Health Directory 2020 by Fox Press

HEALTH

DIRECTORY

2020

A publication of THE EXPOSITOR

Cumberland Medical Center Cumberland Medical Center has cared for the residents of the Cumberland Plateau since 1950. Now part of Covenant Health, the region’s top performing healthcare network, Cumberland Medical Center offers our community more medical services and physicians than ever before.

Excellence in Healthcare for Our Community Breast Center

Accredited by the American College of Radiology as a Breast Center of Excellence Designated “Pink Ribbon Facility” Next-Day Results 2D and 3D Digital Mammography Ultrasound Nurse Navigator Program Stereotactic Biopsies Bone Density

Cardiac Services

Interventional Cardiac Cath Lab Accredited Cardiopulmonary Rehabilitation Cardiopulmonary Services EKG Testing Holter Monitoring Pulmonary Function Testing Respiratory Therapy Stress Testing

Critical Care Medicine Intensive Care Unit

Diabetes Services Education and Counseling

Emergency Services

Medical Arts of Fairfield Glade

Primary Care Clinic Walk-in Clinic Outpatient Imaging Physical Therapy 2D and 3D Digital Mammography

Obstetrical Services

Private Maternity Suites LDRP (Labor, Delivery, Recovery, Postpartum) Newborn Nursery

Oncology Services

Accredited by the American College of Radiology in Radiation Oncology Linear Accelerator for Precise Delivery of Radiation Therapy Image-Guided Radiation Therapy Intensity Modulated Radiation Therapy Infusion Services Nurse Navigator Program

Surgical Services

Endoscopy ENT (Ear, Nose, Throat) General Surgery Gynecology/Obstetrics Ophthalmology Orthopedics Outpatient Endoscopy Center Thoracic TIF Procedure (for Chronic Acid Reflux) Urology

Sleep Services

Accredited Sleep Disorder Center

Wellness Complex Fairfield Glade

Wound Healing Hyperbaric Medicine and Wound Center

Physical Therapy Aquatic Therapy Occupational Therapy Physical Therapy Speech Therapy

Emergency Department 24/7 Physician Coverage

Hospitalist Services Hospitalist Program

Imaging Services

421 South Main Street | Crossville, TN 38555

4 5 0 0 -23 3 8

Computer Tomography (CT) Digital Mammography Magnetic Resonance Imaging (MRI) Mobile PET Unit Outpatient Imaging Services

(931) 484-9511 | CMCHealthcare.org

WE ARE SPARTA!

We are proud to have served the Upper Cumberland for 20 years. We look forward to a future of more therapy successes, compassionate caregiving and growth in our community! L I F E

C A R E

C E N T E R

O F

S P A R T A

SKILLED NURSING | SHORT-TERM THERAPY ASSISTED LIVING | LIMITED MEMORY CARE

141519

931.738.9430 • 508 Mose Dr. • Sparta, TN 38583 • LifeCareCenterOfSparta.com

The relationship between eating and exercise Diet and exercise are each vital components of a healthy lifestyle. While these components tend to be looked at separately, diet and exercise are actually interconnected. According to the American College of Sports Medicine, adequate food and fluid should be consumed before, during and after exercise. Following that advice can help men and women maintain their blood glucose concentration during exercise, which allows them to maximize their performance and improves their recovery time. Some people understandably may feel that eating before exercising seems counterintuitive, as food may contribute to feelings of sluggishness that would make it hard to maximize a workout. But what people eat, and drink, prior to working out is important, as the right foods can make a positive impact while the wrong foods can have the opposite effect. According to the American College of Sports Medicine, adequate food and fluid should be consumed before, during and after exercise. Following that advice can help men and women maintain their blood glucose concentration during exercise, which allows them to maximize their performance and improves their recovery time. Some people understandably may feel that eating before exercising seems counterintuitive, as food may contribute to feelings of sluggishness that would make it hard to maximize a workout. But what people eat, and drink, prior to working out is important, as the right foods can make a positive impact while the wrong foods can have the opposite effect. The American Heart Association and the ACSM recommend hydrating with water prior to working out. The ACSM recommends drinking between two and three cups of water two to three hours before exercising. Adults accustomed to working out in the early morning can try to wake up earlier so they can give their bodies time to hydrate before they begin exercising. It’s also important to continue hydrating during a workout, as the ACSM recommends drinking between 1⁄2 and one cup of water every 15 to 20 minutes during a workout (amounts can be adjusted based on variables such as the weather and individuals’ body sizes). After a workout, the ACSM recommends drinking two to three cups of water for every pound lost during the exercise session. It’s also important to continue hydrating during a workout, as the ACSM recommends drinking between 1⁄2 and one cup of water every 15 to 20 minutes during a workout (amounts

can be adjusted based on variables such as the weather and individuals’ body sizes). After a workout, the ACSM recommends drinking two to three cups of water for every pound lost during the exercise session. Food also plays a vital role in maximizing a workout and improving recovery time. The AHA recommends fueling up on healthy carbohydrates, such as whole-grain cereals, whole-wheat toast or low-fat or fat-free yogurt, two hours before exercising. Doing so might pose a problem for early morning exercise enthusiasts, and in such instances the AHA advises eating a piece of fruit such as an apple or banana five to 10 minutes before beginning a workout. Avoid saturated fats and a lot of healthy protein prior to working out, as it takes longer for these fuels to digest in the stomach. Until foods are digested, muscles may not get all of the oxygen and energy-delivering blood they need during a workout, so it’s best to stick with foods that the body can digest more quickly. Avoid saturated fats and a lot of healthy protein prior to working out, as it takes longer for these fuels to digest in the stomach. Until foods are digested, muscles may not get all of the oxygen and energy-delivering blood they need during a workout, so it’s best to stick with foods that the body can digest more quickly. The Mayo Clinic notes that it’s also important to make food a part of your post-workout routine. Eating a post-workout meal that contains both carbohydrates and protein can aid muscle recovery and replace glycogen stores that help increase energy levels after working out. The most effective way to exercise involves healthy foods, which can improve performance and lead to quicker post-workout recovery.

One Heart. One Voice. One Choice. Serving White County Award-winning care Two cardiologists

Thursdays from 8 a.m to 5 p.m Call 931-881-2039 or 888-352-8031

SPARTA 70

111

BRIAN DOCKERY, MD

F.A.C.C. Cardiologist

SCOTT F. REISING, MD

F.A.C.C. Cardiologist

TENNESSEE HEART, the team of cardiologists who provide services through The Heart and Vascular Center at Cookeville Regional, continues to bring its award-winning care to your doorstep with a clinic in Sparta. Cardiologists Brian Dockery, MD, and Scott Reising, MD, will be available to see patients from 8 a.m. to 5 p.m. every Thursday. It’s just one more way of showing that, when it comes to the way we care, we don’t miss a beat.

Seeing patients at 207B W. Bockman Way (BESIDE THE SPARTA MEDICAL CLINIC)

For appointments, call Tennessee Heart at 931-881-2039 or 888-352-8031.

crmchealth.org

NHC HOMECARE The Name You Trust For Quality HomeCare

◆ Quality Home Care Provided Per Physicians Orders ◆ On-Call 24 Hours a Day Skilled Nursing Services

Speech Therapy Services

Home Care Occupational Therapy Aide Services Services Physical Therapy Services

Medical Social Services

456 Vista Drive, Sparta, TN 38583 931.836.2713 • mynhchomecare.com Lora Swift, RN Director of Services

1. Eat lots of whole-grain carbohydrates. Fad diets tend to paint carbs as the enemy, but various studies have shown just how integral carbohydrates, particularly whole-grain varieties, are to a healthy diet. One such study published in 2018 in the medical journal The Lancet Public Health found that diets that got between 50 and 55 percent of their calories from plantbased carbohydrates like whole grains were associated with a lower risk of mortality than low-carb diets that favored animal-derived protein sources. When buying carbs at the grocery store, shoppers can opt for wholegrain varieties, including whole-grain pastas, brown rice and cereals. That won’t require sacrificing flavor

and makes for a simple way to eat healthier every day. 2. Make a concerted effort to eat more fruits and vegetables. The United Kingdom-based National Health Service, which is the largest single-payer healthcare system in the world, recommends eating at least five portions of fruits and vegetables every day. That may sound like a lot, but it’s pretty easy to incorporate all those healthy fruits and veggies into a diet. For example, add a serving of antioxidant-rich blueberries to your cereal bowl each morning. At dinner time, allow vegetables to take up the most real estate on your plate. The Centers for Disease Control and Prevention note that diets rich in fruits and veggies can help people control their weight and may even reduce their risk for certain diseases, including cancer. 3. Kick added sugars to the curb. Avoiding added sugars is another way anyone, regardless of their food preferences, can eat healthier every day. Healthy foods such as fruit contain natural sugars, and these don’t pose a threat to overall health. However, added sugars, which the Harvard Medical School notes are found in many foods and can include honey, molasses and corn syrup, can increase a person’s risk for various conditions and diseases, including

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Diets can be difficult to navigate. Since no two people are the same, a healthy diet that satisfies one person won’t necessarily satisfy another. Vegetarians might be perfectly happy without chicken or steak, while some people might shudder at the notion of never indulging in the occasional filet mignon. While the most effective diets tend to be those that emphasize nutrition while still allowing individuals to indulge in some of their favorite dishes in moderation, the following are three ways that everyone, regardless of their personal preference, can eat healthy every day.

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obesity, heart disease and diabetes. Fruit contains fiber that slows the absorption of natural sugars, but the body digests added sugars much more quickly, leading to an uptick in blood sugar levels that can ultimately contribute to diabetes. Added sugars can be found in a host of foods and beverages, including some that aren’t generally considered unhealthy, like bread, certain breakfast cereals and pasta sauces. When shopping, consumers should read nutrition labels and avoid products with excessive amounts of sugar. Eating healthy does not require people to abandon their favorite foods. A few simple adjustments can be all it takes to improve the nutritional value of your diet.

Hometown Friendly Service Hometown People Hometown Smiles Professional: Highly experienced staff of healthcare professionals to serve you. Friendly: We get to know you so that we can serve you better Fast: We know your time is valuable Local: Nearly all our staff was born and raised right here! Locally owned: Your $’s stay right here and are NOT sent off to corporate headquarters Specialized: Pharmacy is our only business Convenient: Close parking availability and drive thru window for your convenience!

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FAST PACE HEALTH 150 SAM WALTON DRIVE SPARTA, TENNESSEE 38583 (931) 739-4000 | M-F 8-8, SAT 8-6, SUN 1-5

David Lafever, a recent colon cancer survivor, has a message he’d like to share: Don’t skip your screenings.

Message from a Cancer Survivor Colon Cancer Patient Encourages Others Not to Skip Screenings

Tennessee Tech engineering graduate from Smithville who has worked in the TVA nuclear power program for the past 38 years, Lafever learned in August 2018 that he had colon cancer. “I had been feeling fatigued for quite some time, and one Sunday morning, I got up and took a shower, and it just exhausted me,” said Lafever. “I came downstairs and started talking with my family, and we decided I should go to the emergency room.” There, he learned that he was severely anemic, likely from internal bleeding. A colonoscopy was ordered. “Dr. Maan Anbari did the colonoscopy, and we finished that up about one o’clock on a Tuesday,” said Lafever. “He found that I had a 97% blockage in my colon due to a tumor, so he immediately talked to Dr. Brian Gerndt, a general and vascular surgeon, and I was in surgery at four o’clock the same day.” Dr. Gerndt performed a colectomy to remove the diseased portion of the colon. He determined

the tumor was a stage 3 cancer, which means it had gone through the colon wall and progressed to the adjacent lymph nodes. “They removed some of the lymph nodes, and so I spent about 10 days in Cookeville Regional recovering from the colectomy, followed by about 12 to 13 days of home rest, but I was able to go back to work within 30 days,” said Lafever. Two months later, he began a six-month chemotherapy regimen to treat any other lymph nodes that might have been affected. Even though Lafever works in Chattanooga, he chose Cookeville Regional so he could be near his family. “I didn’t have any qualms about the quality of care here,” said Lafever. “As far as I’m concerned, it was the best I could have received anywhere.” When the treatments ended in April of 2019, a CT scan showed that everything was clear, so Lafever moved into a monitoring phase. He sees his oncologist, Dr. Venumadhav Kotla, ev-

ery three months for bloodwork and gets CT scans every six months. “I’ve learned my lesson on following the doctor’s orders, the thought being that if we find something, we find it early, and the earlier the better in terms of the treatment,” said Lafever. “I may not be totally out of the woods yet, but to monitor and catch things early gives you the best chance.” Lafever feels fortunate that his cancer was found and treated in time, since he rarely ever went to the doctor before his cancer diagnosis, and he had skipped the recommended health screenings like colonoscopies. “I had always been healthy, so I guess I thought I was just going to live forever,” said Lafever. “Now my advice to my younger brothers and the friends that I work with is to do the preventative stuff. Do the colonoscopies at the proper time, because it can save you so much in terms of effort in recovery.” Getting a colonoscopy is more convenient than ever with Cookeville Regional Medical

Group’s open access colonoscopies program. This allows patient who meet certain health criteria to skip the initial office visit and be scheduled directly for a colonoscopy. Patients may be referred to the program by their primary care physician, or if one’s insurance doesn’t require a referral, the patient can call the office directly to schedule. To qualify, the patient must fill out a questionnaire that will be reviewed by a clinician. Qualified patients will be scheduled for their colonoscopy. If not qualified for the open access program, the patient will be scheduled to see a gastroenterologist in the office prior to scheduling the colonoscopy. To learn more visit crmedgroup.org/specialty/ gastroenterology or call the gastroenterology office at 931-783-2616.

Personal Growth Counseling Introducing Elizabeth Rodgers, PMHNP-BC to our prescribing staff where she will work alongside Tory Woodard PMHNP-BC 1. Do you excel in the workplace but find your personal relationships chaotic and unfulfilling? 2. Do you put up with too much because you don’t want to be alone? 3. Do you ever feel alone even in a crowd? 4. Do you hesitate to ask for the things you need? 5. Do you lack self-confidence so much you avoid change that you believe would be good for you 6. Do you have trouble forgiving yourself for past mistakes? 7. Do you feel limited because of a poor self-esteem? 8. Have there been invalidating experiences/people in your life that make you feel less that you really know you can be. 9. Are you hypersensitive so that you find yourself feeling hurt by the attitudes or behaviors of others? If you have answered yes to two or more of the above questions, YOU might benefit from a 16-week therapy group. Personal Growth Counseling-offers the following therapy groups for women, life Skills, Self-esteem, Eating Disorder and Others upon request Groups limited to 7-10 participants

509 North Cedar Ave • Cookeville, TN 38501 931-520-8435 PersonalGrowthCounseling.net

BOTOX, FILLERS, SKINCARE, MASSAGE 453 Vista Dr. Sparta, TN 38583 931-837-7546(SKIN) www.renewalskinsolutions.com

Schedule Your Appointment with our Professional Staff Today

The growing threat of diabetes Diabetes diagnoses are on the rise, and the numbers are jaw dropping. According to the World Health Organization, the number of people with diabetes totaled 108 million in 1980. By 2017, the International Diabetes Foundation was reporting that figure had risen to 425 million adults, with estimates that it may be as high as 629 million by 2045. Diabetes is not just a global health issue, but a financial concern as well. The IDF reported that diabetes caused at least $727 billion in health expenditure in 2017. Despite its prevalence and the financial toll it takes on families across the globe, many people, including parents, admit they are in the dark about warning signs of diabetes. In fact, in 2018 researchers with the IDF released a report indicating that four in five parents have trouble recognizing the warning signs of diabetes. That can be detrimental to their own health as well as the health of their children. The National Institute of Diabetes and Digestive and Kidney Diseases notes that symptoms of type 2 diabetes, which is the most common form of the disease, often develop slowly and can be so mild that people do not notice them. However, people who notice any of the following symptoms should discuss them with their physicians immediately: • increased thirst and urination, • increased hunger, • fatigue,

• blurred vision, • numbness or tingling in the feet or hands, • sores that do not heal, and • unexplained weight loss. Parents who notice their children exhibiting any of the above-mentioned symptoms should ask their youngsters if they are feeling unusual in any other ways, as kids may not think to report symptoms to their moms and dads. In addition, parents should call their children’s pediatricians if they notice any symptoms that may be indicative of diabetes. Much is still unknown about diabetes, including, in certain instances, its causes. For example, the NIDDK says that scientists think that type 1 diabetes is caused by genes and environmental factors, including viruses, that may trigger the disease. Research as to the potential causes of type 1 diabetes is ongoing. Lifestyle factors and genes play a role in the formation of type 2 diabetes. For example, being overweight, obese and physically inactive are factors that increase a person’s likelihood of being diagnosed with type 2 diabetes. Therefore, a healthy diet and routine exercise can be great ways for people to reduce their risk for type 2 diabetes. Insulin resistance, genes and family history are some additional factors that scientists have linked to type 2 diabetes. Diabetes diagnoses are on the rise across the globe. More information about diabetes is available at www. niddk.nih.gov

Emergency care and more Saint Thomas Highlands Hospital In an emergency, time matters. That’s why it is important to have a trusted ER care team that will quickly understand you and provide the care you need. At Saint Thomas Highlands Hospital, care teams do that and more. We’re here in your community, but we’re also connected to a network of specialists who have access to advanced technologies and deliver the follow-up care you need. Saint Thomas Highlands Hospital

401 Sewell Road Sparta, TN 38583

Check-in online and let us know you’re on the way at GetSTHealthcare.com If you are experiencing a life-threatening emergency, go directly to the ER or call 911.

Quality medical care that comes to you the year. Using technology, night, weekend, and holiday care is available through telemedicine and medically necessary house calls. • Your Cumberland Home Doctor can draw Medical Care in Your Home blood for testing in your home making test results immediately available. For many people, getting out and about is not feasible. When health problems make it hard to • Cumberland Home Doctors can do EKG’s and other testing in your home. get out Cumberland Home Doctors come to you. • Assisted living residents qualify for We can come to assisted living homes. Cumberland Home Doctors house calls. Cumberland Home Doctors limits its focus to patients who struggle to get healthcare because medical problems make traveling to an office difficult or need an ambulance to get there.

Coordinated Care

Cumberland Home Doctors work with your own primary care doctors to coordinate care. With your permission, your other doctors can have access to your electronic medical records and important information can be sent to them.

Your Family is Important

Cumberland home Doctors makes every attempt to see you when your family can be with you.

You are the Center

Phone: 931-933-5743 Cell: 931-256-7782 Email: gkwolfer@aol.com Web:http://cumberlandhomedoctor.com

Cumberland Home Doctors

PHYSICIAN CARE IN YOUR HOME

How you want things done is important. Cumberland Home Doctors staff want to know what is important to you. We will do everything we can to make you the center of your healthcare. We are open to talk about anything that is important to you.

Our Goal

Cumberland Home Doctors look at your situation, improve what can be improved, help you live with what cannot be improved, and get you back to your life, on your terms.

Services

• Cumberland Home Doctors come into you home to provide comprehensive medical care. • We are available 24-hours a day throughout

Doctors in Your Home When getting to a doctor’s office becomes too hard

931-256-7782

7 Days of Stress Hacks Test out these instant stress reduction techniques at home or at the office this week!

Monday Smile

The simple act of smiling can instantly improve your mood and spark the release of endorphins. You can take it one step further by laughing out loud. Then take a moment to regain positive control of runaway thoughts or emotions.

Tuesday Breathe

Close your eyes and take several deep breaths in through your nose, holding each inhale momentarily, then exhaling slowly from your mouth. Visualizing a “happy place” in your mind can help you further relax. Add an “om” or humming sound to your exhale to create a calming vibration.

Wednesday Stretch

Release tension and regulate breathing by stretching your muscles. The jaw, neck, shoulders, back and stomach are all areas that commonly hold stress. Straight posture when sitting or standing can also boost circulation and blood oxygen levels to improve your mood.

Welcome Home

Thursday Create a Diversion

Look at a picture of something that makes you happy, whether it’s a beloved person or pet or nature scene. You can also watch a funny video or listen to a favorite song to instantly switch your focus. Keeping a list of inspiring quotes to read when stress strikes can also be a helpful diversion.

Friday Chill Out

Walk outside to get endorphins flowing and take in some fresh air. Studies show that sudden temperature changes can also reduce stress, so if you don’t have time for a walk, open up the freezer for a moment and take a deep breath to chill.

Saturday Shake It Off

According to Melanie Greenberg, Ph.D. in Psychology Today, clenching your right fist several times can activate left brain function, which is more logical than emotional. Try it with or without a squeezable stress ball. You can also release stress by shaking your hands and arms, or your whole body.

Sunday Organize

Make a to-do list, so you can approach an overwhelming day methodically, and enjoy the satisfaction of checking off tasks as you accomplish them. Experts suggest starting strong by tackling your toughest task first. Remember to take a moment to give yourself a pat on the back when your to-dos get done!

Cedar Hills offers all the amenities of home plus comfort, companionship, convenience and security. • WEEKLY housekeeping/laundry/linen • COMPLETE medication supervision • 24/7 staff supervision • Recreational programs • 3 MEALS DAILY in elegant dining room 1250 Cedar Hills Dr. Cookeville, TN

Jenene Jones, Executive Director

(931) 526-9108

How to combat dementia and memory loss Alzheimer’s Disease International says that there were approximately 50 million people living with dementia in 2017. Experts predict that number will roughly double every 20 years, highlighting just how pervasive dementia is across the globe. Dementia describes symptoms affecting memory, thinking and social abilities. The Mayo Clinic says dementia can become so severe that it interferes with daily life. Alzheimer’s disease is the most common cause of progressive dementia, though there are other causes as well. Dementias can result from frontotemporal lobar degenerations, vascular disorders, Parkinson’s disease, and Lewy Body disease. Depending on the cause, some dementia symptoms may be reversible. For example, medical professionals have discovered a link between insulin resistance and the development of dementia. Insulin resistance, which results from eating too many carbs and sugar and not enough fat, is a major factor that contributes to Alzheimer’s disease, according to The Women’s Alzheimer’s Movement. Some scientists now refer to Alzheimer’s as “Type 3 diabetes.” Cutting out sugar and refined carbs and adding lots of good fats may prevent and even reverse pre-dementia in many aging adults. Using an animal model, researchers at Temple University Health System discovered that a drug blocking inflammatory molecules known as leukotrienes can reverse tau pathology, the second most important lesion in the brain in patients with Alzheimer’s. This can bring hope that medication may help reverse Alzheim-

er’s instead of just mitigating symptoms. Other ways to prevent or reverse dementias involve preventing the brain pathology that occurs. For example, reducing the risk of stroke can prevent vascular dementias. Dementia risks linked to infections and immune disorders may be lowered by making dietary changes or taking appropriate medications for conditions. The Mayo Clinic also says nutritional deficiencies, such as dehydration and not getting enough vitamins B1, B6 and B12, can cause dementia-type symptoms. Dementias linked to heavy metal poisoning also may be resolved with treatment. In addition, people can take proactive approaches to preventing aging of the brain even if they aren’t yet suffering cognitive decline. A proactive approach can include: • getting adequate sleep; • controlling stress levels; • getting thyroid and reproductive hormone levels checked and treated, if necessary; • exercising daily, aiming for at least 30 minutes; • Eating healthy fats like omega-3 fatty acids, which are found in fatty fish, coconut oil, olive oil, whole nuts, eggs, and some seeds; and • reducing consumption of sugar and processed carbohydrates. Combatting dementia can involve an array of strategies aimed at helping people reduce their risk and possibly even reverse course.

Get your checkups to stay healthy

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Bledsoe County Correctional Complex (423) 881-6180

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Kenneth GRINSPUN MD

James McKINNEY MD

Greg ROBERTS MD

John M. TURNBULL MD

Shawn STACHLER DO

Christopher JUELS DPM

ookeville Regional has taken its orthopedic surgery program to the next level once more. We offer the latest innovations in minimally invasive and robotic orthopedic surgery, allowing for same-day hip, knee, shoulder and ankle replacement. We have also added an orthopedic nurse navigator to prepare patients and their families with education prior to their procedure. And, we have received the honor of being the only medical center in the state to be named one of Healthgrades’ 100 Best Hospitals for Orthopedic Surgery for nine years running.

What Do All Great Teams Have in Common? CRMC IS TN’S ONLY HOSPITAL TO RECEIVE: + America’s 100 Best Hospitals for Orthopedic Surgery™ for 9 Years in a Row + Orthopedic Surgery Excellence Award™ for 12 Years in a Row

CRMC IS TN’S ONLY HOSPITAL TO BE NAMED AMONG:

Operating at the Highest Level

+ Nation’s Top 5% for Overall Orthopedic Services for 4 Years in a Row + Nation’s Top 10% for Overall Orthopedic Services for 12 Years in a Row

To find an orthopedic surgeon at Cookeville Regional, call the physician referral line at 931-783-2571 or 877-377-2762 (toll-free) or visit CRMCHealth.org/ortho.