performs
8 Fall/Winter 2017
FirstHealth, Pinehurst Medical Partner for Cardiology Care FirstHealth of the Carolinas and Pinehurst Medical Clinic have embarked on a new partnership to bring cardiac care to residents of the Sandhills region. The affiliation, based on a professional services agreement signed earlier this year, is called FirstHealth Cardiology-Pinehurst Medical Clinic and affects Pinehurst Medical’s cardiology locations in both Pinehurst and Sanford. The 12 physicians (interventional and invasive cardiologists and electrophysiologists), physician assistant and family nurse practitioner affiliated with Pinehurst Medical Clinic provide services at 205 Page
Road in Pinehurst and at 110 Fields Drive in Sanford.
Third Surgeon Joins CVT Team William Clifford “Cliff” Kitchens, M.D., has joined Peter I. Ellman, M.D., and Art Edgerton, M.D., as the third member of FirstHealth’s cardiovascular thoracic surgical team. They specialize in the surgical treatment of diseases affecting the chest – including the heart, blood vessels, lungs and esophagus – at FirstHealth’s Reid Heart Center in Pinehurst. Before coming to FirstHealth, Dr. Kitchens was associated with University Medical Group – Cardiothoracic Surgery in Augusta, Georgia. A magna cum laude graduate of Washington and
Lee University in Lexington, Virginia, he earned his medical degree from Emory University in Atlanta. He completed his residency in general surgery at the University of Alabama in Cliff Kitchens, M.D. Birmingham, where he also engaged in postdoctoral fellowship research in intimal hyperplasia and trauma, sepsis and inflammation. Fellowship-trained in cardiothoracic surgery at the University of Utah Affiliated Hospitals in Salt Lake City, Dr. Kitchens has 20 years of surgical experience.
Heart Care That Is Close to Home FirstHealth Primary Care and Cardiology in Montgomery County, with Scott Denardo, M.D., is the latest addition to the growing number of cardiology programs FirstHealth of the Carolinas offers outside its Pinehurst headquarters. FirstHealth-affiliated cardiology services are located in Moore, Robeson, Richmond, Scotland, Hoke and Lee counties, as well as Montgomery County. The names and addresses of all of those locations follow: FirstHealth-affiliated cardiology, interventional cardiology and invasive cardiology physicians and electrophysiologists
●● FirstHealth
Cardiology, Pembroke 812 Candy Park Road, Suite 6101-A, Pembroke (910) 668-1268 ●● FirstHealth Cardiology, Rockingham 106 Physicians Park Drive, Rockingham (910) 417-4105 ●● FirstHealth Primary Care & Cardiology 522 Allen St., Suite 101, Troy (910) 571-5510 ●● FirstHealth Cardiology, Raeford Physician Offices & Specialty Services 6322 Fayetteville Road, Raeford (910) 878-6721 ●● FirstHealth Cardiology, Pinehurst Medical Clinic 110 Fields Drive, Suite A, Sanford (919) 777-9005 ●● FirstHealth Cardiology, Laurinburg 1705-A Berwick Drive, Laurinburg (910) 610-4278
The FirstHealth-affiliated heart care programs in Pinehurst are: ●● FirstHealth Cardiology, Reid Heart Center 120 Page Road North, Pinehurst * Cardiovascular & Thoracic Surgery (910) 715-4111 * Interventional Cardiology (910) 715-7650 ●● FirstHealth Cardiology, Pinehurst 7 Regional Circle, Pinehurst Cardiology Interventional Cardiology Electrophysiology (910) 715-8600 ●● FirstHealth Cardiology, Pinehurst Medical Clinic 205 Page Road, Pinehurst Cardiology Interventional Cardiology Invasive Cardiology Electrophysiology (910) 295-9211
9
FirstHealth Services by County FirstHealth of the Carolinas has hospitals in Moore, Montgomery, Richmond and Hoke counties, but provides various services throughout the mid-Carolinas region. Back & Neck Pain Moore Hoke Lee Montgomery
PITTSBORO •
Bariatric (weight-loss) Surgery Moore
• ASHEBORO
Behavioral Health Services
Moore Montgomery, Richmond & Hoke (Telepsych in Emergency Department and Primary Care locations)
CHATHAM
RANDOLPH
• SANFORD
Cancer Services Moore Hoke Lee
LEE
Cardiac Rehab Moore Richmond
Cardiology
Moore Richmond Hoke Lee Montgomery Robeson Scotland Cumberland
TROY •
ALBEMARLE •
MOORE MONTGOMERY
STANLY
PINEHURST •
HOKE RICHMOND
Cardiology (Electrophysiology) Moore
• WADESBORO
Cardiovascular & Thoracic Surgery (including open heart and TAVR)
ANSON
• RAEFORD • ROCKINGHAM SCOTLAND
Moore
Chest Center of the Carolinas
• LAURINBURG
Moore
Clara McLean House (hospitality house)
ROBESON
Moore
Clinical Trials Moore Richmond
•BENNETTSVILLE
CHERAW •
•
CHESTERFIELD MARLBORO
Convenient Care
Moore (locations in Pinehurst and Whispering Pines, opening soon) Hoke Lee Richmond
HOSPITALS
REID HEART CLARA McLEAN CENTER HOUSE
10 Fall/Winter 2017
Illustrations by Laurel Holden HOSPICE
FAMILY CARE
FITNESS CENTERS
CONVENIENT CARE
CARDIOLOGY
CANCER CENTERS
ORTHOPAEDIC CARE
EMS
Dental Care
FirstCarolinaCare Insurance Company
Moore Montgomery Hoke
Moore (headquarters)
Diabetes & Nutrition Education Moore Montgomery Richmond Hoke
Emergency Services (hospital based) Moore Hoke Montgomery Richmond
FirstMedicare Direct (Medicare Advantage insurance product) Moore Montgomery Richmond Hoke Chatham Lee Scotland
Fitness
Moore (locations in Pinehurst and Southern Pines) Montgomery Richmond Hoke Lee (opening in 2018)
Gastroenterology Moore Richmond
• LILLINGTON
DUNN •
HARNETT
General Surgery Moore Montgomery Richmond Hoke
Geriatric Medicine Moore
Gynecologic Oncology Moore
CUMBERLAND • FAYETTEVILLE
Healthy Living Classes Moore Montgomery Richmond Hoke
Home Care
Moore Montgomery Richmond Hoke Lee Scotland
Employee Assistance Program
• LUMBERTON
Moore Montgomery Richmond Randolph Scotland
EMS
Montgomery Richmond Chatham
Endocrinology
Moore
Family/Primary Care
Moore (locations in Pinehurst, Robbins, Seven Lakes, Whispering Pines, Vass) Montgomery (locations in Biscoe, Candor, Troy) Richmond (locations in Ellerbe, Hamlet, Rockingham) Hoke
Hospice
Moore Hoke Montgomery
Hospital Campus
FirstHealth Moore Regional Montgomery Memorial FirstHealth MRH-Richmond FirstHealth MRH-Hoke
Hospitalist Medicine Moore Montgomery Richmond Hoke
Imaging Services
Moore (including open MRI & digital mammography) Montgomery, Richmond, Hoke (including digital mammography)
Infectious Diseases Moore
Internal Medicine Moore Richmond
Maternal Fetal Medicine Moore
Medical Oncology Moore Lee
Moore Montgomery Richmond
Pulmonology Moore Montgomery Richmond Hoke
Radiation Oncology
Medical Transport Moore
Medication Assistance Moore Montgomery Hoke Richmond
Neonatology (Neonatal Intensive Care Unit) Moore
Neurohospitalist Medicine Moore
Moore
Regional Medical Transport Moore
Reid Heart Center Moore
Robotic Surgery Moore
Sleep Disorders Moore Montgomery Richmond
Telemedicine Services
Neurology Moore
Neurosurgery Moore
OB/GYN
Moore Montgomery, Richmond, Hoke, Lee (office hours only)
Occupational Health & Wellness Montgomery
Orthopaedics
Moore Montgomery, Hoke, Lee Richmond
Otolaryngology (Ear, Nose & Throat) Moore Montgomery Richmond Hoke Lee Scotland
Outpatient Rehab Moore Montgomery Richmond Hoke Lee
Pediatric Hospitalist Medicine Moore
Plastic Surgery Moore
Podiatry
Pulmonary Rehab
Montgomery Hoke
Tele-geriatrics Richmond Hoke Montgomery Teleneurology Richmond Hoke Montgomery Telestroke Richmond Hoke Montgomery
Tobacco Cessation (FirstQuit) Moore Montgomery Richmond Hoke
Transfer Center
Moore (headquarters – accepting from all counties) MRH-Richmond
Transition Care Clinic Moore Hoke
Urogynecology Richmond
Urology Moore Lee
Valve Clinic
Moore Cumberland (Fayetteville)
Vascular
Moore Lee Scotland
Wound Care & Hyperbarics Moore Richmond Hoke
For more information on how to connect with these services, call (800) 213-3284. (800) 213-3284 • www.firsthealth.org 11
‘We Are ROCK A
s the dozen or so Rock Steady Boxing participants at FirstHealth Fitness in Pinehurst celebrated the fact that every one of them had been able to get down on the exercise mat for the very first time – no small feat for someone with Parkinson’s disease – instructor Randy Ballard asked if anyone else had another “first” to share. Rockingham resident Judy Long raised her hand. Since joining the group, she told her Rock Steady Boxing comrades, she had for the first time in a year and a half been able to call her sister on the telephone and sing “Happy Birthday” to her. The story, like so many others from his Rock Steady Boxing sessions, made Ballard’s “eyes sweat.” Parkinson’s had stolen Judy Long’s telephone voice, but Rock Steady Boxing has helped restore it. It has also reduced her risk of falling, something her husband, Watt, said she did frequently before she started the program. Long is also getting around their house with a cane, and her goal is to be rid of the walker she uses in less familiar territory. “They forget they have Parkinson’s,” Watt Long says of the program’s participants. “It’s just amazing what they get out of it.” “I’ve got strength, and I can walk,” says his wife, “I’d do anything to help get me stronger.” The 69-year-old Long, who has adopted the boxing name “Jackhammer” for the program, was diagnosed with Parkinson’s disease in 2010. Sixty-seven-year-old Mike Peele – boxing name
12 Fall/Winter 2017
“Quattro” for his history as a four-sport high school athlete – was diagnosed in February. He started the Rock Steady program after asking his neurologist about the possible effects of exercise on the disease.
Judy Long’s voice and movement has improved since she started the Rock Steady Boxing program at FirstHealth Fitness-Pinehurst.
Peele says simply, “I’m here,” when asked about his physician’s response. According to Ballard, Rock Steady Boxing is a highintensity exercise for an exercise population more likely to be steered toward low-intensity activities. Unlike traditional boxing, there is no contact, no sparring and no hitting. As with traditional boxing rounds, however, there are intensive periods of work and then rest as the participant engages in traditional boxing moves aimed at equipment instead of a human opponent. The only face-off is with the trainer calling the moves and handling the equipment, which was provided for the FirstHealth Fitness program through a grant from the Neuro Care Fund of The Foundation of FirstHealth.
STEADY’ “When they’re hitting the bag, they’re fighting the disease and taking it out on the bag,” Ballard says. Unlike other exercise forms, such as stationary bike-riding or treadmill walking/running, Rock Steady Boxing also challenges the brain by encouraging the participant to think about the movements the instructor calls out.
Mike Peele, whose boxing name is “Quattro,” follows instructor Randy Ballard’s call for a left-cross boxing move.
Program participants fight Parkinson’s disease with boxing
What Is Parkinson’s Disease? According to the Parkinson’s Disease Foundation, Parkinson’s disease is a chronic and progressive movement disorder, meaning that symptoms continue and worsen over time. The nearly 1 million Americans currently living with the disease include actor Michael J. Fox and former President George H.W. Bush. Primary motor signs of Parkinson’s disease include tremor of the hands, arms, legs, jaw and face; slowness of movement; stiffness of the limbs and trunk; and impaired balance and coordination.
How Did Rock Steady Boxing Begin? Rock Steady Boxing got its start when a 40-something Indiana prosecutor decided he would rather fight than give in to his diagnosis of early-onset Parkinson’s disease.
“I’m not going to let Parkinson’s disease take me. If it does, it won’t be because I’m not trying to fight it.” Mike “Quattro” Peele Pinehurst
“It helps the brain,” Ballard says, “which has to process what a jab is, what a cross is, what a hook is and how to put them together. There’s very little thought process that goes into other exercises as opposed to boxing.” Sessions are an hour long three times a week, and each concludes with a loud “I am Rock Steady” shout from the huddled participants.
So fight Scott C. Newman did, engaging in an intense, one-on-one boxing training program to which he attributes a noticeable improvement in his physical health, agility and daily functioning. Instead of the tremors common to Parkinson’s patients, Newman saw that his hands had once again become “rock steady.” Dan Barnes, D.O., president of the FirstHealth Physician Group, introduced the program to FirstHealth. His father-in-law, Billy Hamilton, was driving to Raleigh to attend classes and felt the program was really helping him. “We brought the concept to John Caliri (director of FirstHealth Fitness),” Dr. Barnes says, “and he was very supportive of adding the service.”
(800) 213-3284 • www.firsthealth.org 13
Introducing Occupational Health & Wellness
U
ntil a few months ago, Jordan Lumber Co. did its pre-employment drug screenings in-house. It did not do preplacement physicals. Both situations changed with the summer 2017 opening of FirstHealth Occupational Health & Wellness. “It’s fantastic,” says John Coyle, Jordan Lumber’s director of Human Resources. “We’re all excited about this service. We need it in this county.” The FirstHealth Occupational Health & Wellness program is located in Montgomery County, a community that has enthusiastically welcomed the program’s services. With a varied industrial community that turns out such commodities as footwear, braided rugs and furniture as well as lumber, Montgomery County has an employee base numbering in the thousands. Regional President Beth Walker of FirstHealth Montgomery Memorial Hospital describes the program as a “win-win” for both area businesses and FirstHealth. “For several years, local employers have asked us to help with their occupational health needs,” she says. “Once we had the resources and expertise to put the programming together, it has been exciting to promote it. Employers obviously have a need for this service based on the positive responses we have encountered, and we think we are providing a quality program for them and for their employees.” According to Walker, the FirstHealth program is tailored to meet the needs of area employers. “Every community is different, and every industry is different,” she says. “It’s just a matter of finding out what their unique needs are and working to meet them.” High on the list of popular services is workers’ compensation management. So are preplacement physicals and drug testing. All are used by Jordan Lumber, which went to “multiple resources” before the FirstHealth program opened. “We are also going to be looking at the other services they have,” Coyle says.
14 Fall/Winter 2017
Christine McBride, PA-C, checks Matthew Love’s eyes during a screening for Jordan Lumber Co.
As the program’s name implies, wellness is also an important program component. “Obviously, employers want to keep their employees healthy and well, which helps increase morale and productivity,” Walker says. Coyle agrees. “We have let our employees know about the clinic for any kind of health issues they have,” he says .
Occupational Health & Wellness Services FirstHealth Occupational Health & Wellness offers:
Work-related injury care and follow-up Workers’ compensation management ●● Drug and alcohol testing ●● Pre-employment and DOT physicals ●● Minor acute care ●● ●●
The program, provided by a staff headed by physician assistant Christine McBride, PA-C, can also make referrals to related FirstHealth services that include tobacco cessation and diabetes education.
Pumpkin Muffins
A Recipe for the Season (With this issue of FirstHealth, we introduce a continuing feature – a healthy recipe whose major ingredient is a fruit or veggie of the season. Please let us know what you think of it.)
I n g re d i e n t s ••2 eggs ••¾ cup brown sugar ••½ cup applesauce ••¼ cup canola oil ••1 can pumpkin or 2 cups of fresh pureed pumpkin ••1½ cup whole wheat flour ••1 tsp. baking powder ••1 tsp. baking soda ••2 tsp. pumpkin pie spice ••½ tsp. salt
(makes 12) It is the season of pumpkin everything, and we have the perfect pumpkin recipe to kick off the holidays – muffins that are a healthier alternative to the pumpkinrich goodies most of us consume each fall.
D i re c t i o n s 1. Preheat oven to 375 degrees and grease muffin tins. 2. Mix eggs, sugar, applesauce, oil and pumpkin until well blended. 3. In a separate bowl, combine flour, baking powder, baking soda, pumpkin pie spice and salt. 4. Add the dry ingredients to the pumpkin mixture and mix until blended. 5. Fill muffin tins about ¾ full. 6. Bake for about 30 minutes.
Tips:
make mini this recipe to se u o ls a n ead of 30). •• You ca minutes inst 0 2 r fo e k a muffins (b up to two ze well for e e fr l il w s ffin •• Your mu s. y month Communit FirstHealth f o sy e m rt u Recipe co iving progra s Healthy L e ic rv e S h lt Hea
Did you know? Pumpkin is an extremely nutrient-dense food, meaning it is chock-full of vitamins and minerals but low in calories. It’s also one of the best-known sources of beta-carotene, a powerful antioxidant that gives orange vegetables and fruits their vibrant color. Once eaten, beta-carotene converts to vitamin A. Consuming foods rich in beta-carotene may reduce the risk of developing certain types of cancer, offer protection against asthma and heart disease, and delay aging and body degeneration.
Learn more about the health benefits of this fall favorite at www.firsthealth.org/pumpkins.
(800) 213-3284 • www.firsthealth.org
15
N E W P ROV I DE R S Behavioral Services
Cardiology
Emergency Medicine
Emergency Medicine
Jason M. Jerry, M.D.;
Scott J. Denardo, M.D.;
Tonya E. Eteo, FNP;
FirstHealth Behavioral Services
FirstHealth Cardiology-Troy FirstHealth Cardiology, Reid Heart Center
Amy H. Williams, M.D.;
Sandhills Emergency Physicians
Sandhills Emergency Physicians
Cancer (Gyn Oncology)
Convenient Care
Adara R. Starr, PA-C;
Lisa Harley, PA-C;
FirstHealth Outpatient Cancer Center
FirstHealth Convenient Care
Emergency Medicine
Noralea Elizabeth Meiki Rose, M.D.;
Family Medicine
Kathy H. Burgess, FNP; FirstHealth Family Medicine-Hamlet
Family Medicine
Joseph E. Gillham, M.D.; FirstHealth Family Medicine Long Drive, Rockingham
Family Medicine
Al Barber, PA-C; Moore County Wellness Works
Sandhills Emergency Physicians
Cardiac & Thoracic
Convenient Care
Emergency Medicine
William Clifford Kitchens, M.D.;
Kristen Ross, PA-C;
Christopher R. Welton, M.D.;
FirstHealth Cardiovascular & Thoracic Reid Heart Center, Pinehurst FirstHealth Valve Clinic, Fayetteville
FirstHealth Convenient Care
Sandhills Emergency Physicians
16 Fall/Winter 2017
Family Medicine
Family Medicine
Julie T. Coggins, FNP-C;
Laura Martin, PA-C;
FirstHealth Family Medicine-Candor FirstHealth Family Medicine-Ellerbe
FirstHealth Family MedicineWhispering Pines
Family Medicine
Ann Marie Richards, M.D.; FirstHealth Family MedicinePinehurst (Harris Teeter Shopping Center)
General Surgery
Hospitalist Services
Christine Monique Lucarelli, M.D.;
Internal Medicine
Orthopaedic Surgery
Diane L. Brown, ANP;
Alexander C. Lemons, M.D.;
Janet Harris-Hicks, M.D.;
Pinehurst Surgical-Orthopaedic & Joint Replacement Center
FirstHealth Urogynecology
FirstHealth Internal Medicine
FirstHealth Hospitalists
Hospitalist Services
Orthopaedic Surgery
Radiology
Brian S. Burlingame, M.D.;
Brian J. Sachs, M.D.;
Keith L. Jackson II, M.D.;
Pinehurst Surgical
FirstHealth Hospitalists
Pinehurst Surgical-Orthopaedic & Joint Replacement Centers
Urogynecology
Urology
Stewart F. Rasmussen, M.D.;
Patrick S. McDonough Sr., M.D.;
Pinehurst Radiology Associates
Pinehurst Surgical
Hospitalist Services
Do you need help in finding a primary care provider or medical specialist? If so, visit www.firsthealth.org/directory. Katherine T. Blackmon, FNP; FirstHealth Hospitalists
(800) 213-3284 • www.firsthealth.org 17
Hospice staff was “outstanding, devoted” I wanted to share my family’s appreciation for the services that FirstHealth Hospice & Palliative Care provided to my father. The quality of care exceeded any expectation that we had, which was so evident in the people we encountered. You have an amazing team of people who truly cared about the comfort and well-being of my father. My mother passed away in December 2015. Social worker Kim Hedge bonded with my dad. With a smile, my dad would tell me of their discussions and how he looked forward to their calls. When my father entered hospice, knowing that Kim would still be in touch with my father was very comforting to him (and to me). It was one of the few things he looked forward to. Since my father passed, she has been a great source of support and encouragement for me. Hospice nurse Carol McWilliams and social worker Betsy August would visit and keep me in touch on my dad’s condition and wellbeing consistently. Since I live in Ohio, that was a source of comfort. Carol would get my dad to do things he did not want to do, but needed to do. The staff at the Hospice House was incredible and so devoted. From the minute I walked in, I felt welcome, but most important, I knew their highest priority was my dad’s comfort and well-being. They were outstanding in providing for my dad. None of this felt to me like they were doing a job. It felt like they were being caring people who wanted to do whatever they could to help my dad. I have been a customer service manager for two Fortune 500 companies and worked with the Navy Seals for 10 years. You get an appreciation for the value and power of a team working and providing outstanding service. Your team is a living example of the best of both. Jeff McCullough Pickerington, Ohio
18 Fall/Winter 2017
Kudos to orthopaedic team and Clara McLean House staff I was a patient at FirstHealth Moore Regional Hospital for a complete hip replacement. My reason for writing is to tell you what a tremendous team you have at your hospital and what a great job they did in caring for me and making my wife welcome. Everyone we encountered always introduced themself and before they left the room always asked if there was anything else that they could do for us. Dr. David Casey, the orthopaedic surgeon who did my surgery, was absolutely the best. He instilled the highest degree of confidence that everything would work well. He is a gem. His physician assistant, Rob Keller, and his medical assistant, Kayla Rea, were always helpful and confident in Dr. Casey’s ability to help me. The folks we encountered in the orthopaedic ward are those who made my stay so memorable. Lucy Morrison, R.N.; Travis Fraley, LPN; and Rusty Tilley, NAII, are the ones who cared for my every need and who I remember most. The other medical staff on the ward, Housekeeping, Room Service and others whose names I don’t remember were just as caring, compassionate and helpful. Finally, the folks at the Clara McLean House were so accommodating, helpful and friendly. They made our visit great. What a treasure they are. Again, many thanks to all of your staff who made my time go so well. Richard Hester Autryville, North Carolina
The Reid Heart Center Experience … exceptional and professional care We made a visit to the Reid Heart Center that entailed a full day of events including the placement of one stent. Things were seamless, and we are on the road to a much-improved quality of life. But I would be remiss not to comment on the exceptional professionalism and care we received. First, Dr. Joseph Hakas, as the attending cardiologist: He is so attuned to ensuring that we understand exactly what was occurring every step of the way. He provided answers to questions (did not mind repeating those answers more than once), reassurance and encouragement. We could not be more pleased with the outcome and are just as pleased that, for as qualified as Dr. Hakas is, he is a person, showing ultimate concern and compassion. Having such an awesome doctor meant the bar for the assigned nurse also had to be very high. All that said, we could have had no better experience with a nurse than we did with Ashley. She was attentive, caring, professional and thorough, and what we could call a “great bedside nurse.” She exudes what the nursing profession should be, and we are thankful that if we had to walk this road, she was the one assigned to help guide us through the process. Cochel Breeding Rockingham, North Carolina
… and a “positive experience” I had a recent stay at Reid Heart Center. It started in Emergency, so I would like to thank Kenzie Craig for keeping everything calm and also keeping me fed. I was later moved to CCU, and Jennifer gave great attention overnight. I finally ended up on the fourth floor and had a rotating team of April Eilert, Daniel Lea and Cathy Perrington. Daniel particularly spent time with my wife to explain what was happening. It’s hard to call out any one individual. This team made for a positive experience while I was there. Thanks! William Ellis Pinehurst, North Carolina
“I could not have asked for better care”
Montgomery ER is “a very special place”
I recently had back surgery, a fusion, performed by neurosurgeon Dr. Cynthia Africk at FirstHealth Moore Regional Hospital. From the moment I entered the hospital until my discharge, I could not have asked for better care. The hospital’s staff was extremely caring and attentive to my needs. Dr. Africk, others from her office and the hospitalists who cared for me all were exceptional. I do want to recognize Lindsey Hogan, my day nurse on Second Floor Neuro. She went above and beyond my expectations to make me as comfortable as possible. She is a very caring and compassionate nurse. Also, Teresa Knight, my night nurse, gave me excellent care. Thanks to all.
I was impressed with my ER visit at FirstHealth Montgomery Memorial Hospital. We usually go to Chapel Hill, because I worked there at one time and my daughter works there now. However, due to the location, we decided to go to Montgomery Memorial, where they thought I had a blood clot. I was in a room within 10 minutes of arriving and one hour later had my diagnosis. (It was a blood clot, headed for my lung.) The staff and service were superb. People don’t know what the little county of Montgomery has to offer. The service is excellent. Your place is a very special place. Peggy Evans Mt. Gilead, North Carolina
Richard L. McClure Seven Lakes, North Carolina
(800) 213-3284 • www.firsthealth.org 19
MULTI-LANGUAGE INTERPRETER SERVICES English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (910) 7151000 (TTY 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (910) 715-1000 (TTY 711).
Nursing unit worked like “one big family” My husband was recently a patient in FirstHealth Moore Regional Hospital. The doctors were all giving it their best to figure out what was wrong with him. It was a huge investigation involving every organ of his body. As you can imagine, we dealt with countless doctors, nurses, transporters, technicians and food services. The entire time we were there, they were all so helpful with the many questions I asked. The nurses were so comforting and sympathetic to what my husband was going through. The floor he was on truly works as one big family. That told me they are naturally very caring, loving people who went above and beyond. I even felt comfortable enough to go home and sleep. Thank you for the wonderful care. Leslie Covington Southern Pines, North Carolina
“I would recommend this hospital to anyone” To all of the doctors and nurses who cared for my husband earlier this year, I can’t express enough how kind you all are and how much you really made us feel like you were genuinely concerned for his well-being. He was a very sick man, and I thought I was going to lose him. Moore Regional was our third hospital, and I refused to leave until we had answers. You all were so nice, professional and caring. You answered questions, took your time with us and made sure we had what we needed. I know God healed my husband, but he gave you all the knowledge and the knowhow to take care of him and me. You did anything we asked down to an extra pillow and warm blanket when I was so cold in the recliner watching him sleep. I would recommend this hospital to anyone. The hospital was so clean, and the cleaning staff and cafeteria staff were wonderful. We had to stay for nine days, and we were comforted by knowing you all cared. To the first doctor in the ER, thumbs-up on your memory. When I gave you a week’s worth of information, you quoted it all back to me. You really listened. Tonya Head Fairmont, North Carolina
20 Fall/Winter 2017
繁體中文 (Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言 援助服務。請致電 (910) 715-1000 (TTY 711)。 Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (910) 715-1000 (TTY 711). 한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-(910) 715-1000 (TTY 711)번으로 전화해 주십시오. (Arabic) اﻟﻌرﺑﯾﺔ Français (French) اﻟﻣﺳﺎﻋدة ﻓﺈن ﺧدﻣﺎت، إذا ﻛﻧت ﺗﺗﺣدث ﺑﺎﻟﻠﻐﺔ اﻟﻌرﺑﯾﺔ:ﻣﻠﺣوظﺔ ATTENTION Si vous parlez des services d'aide (910) :715-1000 ﺑرﻗمfrançais, اﺗﺻل.ﺑﺎﻟﻣﺟﺎن ﺗﺗواﻓر ﻟك اﻟﻠﻐوﯾﺔ linguistique vous sont proposés gratuitement. Appelez le (711 :TTY اﻟﺻم واﻟﺑﻛم )رﻗم ھﺎﺗف (910) 715-1000 (ATS 711).
Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (910) 715-1000 (TTY 711). Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (910) 715-1000 (телетайп: 711). Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (910) 715-1000 (TTY 711). ગુજરાતી (Gujarati) સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલક ્ ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો (910) 715-1000 (TTY 711). មែរ (Cambodian) ចំណាំ: បើអ្នកនិយាយភាសាខ្មែរ អ្នកអាចរកសេវាជំនយ ួ ផ្នែកភាសា ដោយឥតគិតថ្លៃបាន។ ចូរហៅទូរសព្ទទៅលេខ (910) 715-1000 (TTY 711) Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (910) 715-1000 (TTY 711). हिन्दी (Hindi) ध्यान दे:ं यदि आप हिन्दी बोलते हैं तो आपके लिए मुफत ़् में भाषा सहायता सेवाएं उपलब्ध है।ं (910) 715-1000 (TTY 711) पर कॉल करे।ं (Lao) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົາ້ ພາສາ ລາວ, ການບໍລກ ິ ານຊ່ວຍເຫຼອ ື ດ້ານພາສາ, ໂດຍບໍເ່ ສັຽຄ່າ, ແມ່ນມີພອ ້ ມໃຫ້ທາ່ ນ. ໂທຣ (910) 715-1000 (TTY 711). 日本語 (Japanese) 注意事項：日本語を話される場合、無料の言語支 援をご利用いただけます。(910) 715-1000（TTY:711） まで、お電話にてご連絡ください。
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