NEA Health - 2016 1st Edition

ISSUE 17

2016 1st Edition

Brought to you by

NEABaptist.com

Walk Like a

Advances in Imaging Technology, Knee Replacements, Obesity & Your Heart

DOC+FINDER 870.936.NEAB (6322) Family Medicine - Jonesboro Hilltop Clinic 870-932-8222 Jeffery Barber, DO, MRO Ryan Brenza, DO, MRO Tim Shown, DO Crystal Adams, APRN

Stadium Clinic 870-931-8800 Michael E. Crawley, MD Arnold E. Gilliam, MD Michael E. Tedder, MD

Windover Clinic 870-935-5432 Douglas L. Maglothin, MD Joe McGrath, MD Angie Jones, APRN Tiffany Woodard, APRN Woodsprings Clinic 870-933-9250 Randy Carlton, MD W. Scott Hoke, MD Nathan Turney, MD Stephanie Wiggins, APRN

Anesthesiology

Medical Campus, 870-936-1000 David Daniel, MD Larry L. Patrick, MD Oksana Redko, MD Stacy Richardson, DO Erick Schuermann, DO

Cardiology

Medical Campus, 870-936-8000 Matthew Haustein, MD Michael L. Isaacson, MD, FACC D.V. Patel, MD, FACC Eumar T. Tagupa, MD Robert D. Taylor, MD, FACP Anthony T. White, MD Margaret Cooper, APRN Teri Horne, APRN Jennifer Jarrett, APRN Brooke Pruitt, APRN

Cardiovascular & Thoracic Surgery

Medical Campus, 870-936-8000 Paul Levy, MD Deborah Fairchild, APRN

Fowler Family Center for Cancer Care

Brookland Clinic 870-932-1211 Meghan Lyerly, MD Shane Lyerly, MD Sandra Stubblefield, MD

Cherokee Village Clinic 870-856-2862 Tommy Taylor, MD

Newport Clinic 870 -523-9337

Matthew Haustein, MD (Cardiology) Matthew P. Jackson, MD Roddy S. Lochala, DO

Osceola Clinic 870-563-5888

Yulanda Harrison, MD Adam Woodruff, MD (Nephrology) JImmy Ballard, APRN

Paragould Clinic 870-240-8402 Chris McGrath, MD Leslye McGrath, MD Aaryn Spurlock APRN Trumann Clinic 870-483-6131 Ronald Barnett, MD Chris Rowlett, DPM (Podiatry) Brannon Treece, MD Michelle Montgomery, APRN

Medical Campus, 870-936-7000 Gynecologic Oncology Sanjeev Kumar, MD Hematology/Oncology Scott Dorroh, MD D. Allen Nixon, Jr., MD Carroll D. Scroggin, Jr., MD Stacia Gallion, APRN Oncology Clinical Research Radiation Oncology Kevin Collins, MD

Clinical Research 870-934-5210 Critical Care Intensivist Medical Campus, 870-936-8000 Owen K. Criner, MD William Hubbard, MD Meredith Walker, MD

Dermatology

Medical Campus, 870-936-8000 Johnathan J. Ledet, MD, FAAD Meredith Brewer, PA-C

Endocrinology

Medical Campus, 870-936-8000 Kevin D. Ganong, MD Diabetes Center

Medical Campus, 870-936-8000 Amber Toombs, APRN

Open 7 days a week No Appointment Needed WINDOVER STADIUM 1111 Windover 3003 Apache Dr. 870-935-9585 870-931-8800 WOODSPRINGS HILLTOP 4901 E. Johnson 2205 W. Parker Rd. 870-910-0012 870-934-3539 PARAGOULD 4700 W. Kingshighway 870-240-8402 Open Late Mon - Fri 4901 E. Johnson 870-934-3539

Gastroenterology

Medical Campus, 870-936-8000 Michael D. Hightower, MD

General Surgery

Medical Campus, 870-936-8000 Russell D. Degges, MD K. Bruce Jones, MD David L Phillips, MD

Hospitalist

Medical Campus, 870-936-1000 Rodney Clark, Jr., MD Kara Cooper, MD Brock Harris, MD Ashley Murphy, DO Matt Quick, MD Mani Rajagopal, MD Robert B. White, MD, FACP Kelly Rogers, APRN Tracie Krob, APRN

1111 Windover 870-910-6040

NEA Baptist Medical Campus 4800 E. Johnson, Jonesboro, AR

Infectious Disease

Medical Campus, 870-936-8000 Steven Stroud, MD

Internal Medicine

Medical Campus, 870-936-8000 Ray H. Hall, Jr., MD, FACP Brannon Treece, MD Stephen O. Woodruff, MD, FACP Ashley House, APRN Valari Landrum, APRN Carla Nix, PA Trumann - 305 W. Main 870-483-6131 Ronald Barnett, MD

Interventional Radiology

Medical Campus, 870-936-8000 Wolf Heberlein, MD Mark Wendel, MD Melanie New, APRN

Nephrology

Medical Campus, 870-936-8000 Michael G. Mackey, MD Adam B. Woodruff, MD Sara Culbreath, APRN Dialysis Centers

3005 Middlefield, 870-934-5705 4909 E. Johnson, 870-336-3372

Neurology

Medical Campus, 870-936-8000 Bing Behrens, MD Kenneth Chan, DO William Long, MD, PhD Candice Harris, APRN Rendi Kahoun, APRN Ashley Ward, APRN

Neurosurgery

Medical Campus, 870-936-8000 Robert Abraham, MD Rebecca Barrett-Tuck, MD Edison McDaniels II, MD Kelsey Schmidt, APRN Carie Wells, APRN

Obstetrics & Gynecology

Medical Campus, 870-936-8000 Dominique Butawan-Ali, MD Charles Cesare, Jr., MD Jason Coletta, DO Norbert Delacey, MD, FACOG Charles C. Dunn, MD, FACOG Lorna Layton, MD, FACOG Mark C. Stripling, MD, FACOG

Occupational Medicine

4901 E. Johnson, 870-910-6024 Jeffery Barber, DO, MRO Ryan Brenza, DO, MRO

Ophthalmology

Medical Campus, 870-936-8000 Thomas Nix, MD

Optometry

Medical Campus, 870-936-8000 James Cullins, OD Ellen Lawrence, OD

Orthopedic Surgery

Medical Campus, 870-936-8000 Jason Brandt, MD Edward Cooper, MD Ron Schechter, MD Aaron Wallace, MD Scott Griffith, PA Drew Harper, PA

Otolaryngology (ENT)

Medical Campus, 870-936-8000 Bryan Lansford, MD Jeffrey Myhill, MD Heidi Cohn, APRN

Hearing Center Amy Stein, AuD, CCC­A

Pediatrics

1150 E. Matthews Suite 101, 870-972-5437 Richard Reinhard, III, MD Amy Duch, APRN Tomorrow Potter, APRN Medical Campus, 870-936-8000 Brannon Treece, MD Trumann - 305 W. Main 870-483-6131 Ronald Barnett, MD

Physical Therapy

Jonesboro 1007 Windover, 870-336-1530 Leif Lovins, PT Nikki Luster, PT Jeff Ramsey, PT Medical Campus, 870-936-8000 Ken Miller, PT Cindy Norman, OT Ivan Spengler, PT Paragould - 4700 W. Kingshighway, 870-240-8402 Christopher Enger, PT Duston Jones, PT Trumann - 305 W. Main, 870-483-6131 Wayne Traylor, PT

Plastic & Reconstructive Surgery

Medical Campus, 870-936-8000 W. Tomasz Majewski, MD, FACS Paula Arnold, RN, CLT Shea Wilson, LE, CAC, Aesthetician

Podiatry

Medical Campus, 870-936-8000 Chris Rowlett, DPM

Pulmonology

Medical Campus, 870-936-8000 Owen K. Criner, MD William Hubbard, MD Meredith Walker, MD Sam Hiser, APRN

Radiology

Medical Campus, 870-936-8000 Cina Ali, MD Angela Frost, MD Gregory Lewis, MD Jeffrey S. Mullen, MD David Parish, MD Zeke Shotts, MD

Rheumatology

Medical Campus, 870-936-8000 Beata Majewski, MD Leslie McCasland, MD

Senior Care

Medical Campus, 870-936-8000 Homer Brooks, MD

Center for Sleep Disorders 1118 Windover, 870-336-4145 Srirangarajan Raju, MD Bing Behrens, MD William Long, MD, PhD

Urology

Medical Campus, 870-936-8000 John Allen, MD Michael Suminski, MD

Wellness Center

2617 Phillips, 870-932-1898

Wound Care

1111 Windover, 870-336-3211 James Fletcher, MD Stacy L. Wilbanks, MD Brandy Crump, APRN

www.neabaptistclinic.com

NEA Health, established in 2005, is a publication of free health information and articles written by NEA Baptist physicians for our community.

As one of the largest multi-specialty groups in the mid-south, NEA Baptist is dedicated to providing compassionate, personalized medical care. We are committed to the well-being of the community.

This magazine along with NEA Baptist Charitable Foundation is part of NEA Baptist’s expanded commitment to the community.

It’s through the generous contributions of our donors that help us accomplish our mission. If you would like more information on how you can support NEA Baptist Charitable Foundation, please call Robbie Johnson at (870) 936-8479 or Kim Provost at (870) 934-5128.

from the editor W

e are all in different places of life – some of us enjoy great health while others are coping daily with health conditions. No matter what we are experiencing in life, it is easy to take simple things for granted.

Donna Caldwell and I have served together on the events and education committee of the Community Health Education Foundation for several years. While I didn’t know her story, I recognized the transformation she made and the sudden joy she seemed to have. When I interviewed her for the cover story, I asked about her passion and the things in life she is able to enjoy again. After a few minutes of consideration, she looked up and said “Walking, that’s it… just being able to walk again.” What a powerful thought! It is easy to take good health for granted – but what about every day activities that we don’t typically think twice about? Walking, riding in the car, standing, getting ready for the day, and the list goes on. When these basic skills are taken from you it’s easy to fall in a rut, to lose hope.

We would love to have you be a part of helping meet the needs of others in our community.

PUBLICATION OFFICE 4800 E. Johnson, Jonesboro, AR 72401 NEABaptist.com Danial Reed, Editor Marketing Coordinator Nicole Frakes, Art Direction and Design

NEA Health is published bi-annually for the purpose of conveying health-related information for the well-being of residents of Northeast Arkansas and Southeast Missouri. The information contained in NEA Health is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

Editorial, advertising and general business information can be obtained by phoning 870-936-8000 or by writing in care of this publication to: PO Box 1960, Jonesboro, Arkansas 72403.

Copyright© 2015 NEA Baptist. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording and any information storage retrieval system, without written permission from NEA Baptist.

Our team at NEA Baptist is dedicated to providing comprehensive, quality care for our community. There is always more to the story. Every patient is someone’s loved one – fathers, daughters, cousins, friends, colleagues. They all have interests, hobbies, goals and aspirations. Sometimes, health gets in the way of doing what we love, the things we need to do and things we don’t even think of until we can no longer do them, like walking. Every time we treat someone’s loved one for illness, injury or just to keep them healthy, we are also helping them to continue living life the way they want. This is a tremendous responsibility and one we do not take lightly. For Donna, our team of experts helped her gain back her life and a renewed outlook. Our experienced physicians, therapists, nurses and other medical colleagues are changing lives every day; improving the lives of those in our community.

They take pride in this work and it is my privilege to share their work and the outcomes with you in this publication.

Thank you for taking the time to read NEA Health. I hope you enjoy reading Donna’s story and the health articles that our doctors have prepared for your education and enjoyment.

Danial Reed, Editor

NEABaptist.com

Cover Photo by Nicole Frakes 1 NEA HEALTH • 2016

CONTENTS 1 Letter from the Editor

NEA Baptist Update NEA Baptist continues to expand service lines and add more doctors in order to meet the needs in our community. In December, our Urology Clinic (Drs. Michael Suminski and John Allen) relocated from their clinic on Matthews to the 2nd floor of our clinic at the NEA Baptist medical campus. In early January, two new physicians joined our team: Dr. Homer Brooks, who is leading our Senior Care Clinic, and Dr. Angela Frost, who joined the Breast Imaging Center.

Projects that are currently on-going include the expansion of our imaging technology with an additional MRI machine and the addition of 12 Intensive Care Unit rooms.

We will continue adding new physicians and service lines this year and look forward to sharing the exciting news with you!

- Danial Reed

4 Events @ NEA

5 The Importance of Core Muscles

6 Patient Testimonials

9 Is Knee Replacement Surgery Beneficial?

- Brian Lewis, PTA

- Edward Cooper, MD

10 Silver Sneakers

- Kara Fowler, Personal Trainer

11 Hope for Eliminating Long-Lasting Pain - Jeff Ramsey, PT

12 Musculoskeletal Radiology @ NEA Baptist - Cina Ali, MD and Zeke Shotts, MD

14 Better Rehab Just Steps Away 17 Walk Like a Lady 20 A Doctor’s Note

- Jason Brandt, MD

20 Rhinitis & Chronic Rhinosinusitis - Jeffrey Myhill, MD

22 NEA Baptist Heart Center Accreditation 22 Obesity: An American Epidemic!

- Paul Levy, MD

23 Your Orthopedic Team 24 Injury Prevention Tips - NEA Baptist Clinic – Physcial Therapy

Walk Like a

26 Improving Quality of Life - Palliative Care

- Samantha Payne, RN, Palliative Care Coordinator

27 Dementia Donna Caldwell – Cover Story

- Homer E. Brooks, III, MD, FAAFP

29 Caring for our Community - NEA Baptist Charitable Foundation Updates

2 NEA HEALTH • 2016

Erase Time!

Facial Injections: Botox®, Dysport® Restylane Lyft®, Kybella®

Dermal Fillers: Restylane , Restylane Silk® Perlane®, Juvéderm Voluma XC® Radiesse®, Sculptra® ®

All FDA Approved

Aesthetician’s services: Facials, Chemical peels Microdermabrasion, Oxygen facial Cryotherapy facial, Facial waxing Dermaplaning, Laser services SkinCeuticals® products Eminence® products

870-936-8150

www.NEAPlasticSurgery.com

Aesthetician

Shea Wilson, LE - Aesthetician

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Paula Arnold, RN, CLT, CMMSO/BLS

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Area’s Only Board Certified Plastic Surgeon

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W. Tomasz Majewski, MD, FACS

Tomasz Maj ew W. sk

Non-surgical fat removal:

Events @ NEA Duck Classic – $540,000!!

Freedom through Hope luncheon – April 19 Mother’s Day 5K – May 7

Thanks to our community, $540,000 was raised at Duck Classic 2015. This incredible amount grow yearly thanks to our devoted volunteers, sponsors, auction donors, banquet attendees, landowners, and hunters.

Duck Classic is a 2 day event with a banquet and auction held the night prior to the hunt. With over 1700 in attendance, the banquet was our largest yet. Guests enjoyed a meal catered by John 3:16 ministries, as well as lots of raffles and auction items. The following morning our teams participated in the duck hunting competition. 32 teams enjoyed hunting the timber and fields of Northeast Arkansas to support NEA Baptist Charitable Foundation. It was a great day to hunt, and the White River Beverage team hunting with host John Stump earned the honor of being crowned Duck Classic 2015 Champion.

As much as we enjoy duck hunting and the fun of the banquet our reason behind this event is to support NEA Baptist Charitable Foundation. All Duck Classic proceeds go to support the programs our foundation offers free of charge to the community: Medicine Assistance Program, ShareHope, Center for Healthy Children, HopeCircle, and Wellness Works.

We hope you will consider joining us for Duck Classic 2016. For additional information on how you may get involved go to www.duckclassic.com.

Kim Provost, Director of Events Kim.Provost@neabc.com NEA Baptist Charitable Foundation

Info at NEABaptistClinic.com

Cancer Support Meeting – May 18 Grief Conference – May 23 Cancer Survivor’s Day – June 5 Hope Run – Aug. 27 Touch a Truck - Sept. 17 Hope Week – Sept. 25 – Oct. 1 ShareHope Walk – Oct. 1 Duck Classic – early Dec. Monthly Diabetes Support Group - 3rd Thurs. noon, call 936-8020 to RSVP Childbirth/Breastfeeding Classes – 2nd Sat. , call 936-1000 to RSVP

Breastfeeding Support Group – 3rd Thurs. 2-3pm

Bariatric Surgery (weight loss) Seminar www.neaweightloss.com

NEA Baptist Spotlight Daisy Award Winners (pictured to the left)

Angela Davis, BSN, RN, Ortho/Neuro/Onco Unit – December/January FY2016 Leslie Ditto, RN, Intensive Care Unit – October/November FY2016

Service First Award Winners (pictured to the left)

Ashley Stormes, LMSW NEA Baptist Case Management – FY2016 1st Quarter Champion Samantha Payne, RN, Palliative Care Coordinator – FY2015 4th Quarter Champion

Healthcare Hero Honorees Sarabeth Brown, Personal Trainer NEA Baptist Clinic Wellness Center; 2015 Ashley House, APRN, NEA Baptist Clinic – Internal Medicine; 2015

Community Awards 2015 Arkansas Business Healthcare Hero Award finalists: Dr. David Parish – Women’s Health & Wellness James Keller – Workplace Wellness Dr. Paul Levy – Innovation Hero NEA Baptist Memorial Hospital – Small Hospital of the Year NEA Kids’ & Family Directory Awards Best Hospital, Best OB/GYN Clinic Best Family Practice Clinic – Woodsprings Best after Hours Emergency Care Clinic Congratulations Dr. Rebecca Barrett-Tuck on your recent recognition in the Jonesboro Sun Women Who Lead publication Occasions Reader Choice Awards 2015 Aesthetician – Shea Wilson Plastic Surgeon – W. Tomasz Majewski, MD, FACS Family Practice Physician – Scott Hoke, MD Personal Trainer – Kara Fowler Paragould Premiere Awards 2015 Clinic- Hilltop Family Medicine Optometrist – Ellen Lawrence, OD Orthopedist – Ron Schechter, MD

Physical Therapy - Core Muscles

The Importance of

Core Muscles

H

ave you ever looked at someone walking by and noticed their posture? Chances are you do not pay much attention to this unless you see something that is very abnormal. The truth is, most of us are not using proper posture throughout the day but this may go unnoticed until there are symptoms such as pain or a glaring deformity. Small changes in our posture can have big consequences over time.

So the question becomes, how can I improve my posture to prevent future injuries and complications? The main way that you can help yourself is to improve your core strength.

The “core muscles” which include the obliques, abdominals, low back muscles, and gluteals, are the main stabilizers of your spine and pelvis. They are, in a sense, the foundation for all other movements of your body. This means that if you have proper core strength you can move around and use your extremities with better efficiency and less strain on your joints and spine, resulting in a lot less stress and strain. Therefore, if you have strength deficits in these muscles you will not be able to stabilize your spine so there is a lot more stress and strain on your spine and joints.

Benefits of proper core strength: Strong core muscles improves posture Since these are the muscles that directly hold your spine upright they are the primary muscles that control your posture. If you have good strength and endurance in the core muscles they can maintain proper posture throughout the day and decrease the stress on your spine and joints.

Decreases some lung and breathing problems People with poor posture tend to let their shoulders slump forward which changes the structure of our ribs through their attachments to the spine. Therefore, the ribs can not move enough to allow full expansion of the lungs.

Helps tone the muscles which will help prevent low back pain These muscles stabilize the spine helping prevent acute injuries.

Improves physical performance When you have proper core strength you can move your extremities more efficiently for daily activities or sports.

Helps prevent injuries to extremities The core is the “foundation” for your extremities. If you have a weak core there is more stress placed on the joints and muscles in your extremities during daily activities such as lifting objects or reaching out to grab something. Therefore, if you have proper core strength your extremities will have a stable platform to work from which reduces your risk of injury.

Now that you understand how important a strong core can be for your health and wellness the question becomes, how do I get my core in shape? Most people think they need to do a lot of crunches every day to strengthen their core. While crunches will work some of your abdominal muscles they are not enough on their own to work your core properly. A good core workout will include the abdominals, obliques, lumbar muscles and hip muscles.

It is very important to perform core stabilization exercises with proper form to get the desired strengthening and also prevent injury. This is where a professional comes into play. If you have no injury or pain and want to start a core strengthening program you may want to visit with a trainer at the NEA Baptist Wellness Center who can set you up with an appropriate workout routine. If you have low back pain or an injury it is recommended that you see a physical therapist to evaluate your condition.

The therapist can get you started on a good core strengthening program that is designed specifically for you.

Brian Lewis, PTA Physicial Therapy NEA Baptist Clinic 870.936.8000 5 NEA HEALTH • 2016

Nationally Recognized Center of Excellence in Bariatric Surgery

Lori Lost Big. You Can Too!

M

y name is Lori Norris and I had been overweight all of my adult life and my teenage years. I am now 50 years old. My highest weight was 308 pounds. That was the day I walked into Dr. Jones’ office and told him I was finally ready for gastric bypass surgery.

I had severe acid reflux disease. I had trouble for several years and had to sleep with my bed elevated to the point where I was practically sleeping sitting up. I had an ulcer in my esophagus that wouldn’t heal and was told that if something didn’t change I was looking at esophageal cancer in my future.

I chose the gastric bypass over the sleeve because of the acid reflux. I needed a cure for that disease. I needed a do-over.

At NEA Baptist, we consider surgical treatment for weight loss to be a very serious undertaking and should be considered only after other conservative methods have failed. As a potential surgery patient, you must weigh the risks of the operation against the risks associated with remaining obese. As part of our commitment to providing the highest level of care to our patients, we were recently the first Bariatric Surgery Center in the northeast Arkansas region and one of only four in the state to receive accreditation as a Comprehensive Center from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). This accreditation recognizes centers based on strict standards of patient safety and quality of care.

On April 28, 2014, my life changed for the better. I entered NEA Baptist Hospital excited and nervous. I was excited about the possibility of someday no longer being morbidly obese. That didn’t seem real to me. My nervousness came from the unknown. Before surgery I tried to educate myself on this process.

I read books and watched several YouTube videos of individuals that documented their weight loss journey after surgery. I had information overload, but I wanted to know everything I could.

Several years ago Dr. Jones performed a surgery on me to try and help me with the acid reflux problem. Unfortunately, that surgery wasn’t enough. However, because of that surgery, I had to have an open incision for my surgery instead of laparoscopic.

Unfortunately, this led to a complication after my surgery. The day I thought I would get to go home from the hospital, I started passing blood. Because of the undoing of my previous surgery, there apparently

Free Weight Loss Seminars

More information at: www.neaweightloss.com 4800 E. Johnson • (870) 936-2019

K. Bruce Jones, MD Bariatric and General Surgeon, Board Certified, Member of American Society for Metabolic & Bariatric Surgery

6 NEA HEALTH • 2016

Patient Testimonials

was a weakness that caused some bleeding. After 2 days in ICU and 4 units of blood being given to me, I was finally on the mend. Through it all I never got worried about what was going on. The medical professionals took great care of me. It scared my family, but I had faith that everything was going to be fine. I knew this surgery was the right thing for me to do and would be worth it.

No more Glasses or Contacts to worry about!

Now the real work begins. I followed my instructions on what my diet should consist of in each stage. Meals now become something I have to do to give my body the necessary nutrients to heal. It is strange to realize how little food you are putting in your body and you are not hungry.

Planning became very important. My meals and snacks center on protein. I use an app on my phone called Spark People. It tracks calories, fat, carbs and protein. At first I used this app to make sure I was getting the required minimum of protein grams per day. Now I use it to keep me on track for eating healthy every day.

When I look back over the past year at how my life has changed, I see the healthy person that I always wanted to be, but could never get there on my own. The surgery gave me a fresh start. I eat more healthy foods now. I work out at a gym. I actually want to do all of this. I guess at 50 years of age I finally had the right mindset to take care of myself.

My only regret is that I didn’t have this mindset earlier in my life. If I had taken care of myself earlier in my life like I do now, I wouldn’t have needed the surgery to get me on the right track.

To date, I have lost 139 pounds and the BMI chart finally says that I am at a normal weight. I would like to lose about another 9 pounds, but just being ‘normal’ is a cause for celebration. I thank God every day for this blessing. Dr. Jones and his staff saved my life.

Lori Norris

Teresa Fisher was Blessed!

O

ne year ago today I had a HUGE surgery.

It was the last of 3 surgeries total in a 2 1/2 year span. The surgeries, hard work and dedication have helped me achieve my goal of a healthy mind, body, and spirit. The results are amazing. I feel healthier than ever.

I the entire process.

had a great ZLASIK experience. Dr. Nix and the NEA Baptist Eye Clinic staff were very kind, professional, and very supportive throughout

As an eye doctor, I was very familiar with the procedure and what to expect. I worked with Dr. Nix during one of my externship rotations and I have the highest respect for him and trust his expertise.

The procedure was very quick and went smoothly. Many patients are candidates for ZLASIK, even those who may not have been candidates for refractive surgery in the past.

Now I am able to wake up seeing clearly, rather than having to immediately reach for my glasses or contact lenses. I am also able to travel without packing extra pairs of contact lenses "just incase" and I can go kayaking without worrying about my vision.

Autumn Adams, OD

Thank you to NEA Baptist, Dr. Jones and Dr. Majewski who together make a great team. It has not and is not easy but is worth it.

I believe when we are given a blessing we should turn that blessing into something that helps others.

My husband and I are now able to adopt little ones and raise them in a loving home and family. Something that physically I would not have been able to do before. To God be the glory for providing me this blessing.

I am so thankful!!!

Teresa Fisher 7 NEA HEALTH • 2016

8 NEA HEALTH • 2016

Orthopedic Surgery - Knee Replacement

Is Knee Replacement Surgery Beneficial?

T

otal Knee Replacement has long been recognized as a safe and effective treatment for advanced osteoarthritis of the knee. Because of the increasing longevity of current joint designs, the indication has been extended to younger patients. Recent studies have demonstrated the tremendous benefits of this procedure not only to the individual but also to society. It allows people to have a better quality of life in over 90 percent of cases. It can also improve, or even eliminate, some medical problems by allowing people to remain more active in the later years of life.

What is knee replacement surgery?

A knee replacement is a surgery in which the ends of the bone are resurfaced with a combination of metal and plastic implants. The goal of this surgery is to cover the irritated nerve endings exposed by loss of the cartilage covering of the surfaces of the knee. Much like capping a broken tooth to prevent the nerve from causing pain, the knee replacement should alleviate the pain of advanced joint wear.

Am I a candidate for knee replacement surgery?

People who have end stage osteo or inflammatory arthritis with “bone-on-bone” type wear may be a candidate for knee replacement.

You must have undergone non-operative management, which usually would include anti-inflammatories, exercise, and/or injection, such as a steroid injection or a viscoelastic injection. If you have failed non-operative measures and your weight, medical problems, and nutritional status have been optimized, you may be a candidate for knee replacement surgery.

What is new in knee replacement surgery?

• Aggressive Pain Management: We continue to improve our pain management and rehabilitation protocols after knee replacement.

Newer studies show a multi-modal approach using multiple different medications for pain control is optimal. We have tried to maximize the pain relief while minimizing the complication rate. A local injection into the joint, various regional blocks, and multiple medications are used simultaneously to decrease the pain while minimizing nausea and other side effects.

• Minimizing Blood Loss: Currently I am using TEA, a medication that has been shown in multiple studies to decrease bleeding in total knee surgery but not to increase clot formation. It has almost eliminated the need for blood transfusion after knee replacement surgery.

• Biologic Treatments for Knee Osteoarthritis: Currently, there is feverish research on biologic treatments for osteoarthritis. Platelet rich plasma (PRP) injections are made by taking blood from the patient and spinning it down into its platelet rich plasma portion, which is felt to have various growth factors. Some of these factors appear to be beneficial to cartilage, others are associated with a breakdown of cartilage and some are thought to have anti-inflammatory properties.

PRP is injected into the knee joint, and has been shown to decrease the pain in some people with osteoarthritis, but currently there is not enough data to recommend it for widespread use.

Another area of biologic research is focused on stem cells. These are cells that still have the potential to become different types of tissue.

There is hope that this may allow us to achieve actual repair of tissue and even some reversal of cartilage damage. Currently, according to leading experts, it is still considered experimental and may even be dangerous. Additional research will be necessary prior to using this on routine patients. Currently it is not FDA approved.

• Improvement in Wear Rate: Recent studies on knee replacements demonstrated over a 90% success rate at fifteen years post surgery.

When tested on the wear simulator, our current knee replacement has 1/10 of the wear rate of those used fifteen years ago.

• Robotics: Robots are being developed that will assist us in surgery.

This will no doubt be a significant part of this procedure in the future.

What should I expect with knee replacement surgery at NEA Baptist?

• Low Infection Rate: At NEA Baptist, we have one of the lowest infection rates in the country.

• Minimized Surgical Trauma: You will undergo the least traumatic surgical procedure possible to get your joint reconstructed.

• Aggressive Pain Management: I use a multi-modal pain regimen. It includes aggressive management of nausea and other side effects by using a combination of pain relieving medications.

• Short Hospital Stay: Most patients go home on the day following surgery.

• Accelerated Rehab Program: Aggressive rehab will start on the day of surgery and continue as an outpatient.

• Improvement in Pain and Function: You will have over a 90% chance of significant improvement of your function and pain.

Edward Cooper, MD Orthopedic Surgery NEA Baptist Clinic 870.936.8000 9 NEA HEALTH • 2016

Senior Fitness

N

EA Baptist Clinic Wellness Center strives to be one of the largest and fastest growing health clubs in our area by accommodating all needs within our community. Programming is offered to the general public but also focuses on special populations. Center for Healthy Children helps prevent childhood obesity through diet and exercise; WellnessWorks! helps diabetic, cancer and heart patients who need nutrition and exercise resources – both free programs of NEA Baptist Charitable Foundation, while SilverSneakers and Silver & Fit programs focus on the senior population.

The SilverSneakers Fitness Program is a nationwide program open to Medicare eligible senior citizens who qualify with his/her health plan.

Through this program, the Wellness Center is able to provide membership and classes specific to seniors who otherwise might not be able to afford it. The following insurance programs are accepted by SilverSneakers: Blue Cross & Blue Shield Advantage members, Humana members with Medicare supplemental coverage, and AARP members with Medicare supplemental coverage. In addition, we also accept the new Silver & Fit Program, which is similar to SilverSneakers.

Silver & Fit accepts the following insurance plans: Blue Cross & Blue Shield Medi-Pak members (this requires a $25 annual fee) and Cigna-HealthSpring members (no additional fees).

SilverSneakers offers an innovative blend of physical activity and socially oriented programming that allows older adults to take greater control of their health. The mission of SilverSneakers is “Get Fit, Make Friends, and Have Fun!” and we attempt to incorporate this mission in our daily activities.

10 NEA HEALTH • 2016

There are several classes taught, targeting specifically to the SilverSneakers Fitness Program, though all club members are allowed and encouraged to participate. The most popular classes, “Classic” and “Circuit” are land based classes that take participants through a variety of exercises using hand weights, a plastic SilverSneakers ball, and elastic tubing with handles. “YogaStretch” is designed to increase muscular endurance, flexibility and balance, and to improve each individual’s sense of well-being. Last but not least, “SilverSplash” is our water based class that utilizes the water to enhance agility, range of motion, and cardiovascular conditioning.

Classes are low impact and seated or standing so that members are at ease. These classes are held at various times throughout the week and are scheduled so that we have at least one class for members to participate in each day.

Since SilverSneakers is also focused on the social aspect of health and wellness, we also make every effort to host monthly social and educational events. To date, we have had Valentine and Christmas parties, socials featuring Bingo, Bunco, Baggo, proms, luaus, fiestas, and more.

Annually, the SilverSneakers Fitness Program celebrates senior health and wellness during ‘National Active Adult Achievement Week’.

The week’s events include the presentation of the Presidential Active Lifestyle Awards, the announcement of the Richard L. Swanson Inspiration Award winner, and an attempt to break the annual record of over 35,000 SilverSneakers members coast to coast exercising on the same day.

Kara Fowler NEA Baptist Clinic - Wellness Center 870.932.1898

The Richard L. Swanson Award was designed to honor a member who has been touched by the SilverSneakers program and whose healthy behavior has made a difference in his or her own life and has inspired others. Members are encouraged to nominate themselves or others for this award. In the nine years that we have had the program, we have had five national winners; Bob and Wilma Smith, Betty Foster, Lavinda Counce, and Joyce Clayton. This speaks volumes of our programming and of our members!

Each facility that has the SilverSneakers program has a specially trained Senior Advisor that oversees the program. This advisor assists all new and current members, answers any questions members may have, and is responsible for scheduling classes and social events. I, Kara Fowler, am in my 9th year as the Senior Advisor and was recognized as the 2008 Senior Advisor of the year for the state of Arkansas. I was recognized for my outstanding dedication to the SilverSneakers program and senior fitness and have loved every minute of it.

The NEA Baptist Clinic Wellness Center is dedicated to our Silver & Fit and SilverSneakers Fitness Programs. Through classes, social events, and our award winning Senior Advisor and members, Silver & Fit and SilverSneakers participants and all other club members are at a definite advantage from using our facility and being part of our programming. If you have questions regarding eligibility, classes, memberships, etc. please call us at (870) 932-1898.

Physical Therapy - Pain Relief

Hope For Eliminating Long-Lasting Pain

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here are few things that can bring “life” to a screeching halt like the sensation of pain. If you have ever experienced a back injury, injured your thumb, or stubbed your toe, you know exactly how pain can affect your ability to complete even the most basic of activities. In many cases, if you take the necessary precautions (protect the injured area, seek medical attention, etc.) the pain is short-lived and will often resolve, allowing you to return to normal activities. However, for many of you, despite doing all the “right things,” your pain has not gone away. As a matter of fact, your pain may have gotten worse.

The fact is, pain is a very complex sensation. Sometimes, even after visiting your physician in hopes of finding the cause of your pain, the tests, medications, x-rays, MRIs or CT scans can be inconclusive, unable to provide an answer explaining “why” you hurt. You may have attempted physical therapy or chiropractics, but these either made the pain worse or provided only temporary relief. Despite these interventions, your pain has continued and you continue to struggle to get through your day. If you can relate to this scenario, I assure you that you are not alone on this journey to gain control of your pain. Recent research supports that the number of people suffering with chronic or long-lasting pain is continuing to increase with projections of over 100 million Americans now dealing with similar pains you are having.

The good news is that as the number of peopled reporting long-lasting pain has increased, so too has the research efforts in the area of pain. While there are many causes of pain, and many proven ways to treat pain, there is one area that continues to show excellent results. The answer may surprise you as it has nothing to do with special techniques or expensive tests. Research now shows that people who have a greater understanding of pain, are able to put pain in the proper context, and begin to take the necessary steps to gain control of the pain. Your journey may have already lead you to see multiple physicians, but have you ever really been educated on what pain is, why it affects people differently, or what you can do to treat it? Research is proving that Knowledge is Power! The question now becomes, what do you know about your pain? Maybe a better question is, what would you like to know about your pain?

If you are looking for answers to explain your pain, NEA Baptist Clinic Outpatient Therapy is ready to help. As the only Therapeutic Pain Certified Physical Therapist in NE Arkansas, I can help provide you with a scientific based explanation for the “why” behind your pain. Using illustrations, stories, and metaphors, you will be able to better understand your pain and begin the process of taking your life back. If you, or someone you know, would like to learn about your pain and begin the process of getting your life back on track, please contact the office of NEA Baptist Clinic Outpatient Therapy to set up your appointment.

Jeff Ramsey, PT Therapeutic Pain Specialist Physical Therapy NEA Baptist Clinic 870.936.8000 11 NEA HEALTH • 2016

Musculoskeletal Radiology @ NEA Baptist

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efore we dive into too much detail, let’s start with the basics.

What is a radiologist? A radiologist is a doctor who specializes in interpreting medical images such as x-rays, CT, and MRI. Although the doctor that you see in the clinic or hospital may order an imaging study, the radiologist is the physician that actually looks at the images and reports the results. Radiologists are also experts in performing image-guided procedures.

Musculoskeletal radiology is a subspecialty of radiology that focuses on imaging and image guided procedures involving joints, bones, soft tissues (like muscles), and peripheral nerves. In addition to the standard radiology residency, Dr. Ali and Dr. Shotts completed extra fellowship training in musculoskeletal radiology at Duke University and Mayo Clinic, two of the elite medical practices in the world.

Radiology has many similarities to photography, providing a useful analogy for our practice at NEA Baptist. Imagine that two cameras are placed in front of you, one a $5 disposable camera bought in the checkout line of a drug store, and the other a digital SLR camera with multiple lenses and settings purchased at a specialty camera store for over $1,000. You pick up each camera and take a picture. Both cameras produce photographs, but there is a significant difference in the image quality- you are able to see details in the digital camera picture that simply aren’t apparent in the disposable camera’s picture. Just like the camera analogy above, not all CTs and MRIs are created equally. At NEA Baptist, we have state-of-the art equipment in order to produce images that are of the highest possible quality. For example, we have the only 3-tesla

MRI scanner in Jonesboro, able to produce the best image quality of any commercially available scanner. As one of Dr. Shotts’ mentors at Mayo Clinic would say, “You can’t diagnose what you can’t see.”

In addition to image quality, who interprets your MRI or CT exam is equally important. Imagine standing with a child in front of the Mona Lisa painting at an art museum. You ask the child to tell you about the painting, and he or she says it is a painting of a girl with brown hair that is smirking. Now, instead of the child, you are looking at the Mona Lisa with an art historian. They will be able to tell you it was painted by da Vinci, all the theories of the smirk, and the history of the painting itself including when it was stolen in 1911 and when acid was thrown onto it in 1956. Similarly, when you have your knee or shoulder MRI, if it is read by a musculoskeletal radiologist, you will get an expert-level interpretation of your exam by someone knowledgeable of the normal anatomy, mechanisms of injury and their appearance on imaging, as well as the normal and abnormal appearance after surgery. The vast majority of musculoskeletal CT and MRI exams at NEA Baptist are personally interpreted by Dr. Shotts or Dr. Ali.

A high resolution MRI of the knee as viewed from the side done on a 3-tesla magnet that is the only one of its kind in Jonesboro. This image shows the detailed anatomy that we are able to see. For example, the red arrow in the image above demonstrates a normal anterior cruciate ligament (ACL) which is outlined in blue, a commonly injured ligament in individuals.

A high resolution image of a normal finger (3rd).

The red arrow is pointing to the flexor tendons of the digit itself which can often be injured. The blue arrow points to the metacarpophylangeal (MCP) joint and demonstrates the intricate detail that our 3-tesla MRI is able to depict.

12 NEA HEALTH • 2016

Musculosketal Radiology - Imaging

A MRI (left), CT arthrogram (middle), and reconstructed 3-D CT (right) of a normal elbow. These pictures demonstrate how MRI and CT can play complementary roles in evaluating joints. The MRI shows great contrast of the tissues around the joint as compared to the CT. The CT image was obtained after dye was placed into the joint and shows the joint cartilage (red arrow) in exquisite detail. Here at NEA Baptist we can create 3-D models from CT and some MRI images that can assist radiologists in interpretation and can also aid orthopedics in surgical planning.

As mentioned earlier, we also provide a full range of image guided joint, tendon, and peripheral nerve injections. Your doctor may refer you to one of us for an injection to help diagnose or treat pain. Since coming to NEA Baptist, Dr. Shotts has developed an ultrasound-guided procedure clinic where he is performing some procedures that are not being done even in Little Rock. Some of the more common procedures performed include injections of joints, carpal tunnel, golfer’s and tennis elbow, and plantar fasciitis. Dr. Shotts recently began performing injections into the TMJ for TMJ pain with excellent results.

Hopefully you now realize that NEA Baptist is on the cutting edge of musculoskeletal radiology, offering a level of expertise equal to or greater than that you would find in larger cities, and we intend to continue to push the limits in the future. Dr. Ali and Dr. Shotts

both participate in discussion of musculoskeletal cases and the latest techniques with experts from around the world on a daily basis via the internet. Dr. Shotts was recently elected into the Society of Skeletal Radiology, one of only 7 members in the state and the only member in Northeast Arkansas. Society membership provides another opportunity to interact with leaders in the field on a regular basis.

We hope you are confident that you are getting the highest possible quality orthopedic, sports medicine, or rheumatologic imaging exam at NEA Baptist. Even if your healthcare provider is not affiliated with NEA Baptist, you have a choice when deciding where to get your imaging exam. We hope that you will choose us, and the department of Radiology looks forward to serving you.

A high resolution MRI of the shoulder as viewed from the front.

The blue lines outline a commonly injured structure of the shoulder called the supraspinatous tendon.

The makes up a portion of the more complex “rotator cuff”. The red arrow points to a small area of bright signal (white) which indicated a small tear in this patient.

Cina Ali, MD Zeke Shotts, MD Radiology NEA Baptist Clinic 870.936.8000

13 NEA HEALTH • 2016

Inpatient Rehabilitation

Better Rehab Just Steps Away

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rowth has been a common theme for NEA Baptist and in late 2015, we opened the doors to a new Inpatient Rehabilitation Unit with 24 private rooms that will be utilized for patients who need rehabilitation after experiencing a significant illness, surgery or injury.

Designed with patient safety in mind, the NEA Baptist Inpatient Rehabilitation Unit is an inviting and calming environment with spacious rooms and large gathering areas.

The attention to detail in designing and planning the unit is recognized throughout the facility. In fact, the colleagues who work in the unit were able to be part of that planning process and helped to identify features that would be beneficial to patients and their families.

The family friendly unit features a spacious dining and recreation room with large windows, offering natural light and beautiful views and a lounge area with a flat screen TV for patients and families to enjoy while patients are not receiving care. The unit also features a rehabilitation gym that is fully equipped with the latest equipment used for patient rehabilitation. This area houses our experienced physical therapists who work one-onone with each patient based on their diagnosis and individual needs. A private therapy room is also available.

Murl and Sharon Smith.

Murl was the very first patient in our Inpatient Rehab Unit when it opened in fall 2015.

A special feature within the unit is the Activity of Daily Living (ADL) training space and specialty bathroom/shower training unit used to regain ability and familiarity with daily tasks before going home. The training area is setup in a home-like atmosphere, giving patients the opportunity to practice a variety of tasks including getting in and out of bed, opening cabinets, using kitchen appliances, getting in and out of the shower, using the restroom and more. The private setting allows patients to regain their confidence in their ability to perform small daily tasks once they go home.

An acoustically treated private speech therapy treatment area is available to patients who are working with the speech therapist.

The entire unit is furnished with Arjo-Huntleigh equipment throughout the private rooms, halls, dining area and gym to provide safe patient handling and transferring.

Because the unit is housed on the fifth floor of our hospital, it allows many conveniences for our patients and their families. The experience of discharging from the hospital and transferring to a different rehabilitation facility can be

14 NEA HEALTH • 2016

Activity of Daily Living Training Space

Dining & Recreation Area

hard on both patients and family members. The seamless transition from one of our hospital rooms to our rehab unit helps patients and families feel more comfortable and provides a better experience for them during a difficult time. Families have easy access to the hospital coffee shop, gift shop, chapel, prayer garden and cafeteria as well.

Experienced nurses, doctors, physical therapists, speech therapists, occupational therapists and more provide specialized rehabilitative care in this unit. Patients have convenient access to other specialists as needed. Because the unit is built into the hospital, patients and their families find comfort in knowing that should an emergent event arise, the distance to the closest hospital and potentially lifesaving care is not measured in miles and minutes but in feet and seconds.

Safety Equipment

Patient Room

Rehabilitation Gym 15 NEA HEALTH • 2016

Orthopedic Surgery - Double Hip Replacement

Walk Like a

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t the age of only 49, Donna Caldwell never imagined that her body would start breaking down in a way that every aspect of her life would become debilitating. The pain she endured for years is indescribable.

Ask Donna about her life today and it is evident that a double hip replacement, followed by months of physical therapy, has completely turned her life around. More than that, the doctors and healthcare providers at NEA Baptist have given Donna her life back.

Donna’s life took an unexpected turn that would eventually prevent her from doing everything she loves, even everyday activities including her ability to walk.

At the age of 49, Donna began experiencing pain in her fingers she could not explain. The pain eventually led to an appointment with her primary care physician. She was young and many of the possible conditions that could be causing her pain were not considered for that reason.

When the tests came back negative for Rheumatoid Arthritis, Donna’s doctor began treating her with various drug regiments that could ease or eliminate her daily pain but nothing seemed to help.

Over the course of a few years, the pain progressed pretty quickly and Donna’s health and quality of life began

Going up and down stairs was the hardest part of therapy and recovery... “That guy Leif made me go up and down the stairs until I couldn’t move any more...”

Donna fondly reminisced.

rapidly declining. By 2012, the pain spread throughout her body – it hurt to walk and she was in constant fear of falling over. In an attempt to keep up with her busy lifestyle, Donna began using a cane and found that it helped. She felt more comfortable and better about her ability to walk, but it also limited her everyday activity.

Despite her treatment plans and use of a cane, the pain continued to worsen.

“For 2.5, almost 3 years, my life did not exist. The pain was unbelievable. It was excruciating. You could literally hear my bones rubbing against each other when I walked – it sounded like fireworks or bullets. For years, I was miserable – If I dropped something, it had to stay there.

I loved working in my yard. I had to hire someone and they didn’t do it right, daddy taught me to be particular.

I began falling a lot at home and had to call my niece to help me up. Every small daily task was a struggle. Even walking, I could not walk, I really couldn’t do anything. I was headed toward a wheel chair.”

Walk Like a

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continued on page 18

17 NEA HEALTH • 2016

tried my best, I always tried to put on a front but couldn’t ever completely hide the pain.”

Walk Like a

The results of the MRI were not good – it revealed the rapid progression of osteoarthritis – a condition that is not common for someone in their early fifties that causes tissues at the end of their bones to wear down. Her muscles were severerly torn from trying so hard to walk and carry on with life as normally as possible. In 2014, Donna was referred for a consultation to Dr. Jason Brandt, orthopedic surgeon at NEA Baptist. Dr. Brandt offers nearly twenty years of experience in orthopedic surgery, including hip replacements and more.. After the first visit, examination and heavily studying the MRI results, he informed Donna she would need her hips replaced soon. Although her dad also suffered from osteoarthritis, it was much later in life. Donna was young for this type of diagnosis and treatment plan.

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continued from page 17

Donna’s pain was debilitating physically, mentally and socially. The pain never stopped and no course of treatment was helping. Her life was deteriorating in front of her eyes. She found no joy or pleasure in anything she did and soon found herself in a constant cycle of working, going home to rest and repeating the next day. She could no longer endure simple leisurely activities like going out to lunch with colleagues or dinner with friends. She left her professional organizations and could no longer volunteer the way she wanted. Her sedentary life contributed to the progression of her deteriorating health. Those affected by arthritis find greater benefit in staying active but it was more than Donna could bear.

In 2013, Donna went to a check-up appointment with her primary care physician. Her condition had progressed much quicker than he expected. She was extremely unstable, both physically and emotionally. Not only did she need the extra support for walking, she was also at risk of falling and injuring herself even more - it was time to start using a walker. For someone who is extremely independent, the use of a walker and the constant need to ask for help was crippling for Donna. Beyond the pain, she was embarrassed and ashamed. It was also evident to her doctor that it was time for a more aggressive treatment plan and he ordered an MRI to aid in her diagnosis.

“I found myself even more limited with the walker. I wouldn’t have made it without the help of my friends and colleagues. I could barely get in a car and everything took time – getting ready and other normal daily activities. I even went to Red Dress Gala using my walker – I was mortified but it was the best I could do. I always

“It all happened so fast. No one gets arthritis and 2-3 years later, needs both hips replaced. It just doesn’t happen that fast.”

Donna hoped to finish her work by Thanksgiving break for her surgery, but she could not make it that long. Although she had generous colleagues who stepped in mid-semester to take over her classes, leaving her students was the hardest part of the process for Donna. Her first (right) hip was replaced October 5th 2014 and immediately upon waking in recovery, Donna knew the pain in that hip was gone. Simply stated, the excruciating pain that had troubled her for years was gone. Although she was ready to see the same results on her left side, she needed time to recover and rebuild her strength first. She began physical therapy right away at NEA Baptist Clinic Physical Therapy on Windover in Jonesboro. The therapy was difficult due to still having one bad leg but the team did the best they could to help and the good leg became stronger.

Meet Donna Caldwell Donna Caldwell grew up in Little Rock, Arkansas and attended the University of Central Arkansas in Conway for her undergraduate degree, followed by the School of Radiologic Technology at St. Vincent Infirmary in Little Rock. She worked at various hospitals before beginning a teaching career at University of Arkansas for Medical Sciences. Following the death of her mother in 2001, Donna and her father moved to Jonesboro and she was recruited to work at Arkansas State University in early 2004. She is now a tenured professor at Arkansas State University College of Health and Nursing Professions, teaching medical imaging and radiation sciences. She has a passion for her career and purpose that is rare to find. “A-State is my life, it is my everything and a great place to work. I love my job and I love my students. I pride myself in teaching them to care for others.” Even when her pain was more than she could endure, Donna always made her students and their education her highest priority. She also served and held offices on state and national professional committees, government appointed task forces and more.

Five Shih Tzu’s named Gabby, Molly, Joshua, Maggie Claire and Olivia Grace are her babies and the pride and joy of her life. She also enjoys driving her ’99, 5-speed, red convertible Miata and supporting Red Wolf athletics.

18 NEA HEALTH • 2016

Orthopedic Surgery - Double Hip Replacement

On November 13 – five weeks after the first surgery – Dr. Brandt replaced Donna’s left hip and she started her physical therapy regimen again for that side and had one goal in mind – to walk like a lady.

“I told Leif - I want you to teach me to walk like a lady. I had not in many years, so that was our goal. And everyone (on my PT team), they all became my cheerleaders and I worked really hard to walk by myself and walk like a lady.”

In the beginning, she still used her walker but one day she just didn’t need it anymore. Going up and down stairs was the hardest part of therapy and recovery; her muscles had become so weak from non-use that she did not have the strength to do that.

She fondly reminisced, “That guy Leif made me go up and down the stairs until I couldn’t move any more – that was the last thing in my therapy. And wall squats – I would make Leif tell me stories to get me through the wall squats.”

Donna stated that in the beginning she could only hold her wall squat for about two seconds.

She was gradually able to do more and more and eventually held the squats for 30 seconds or more at a time. One day, Leif instructed Donna to walk to the door. She did, to which Leif replied, “We’re done, you walk like a lady.”

not help Donna during the day. Donna relied on the help of friends to get her through the recovery process. She was very grateful to friends Cindy (of Stuttgart) and Lesa (of Little Rock), who both left home for two weeks each to help Donna after each surgery.

“Dr. Brandt gave me my life back. He took extra time, talked with me; he couldn’t have done any better. At my one year check-up (October 2015), I stood up when he walked in the room and he hugged me. He said look at you. He’s very humble, he’s my hero. I have a smile on my face every day now.”

The new & Improved Donna “Now I’m grateful for every moment and I don’t take walking for granted. I’m grateful for every step and try with every step to make Leif proud and to walk like he taught me.”

Donna has arthritis throughout her entire body. She also has herniated discs due to walking incorrectly for so long and will eventually need back surgery (she receives injections now), but her hip pain is now completely gone.

A support system is also an important part of recovery. Her niece Debi (who is more like a sister) and great-niece Micaela are the only family members Donna has in Jonesboro. Because Debi works from home doing medical transcription and Micaela is in high school, they often could

“Leif helped me walk again. It hurt but he made me do it and the entire PT team there really rooted for you. Other patients would ask why I was so happy to do the therapy. Before, I couldn’t walk.

Sometimes I would complain and get tired of doing the same thing over and over.

Leif was stern, he pushed me to try but he would never let me fall. Heroes – it’s what they are, it’s not just me.”

Growing up, Donna played softball all of her life. It was yet another hobby she loved and had to quit because of her illness. So, beyond walking like a lady, Donna was determined to be able to run and play softball again. Leif used the treadmill to help her work on this and now she frequently goes to the batting cages to hit. She went dancing on New Year’s Eve. She recently took a business trip to Las Vegas for the first time in nearly four years.

Donna went back to work the end of January 2015. “It was so great to walk in the classroom and the students said ‘Wow! I have so missed that smile.’”

“Football games are my favorite thing and for years I couldn’t go. Now, I go to games, I can walk up and down the stairs again. I can drive my car again.” Beyond enjoying life again, Donna is no longer inhibited by her inability to walk, stand and take part in normal daily activities. Her joy for life is evident the minute she walks into a room.

“I owe you guys – I owe Dr. Brandt & Leif Lovins – I owe them the quality of my life. I have my life back, a better life even.”

Donna Caldwell 19 NEA HEALTH • 2016

A Doctor’s Note

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onna came to see me for excruciating hip pain in September of 2014. She could barely walk and could not even stand up straight. Her hip pain was negatively affecting her job and even simple daily activities.

Most people with hip pain don’t come to see me the first time and need a hip replacement. But, after reviewing her x-rays and examining her, together we decided to proceed with a hip replacement. Her diagnosis of hip arthritis was very advanced for a patient in her 50s. She had progressed to a point that anti-inflammatory medications, activity modifications and even using support devices like a walker and cane no longer gave her relief from her pain.

The decision to undertake replacement surgery should not be taken lightly, especially in a younger person. The main reason is that artificial hips may wear out with time.

A second hip surgery is a much more difficult procedure and recovery process. How the hip surgery is done and the implants chosen can have a significant impact on short and long term results.

Donna chose to see me based on my experience with and patient success with the direct anterior hip replacement. This surgical procedure allows me to replace the arthritic hip through an approximately 4 inch incision on the front of the upper thigh. It also allows working between two muscles rather than cutting muscles which is required in other hip replacement surgeries. Using a specialized surgical table designed specifically for this procedure allows the use of C-arm imaging, which provides real time x-ray type views of the placement of the hip implants. This allows very precise sizing and positioning during the case. Appropriate sizing and placement of the implants allows for better outcomes and longevity.

After surgery, most patients can get up and walk that afternoon with therapy.

Typically, patients go home in 1-2 days after the surgery.

Donna did well with her first hip and we did the second about a month later. As she can attest, her surgeries changed her life, in a good way! Because she followed her post-operative instructions and did her therapy, she had a rapid recovery.

I’m proud to have been a part of the team at NEA Baptist that made a difference in the life of Donna Caldwell.

Jason Brandt, MD Orthopedic Surgery NEA Baptist Clinic 870-936-8000

20 NEA HEALTH • 2016

Rhinitis &

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hinitis is the symptomatic disorder of the nose characterized by itching, nasal discharge, sneezing and nasal airway obstruction. There are many causes of rhinitis: allergic, infectious, non-allergic, drug-induced, occupational, hormonal, food-induced and atrophic. Allergic rhinitis is the induction of rhinitis symptoms by an IgE mediated immune reaction after exposure to an allergen.

Rhinosinusitis is inflammation of the mucous membranes of the nose and paranasal sinuses.

This is categorized into acute, subacute, recurrent acute, and chronic.

Acute rhinosinusitis is typically caused by a virus but may be triggered by allergies, bacterial and fungal infections. Chronic rhinosinusitis is defined as sinus symptoms lasting more than eight weeks or recurrent over many months.

The catalyst relating the two disorders is thought to involve nasal sinus overflow obstruction, followed by bacterial colonization and infection leading to acute, recurrent, or chronic sinusitis. Likewise, chronic inflammation due to allergies can lead to obstruction and subsequent sinusitis.

Chronic rhinosinusitis affects more than 31 million people in the United States. It is more prevalent than heart disease and asthma and has a greater impact on patients’ quality of life than chronic back pain or congestive heart failure. The most effective treatments are Functional Endoscopic Sinus Surgery (FESS) and dilation systems. The United States healthcare system currently spends more than $8 billion annually on improving the health of patients with sinus conditions.

Low pressure dilation images from http://sinustreatmentinfo.com

Otolaryngology - Sinus Surgery

Chronic Rhinosinusitis What is Functional Endoscopic Sinus Surgery (FESS)?

Restoration of the natural drainage pathway of the paranasal sinuses by relieving obstruction or blockages that contribute to the disease process.

This is commonly performed in a conservative fashion in order to preserve the function of the sinuses without damaging the surrounding natural structures.

Standard instrumentation is used typically under general anesthesia to remove tissue including bone and surrounding mucosal membranes from the area of the natural sinus openings restoring normal drainage pathways. Recovery from FESS is typically 1-2 weeks depending on the extent of surgery.

Balloon catheters and low pressure dilation in sinus surgery In 2005, the first commercially available product using balloon dilating catheter technology was release to treat sinus disease.

In balloon sinuplasty, a high pressure balloon is briefly inflated, and the pressure of the balloon widens the outflow tract of the sinus by fracturing bone and moving it outwards, along with its mucous membrane.

In the low pressure dilation system, a small low-pressure, self-expanding insert designed to gently and gradually dilate the nature sinus opening through osmotic expansion.

In both alternative technologies the final result is a dilated or widened outflow tract from the sinus that can be done without actual tissue removal.

Both devices are FDA approved for treatment of sinus disease and carry favorable endorsements from The American Rhinologic Society as well as the American Academy of Otolaryngology-Head and Neck Surgery.

The indications are no different than the indications for standard functional endoscopic sinus surgery or FESS. The most common application of this is for chronic sinusitis that is not controlled after adequate medical management that includes intranasal steroids and appropriate course of antibiotics.

How long does recovery take after Balloon Sinuplasty?

While recovery time varies with each patient, recovery is typically fast. In a study of in-office balloon dilation, most patients returned to work and normal activity within 2 days

Benefits of In-Office Balloon Sinuplasty and Sinus Dilation Systems • Local Anesthesia Balloon Sinuplasty In-Office is an option for patients who decline or are ineligible for general anesthesia.

• Fast Recovery While recovery time varies with each patient, most patients who undergo the in-office procedure can return to normal activities and work within 2 days.

• Comfortable Surroundings Experience the procedure in the comfort of your physician’s office rather than a hospital operating room.

• High Patient Satisfaction The majority of patients who had Balloon Sinuplasty In-Office would recommend the procedure to family and friends.

• Potential for Significant Cost Savings Some eligible patients may have lower out-of-pocket costs if the procedure is performed in a lower cost of care setting, such as a physician’s office.

Balloon catheters images from http://www.balloonsinuplasty.com

Jeffrey Myhill,MD Otolaryngology NEA Baptist Clinic 870.936.8000

21 NEA HEALTH • 2016

NEA Baptist Heart Center Receives Accreditation by the IAC

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EA Baptist Heart Care Center, a non-invasive outpatient center, has been granted a threeyear term of accreditation in Echocardiography in the areas of Adult Stress and Adult Transthoracic by the Intersocietal Accreditation Commission (IAC).

The Heart Care Center Echovascular Laboratory also received a three-year term of accreditation in Vascular Testing in the areas of Peripheral Arterial Testing, Extracranial Cerebrovascular Testing, and Peripheral Venous Testing by the IAC. Accreditation by the IAC means that the NEA Baptist Heart Care Center has undergone a thorough review of its operational and technical components by a panel of experts.

The IAC grants accreditation only to those facilities that are found to be providing quality patient care, in compliance with national standards through a comprehensive application process including a detailed case study review.

IAC accreditation is a “seal of approval” that patients can rely on as an indication that the facility has been carefully critiqued on all aspects of its operations considered relevant by medical experts in the field of Echocardiography.

Cardiovascular diseases are the No. 1 cause of death in the United States. On average, one American dies every 39 seconds of cardiovascular disease – disorders of the heart and blood vessels. The American Heart Association estimates that the direct and indirect cost of cardiovascular disease in the U.S. for 2010 was $503.2 billion.

Early detection of life threatening heart disorders and other diseases is possible through the use of Echocardiography procedures performed within hospitals, outpatient centers and physicians’ offices. While these tests are helpful, there are many facets that contribute to an accurate diagnosis based on Echocardiography testing. The skill of the Echocardiography sonographer performing the examination, the type of equipment used, the background and knowledge of the interpreting physician and quality assurance measures are each critical to quality patient testing.

An American Epidemic!

T

he American Heart Association (AHA) estimates that nearly 70% of Americans are overweight.1 Considered a metabolic disorder, this disease can result in many serious and life-threatening conditions. 2 High blood pressure, stroke, elevated cholesterol, diabetes and heart attacks (CHD) have all been connected to being overweight and can threaten your life.1,2,3

Are you overweight?

Your Body Mass Index (BMI) is a standardized way to determine if you are overweight. By measuring your BMI, your family doctor can determine if you are overweight. A BMI greater than 25 kg/m2 puts you into the overweight range while a BMI greater than 30 kg/m2 puts you in the obese range—placing you at increased risk.3

What can you do if you are overweight?

Your family doctor can help you with weight loss. There are no “magic” bullets to losing weight but lifestyle modification is key to any weight reduction program. One thing is for certain though, a weight reduction program must be “tailored” to your needs. None of us are unique in our desire to lose weight, but we all have our own personal challenges. Your family doctor can calculate your BMI and assess your risk for developing complications of being overweight. Next, your basal metabolic rate—calories that you burn just performing your daily activities—can be estimated and you’re off to the races!

For example, if you require 1800 calories of food each day to carry out your duties and by the end of each day you run a deficit of 400 calories per day, you will lose one pound a week. Now getting to that 400 calorie deficit each day does require life-style change—diet, exercise, or both—but you’re worth it! Let the doctors at NEA Baptist Clinic help you live a full and active life. The staff at our Wellness Center can also help change your life.

References: 1. Http://www.heart.org/HEARTORG/HealthyLiving/ WeightManagement/Obesity (2/27/2014) 2. Http://www.circ.ahajournals.org/content/96/9/3248.full (1997) 3. Http://www.uptodate.com/contents/obesity-weightreduction-and-cardiovascular (7/31/2014)

Paul Levy, MD Cardiovascular Surgery NEA Baptist Clinic 870.936.8000

22 NEA HEALTH • 2016

Orthopedic Surgery - Our Physicians

Your Orthopedic Team Jason Brandt, MD Specializes in - Total Knee | Total Hip | Sports Medicine Residency - University of Tennessee – Campbell Clinic Internship - Methodist Hospital Systems Medical School - University of Arkansas for Medical Sciences Certifications - Board Certified by the American Board of Orthopaedic Surgery | Sports Medicine In practice since 2000

-Patient Testimonial-

Ronnie Chambers

Edward Cooper, MD Specializes in - Minimally Invasive Knee Replacement | Hip Replacement | Arthroscopic Shoulder Surgery Residency - Hamot Medical Center Internship - Transitional University Hospital Medical School - University of Arkansas for Medical Sciences Certifications - Fellow American Academy of Orthopedic Surgeons | Board Certified American Board of Orthopedic Surgery | Sports Medicine In practice since 1996

Ron Schechter, MD Specializes in - Sports Injury | Hip & Shoulder Reconstruction | Arthritic Condition Residency - University of Colorado Health Sciences Center Internship - University of Colorado Health Sciences Center Medical School - University of Colorado Health Sciences Center Certifications - American Academy of Orthopedic Surgeons Board Certified | American Academy of Orthopedic Surgeons Fellow In practice since 1996

Aaron Wallace, MD Specializes in - Shoulder Instability | Articular Replacement/ Orthobiologic Treatment of Knee | Sports Elbow Injury Fellowship - Penn State Hershey Medical Center | Sports Fellowship Residency - Hamot Medical Center Internship - Hamot Medical Center Medical School - University of Arkansas for Medical Sciences Certifications - Board Certified by the American Board of Orthopaedic Surgery In practice since 2003

- Podiatry -

Chris Rowlett, DPM Specializes in - Foot & Ankle Surgery | Diabetic Wound Care | Ingrown Toenails Residency - William S. Middleton Veteran’s Hospital – Podiatric Medicine and Surgical Medical School - Dr. William Scholl College of Podiatric Medicine In practice since 2004

On October 22nd, 2015, I had shoulder arthroscopy with rotator cuff repair performed

by Aaron Wallace, MD. My care team included: Dr. Aaron Wallace, MD, Drew Harper, PA-C, Nicole EngerLuster, PT, Leif Lovins, PT, Jeff Ramsey, PT, Brian Lewis, PTA, and Charly Edmonds, PTA. I was well pleased with the operation and recovery. After the operation, I was only in post operative pain for about three days. I wore a protective arm sling for a few weeks for protection and comfort. When I started physical therapy, the staff was very careful with me and worked to improve my recovery and mobility. After several weeks of PT, I have progressed to a very comfortable level of recovery. I would highly recommend to anyone that has had rotator cuff surgery to pursue the physical therapy for full recovery.

Previously, I enjoyed playing golf nearly every day. I am looking forward to playing at that same physical level or even better when I return. Already, I have been hitting a few balls testing out my shoulder and so far it feels very, very good.

My name is Ronnie Chambers. I am 74 years of age. Previously, I worked at the Jonesboro Sears store for 25 years before an early retirement, then I was store manager at the local Goody’s Family Clothing store. I used to fish and hunt but now I just enjoy golfing. My wife and I are active in our church and enjoy many senior adult activities together.

23 NEA HEALTH • 2016

Injury Prevention Tips R

unning! For many of us it is a great form of exercise. You can get a great cardiovascular workout, burn calories for weight loss, and it can even be a great tool for stress relief. Whether you run for fun or to compete in events, run short distances like 1 mile or ultramarathons which can exceed 100 miles, there is one thing that links all runners: injuries and trying to prevent them.

Running injury prevention is a very important topic especially for beginning runners and those that run very long distances. There is no one reason why runners get injured, but there is a pretty consistent interaction of factors that play a role in most runner injuries. Factors commonly recognized include muscle weakness, inadequate flexibility, training errors, poor or incorrect running shoes, and poor or abnormal biomechanics.

Knowing how to train properly and safely is crucial to staying injury-free. Here are some ways you can reduce your chances of getting injured.

could substitute light walking, bicycling, or another cross-training activity during this “off time”. When you return to running, begin slowly. Run about half of your normal easy day amount at a slower pace to see how your body reacts. If your symptoms do not return then start building up to your normal distance/intensity. If your symptoms do return it may be time to seek help from a medical professional. Your family physician may be able to help or refer you to a specialist like a podiatrist, orthopedic surgeon or physical therapist. Sometimes rest and/or medications are enough to correct the problem but often more is needed and these professionals will be able to help you.

Build Mileage Gradually

Strength Training

One of the main reasons for running injuries is when runners do too much, too soon, too fast. The body needs time to adapt from training changes and jumps in mileage or intensity. Build your weekly training mileage by no more than 5 to 10 percent per week.

For example, if you follow the 5 percent rule and run 10 miles the first week, do just 10.5 miles the second week, and so on. If you are recovering from an injury or are brand new to running, it is best to stay close to the 5 percent limit to reduce the risk of injury or re-injury. More experienced runners who have no history of injuries can safely train closer to the 10 percent limit.

Listen to Your Body

Most running injuries don’t erupt from nowhere and blindside you. They produce signals like aches, soreness, blisters and persistent pain, but it’s up to you to listen to them and take appropriate action. Of course anytime you exercise you may experience muscle soreness or aching but this should subside in a day or two. Any pain or soreness lasting more than a few days or that increases every time you run should be addressed. At the first sign of an atypical pain (discomfort that worsens during a run or causes you to alter your gait), take 2 or 3 days off. You 24 NEA HEALTH • 2016

Strength training helps to keep your body properly aligned while you are running and reduce stresses on the joints. It is particularly important to strengthen the core and the hip muscles. Also, running will help develop certain muscle groups in the legs, but will not work others as much which could lead to an imbalance. For example runners typically have strong hamstrings but weaker quads.

You don’t have to build bulging muscles to be a runner but strength is very important.

Stretching

Stretching should be an important component to any runner’s routine. Runners tend to be tight in predictable areas (most notably the hamstrings and calf muscles) and in turn, they get injured in and around those areas. There are a few rules when it comes to stretching. First, pain is never acceptable.

Stretching should be comfortable and relaxing, never painful. If something hurts, you’re not in the right position or you’ve stretched too forcefully. Back off and check your position, then try again more gently.

Second, move slowly into each stretch and don’t rush it. Once in position, hold steady for about 30 seconds and do not bounce.

Finally, be consistent. The more consistently you stretch, the more effective you will be in

increasing your flexibility. Stretching daily initially and later three times a week for maintenance is a good rule of thumb.

Stretching is best done after a warm-up period of 10 to 15 minutes after your muscles are warm, or at the end of your workout.

An important note about stretching after long runs (longer than 15 miles): Do not stretch immediately following your run.

Your muscles have hundreds of micro-tears in them and stretching them could turn some of these into macro-tears, causing significant damage. Instead, cool down, take a shower, eat a good meal and drink plenty of fluids. Then perform some light stretching.

RICE

RICE stands for Rest, Ice, Compression, and Elevation. When you have muscle aches or joint pains, these four things will help for immediate treatment. These measures can relieve pain, reduce swelling, and protect damaged tissues, all of which speed healing.

The only problem with RICE is that too many runners focus on the “I” while ignoring the “RCE.” Ice can help reduce inflammation, but to ice-and-run, ice-andrun, without giving the tissues enough time to heal, is a little like dieting all day then pigging out at night. Special attention should be paid to the “rest” in RICE; do not run until the injury is healed.

RICE is most effective when done immediately following an injury. If you twist your ankle or strain your hamstring, plan to take a few days off from running.

Apply ice for 10 to 15 minutes at a time, several times a day. If you can, elevate the area to limit swelling. Compression can also further reduce inflammation and can provide pain relief, especially when you first return to running. An ACE bandage is the simplest way to wrap a swollen area.

Do Not Race or Do Speedwork Too Often

If you train fast once or twice a week and then race on the weekend, that’s a lot of hard efforts without sufficient rest, particularly if you follow this pattern week after week. Regular speed training is fine for those aiming for podium placements or age-group awards, but it is not

Physical Fitness - Running

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NEABaptist Clinic – Physical Therapy

All proceeds benefit HopeCircle, a program of NEA Baptist Charitable Foundation 870.336.1530 marketing@neabc.com

recommended for the average runner. Give yourself plenty of recovery time. If you are trying to quicken your pace for a specific goal, add a weekly or bi-weekly speedwork session to your training plan, but be wise about it.

Cross-Train

Use cross-training activities to supplement your running, improve your muscle balance, and keep you injury-free. Swimming, cycling, yoga, Pilates, elliptical training, and rowing will burn a lot of calories and improve your aerobic fitness, but be careful not to aggravate injury-prone areas. If you are injured, let pain be your guide on which activities are okay.

Wear Properly Fitted Shoes

Shoes are the most important piece of equipment that you need to run, so having a pair that fits you properly is crucial to your running success. There is no one shoe that is right for every runner and there is no shoe that is guaranteed to eliminate an injury. To find the right shoe for your feet, go to a specialty running store. The best running stores will watch you run and analyze your gait and stride to put you in the proper shoe. The most expensive shoe is not always the best option for you. As a general rule, shoes should be replaced every 300 to 500 miles (depending on your size, weight, foot strike, and shoe type). Keep a training log to keep track of your shoe mileage and be sure to replace them when you hit the 300 to 500 mile mark.

Run on a Level Surface

Another factor that could have a significant impact on running injuries is road camber. No doubt you always run on the left side of the road facing traffic.

That’s good for safety reasons. But it also gives you a functional leg-length discrepancy, since your left foot hits the road lower on the slope than your right foot. You’re also placing your left foot on a slant that tends to limit healthy pronation, and your right foot in a position that encourages overpronation. And you’re doing this mile after mile, day after day, week after week, which could lead to ankle, knee, hip, and even back injuries. If you can, try to do some of your training runs on a level surface like a bike path or dirt trail. A local track also provides a firm, essentially flat surface that’s great for slow-paced running.

Also consider the treadmill, it’s the perfect surface for balanced running. At the very least, a treadmill provides a great surface for beginning runners, runners who are recovering from an injury, and perhaps even marathoners aiming to increase mileage without increasing their injury risk. Also avoid tight turns. Tight turns and indoor tracks are a common cause of running injuries. Look for slow curves and straight paths. Shins are especially stressed on indoor tracks due to the combination of a hard surface and tight turns.

Hydration and Nutrition

Most people think about proper hydration when the weather is hot but it is important anytime you exercise, even in the cold weather months. Always try to drink plenty of non-dehydrating fluids such as water, orange juice or sports drinks. But don’t over do it. Another factor is nutrition. Proper nutrition is key to being healthy in general, but you especially need a healthy balanced diet when you are running. Your body needs the proper nutrition to repair damaged tissue caused from exercise. Also it is impossible to optimize your ability and get the maximum benefit from your workouts without proper nutrition.

Overall running can be a fun, challenging, and very rewarding form of exercise. Whether you want to compete at a high level sport or just get active and loose a few pounds. Running can be a great way to reach your goals. By listening to your body and following these basic guidelines you should be able to stay injury free and reach your fitness goals.

25 NEA HEALTH • 2016

Palliative Care

Improving Quality of Life

N

EA Baptist Memorial Hospital has embarked on a new journey for treatment of patients with long-term/chronic illnesses. Historically when a patient receives a diagnosis with a chronic illness such as heart or lung disease, kidney disease, diabetes, cancer, or dementia, there is a mindset of “end of life”. Palliative care is a program that enhances a patient’s quality of life once receiving one of these chronic diagnoses, but most importantly, this can occur while these patients are still receiving treatment for their illness. Palliative care provides emotional and spiritual support for patients and families, along with medications and other remedies to ease symptoms. Patients can utilize palliative care at any point in an illness – many will “graduate” as they recover – without forgoing curative treatment.

NEA Baptist has had a palliative care team for several years but has chosen to enhance this program by the addition of a Palliative Care Coordinator. The palliative care program strives to give our patients and families the resources they need to improve their quality of life, as well as to give them options during this time of initial diagnosis, through treatment, to end of life. The goal of the palliative care program is to establish a culture that enhances the physician to patient communication that will enable the patient to make informed decisions regarding their plan of care after initial diagnosis of a chronic illness.

One such resource that the program is able to provide is the financial assistance to allow the patient to continue to receive treatments for their illness. In conjunction with the Marc Ford Family Patient Assistance Fund through the NEA Baptist Charitable Foundation, we have been able to provide much needed financial assistance to aid in travel and daily expenses for necessary dialysis treatment.

Recently, these comments were made by a family member of one of our patients at NEA Baptist.

“After traveling a long distance Samantha Payne, RN Palliative Care Coordinator NEA Baptist 870.936.1000 26 NEA HEALTH • 2016

and arriving at the hospital, I caught myself feeling like I was just floating between medical conversations. It was as if I was in someone else's experience. I was fortunate enough to meet our family's palliative care nurse. Even though I was unsure of what that word even meant, I knew in a matter of minutes that I had a teammate. She made sure that every single concern I had was addressed. She was my steady in the situation. I found myself always thinking of all the questions that I wanted to ask AFTER the doctor left. She knew that was not uncommon and not only got my answers for me but made sure I understood.

Most importantly, she guided me down an unfamiliar and frightening path that children face with their elderly parents.

She was there every step of the way with kindness and compassion. My experience would have been vastly different without the assistance of the palliative care team.”

Senior Care - Dementia

D

ementia is a progressive disease characterized by memory loss significant enough to interfere with one’s daily life.

There are many causes of dementia so I typically characterize them into two major groups: reversible and irreversible.

Reversible (potentially) causes include thyroid disorders, vitamin B12 deficiency, depression (also called false dementia), brain tumors and effects of many drugs and toxins. Irreversible causes include Alzheimer’s, Parkinson’s Disease dementia, vascular dementia and, the most common, mixed dementia. Although not reversible, these are often treatable.

Look & etter Feel B

Signs and symptoms of dementia often start subtly; perhaps forgetting how to manage one’s medications or forgetting names or where we have placed something. The earlier we diagnose it, the better. There are several medications available and most work to slow down the progression of the disease.

So what should you expect at your physician visit for evaluation of memory loss? We will review your medical history, your medications and the presentation of your memory loss. We will review your laboratory and brain scan findings if you’ve had them done, otherwise we will likely order our own.

We will do a memory test, and if appropriate, a test for depression. Once we have reviewed all of this data we will make recommendations on how best to proceed. It usually requires two visits to start treatment and then several follow up visits to monitor your progress.

I have already visited with several people who were concerned about memory loss who were relieved to find out that they were just stressed or worried about nothing. I’d always prefer that type visit to waiting too late after the memory loss has become more severe.

At NEA Baptist Clinic we have the technology and resources to help with the diagnosis and treatment of memory loss. We’d love to have you make an appointment and visit with us in our new Senior Care Clinic. You can even keep your current physician if you wish and see us in consultation. Call for an appointment today. In most cases, no referral necessary. I look forward to meeting with you.

Homer E. Brooks III, MD, F.A.A.F.P. Geriatrics and Adult Medicine NEA Baptist Senior Care Clinic 870.936.8000

2617 Phillips Drive Jonesboro 870-932-1898 neabaptistwellness.com facebook.com/NEABCWellnessCenter 27 NEA HEALTH • 2016

Caring for Our Community NEA Baptist Charitable Foundation’s mission is to help change lives through its free programs and services in Northeast Arkansas. The Foundation, through your generous gifts, touches every community member and every corner of Northeast Arkansas.

Center for Healthy Children – An exercise and nutrition education program for children who struggle with weight problems.

HopeCircle – A community of hope, support and educational programs for families living with a catastrophic illness.

Medicine Assistance Program – This program helps patients get their prescriptions from pharmaceutical companies.

ShareHope – A support program for those whose lives are touched by the tragic death of a baby through pregnancy loss, stillbirth or in the first few months of life.

Wellness Works – A FREE exercise and nutrition education program to help individuals cope with a chronic illness.

Come volunteer with us!

Memorials and Honorariums Welcome - PO Box 1960 • Jonesboro, AR 72403

870.336.1421 • NEABaptistFoundation.org

Thank You! “T

hank you” is something we cannot say nor hear enough. Those two simple words can bring a smile to the face and lift the spirit. It only takes a second to say the words or write them on a card and drop them in the mail, but the impact they make can last a lifetime.

Recently, while visiting with one of our cancer patients, I had the opportunity to hear those words. Although spoken to me, these words belonged to our generous donors.

This dear patient, who lived over an hour from Jonesboro, had just finished being treated at the NEA Baptist Fowler Family Center for Cancer Care.

Due to the type of cancer they were battling, this patient couldn’t ride in a car for very long. Thanks to the generous gifts of our donors, this patient was provided lodging to allow them to rest after each of their ten day’s radiation treatments. “I don’t know how I would have done it without the lodging” were this patient’s words after expressing their gratitude to what had been provided for them. The impact of our donors’ gifts were seen in the life of this patient, and their gratitude was deep.

Each day, patients from all over our region are treated at the NEA Baptist Fowler Family Center for Cancer Care. Our staff and volunteers at HopeCircle provide support and resources to each of these patients and their caregivers. Some of these patients find themselves in a very difficult place and cannot afford the gas to get back and forth for treatments or a hotel room when they are too sick to travel after treatments. This can compound what is already an overwhelming time in their lives.

Thanks to the generosity of our donors, we have been able to provide help to these patients. Just like the patient I visited with, these patients are so grateful that someone was there to lend them a hand when they needed it the most.

Would you be willing to help? Through your tax-deductible gift to the NEA Baptist Charitable Foundation’s HopeCircle, you help meet the needs of cancer patients throughout our region. You can be the one to lend these patients and caregivers a hand when they need help the most. It’s easy to give. You can make a gift through our website at www.neabaptistfoundation.org under the giving tab or simply call me at (870) 936-8479.

On behalf of those you will help, thank you. Your generosity truly heals.

Robbie Johnson, Director of Development Robbie.Johnson@BMHCC.org NEA Baptist Charitable Foundation

P

atients and family members of patients often ask us if there is a way to recognize a hospital or clinic employee who touched their lives.

Maybe it was a doctor who showed just the right amount of compassion. Or a nurse who went above and beyond. Even a food service or housekeeping colleague who lifted your spirits during a difficult time with a single smile.

The NEA Baptist Charitable Foundation has established a program to allow you to honor these everyday heroes with a tax deductible gift that supports the foundation.

Health Care Heroe is a program that gives you the opportunity to honor a person who has had a significant impact on your health care experience. Any hospital or clinic employee is eligible. To honor your hero, visit www.neabaptistfoundation.org. You will find the Health Care Hero form under the Giving tab or email Robbie Johnson at robbie.johnson@bmhcc.org.

In recognition, your recipient will receive a special pin designating them as a Health Care Hero. If you wish to receive a photo of your Hero’s recognition, simply give us your email address and we will send you a photo. You also have the option of directing your gift to a specific program within the foundation. Simply pick the program that you want to benefit from your gift.

About the NEA Baptist Charitable Foundation The NEA Baptist Charitable Foundation was started by the physicians of the NEA Baptist Clinic, one of the largest physician owned multispecialty groups in the MidSouth. The physicians started the foundation as a way to not only give back to their community, but also to help meet unmet needs. With the creation of the new NEA Baptist Health system, NEA Baptist Clinic and NEA Baptist Memorial Hospital, the NEA Baptist Charitable Foundation continues its legacy while being a part of this new partnership. The Foundation, through the generous gifts of our community, continues to touch the lives of people throughout Northeast Arkansas. We appreciate you choosing to honor your Health Care Hero by giving to the NEA Baptist Charitable Foundation.

29 NEA HEALTH • 2016

s s e c c u S y Stor J

ackie and Michael Hames were looking for a place to work out and get into a healthier lifestyle. They happened to come into the NEA Baptist Clinic Wellness Center and found out about the Wellness Works! program offered by NEA Baptist Charitable Foundation. Michael and Jackie were then referred to the program by their primary care physician, Sandra Stubblefield, MD at NEA Baptist Clinic in Brookland, Arkansas.

They started the 12 week program in September 2014 and after three months of exercise and healthy eating Jackie lost 26 pounds and Michael lost 30 pounds. “Our experience during the 12 week Wellness Works! Program was outstanding!” said Jackie Hames. “We kept seeing results and the staff was very encouraging and knowledgeable. I liked the fact that there were health education classes offered and everyone didn’t focus on the same topic, but everyone did emphasize that lifestyle change was the key to success.”

After the 12 week Wellness Works! program, Michael and Jackie continued their journey to weight loss and feeling better by joining the NEA Baptist Clinic Wellness Center. “We were motivated to come back because we were seeing results, feeling better and we enjoyed the classes, staff and members,” continued Jackie.

“We enjoyed the Wellness Works! exercise class because every day you do something Erica Huffstetler, Program Manager Erica.Huffstetler1@neabc.com Center For Healthy Children Wellness Works!

NEA Baptist Charitable Foundation 30 NEA HEALTH • 2016

different and there were different variations of exercises.” Michael and Jackie exercise at least 4 times a week. They have also transformed their eating habits by becoming more aware of what they eat, monitoring their sodium and carb intake, and eating what their body needs instead of what they want. Jackie writes everything down that she eats and keeps record of her weight loss and nutrition log.

Since the beginning of their journey, Michael has lost a total of 70 pounds from his starting weight of 310 pounds. He has also been completely taken off his blood pressure medication. Jackie, who weighed 264 pounds at the beginning their journey, has lost a total of 64 pounds and has cut down on her medication as well.

The couple encourages other individuals interested in the program not to be afraid and don’t think you can’t do it, because you can!

W

ith the coming of spring, the budding of the trees and flowers, and the sound of the birds, we are reminded of the rhythm of the seasons in nature and in life. At HopeCircle we are blessed to be able to walk with our families through many seasons. We laugh, we cry, we hug, we rejoice, we give thanks and sometimes we grieve.

And, always, we give thanks for our volunteers and all those who support us with their gifts of time, money, prayers and items such as hats and gas cards.

Our two years in the NEA Baptist Fowler Family Center for Cancer Care have been filled with blessings and opportunities. Our volunteers make the HopeCircle space a welcoming haven for families dealing with life-changing situations. We now give journals to new patients along with an afghan, as well as resource sheets for the newly diagnosed and for loved ones and caregivers. Goody bags are available for patients needing lodging.

2015 was a wonderful year for HopeCircle. Our volunteers contributed over 15,000 hours, which was worth over $35,000. We had an average of 26 on-site volunteers each month and had contact with over 10,000 patients. This doesn’t count all the individuals and groups who brought items and/or donations and participated in special projects throughout the year. Our foundation provided 387 gas cards to 81 patients from 25 communities and 380 nights of lodging for 30 patients.

A woman came in recently to share her gratitude for our volunteers and staff. She cried as she told of the impact our services had on her life and her healing. While the statistics are impressive, it is the stories we hear and the gratitude that is expressed for HopeCircle services that keep us all going This year promises to be another busy year. Along with providing services to our families at the cancer center and our medical campus, we will be part of several special events. We will celebrate our volunteers during National Volunteer Week, April 10th-16th and co-sponsor, with ASU College of Nursing and Health Professionals, the annual Grief Seminar at ASU on May 23rd. (Continuing education credits are available for several professions). National Cancer Survivors’ Day will be commemorated on June 5 and the dates for Hope Week are September 25th -October 1st.

We are blessed by our opportunity to serve families who are experiencing unexpected and unwanted seasons of life. And we are reminded: “Hope is displayed in many forms, but always comes from a heart filled with love.”

June Morse, HopeCircle Program Manager June.Morse@neabc.com NEA Baptist Charitable Foundation

of Remembrance in the fall and a candlelight memorial service on December 6, in our Prayer Garden.

N

o one understood her pain, no one knew what to do or say. The grief can be overwhelming. That’s why ShareHope was founded. It was created out of the grief and love that one woman had for her baby girl. Our program is in place to help families through the agonizing first few hours after hearing the devastating news that their child will not survive the pregnancy, following birth or within the first few months of life. We offer caring staff and volunteers who wash, clothe and photograph the baby in order to capture the only moments they will have on this earth with their family.

Following the initial encounter, we provide emotional support to the parents, grandparents and siblings, as well. Our program gives these families a chance to remember their children through support meetings once a month, a Mother’s Day 5K sponsored

by NEA Baptist Hospital, service projects, the ShareHope Walk

In the fall of 2014, the ShareHope Family Fund was created to help families with burial expenses.

We sell “Heartbeat Animals” in the Women’s Clinic to help fund this program. Parents with healthy pregnancies can get their baby’s heartbeat captured and placed inside their choice of several different animals. These animals can be given to grandparents or siblings as a keepsake item for years to come.

Any family who is getting ready to have their “rainbow baby” (child following a loss) receives a complimentary animal.

If you have experienced a loss or know someone who has, contact ShareHope today. It doesn’t matter if your loss was 50 years ago. We are here to help you walk the journey. Believe it or not, your child’s legacy may be helping another family just starting the process.

Jill Crews, ShareHope Program Manager Jill.Crews@neabc.com NEA Baptist Charitable Foundation 31 NEA HEALTH • 2016

M

AP has added a new way to help people get needed medicines - The Emergency Medication Fund (EMF). Patients who are in an emergency situation can call for an application, which may provide a one-time 30-day supply of non-narcotic medications.

With the new EMF program we have been able to help patients receive $2573.69 worth of medications in the last 3 months.

These patients have been blessed by this program and could not have purchased these medications on their own. Thanks to the generous donations to the EMF we will be able to continue helping our community members that are in need.

Center for Healthy Children is a FREE exercise and nutrition education program for children (8-17) who struggle with weight problems.

Spring, summer and fall programs Download an application today at

NEABaptistFoundation.org or call 870.336.1760 *BMI can be determined on our website

Volunteer Opportunities Available.

870.336-1760 NEABaptistFoundation.org

32 NEA HEALTH • 2016

Examples of who may qualify for this assistance are; patients in the Medicare coverage gap and have no way to purchase medications on their own, have a lapse in insurance coverage, have more medications than slots available on Medicaid, or have lost their job and insurance. Applicants must meet EMF guidelines.

The Medicine Assistance Program (MAP) is set up to assist uninsured and underinsured patients obtain medication free from pharmaceutical companies.

Anyone may apply regardless of who your doctor is or where you live. The income guidelines are set up by the pharmaceutical companies.

Applications are available online at www.neabaptistfoundation. org. Click on Medicine Assistance Program to download the application.

Call Terry at 870-934-5400 for more information about Medicine Assistance Program or Emergency Medication Fund.

Terry Bankston, Program Manager Terry.Bankston@neabc.com Medicine Assistance Program NEA Baptist Charitable Foundation

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NEABaptistClinic.com

Better.

Better orthopedic care to get you back in the game At NEA Baptist, we’ve created an advanced system of diagnosis and treatment, delivered by some of the most experienced orthopedic physicians in our region. Backed by the latest technology and an accomplished rehabilitation program, our award winning orthopedic team provides quality care to get you back to your life when you need us most. Get Better with Baptist.

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DOC+FINDER 870.936.NEAB (6322)Get

870.936.NEAB

(6322) NEABaptist.com 870-936-8000

NEABaptistClinic.com

Better.