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PROVIDING NORTHEAST ARKANSAS AND THE SURROUNDING AREA WITH HEALTHFUL INFORMATION
ISSUE 9
Fall/Winter 2008
www.neaclinic.com
Flu & Pneumonia Season Hospitalists - Better Care for Patients!
Immunizations/Vaccines for All Ages! Advances in Permanent Birth Control
Bunions...affect more than your feet! Staph Skin Infections New Option for Women!
Pre-dawn Workouts... Headlights Required!
Free Consultations!
LASIK
- REFRACTIVE SURGERY F. Joseph George, M.D.
New Clinical Research Page 11
TEAM HOYT
Create a Lasting Memory! Memorials & Honorariums Page 31
Page 29
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Save The Date! Duck Classic - December 11-12, 2008 Biker Classic - May 8 - 9 , 2009 www.neacfoundation.org
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On The Cover
NEA Health magazine benefits the programs of
NEA Clinic Charitable Foundation has a mission to help change lives through the programs and services it supports in Northeast Arkansas. The Foundation, through the generous gifts of our community, touches every community member and every corner of Northeast Arkansas.
F
. Joseph George, M.D. has practiced Ophthalmology in Jonesboro for 29 years. He merged his busy solo practice with NEA Clinic in April, 2004.
Thanks to all of our advertisers!
A native of Luxora, Arkansas, he grew up working in the local grocery store, owned and operated by his parents, to whom he credits his work ethic today.
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1835 Grant Ave., Jonesboro, AR 72401 h_acebo@neaclinic.com www.neaclinic.com
Dr. George received his undergraduate degree from the University of Memphis. He earned his Medical Doctorate from the University of Arkansas for Medical Sciences in Little Rock, where he also completed his Residency in Ophthalmology.
Holly Acebo, Editor/Executive Director NEA Clinic Charitable Foundation Director of Marketing NEA Clinic, NEA Baptist
Dr. George is Board Certified by the American Academy of Ophthalmology. He also has memberships in the Arkansas Ophthalmological Society, the CraigheadPoinsett County Medical Society, and the Arkansas Medical Society. He serves on the Board of Directors of the NEA Clinic Management Company and the NEA Clinic Charitable Foundation.
Christy Appleton, Director NEA Clinic Charitable Foundation Nicole Frakes, Graphic Design Katie West, Graphic Design Intern Melissa Tubbs Kim Provost NEA Health is published bi-annually for the purpose of conveying health-related information for the wellbeing 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 870-9345101 or by writing in care of this publication to: PO Box 1960, Jonesboro, Arkansas 72403. You may also e-mail h_acebo@neaclinic.com and put “NEA Health” in the subject line. Copyright© 2008 NEA Clinic Charitable Foundation. 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 Clinic Charitable Foundation.
He is married to his high school sweetheart, Peggy. They have an Italian Greyhound, Guido, and a cat named Easy. They are members of Blessed Sacrament Catholic Church. F. Joseph George, MD
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IC TY CLIN SPECIAL TER VEIN CEN TER SS CEN WELLNE TER CARE CEN WOUND
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NEA Clinic Physician Directory
1. NEA HEALTH • Fall/Winter 2008
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20+
CONTENTS
pages of advice from doctors and health professionals you know and trust. 4 Immunizations/Vaccines for All Ages
- Dr. Ray Hall, FACP
6 Flu & Pneumonia Season
“Let us run the race that is before us and never give up....” Hebrews 12:1
A
year ago I told you about my new little running gadget that motivated me to run faster, longer and more often… I really thought it would motivate me for a short time and then I’d lose interest… well, guess what?! It is still motivating me to do better and improve my runs! In fact, the last day of August there was a 10 K Nike Human Race worldwide. Some cities had actual races taking place, for the rest of us, we were runners in our own towns, on our own time. It was a very hot day, so I chose to run at NEA Clinic Wellness Center with a nice cool fan! It was spectacular! The “gadget” knows the day and time and when you complete your run and upload it to the internet it compiles your run against everyone else across the world… pretty cool.. I came in 11,211th! I don’t have a clue if that is good or bad.. but it doesn’t matter, I feel good about it! My advice to you for this NEA Health issue is to spend your energy moving forward.. don’t dwell on the past or things that didn’t work before or on things that you gave up on. Look to the future and move forward in a positive way! Congratulations to Amy on her success on the Real Weigh Program (see her on page 26!), she didn’t give up and she looks fabulous! In this issue you will learn about immunizations, vaccines, ways to stay healthy and innovative technology. Dr. Joe George is our featured article, a native of Arkansas and an extremely talented physician.. if you haven’t thought about LASIK, you should!! Read Angie’s story on how it changed her life! If you are shopping for a gift for someone, consider making a gift in honor of that special person. Your gift would be the gift that keeps on giving and helping those in need across our communities. Thank you so much for picking up this copy of NEA Health! Keep moving forward!
- Dr. Meredith Walker, FCCP
8 Bunions...affect more than your feet!
- Dr. Chris Rowlett
9 NEA Clinic Outpatient Imaging Center
10 Advances in Permanent Birth Control
- NEA Clinic - Women’s Clinic
11 New Clinical Research
12 Hospitalists - Better Care for Patients
- Dr.William Hubbard
13 Carotid Artery Disease
- Dr. D.V. Patel and Dr. Anthony White
14 Shoulder Pain
- Dr. Henry Stroope
15 New Option for Women with Heavy Periods
- Dr. Charles Dunn
16 Volunteer Spotlight - NEA Baptist 18 Refractive Surgery - LASIK
- Dr. F. Joseph George
21 Angie Fegtly & LASIK
- LeAnn Askins
22 Pre-Dawn Works - Headlights Required! 23 New Procedure for Arterial Blockage
- Dr. James Ameika
24 Family Health Chat - Staph Skin Infections
- Dr. Kenneth Dill
27
In Review
NEA Clinic Charitable Foundation
Have a Healthy & Blessed day! 34 Healthy Eating
The benefit of targeted treatments and dedicated friends.
n e a b a p t i s t .com | 8 7 0 . 9 7 2 . 7 0 0 0 3. NEA HEALTH • Fall/Winter 2008
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IMMUNIZATIONS / VACCINES FOR ALL AGES!
“Vaccination is one of the greatest public health achievements in the United States in the twentieth century. Immunizations have eradicated smallpox, eliminated polio in the Americas, and controlled measles, rubella, tetanus, diphtheria, and other diseases. Today the greatest vaccine-preventable disease burden for the U.S. population is among adults.” David Satcher, MD, PhD, Surgeon General 1999.
I
mmunization is one of the most cost-effective preventive care services available helping minimize the morbidity and mortality caused by many infectious diseases.
Health factors and age are the predominant determinants in choosing appropriate vaccinations, but lifestyles and occupational factors, immunization history, and any known reaction to previous vaccines are also considerations. The influenza vaccine is offered annually to individuals at risk for complications from the flu, including patients older than 65 years, those with chronic disease, those who are immunocompromised, and pregnant women whose last two trimesters coincide with influenza season (late December through mid March). Other groups in whom influenza vaccine administration might be considered are healthcare providers, daycare workers, college students, nursing home residents, and prisoners. The main vaccine used in the United States is a trivalent, inactive virus, but an intranasally administered vaccine from a trivalent, live, attenuated virus is also available for patients age 5-49 years. The pneumococcal vaccine is recommended for patients 65 years of age and older and those with chronic disease, particularly diabetes and alcoholic cirrhosis, in immunocompromised hosts, in patients with sickle cell disease, and in those who have undergone surgical splenectomy. Immunity likely wanes five or more years after initial vaccination with a single booster dose recommended for those continually at risk. The hepatitis A vaccine is primarily indicated when a person is travelling to developing countries that have a high prevalence of this disease and can be administered in combination with immunoglobin when immediate immunity is needed. Administration of the hepatitis A vaccine should also be considered in food handlers, men who have sex with men, injection drug users, and patients with chronic liver disease In addition to the populations for whom the hepatitis A vaccine is recommended, the hepatitis B vaccine is recommended for adolescents and young adults who have not previously been immunized, anyone with a history of STD’s, immunocompromised hosts, prisoners of long-term correctional facilities, patients born outside the United States, healthcare providers, and patients with end-stage renal disease receiving chronic hemodialysis. Tetanus is a rare disease in the United States because of the effectiveness of the tetanus vaccine. All adolescents and adults should receive a documented tetanus/diphtheria (Td) vaccine with administration of booster doses recommended every ten years. At the time of laceration wounds, it is reasonable to provide a booster dose for further prevention even if the timing of this vaccine is earlier that otherwise recommended. 4. NEA HEALTH • Fall/Winter 2008
The measles vaccine is usually administered as the MMR and includes the mumps and rubella vaccine. It is recommended for adults born after 1956 without evidence of immunity or prior infection. A booster dose should be given to adolescents and young adults because of recent outbreaks in colleges and other institutional settings. Immigrants who have not received their primary series of vaccinations should receive at least one dose of MMR. The varicella (chickenpox) vaccine is indicated in all susceptible adults and adolescents. Since 1995, it has been routinely administered to children. Administration of this vaccine should be considered in high risk groups, including healthcare workers, family contacts of immunocompromised persons, immigrants, international travelers, teachers and daycare employees, non-pregnant women of childbearing age, and residents and staff of institutional settings, such as colleges or prisons. Polio vaccination is not routinely recommended for adults but might be indicated for those who have never received or completed their primary series of vaccinations. Meningococcal vaccine is also not administered to adults routinely considering the low risk for this infection but is recommended for those at risk. The main groups at risk for polio include travelers, especially to sub Saharah Africa and college freshman living in dormitories. Immunization during local outbreaks might also be beneficial. HPV (human papilloma virus) vaccine (Gardasil®) is the first vaccine developed to prevent cervical cancer and genital warts. It is recommended for girls 11-12 years old and can be given to women 13-26 who did not get the vaccine when they were younger or who did not complete the vaccination series. Ideally girls/women should get this vaccine before their first sexual contact when they could be exposed to HPV. Herpes Zoster (shingles) vaccine (Zostavax®) is a new vaccine that is used for adults 60 years of age and older to prevent shingles. Zostavax works by helping the immune system protect one from getting shingles and the associated pain and other serious complications (postherpetic neuralgia). As with any vaccine, Zostavax may not protect everyone who receives the vaccine. Shingles is caused by the same virus that causes chickenpox. Once a person has the chickenpox, the virus can live but remain inactive in one or more nerve roots in the body for many years. For reasons that are not fully understood, the virus may become active again. Age and problems with the immune system may increase the risk of getting shingles.
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Gardasil® • Girls 11-12 years old
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Meningococcal • Exposed during recent outbreak
• May be given to girls 13-20 who did not receive the vaccine when younger or who did not complete the vaccination series
• Complement deficiencies
• Designed to prevent cervical cancer and genital warts caused by HPV
• Travelers, college dormitory residents
Hepatitis A • Occupational (travelers or food handlers) • Chronic liver disease • Men who have sex with men • Users of illicit drugs Hepatitis B • Sexually active young adults • High risk groups (healthcare workers, public safety workers, injection drug users, those demonstrating promiscuity, men who have sex with men, those with any recent acquired STD) • Assess serologic response in adults >30 Influenza • Yearly for adults age >65 • Younger adults with risk factors (chronic heart disease, chronic pulmonary disease [COPD or asthma], diabetes mellitus, renal dysfunction, hemoglobinopathies, immunosuppression) • Offered to other younger adults with pregnancy or occupational risk (healthcare workers, employees of long-term care facilities)
• Functional asplenia MMR • Adults born after 1956 without proof of immunity • Two doses for special risk groups Pneumococcal • All adults age >65 • Younger adults with risk factors (cardiovascular disease, COPD, diabetes mellitus, chronic liver disease, chronic renal failure, nephritic syndrome, functional/anatomic asplenia, immunosuppressive conditions. Chemotherapy) • Re-immunization every 5 years
Tdap-Adacel® • Prevents diphtheria, tetanus, and pertussis (whooping cough) • For Adolescents and adults 11-64 • Given as a single dose substitute for Td by injection • Wait 5 years after last tetanus, diphtheria, or pertussis vaccine • Given once in place of Dt combination then resume Dt booster every 10 years Varicella • High-risk groups (healthcare workers, family contacts of immunosuppresses persons, teachers and child care providers, residents and staff in institutional settings) Zostavax® • Adults >60 • Not for patients with a disease or condition with weakened immune system (leukemia, HIV, high-dose steroids, TB)
Polio • Only if primary series not completed
• Not to be taken during pregnancy
Tetanus • Completion of primary (three-dose) series
• Lifetime risk for Herpes Zoster is 20%
• Booster every 10 years
• Given as a single dose injection • Must wait 12 months from last shingles episode
QUICK REFERENCE CHART IMMUNIZATIONS / VACCINES FOR ALL AGES!
Pertussis (whooping cough) affects the respiratory tract causing excessive coughing fits that can disturb normal breathing. The disease might at first seem to be a regular cold but can last for weeks or months without a healthcare professional realizing that the symptoms are due to pertussis. Pertussis may affect children and adults. Adacel® is a combination vaccine designed to prevent tetanus, diphtheria, and pertussis. It is intended for both adolescents and adults 11-64 years of age. Advances in medical technology have allowed us to live healthy lives. If you have questions about any of these vaccinations for you or a child, please call us. We can help you determine what is best.
Ray H. Hall, Jr., MD, FACP Internal Medicine NEA Clinic – 870.935.4150 5. NEA HEALTH • Fall/Winter 2008
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THE FLU & PNEUMONIA SEASON Flu Vaccine – Common Questions: When is the best time to receive the flu vaccine? October and November are the best months to get vaccinated, but you can still get vaccinated in December or later. The flu season can start as early as October and last as late as May. The flu vaccine takes about two weeks to become effective, so the earlier in the season you can get vaccinated the better. How often do I need the flu vaccine? You need to receive the flu vaccine every year. Immunity after the vaccination lasts for about a year. From flu season to flu season the influenza virus may change its characteristics causing previous vaccinations to be ineffective. This requires new vaccine formulas to be given yearly to maintain protection from influenza. I’ve heard the flu vaccine can cause you to get the flu. Is this true? The flu shot contains only dead viruses; therefore it is impossible to contract the flu from the vaccine. The flu vaccine can cause low grade fever, muscle aches, headaches and fatigue. These symptoms disappear in fewer than 2 days and can be controlled with acetaminophen or ibuprofen. How effective is the flu vaccine? The flu vaccine is between 70 – 90% effective in preventing flu symptoms. In the elderly the vaccine can be 50-60% effective in preventing hospitalization or pneumonia, and 80% effective in preventing death from the flu. Even in those that get the flu, the symptoms will be less severe and recovery quicker than if the vaccine was not received. What about the flu nasal vaccine? The nasal - spray vaccine is an option for healthy persons aged 2 – 49 years of age who are not pregnant. Side effects of the nasal vaccine include: runny nose, headache, sore throat, cough and fever. Who should not receive the flu vaccine? • People with a severe allergy to chicken eggs. • People who have had a severe reaction to an influenza vaccination in the past. • People who developed Guillain-Barre syndrome within 6 weeks of getting an influenza vaccine previously. • Influenza vaccine is not approved for use in children less than 6 months of age. • People with a moderate to severe illness with a fever should wait to get vaccinated until symptoms lessen. 6. NEA HEALTH • Fall/Winter 2008
An Ounce of Prevention is W
W
ith summer coming to an end and fall and winter just around the corner, it is time to think about the flu and pneumonia season again. Every year about 5 – 15% of the population are affected with flu symptoms. It is estimated that the P re ve seasonal flu epidemic cost the United nt io States between 71 – 167 billion dollars n a year in hospitalization, health care cost, and the loss of productivity in the work force. Each year, approximately 226,000 Americans are hospitalized with complications from influenza. An average These groups of people are targeted to of 36,000 people die from the virus and its receive the flu vaccination: complications each year. Those at highest • Children 6 months of age until their 5th risk of dying from influenza are the elderly birthday. and chronically ill patients (people with • Women who are pregnant during the emphysema, heart disease, chronic renal influenza season. failure, diabetes and cancer). These people • Adults 50 years of age and older. are specifically encouraged to be immunized • Adults and children with chronic each year. It has been reported that a flu medical conditions, such as asthma, vaccine can reduce the winter mortality risk chronic bronchitis or emphysema, heart in the elderly by 50%. disease, weakened immune system, diabetes and other chronic illnesses. The elderly are not the only persons that • Residents of long – term care facilities should receive the flu vaccination. Every and nursing homes. year the flu epidemic hits schools causing • Household contact and caregivers of low attendance and in some instances school persons at high risk, including children closures. Epidemics are often spread younger than 6 months of age who are through the community through children too young to be vaccinated. This after exposure at school, and then includes parent, grandparents, sibling, transmitted to family and friends. babysitters, and daycare providers. • Health – care personnel who come in There is a much more serious consequence contact with patients. of the flu in children besides missing school. • Anyone, including school-aged There has been a recent increase in the children, who want to prevent incidence of deadly pneumonia following influenza. flu infections in children. In 2007, the federal and state public health officials began In short, anyone over the age of 6 months to receive reports from health departments old should consider taking the flu vaccine. of pneumonia in previously healthy children Be sure and ask your physician about these caused by a bacterium called Staphylococcus recommendations for you and your family aureus. The bacteria often do not respond to and receive your vaccination this flu season. typical antibiotics given for pneumonia. In these cases, many times the bacteria were Almost everyone is aware of the flu vaccine resistant to antibiotics. Many of these cases and its availability, but there is another were fatal. Of the 47 staph-caused important vaccination – the pneumonia pneumonia cases, 24 died. Most were age vaccine. In 2002 approximately 65,000 18 or younger at the time of their death. people died of pneumonia, 90% of those The scariest finding was that the average deaths were in those 65 years or older. time between symptoms onset and death Although death from pneumonia is more was four days! The take home message is frequent than death from influenza, many that vaccinating children against the flu is as of the elderly may not be aware there is a important as vaccinating adults. vaccine for pneumonia and that they should seek this life – saving protection from their doctor.
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Additional information can be found at: http://www.cdc.gov/
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http://www.vaccineinformation.org/
is Worth a Pound of Cure The pneumonia vaccine is available to prevent Streptococcal pneumonia infections. Although there are multiple other bacteria that can cause pneumonia, Streptococcal pneumonia is one of the more common causes re u C of pneumonia, accounting for 30% of pneumonias caught outside of the hospital setting. It is the most common bacteria causing pneumonia in the community.
There are two types of pneumonia vaccines available. The pneumococcal polysaccharide vaccine protects against 23 types of pneumococcal bacteria and is given to adults 65 years of age and older, and children over the age of 2 and adults with certain medical conditions. The pneumococcal conjugate vaccine was released in 2000 and is recommended for infants two months to 5 years of age.
Like the flu vaccine, the pneumonia vaccine is important in the elderly and those with chronic illness due to the increased mortality rate of pneumonia in these groups of people. The elderly are the group hardest hit by pneumonia each year.
• All adults age 65 years or older. • Anyone age two or older who has a long term health problem (heart disease, lung disease, sickle cell disease, diabetes, alcoholism, cirrhosis). • Anyone age two or older with a disease or condition that lowers the body’s resistance to infection (cancer, kidney failure, HIV infection, organ transplant patients, and patients without spleens). • Anyone age two or older who is taking any drug or treatment that lowers the body’s resistance to infection (long – term steroid use, cancer treatment, and radiation therapy). • Alaskan Natives and Native Americans.
The pneumonia vaccination has also been shown to be beneficial to children. Besides pneumonia, Streptococcal pneumonia can cause meningitis, sinusitis, and ear infections in children. In 2000 The Centers for Disease Control and Prevention (CDC) recommended adding the pneumonia vaccine to the scheduled immunizations for children. Since then, there has been a 52% reduction in hospitalizations for pneumonia in children. Despite the effectiveness of the pneumonia vaccine, past vaccination rates in those eligible for the vaccine have been low compared to those receiving the flu vaccine (28% compared to 52%). Reasons for the low vaccination rate include lack of awareness among both the patient and physician of the seriousness of pneumococcal disease and the benefits of pneumococcal vaccination. In an attempt to increase vaccination rates, Medicare has required hospitals to offer the pneumonia vaccination and flu vaccination to all eligible patients hospitalized with pneumonia. Since initiation of this plan the death rate from flu and pneumonia has fallen sharply. The Mortality rate fell by 12.8% between 2005 and 2006.
The CDC recommends the pneumococcal polysaccharide vaccine for:
The CDC recommends the pneumococcal conjugate vaccine for: All infants beginning at two months of age should receive a four-dose series of vaccine; catch – up vaccination is recommended for children younger than age 5 years who did not receive the vaccine on schedule. Ask your physician about these recommendations and if you or members of your family need to receive the pneumonia vaccine.
Meredith Walker, MD, FCCP Pulmonary NEA Clinic – 870.935.4150
http://www.medicareinteractive.org/
Pneumonia Vaccine – Common Questions: When should I take the pneumonia vaccine? The pneumonia vaccine can be given at any time. You do not have to wait until the flu or pneumonia season to receive the vaccine, however it can also be given with the flu vaccine. How often should I take the pneumonia vaccine? In most cases the vaccine has to be taken only once; however a repeat vaccine is recommended if you are over 65 years of age and received the first vaccination under the age of 65 more than 5 years ago. A second dose is also recommended for people who have cancer, sickle cell disease, HIV infection, kidney failure, organ transplant patients, those taking medicines that lower immunity and people with damaged or no spleen. How effective is the pneumonia vaccine? Unfortunately, no vaccine is 100% effective. The pneumonia vaccine protects against Streptococcal infections, but there are other bacteria and viruses that cause pneumonia that are not prevented by the vaccine. The overall effectiveness in preventing serious illness from Streptococcal pneumonia is about 60 - 70%. In children, the pneumococcal conjugate vaccine has been found to be about 90% effective against all types of Streptococcus pneumonia. How safe is the pneumonia vaccine? Both forms of the pneumonia vaccine are very safe. Side effects of the vaccine are usually mild and similar to the Flu vaccine. Is there anyone who should not receive the pneumonia vaccine? Persons that had a severe allergic reaction to one dose should not receive another (such reactions are rare). Persons who are moderately or severely ill should wait until their condition improves to be vaccinated. The safely of the pneumonia vaccine for pregnant women has not been studied, although no adverse consequences have been reported among newborns whose mothers were vaccinated during pregnancy. Women who are at high risk on pneumococcal disease should be vaccinated before becoming pregnant, if possible. Does Medicare help cover the cost of the pneumonia vaccine? Yes. Medicare Part B pays for both the pneumonia and flu vaccine without requiring any co - pay from the patient. Also, other insurances may help cover the cost of these vaccinations. 7. NEA HEALTH • Fall/Winter 2008
Bunions...affect more than your feet! A
bunion is a common term used to describe a foot problem where a bump is present at the big toe joint. When a bunion is present the big toe usually begins to point towards the smaller toes. This can be painful in a couple of different ways. Sometimes the bump becomes large enough that it rubs on shoes causing discomfort or even a blister. The joint itself can also be painful if it is out of alignment causing poor range of motion and arthritis. When the big toe moves towards the other toes it can also put pressure on the second toe causing pain and can even help create a hammertoe deformity of the second toe. On occasion the bunion can be responsible for calluses which can be quite painful. When pain does occur it may cause a person to stay off of their feet and avoid walking or other activities. This can harm your overall health both physically and mentally if you’re unable to do the things you enjoy.
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The causes for these bunions usually aren’t as simple as they seem. Many people believe that the bump is just a result of a buildup of the bone, while this is possible there is usually another cause. Most bunions are the result of a higher than normal angle between the 1st and 2nd metatarsals. The metatarsals are the long bones in your foot that help form the joint between your toes and your foot. When the angle between these bones is higher than normal it causes a muscle imbalance which can cause the big toe to be pulled towards your smaller toes. When this occurs the joint can get out of alignment and can cause the appearance of a bump on the inside part of your foot.
What can be done to correct bunions? Treatments vary for each and every patient and with the severity of the bunion. First, some find relief with wider shoes. Wider shoes will decrease the pressure on the bump and give the toes some extra room. For those who don’t find relief with wider shoes an orthotic will sometimes provide relief by giving the foot extra support and better alignment. Sometimes people will not get enough relief from these two options and may need surgery. The type of surgery for the bunion is selected by the severity of the bunion and the symptoms that occur with it. Some bunions can be corrected with removing the bump and correcting the soft tissue which is usually contracted. Many, though, need to have the bone moved to reduce the angle between the long bones in the foot.This requires a cut to be made in the bone and pins or screws to hold the bone in place while it heals. Some may even require a joint replacement for the big toe joint or in the most severe cases a fusion of the joint. Recovery from these procedures is usually about 4-6 weeks in a special shoe or boot which limits the amount of motion in the foot. Most people are able to walk soon after the surgery as long as they are in the protective shoe or boot depending on the type of surgery. There is one other type of bunion which should be mentioned. It is somewhat similar to the bunion explained above but it occurs at the little toe joint. It is referred to as a tailor’s bunion. It can cause the same sort of problems and treatment for it follows the same path. Wider shoes or orthotics will sometimes help but if these do not help the tailor’s bunion may need surgery to get relief from pain. The recovery time for a tailor’s bunion is also usually around 4-6 weeks. Don’t let foot pain keep you from being active and doing the things that you want to do. If you are having foot pain because of a bunion, get it checked out.There is likely something that can be done about it. Being active is a foundation for a healthy lifestyle and your feet are very important for taking you down that path. Chris Rowlett, DPM Podiatry NEA Clinic – 870.932.6637
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NEA Clinic Outpatient Imaging Center Welcomes Heart Guild Sweethearts
N
EA Clinic Outpatient Imaging Center, located on Apache Drive, hosted the American Heart Association Heart Guild Sweethearts for a morning of heart health education and screenings on February 23, 2008. Each Sweetheart had the opportunity to receive a free heart screen for one parent and a tour of the facility.
The Heart Scan CT, offered by NEA Clinic, can uncover heart disease in less than seven minutes and possibly years before you have a symptom. It’s completely noninvasive. There are no needles, no dyes, no injections, and no exercise. That means its risk free. The test itself is 100% comfortable and convenient. NEA Clinic partners with the American Heart Association Heart Guild to raise awareness about heart disease and to aid in prevention. NEA Clinic is the largest and most comprehensive multi-specialty group practice in the region, made up of over 90 physicians providing care in 30 medical specialties. The mission of NEA Clinic is to provide comprehensive, personalized, quality healthcare for our patients throughout the Northeast Arkansas region.
Every year more than 1.5 million Americans suffer from heart attacks. A half a million die. That number continues to grow and it includes women as often as men. The age at which heart disease occurs continues to lower. Most victims never see it coming. They have no symptoms. No chest pain. No numbness in the left arm...no suspicion that the “silent killer” is at work, until it’s too late.
Hear t Scan...
For more information on NEA Clinic Outpatient Imaging Center or the heart scan, visit us at www.neaclinic.com. For an appointment with our heart team, call 870-935-4150.
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Permanent Birth Control
A
significant advance in permanent birth control utilized worldwide is now being offered at the NEA Clinic - Women’s Clinic. The Essure® procedure allows doctors to provide women with the first and only non-incisional alternative to tubal ligation, eliminating the risks of surgery and general anesthesia. The doctors at NEA Clinic - Women’s Clinic are now performing the Essure® procedure in an office setting. We’re very excited to be able to offer women this proven and reliable method of permanent birth control. It is over 99.80% effective without the use of hormones and is covered by most insurance plans. During the Essure® procedure, the doctor places a soft, flexible coil called a “micro-insert” into each fallopian tube using a small catheter. Because the procedure does not involve incisions, it can be performed with just a local anesthetic. Most patients leave the doctor’s office less than an hour after the procedure, with most patients returning to their normal activities the next day. Once in place, the Essure® micro-inserts cause tissue to grow in and around the devices, forming a barrier that blocks the fallopian tubes. The barrier takes about three months to form so a woman will continue to use an alternative form of birth control during that time. The barrier formed by the Essure® micro-inserts is confirmed with a special x-ray The doctors at the NEA Clinic - Women’s Clinic agree that the Essure® procedure gives women the piece of mind that they are protected from unintended pregnancy. Tens of thousands of women in the U.S. are relying on this revolutionary method of permanent birth control. If you would like more information about the Essure® procedure, visit www.essure.com or contact the NEA Clinic - Women’s Clinic at (870) 972-8788. Short Safety Summary: The Essure® system is not reversible and should be used only if you want to be sterile (not able to conceive a child) for the rest of your life. Like all methods of birth control, the Essure micro-inserts should not be considered 100% effective. Not all women who have had the Essure® procedure will be able to have both micro-inserts placed. You must use another form of birth control for at least three months after the procedure. The Essure® micro-inserts remain in the body permanently and if removal is necessary, it would require surgery. The Essure® procedure may not be suitable for all women and there are risks involved.
3104 Apache Dr. Jonesboro, AR 72401 (870) 972-8788 www.neaclinic.com 10. NEA HEALTH • Fall/Winter 2008
Front Row:Charles L. Barker MD, PhD, FACOG • Norbert Delacey MD, FACOG • Michael Hong MD, FACOG Back Row: Lorna M. Layton MD, FACOG • Charles C. Dunn MD, FACOG • Mark C. Stripling MD, FACOG
Innovation right here in Northeast Arkansas!
T
he leader in medical research, NEA Clinic brings more new and important clinical trial opportunities to Northeast Arkansas than any other healthcare provider. A clinical trial is a research study conducted with volunteers to answer specific health questions. Carefully conducted clinical trials are the fastest and safest way to find treatments that work and improve patient care. Benefits of Clinical Trials: • New and improved treatment options for patients • Fewer side effects • Latest treatment options close to home • New standards of care • Free medical care • Reimbursement for time and travel may also be provided.
*Current Clinical Trials: Anemia Women’s Health Cardiac Trials Diabetic Trials Dual Coagulation Therapy Genital Warts Hot flashes Hypertension Insomnia Newly Initiated Byata Observational Study Allergies Arthritis Swimmer’s Ear
Oncology Trials: Breast Cancer Esophageal Cancer Lung Cancer Colon Cancer Rectal Cancer Lymphoma We also have registry studies open for colon, lung, lymphoma and myelodysplatic syndrome.
*complete list of trials on website
If you would like to become part of an exclusive group of people benefiting from and helping clinical research, please contact us.
www.neaclinic.com
T
Clinical Research Center
he people who say they don't have time to take care of themselves will soon discover they're spending all their time being sick." -Patricia Alexander
11. NEA HEALTH • Fall/Winter 2008
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Better Care for Patients!
By LeAnn Askins
F
ollowing a growing trend by clinics and hospitals across the country, a program has been expanded locally to more efficiently assist patients who require hospitalization. Since January, the hospital medicine program for NEA Clinic now includes six physicians who work to offer better care to patients hospitalized locally. Hospitalists, as they are often referred, focus on the care of hospitalized patients rather than seeing patients in a traditional clinical setting.
physicians, but they also assist patients who have been admitted for surgery and patients who are transferred to NEA Baptist for more specialized care. “It helps our surgical specialists to see our patients before and after surgery and attend to their medical needs,” Hubbard explained. Dr. Kara Cooper, a physician who became part of the hospitalist program in January, said she was quickly able to see first-hand the benefits of the program. “They are seen by physicians that specialize in taking care of patients in the hospital which is very different from taking care of patients in the office,” she explained.
Many doctors who choose to become hospitalists are trained in internal medicine or family practice, explained Dr. Bill Hubbard, the first of the NEA Clinic physicians to practice hospital medicine. “The prime objective is to “It’s one of the fastest increase time with patients growing specialties in the and thus improve care,” United States,” he noted. Dr. Hubbard stressed. Hubbard, a specialist in pulmonary medicine, said over the last 15 years he has seen a growing need locally for a physician to be at the hospital to admit and regularly check in on NEA Clinic patients. About three years ago he became a hospitalist, serving as the lone hospitalist for about a year before two more physicians, Dr. Robert White and Dr. Brock Harris, were added to the hospital care team. He has seen the program rapidly grow since then. Today, two hospitalist teams follow about 40 to 50 patients at any given time. The majority of these patients are hospitalized at NEA Baptist Memorial Hospital. “It’s grown over the last three years and we still see a need for continued growth,” he noted. Hubbard said there are a number of benefits to patients through hospital medicine, with the most obvious of those being more concentrated care. Because a hospitalist doesn’t have to juggle time in the clinic and at the hospital, the physicians are able to spend more time explaining conditions and treatments to hospitalized patients and are also able to consult with other physicians to offer more efficient care. “The prime objective is to increase time with patients and thus improve care,” he stressed. Hospitalists often see patients who have been referred to them by NEA Clinic primary care 12. NEA HEALTH • Fall/Winter 2008
Hubbard noted that the primary care physicians are always kept apprised of a patient’s condition. And, because of the electronic records available through NEA Clinic, all medical records are updated immediately so that the primary care physician and hospitalist both always know what is happening with each patient. Between shifts there is also time for the hospitalists to update each other on what is going on with each patient. “I like taking care of people in the hospital because I like being able to help people when they are really sick,” Cooper noted. “I also like the interaction with other physicians in the hospital setting. I feel like I learn something everyday.”
It is generally accepted that the average patient is required to spend less time in the hospital when being seen by a hospitalist.This results from efficiencies inherent with a physician being available around the clock.
Since the program has been implemented with NEA Clinic physicians, patients have expressed how much they appreciate the concentrated care, Hubbard said.
There are also benefits for the participating NEA Clinic primary physicians because they can stay focused on their patients in the clinic and aren’t forced to leave the clinic to see those who are in the hospital. The primary care physicians know their patients are being attended to, and can offer consultations as needed. Once a patient is discharged, he returns to the care of the primary care physician.
Cooper said some patients are at first confused about not being about to see their regular physician, but once the program is explained to the patient, most of them understand the benefits.
For hospitalists, there is time to focus only on those in the hospital who need to be assisted.
“We’re really excited about it,” Hubbard said. “We think it’s really made a difference.”
Cooper said there are a number of benefits for all physicians who have patients seen by hospitalists.
Cooper, whose specialty is preventive medicine, public health and family medicine, said she believes hospital medicine will continue to gain popularity with both patients and physicians.
“It allows them to concentrate on their patients in the clinic so they are able to spend more time with patients and they are able to see more patients,” Cooper explained. “It also allows the physicians more time with their families.”
“Everyone seems to be really happy with it.”
The feedback has included that patients feel they get more time with physicians and receive more thorough care.
NEA Clinic Hospital Care Team: Robert White MD, William Hubbard MD, Kara Cooper MD, Brian McGee MD, Brock F. Harris MD
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CAROTID ARTERY DISEASE
-the leading cause of stroke-
C
arotid artery disease (CAD) is caused by fatty deposits, called plaque, which build up in the neck's largest artery feeding the brain. CAD is a dangerous condition that can lead to stroke.
D.V. Patel, MD, Anthony White, MD
For many people, unfortunately, the first symptom of CAD is the stroke itself. Others, however, may experience a "transient ischemic attack" (TIA, or "mini-stroke") beforehand, warning them that a stroke could be coming. The symptoms of TIA are classic:
The factors might place you at risk:
- Weakness, numbness or tingling on one side of the body or one arm or leg - Temporary loss of control in one arm or leg - Partial loss of vision in one eye - an experience often compared to a window shade being drawn - lasting 5 to 15 minutes
• High levels of "bad" cholesterol and triglycerides (fats) in the blood • High blood pressure
A TIA may also cause slurring or inability to speak for up to 30 minutes. Although a TIA usually leaves no lasting damage, it must be reported to a health care provider immediately.
• Diabetes
There are many ways to diagnose carotid artery disease - it might even be detected by a stethoscope during a normal checkup. But that's not foolproof. You can get a more reliable diagnosis from tests such as:
• Family history of coronary artery disease
1. Ultrasound imaging: Sound waves check your blood flow and measure the thickness of your carotid arteries. Ultrasound, which is painless, can detect plaque, blood clots or other problems with blood flow in the carotid artery.
• Smoking
• Obesity • Lack of exercise
2. Arteriography: A dye is injected into the arteries. X-ray equipment detects the dye material, allowing the physician to "see" the vessel paths. Also called "angiography," this procedure gives excellent pictures of the body's blood vessels and any physical obstructions. 3. Magnetic Resonance Imaging (MRI): The patient is placed in a strong magnetic field and exposed to radio waves. A computer analyzes the waves and produces detailed, computergenerated images of blood vessels. The procedure is painless. 4. Computed Axial Tomography (CAT) Scan: A thin X-ray beam rotates around the patient. When analyzed by a computer, the X-ray produces an image resembling a "slice" of the blood vessel. The slices are stacked, resulting in a clear picture of the vessel. If you're concerned about your risk of carotid artery disease, call (870) 897-9154. The staff at NEA Clinic Cardiology can explain risk factors and help determine your best path for diagnosis and possible treatment. 13. NEA HEALTH • Fall/Winter 2008
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REVERSE THINKING
FOR
S HOULDER P AIN
R
otator Cuff pain and dysfunction can be very disabling for many patients. Often surgical repair of this important structure can eliminate pain and restore normal function, but for some, repair may be impossible lending to chronic severe pain and significant dysfunction.
Previous treatments for chronic rotator cuff deficiency included physical therapy, pain medication, or partial shoulder replacement called hemiarthroplasty. These treatments were often less than satisfactory and did not solve the muscle weakness and imbalance that causes poor function.
MELANIE SEFCIK
But there is now new technology available that may relieve intense shoulder pain, restore joint stability, and significantly improve shoulder function. Patients affected with loss of the rotator cuff may now be able to comfortably reach above shoulder level and perform previously impossible tasks such as combing their hair or hanging clothing in a closet. The new shoulder system called Delta XTend™ Reverse Shoulder by DePuy Orthopedics, Inc., alters the normal anatomy and restores the strength of the deltoid muscle. This allows improved shoulder function and can dramatically improve the quality of life for many patients.
GARY FARRAR
In a normal shoulder, the upper arm bone (humerus) ends in the shape of a ball. The ball fits into a shallow socket (glenoid) formed by the shoulder blade (scapula). Together, this ball-and-socket joint makes up the shoulder.
RICK ADKINS CFP®, ChFC, MBA
KRISTINA BOLHOUSE CPA/PFS, CFP®
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14. NEA HEALTH • Fall/Winter 2008
Severe rotator cuff pain is a condition in which the rotator cuff muscles and tendons have degenerated to the point where they can no longer provide shoulder stability or allow normal function. In many cases, the cause of the weakness and pain may be arthritis, previous shoulder fracture, rotator cuff tear or failed shoulder surgeries. Patients often complain of extreme pain and/or severe loss of shoulder movement. The new implant reverses the anatomy so that the ball portion is attached to the scapula, or shoulder blade, and the socket portion is connected to the humerus, or upper arm. Hence, the name Reverse Shoulder. The Delta XTend™ Reverse Shoulder has been used in Europe for over 20 years and has demonstrated restored motion, pain relief, improved stability, and improved function when implanted in appropriate patients. The Reverse Shoulder is new to the United States, being introduced approximately three years ago on a limited basis. As more orthopedic surgeons learn of the device and its indications and results, use of this exciting technology will expand. NEA Clinic – Orthopedic and Sports Medicine and NEA Baptist Memorial Hospital are proud to offer the Reverse Shoulder to the people of Northeast Arkansas.
Henry Stroope, MD Orthopedic Surgery & Sports Medicine NEA Clinic – 870.932.6637
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New Option for Women with Heavy Periods! I
n Arkansas, as well as across the United States, as many as 20 percent of women suffer from heavy and prolonged menstrual bleeding which can alter their lifestyle. Unfortunately, most of these women do not seek treatment for this condition. Symptoms can include anemia with associated fatigue as well as restricting their activities for fear of having to change clothes during the day. Many women who suffer from heavy periods may not realize that there are many options in terms of treatments. The first step is to recognize that the flow that they may be experiencing is abnormal and should be evaluated by their healthcare provider. When this abnormal bleeding is diagnosed the cause may be determined and then ways of providing relief will be discussed. Treatment can range from use of oral contraceptive pills and various other hormone interventions to surgical modalities. The most aggressive method is hysterectomy, where the uterus (womb) can be removed either vaginally or abdominally. Although this will result in a permanent cure it also involves recovery time and is a more involved procedure than a relatively new procedure called endometrial ablation.
Symptoms that may be signs of a problem period: • Cycle lasting more than 7 days • Use of 20 or more pads or tampons in a single day • Changing a pad or tampon more than once per hour • Altering your lifestyle in order to accommodate your period • Missing work or social activities because of your cycle • Experiencing spotting or bleeding between menstrual cycles
Charles Dunn, MD, FACOG Obstetrics & Gynecology NEA Clinic - Women’s Clinic – 870.972-8788
Endometrial ablation* revolves around an outpatient surgery whereby the lining of the uterus, called the endometrial lining, is compromised with an electric current causing it to scar most, if not all, of the tissue. The endometrium is the source of bleeding and therefore, in most cases, the monthly cycle is either stopped or dramatically decreased to a comfortable level. Recovery is quick and women can return to their regular lifestyle soon after the procedure. In May 2007, the American College of Obstetrics & Gynecologists issued guidelines for the treatment of problem periods. They suggested that endometrial ablation be considered as an appropriate first line treatment for women with “patient perceived heavy menstrual bleeding.” If you suffer from heavy periods that may be preventing you from doing the things you love to do, please visit your healthcare provider and initiate a work up which can lead to a resolution of the problem cycles. *Edometrial Ablation is offered by all the phycisians at the NEA Clinic Women’s Clinic. 15. NEA HEALTH • Fall/Winter 2008
VO LU N T E E R SP OT L I G H T
Vana Tharp
V
ana has been a volunteer for the NEA Baptist Auxiliary for 1 ½ years. Vana helps out in many areas of the hospital, but her focus is the gift shop. Vana worked for a doctor’s office for several years and thought volunteering for the hospital would be a natural transition. She enjoys being around people and loves the sense of satisfaction in knowing that she made someone’s day brighter. Vana typically works for 4 hours once or twice per week. This is a typical schedule for a gift shop volunteer, although volunteer hours can vary.
For more information about the NEA Baptist Auxiliary or to make a difference by volunteering, please call (870) 972-7000.
www.neabaptist.com
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Local Ownership & Hometown Caring . . . World Class Technology & Service ! © 16. NEA HEALTH • Fall/Winter 2008
NEA_Health_fall_winter_08 (Page 16).pdf 1
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This non-invasive technology enables patients to improve hand function and voluntary movement, helping them return to daily activities with confidence and comfort. The NESS H200 surrounds a patientâ&#x20AC;&#x2122;s hand and forearm and uses functional electrical stimulation to improve upper extremity rehabilitation with extraordinary results. With consistent treatment, patients may experience:
The NESS L300 is a low-profile device worn on the lower leg and foot. The system features the Intelli-Senseâ&#x201E;˘ gait sensor that provides real-time dynamic gait recognition allowing patients to automatically adjust to different surfaces, walking speeds and uneven ground. Through a therapy program, the NESS L300 may contribute to:
s Improved hand function with voluntary movement s Muscle re-education s Reduced spasticity s Atrophy prevention s Increased range of motion and blood circulation
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5Sb [OfW[c[ ]cbQ][Sa eWbV 6SOZbVA]cbV ^]ab ab`]YS `SVOPWZWbObW]\ To help you reclaim independence following a stroke, HealthSouth
For more information, call 870 932-0440
Rehabilitation Hospital of Jonesboro offers the latest technology and
A Higher Level of Care
treatments for a more successful post-stroke recovery. Our experienced, multidisciplinary team of physicians, rehab nurses and
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Go to
Join the fight by registering as part of TeamNEA today in the Susan G. Komen Race for the CureÂŽ!
NEA Pink Panthers Password - teamnea
www.komenarkansas.org
For more information e-mail Laua Taylor: L_taylor@neaclinic.com
14th Annual Race for the CureÂŽ
Sat., Oct. 11, 2008 Little Rock, Arkansas 17. NEA HEALTH â&#x20AC;˘ Fall/Winter 2008
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Cover Story
LASIK LASIK stands for Laser-Assisted In Situ Keratomileusis and is an outpatient surgical procedure that uses a cool laser beam to gently reshape the surface of the cornea, the clear covering of the front of the eye. The beam gently pulses to remove a microscopic amount of tissue, allowing images to be more sharply focused on the retina. LASIK causes little or no discomfort and improves vision. The goal of LASIK is to reduce dependence on glasses or contacts.
Refractive Surgery –
LASIK S
urgical procedures aimed at improving the focusing power of the eye are called Refractive Surgery.
LASIK is the most widely performed surgical refractive procedure in the U. S. LASIK stands for laser-assisted in situ keratomileusis (reshaping the cornea “in place” with a laser). In LASIK surgery, precise and controlled removal of corneal tissue by an ultraviolet laser reshapes the cornea, thereby changing its focusing power. The cornea is the clear, front part of the eye that accounts for approximately 60% of the focusing power. Small changes in corneal curvature can produce significant refractive (focusing) changes. Imperfections in the focusing power of the eye are called refractive errors. There are three primary types of refractive errors: myopia (nearsightedness), hyperopia (farsightedness), and astigmatism (blurry vision caused by irregularity of the cornea). Combinations of myopia and astigmatism or hyperopia and astigmatism are common. Glasses or contact lenses correct these refractive errors. LASIK is intended to reduce or totally eliminate a person’s dependency on glasses or contact lenses.
D
continued page 20
F. Joseph George, MD
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FAQ’s What is a LASER? The acronym for light amplification by stimulated emission of radiation. A laser is an instrument that produces a powerful beam of light that can vaporize (remove) tissue.
What is LASIK? The acronym for laser-assisted in situ keratomileusis which refers to creating a flap in the cornea and using a laser to reshape the underlying corneal tissue.
What is Refractive Surgery? Surgical procedures to improve the focusing power of the eyes. LASIK is the most popular due to faster visual recovery and less postoperative pain.
Why do patients Refractive Surgery?
choose
Patients choose refractive surgery for a variety of reasons. The most common motivation is a desire to decrease or totally eliminate the need for glasses or contact lenses. This desire may be related to working conditions, sport activities, or simply for cosmetic reasons.
How does CustomVue “Wavefront” LASIK differ from Conventional LASIK? “Wavefront” refers to the measurement of the total refractive errors of the eye – nearsightedness, farsightedness, astigmatism, and other refractive errors (higher order aberrations) that cannot be corrected with glasses or contact lenses. CustomVue “Wavefront” LASIK attempts to eliminate the higher order aberrations, whereas Conventional LASIK cannot. In a few studies comparing Wavefront guided LASIK to Conventional LASIK, a slightly larger percentage of
subjects treated with Wavefront LASIK achieved 20/20 vision without glasses or contact lenses compared to subjects treated with Conventional LASIK.
What are the risks? The vast majority of patients are very pleased with the results of refractive surgery. However, as with any medical or surgical procedure, there are risks involved. The most important consideration in an effort to lessen risks is patient selection. A thorough preoperative evaluation, with strict adherence to established criteria relating to one’s qualification for LASIK, significantly reduces complications. Your eye doctor will address benefits, risks, and alternatives during the preoperative evaluation.
Will Insurance Pay for LASIK? Medical insurance will not pay for any type of refractive surgery. However, payment plans are available with NEA Clinic Eye Center. Call today for a free consultation, 870.932.0485.
19. NEA HEALTH • Fall/Winter 2008
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LASIK = Summer Vacation with LASIK
D
continued from page 18
Before LASIK Surgery An initial or baseline evaluation by your eye doctor will determine if you are a good candidate for LASIK. To qualify, certain strict criteria must be met. In particular, the eye itself must be healthy. For example, patients with severe “dry eyes” would not be good candidates. Some systemic medical conditions (lupus) or medications (steroids) that affect wound healing would also disqualify you.
Call for a FREE Consultation! – 870.932.0485
Mention this article at your consultation and receive a special gift!
During LASIK Surgery The LASIK procedure is performed in the office. Upon arrival, a WaveScan measurement is obtained to further evaluate the refractive error prior to CustomVue “Wavefront” LASIK. A mild sedative is given for relaxation. You will lie on your back in a reclining chair in the “laser room”. Anesthetic (numbing) drops will be placed in your eye. The eyelids will be cleansed and held open with a lid speculum. A microkeratome, a blade device, is used to create a corneal flap. The laser light will vaporize (remove) some corneal tissue beneath the flap, thereby reshaping the cornea and correcting the refractive error. The corneal flap is then returned to its original position. The procedure takes approximately 10 minutes per eye.
After LASIK Surgery A shield or goggles will be placed over your eyes at the end of the procedure. This serves as protection from rubbing or accidental injury since no sutures are used to hold the flap in place. Eye drops will be given to prevent infection and inflammation. Artificial tears will be used frequently for lubrication. You will be seen for examination in 24 hours and at regular intervals thereafter until complete healing occurs. NEA Clinic Eye Center utilizes the VISX Excimer Laser System which was approved for use by the Food and Drug Administration (FDA) in November, 1999. I am certified in its use and also certified to perform CustomVue “Wavefront” LASIK. You may call our office to schedule a free consultation to see if you are a candidate for LASIK. F. Joseph George, MD Ophthalmology NEA Clinic Eye Center – 870.932.0485
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No Glasses or Contacts! “My vision is so much better than it was with contacts or glasses,” Angie Fegtly, NEA Clinic Eye Center LASIK Patient pictured with her family
“It has helped me in so many ways: at work, playing tennis and even driving at night,” she explained.
Angie Fegtly & LASIK By LeAnn Askins
S
ometimes it truly is the simplest things that can make a difference in someone’s life.
Simply being able to see the alarm clock in the middle of the night without searching for glasses and swimming without fear of losing contacts are small things that really add up for those individuals who have been glasses or contact lens wearers for years. For sometime Angie Fegtly had considered her options for better vision, and one of those possibilities continued to be undergoing LASIK Vision Correction, a procedure that uses a laser to reshape the surface of the cornea of the eye. On Dec. 17, 2007, Fegtly took the step for better vision by undergoing Custom View LASIK by Dr. Joseph George at the NEA Clinic Eye Center. After wearing glasses or contacts for about 23 years, Fegtly said the improvement in her vision was evident immediately. “My vision is so much better than it was with contacts or glasses,” she noted. “Because of my astigmatism, I was never able to see 20/20 in glasses or contacts, but now I can thanks to LASIK.” Fegtly said by having the Custom View LASIK, Dr. George was able to correct the imperfections that had never allowed her to achieve 20/20 vision.
Fegtly admits that she was often bad about wearing her contacts for extended periods of time, but before having the procedure had to have her contacts out for a while and relied on her glasses. It was then that she realized exactly how bad her vision was, and she thought even more about the health consequences that may have come about if she continued to wear her contacts so much without removing them. “You realize what a difference it makes,” she added. Fegtly said she knew from the beginning that if she was going to have the procedure, she wanted Dr. George to perform it. “I specifically chose Dr. George because I knew that I could trust him every step of the way,” she explained. “He took every precaution to determine if I was a qualified candidate for LASIK. And, even during the procedure, he kept me informed that everything was going perfectly. Dr. George and his staff were very caring before, during and after the procedure.” Fegtly said her only regret is that she didn’t have the procedure sooner so that she could have been enjoying a life free of glasses or contacts even earlier. “I feel like I have been given a miracle,” she noted. “To be able to see without glasses or contacts is just amazing to me after wearing them for so many years.” Fegtly acknowledges that she knows some people are still leery of having a procedure done on their eyes. “I was afraid too, but Dr. George eased my fear,” she said. “The procedure was not painful in any way and was over with in a matter of minutes.” “It was just really easy. It was quick and painless,” she added.
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Pre-Dawn Workouts Becoming More Popular...Headlights Required!
A
s I get older, my life gets busier! Once the sun comes up, each hour is strategically planned with meetings, writing and placing orders, and promoting and selling products. After work hours are dedicated to family and friend time, community activities, and sporting events. Squeezing in a workout becomes difficult. That is why I have found the peaceful pre-dawn workout time. It is the only time of day, when I don’t feel guilty leaving my family to go workout because they are sound asleep. My husband and I rotate early morning workouts during the week to assure we both get our miles in! But we are not the only ones who have discovered this time of day. In fact, each day I am greeted by other runners and cyclists along my path. Who knew 5:00am was such a popular time of day! Because of daylight savings, our daylight hours are decreasing each day. With that in mind please consider the following safety tips… If you are riding a bike at dark, you should absolutely use a front and rear light. It is required by law. Even for daytime riding, a bright white light that has a flashing mode can make you more visible to motorists. Look for the new LED headlights which last ten times as long on a set of batteries as old style lights. Helmet or
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head mounted lights are other options, because then you can look directly at the driver to make sure they see your light. For runners, there are also many options. High quality reflective gear such as vests or a safety triangle are the best way to go, but there are lights that attach to your arms, legs, and even your clothing. Look for words such as 3M Scotchlite or LED lighting. Remember to empathize with the vehicles around you, They are not purposely trying to disturb your workout! They are simply trying to get from point A to B. Cyclists are considered a vehicle so riders must obey all traffic laws. When a vehicle is trying to get around you, move into a single file pattern and stay as close to the shoulder of the road as possible. Runners should always run against traffic on the sidewalk or on the shoulder of the road.
Happy “Safe” Trails…
Amanda Herget Gearhead Outfitters www.gearheadoutfitters.com
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New Procedure for Arterial Blockage
Diamond Back 360 C R U S H I N G
P L A Q U E
D
r. James Ameika is the first physician in Northeast Arkansas to use a new technology that will keep people with arterial blockages in their legs from having to undergo several operations.
The technology, the Diamondback 360, is named for the diamond-encrusted head that guides wire through an artery. It takes away the plaque built up in the artery. Dr. Ameika said this procedure is very successful. Unlike balloons and stents, this procedure is more effective because the device breaks plaque into small pieces and prevents large pieces flowing to lower extremities and causing more blockages. “The Diamondback tends to grind down the blockages into much smaller pieces,” Ameika said. “With the balloon, the same amount of blockage still exists, the artery is just smashed wider open.” This procedure is very safe and takes only 45 minutes to 1 hour. “Like a razor, which takes away the hair instead of cutting the skin, it bounces off the healthy tissue ... but it grinds away at the plaque,” he said. Although this is an easy and safe procedure, healthy habits are always recommended for a better recovery. “Smoking, exercise, diabetes management, cholesterol monitoring are all important factors in the patient’s recovery,” he said. “If a patient goes back to their evil ways, they’ll be at higher risk for re-narrowing,” said Dr. Ameika. He adds that the new procedure was also better for diabetics because their blockages tend to calcify harder than normal. The grinding action better removes the hard plaque. James Ameika, MD Cardiovascular & Thoracic Surgery NEA Clinic– 870.932.0485 ANES THES IOLOGY CARD IOLOGY CARD IO THOR VASCULAR ACIC SURG & ERY CLINIC AL RE SEAR CH DERM ATOL OGY EMER GENC Y MEDI CINE ENDO CRINOL OGY FAMILY PRAC TICE GAST ROEN TERO LOGY GENE RAL SU RGER HEMAT Y OLOG Y/ONCO HOSP LOGY ITALIST INTERN AL MED IC INE LONG TERM CARE NEPH ROLO GY NEUR OLOG Y NEUR OSUR GERY OBST ETRICS & GY OCCU NECO PATION LOGY AL MED OPHT ICINE HALM OLOG Y ORTH OPED IC SU RGER OTOL Y ARYN GOLO GY (E PAIN NT) MANAG EMEN PEDIAT T RICS PHYS ICAL THER APY PLAS TIC & RECO SURG NSTR ERY UCTIVE PODIAT RY PULM ONOL OGY RADIOL OGY RHEU MATOL OGY SLEE P MED ICINE SPEC IALTY CLINIC VEIN CENT ER WELLN ESS CE NTER WOU ND CA RE CE NTER
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23. NEA HEALTH • Fall/Winter 2008
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Staph Skin Infections Stye, Boil, Impetigo, Cellulitis
P
hysicians in Northeast Arkansas have been seeing an increasing number of patients with skin infections caused by Staphylococcus aureus (“Staph”) bacteria that are resistant to many antibiotics (drugs that kill bacteria), also called methicillinresistant Staphylococcus aureus—”MRSA.” It is the leading cause of skin and soft tissue infections such as abscesses (boils), folliculitis, and cellulitis. Symptoms of a staph skin infection include redness, warmth, swelling, tenderness of the skin, and boils or blisters. An abscess is a pocket of infection that forms at the site of injury, is usually filled with pus. The area surrounding the abscess is usually red, painful and swollen and the skin surrounding the abscess can feel warm to the touch. Folliculitis consists of red bumps with or without very small collections of pus that are centered around individual hair follicles and can be located anywhere there is hair on the body including the nose, eyelids, genital organs, and anus. A furuncle, commonly known as a boil, is a swollen, red, painful lump in the skin, usually due to an infected hair follicle. The lump usually fills with pus, growing larger and more painful until it ruptures and drains. Furuncles often begin as folliculitis and then worsen and when untreated can lead to a giant multi-headed boil called a carbuncle. Impetigo is a superficial skin infection that mostly happens in young children, but it can sometimes affect teens and adults. Most impetigo infections affect the face or extremities like the hands and feet. An impetigo skin infection begins as a small blister or pimple, and then develops a honey-colored crust. Impetigo doesn’t usually cause pain or fever, although the blisters may itch and can be spread to other parts of the body by scratching. Cellulitis is an infection of the underlying layers of the skin. It usually 24. NEA HEALTH • Fall/Winter 2008
results from a scrape or cut in the skin which allows bacteria to enter, although no injury may be apparent. Cellulitis can occur anywhere in the body, but most often occurs on the legs or arms. Symptoms include redness, swelling, and pain at the site of infection. A hordeolum , commonly known as a stye, is a staph infection in the eyelid. It develops when glands connected to the base of the eyelash become swollen and irritated. A person with a stye will usually notice a red, warm, uncomfortable, and sometimes painful swelling near the edge of the eyelid. About 30% of us have staph bacteria in our noses. Staph becomes a problem only if it is able to makes its way through a break in the skin barrier and cause an infection. Many people think they have a spider bite when in fact they have been infected by staph. Drugresistant staph infections have now become the most common skin infections seen in ERs nationwide. Staph can usually be treated with antibiotics, yet over time, some strains of staph — like MRSA — have become resistant to antibiotics that once destroyed it. MRSA was first discovered in 1961. It’s now immune to methicillin, amoxicillin, penicillin, oxacillin, and many other antibiotics. Staph/MRSA lives on skin and survives on objects for 24 hours or more. The cleanest person can get a Staph/MRSA infection. Antibiotic- resistant Staph/MRSA skin infections are found in places where there are crowds of people (schools, jails, gyms). Staph/MRSA can rub off the skin of an infected person onto the skin of another person during skin to skin contact. Or, the Staph can come off of the infected skin of a person onto a shared object or surface, and get onto the skin of the next person who uses it. Examples of commonly shared objects include towels, soap, benches in hot tubs, and athletic equipment— in other words, anything that could have touched the skin of a Staph infected person can carry the bacteria to the skin of another person.
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If you suspect that you might have a staph skin infection, consult your healthcare provider as soon as possible. Early treatment can help prevent the infection from getting worse. Be sure to follow all the directions your healthcare provider gives you, even when you start to feel better. If you are prescribed antibiotics, finish all of the doses because incomplete treatment of staph infections can lead to antibiotic-resistant bacteria. If your infection is not responding to the antibiotic, tell your physician because it most likely is a drug resistant strain, and you will need to be treated with a different antibiotic. Staph abscesses usually respond to repeated application of warm, moist compresses or soaking/showering which will help to bring them “to a head” or soften, liquefy, and drain on their own. When these staph infections do not drain on their own, drainage may be performed with either a syringe/needle or with some other surgical instrument by your family physician. Drainage (either spontaneous or surgical), wound care, and decontamination which prevents spread of the staph and recurrences are important aspects of the care of a staph skin infection.
Preventative Measures • If any article (including bath towel, clothing, linens) has come into naked contact with your lesion or has drained onto it, change it immediately to decrease the spread of your lesion to other areas of your body. • Bathe daily and scrub the area with soap and water. • Do not share clothes or towels with other people.
• Wash your hands and take a shower after all sexual intercourse. • Wash your hands and take a shower after using public exercise/recreational facilities and after you engage in any contact sports such as football, soccer, rugby, or basketball. Kenneth Dill, MD Family Medicine - Osceola NEA Clinic – 870.563.5888
• Change clothes daily and bath towels/linens at least several times per week • Cover all draining wounds with a bandage or dressing, and change the dressing as often as necessary to prevent saturation of the dressing or at least once a day.
Chief of Medical Staff SMC Regional Medical Center
• Wash your hands frequently or use an antibacterial liquid (Purell and others) on your hands several times per day, particularly after you touch your wounds, your bandages, your clothes, your towels, or your bed linens. • Avoid shaving while you have staph infections or at least keep shaving to a minimum. Similarly avoid “picking” at scabs, wounds, or skin bumps. • Avoid contact with other persons who do not practice good hygiene and with persons who have abscesses/furuncles/cellulitis.
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26. NEA HEALTH • Fall/Winter 2008
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NEA Clinic Charitable Foundation ... Giving back to the community of Northeast Arkansas
IN
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. a st ronger community
www.neacfoundation.org • 870-934-5101 27. NEA HEALTH • Fall/Winter 2008
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Letter from the Director
G
od’s love is just as real and just as powerful in the darkness as it is in the light. And that is why we can have hope! Reverend Billy Graham
In September of each year, the NEA Clinic Charitable Foundation through the HopeCircle program sponsors a Celebration of Hope Week in our community. This is a very special time when the community comes together to help others. It is such a joy to see people of all ages and cultures come together for a positive purpose! Please read about the programs provided by the Charitable Foundation in this issue. The services provided by these programs to the community are truly amazing, and we feel very privileged to work with the many patients, children, and others who benefit from the services. We also appreciate all the many generous people who support these programs and services through their donations. All programs are provided free of charge to the participants. The 6th Annual Duck Classic, the largest fund-raiser that supports the Charitable Foundation is just around the corner. If you enjoy duck hunting, this event is an outstanding way to enjoy the sport, have a very nice evening of fun, and support a great cause. Complete information is included in this issue. Don’t wait too long to call – the teams are limited!! Once again, I’d like to thank everyone who helps make this foundation the wonderful organization it is – we are very blessed! Christy Appleton Director NEA Clinic Charitable Foundation
We greatly appreciate our volunteers. – Thank you! If you are interested in becoming a volunteer call us! 870-934-5130 Special thanks to our Volunteer Spotlight, Vana Tharp, for her time spent at NEA Baptist Auxiliary. See more of her story on page 16. 28. NEA HEALTH • Fall/Winter 2008
Family Honors Kathy Gott with Memorial Gift to HopeCircle Connie Clark, the sister of cancer patient Kathy Gott, brought a donation to the NEA Clinic Charitable Foundation office that was collected at a family celebration held in July in memory of Kathy. Diagnosed in June, 2006, Kathy had been a patient of Dr. Carroll Scroggin until her death on July 30, 2007. So, in July 2008, the family decided to celebrate Kathy’s life with a party where they dressed up in flowered dresses, (mumu’s), and enjoyed a picnic full of fun and laughter as they remembered the good times shared with their mother, daughter, sister, loved one, and friend. Connie said that at the party they put out a bowl, and told everyone, “If you want to make a contribution to HopeCircle, just put it in the bowl.” When the party was over they had collected $500 to donate! Kathy had been treated at the NEA Clinic at 311 E. Matthews and began a wonderful relationship with the staff and volunteers of the HopeCircle program located there. In the resource center, she was given a “Hope” necklace that she wore everyday thereafter because it gave her hope and encouragement. (Her sonin-law now wears the necklace.) Her sisters, daughters, and granddaughters also wore the necklace everyday along with her. The support that Kathy received from her family was incredible. HopeCircle became a part of that team. Vicky Carter, her best friend, shaved her head along with her. Different members of the group would bring her for treatments and attend Look Good Feel Better classes with her in HopeCircle. They would stop by and read literature from the HopeCircle library. This wonderful group of family and friends continues to honor Kathy. A new granddaughter has been named after her, and two daughters, two daughters-in-law, and two granddaughters have had the “Hope” necklace symbol tattooed on their ankle! They also plan to have an annual celebration in July to celebrate her life. From this generous donation to HopeCircle, others will continue to receive the support and encouragement that Kathy and her family received. Their generous spirit in the form of this gift will help others in many, many ways.
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2008 Spring/Summer Memorials* Dorothy Allen Dr. Ray Hall Arthur Austin Dr. DV Patel Dr. Michael Isaacson Ann Baxter Mr. Sam Moss Dr. DV Patel Mrs. Mary Ward Kati Bishop Dianne and David Rainwater Jennifer Bunch Gail McKinney & Lyndi Green Dr. Steven Greer & Staff Arkansas Cardiology Mr. & Mrs. Bryan Beck Mr. & Mrs. Jim Boyd Ms. Joanne Caldwell Mr. & Mrs. Dwight Decker Mr. & Mrs. Paul DeVault Mr. & Mrs. Scotty Hayes Dr. & Mrs. Fred Hutcheson Ms. Holley Hutcheson Mrs. Joy Ledbetter Mr. & Mrs. Shawn McKinzie Ms. Theresa Mitzler Mr. & Mrs. George Oosterhous Mr. & Mrs. Sam Rice Ms. Judy Weber Mr. & Mrs. Ron Willet Dorothy Cagle Dr. Michael Isaacson Charles Camp Mr. & Mrs. Lloyd Pruitt Vivian Campbell Dr. & Mrs. Ray Hall Bertha Carter Dr. Ray Hall Ms. Geneva Carter Dr. Michael Isaacson Joseph Caruso Dr. DV Patel Mr. OJ Chester Dr. Ray Hall Ms. Wilma Chilton Dr. Michael Isaacson Ms. Essie Coe Dr. Michael Isaacson Mrs. Virginia Cook Dr. Ray Hall Robert Cox Dr. Ray Hall Robert “Bob” Cranford Dr. & Mrs. Carroll Scroggin Melverine Croom June Morse Mrs. Violetta Davis Dr. Ray Hall Ms. Louise Edens Dr. Michael Isaacson Ms. Barbara Edwards Dr. Michael Isaacson Louise Fletcher Crowley’s Ridge Cruisers Women of the Word Robert & Cheryl Babock Robert & Lynn Collis EW & JC Gunn Robert & Suzanne Hackney
Mike & Sally Harris Gary & Kathy Heinz Dr. Michael Isaacson Louise Fowler Dr. Eumar Tagupa Maxine St. Germaine Dr. DV Patel Loretta German Dr. Ray Hall Mr. Perry Goans Dr. Michael Isaacson Mr. Ralph Goldey Dr. Michael Isaacson Mr. John Goldsmith Dr. Ray Hall Kathy Gott Mrs. Carolyn Andrews Mrs. Judy Childers Mrs. Connie Cook Mrs. Jodie Dent Mrs. Sheila English Ms. Delores Garner Mrs. Maxine Garner Mrs. Phyllis Meredith Kathleen Scott Hall Russell Patton, Jr. and Russell Patton III Families & Marcia Mr. & Mrs. Bob Appleton Mr. Alan Arnold Ms. Sharon Beadles Dr. & Mrs. Donald Berry Mr. & Mrs. Jim Berry Mr. Harold Calkins Mr. & Mrs. Charles Clark Ms. Martha Cobb Mr. & Mrs. Fred Coleman Mr. & Mrs. Grover Cooper Mr. & Mrs. Buell Crider Mr. & Mrs. Scot Davis Mr. & Mrs. Guy Enchelmayer Ltc. & Mrs. Ronald Faulkner Mr. & Mrs. Elwood Freeman Mr. & Mrs. Joe Gammill Mr. & Mrs. JD Gleghorn Mr. Mike Gleghorn Mr. & Mrs. Michael Gott Dr. Susan Hanrahan And Harold Calkins Dr. & Mrs. Brock Harris ITIE Business Apps Ms. Mary Ann Jackson Capt. Hubert Jamison Mr. & Mrs. Bill Johnson Mr. Sid Johnson Ms. Betty Jumper Lisa Kellett The Lacy Family Ms. Ruby Lane Mr. & Mrs. John Lange Mr. & Mrs. Stan Langley Dr. & Mrs. Michael Mackey Ms. Georgia Mahon Mr. & Mrs. Leonard McDaniel Mr. & Mrs. Mike McDaniel Mr. & Mrs. Steve McFerron Ms. Sharon Meyr Ms. Mary Nash NEA Baptist Memorial Hospital NEA Clinic Physicians & Administration Dr. & Mrs. Allen Nixon Mr. & Mrs. John Phelps Dr. & Mrs. Joseph Pierce
Mr. & Mrs. Lloyd Pruitt Ms. Donna King Mr. & Mrs. Jack Riggins Dr. Michael & Julie Isaacson Mrs. James Rogers Gary Meadows Construction Mr. & Mrs. Louis Schaaf Company Ms. Joyce Simmons & Kim Mr. Wilburn Kirksey Cooper Dr. Michael Isaacson Mrs. Eula Simpson & Family Ms. Mildred Lindley Mr. & Mrs. Brad Smith Dr. Michael Isaacson Dr. & Mrs. Eugene Smith William Long Mr. & Mrs. Harold Smith Dr. DV Patel Mr. Skip Smith Raunel Looney Ms. Susan Smith Dr. Ray Hall Dr. & Mrs. Scot Snodgrass Mrs. MG Spurlock Wanda Losey Dr. & Mrs. Joe Stallings Dr. & Mrs. Mark Stripling Mr. & Mrs. James Stevenson Dr. Eumar Tagupa Ms. Connie Stuart Antoni Majewski Dr. & Mrs. Bob Taylor NEA Clinic Charitable The Children’s Clinic Foundation Staff Mr. & Mrs. Donald Timms NEA Clinic Physicians & Mrs. Virginia Tyner & Family Administration Mr. Phillip Utley Dr. Ray Hall Mr. & Mrs. Melvin Wamock Dr. Bruce Jones Ms. Barbara Webb Evelyn Markin Mr. & Mrs. JF Wheeler Dr. Anthony White Dr. & Mrs. Joe Wilson Mrs. Betty J Martin Mr. Tommy Womack Dr. & Mrs. Ray Hall Dr. Karen Yanowitz Linda McDaniel Linda Harpole JK Products & Services, Inc. The Staff & Patients of NEA Heritage Bank Baptist Cardiac & Pulmonary Jean LaSuer & Jo Whitlach Rehabilitation Services Mr. & Mrs. Jerry Allison Wayne Heiber Dr. & Mrs. Randall Carlton Dr. & Mrs. Mark Stripling Dr. & Mrs. Doug Maglothin Donna Hill Mr. & Mrs. Roland Mullins Mrs. Patsy Blanchard Mr. & Mrs. Matt Rankin Larry Holladay Mr. & Mrs. Roger Roush Dr. Michael Isaacson Ms. Sandra Wamock Mr. & Mrs. Robert Watson Thomas Hollingsworth Dr. William Hubbard Andrew Nichols Mrs. Marystel Appleton Mr. Joe Holt Dr. & Mrs. Ray Hall Dr. Michael Isaacson NEA Clinic Administration James Hood Dr. & Mrs. Bob Taylor Dr. DV Patel Mr. & Mrs. Bob Appleton Mr. Gary Horne Ms. Mildred Nix Dr. Michael Isaacson Dr. Michael Isaacson Ronnie Huckabee Helen Noles Dr. Michael Isaacson Dr. Michael Isaacson Mrs. Wanda Hughs Dr. Ray Hall Mr. Jimmy Doyle Hunt Dr. Michael Isaacson Dearl Hutchison Dr. DV Patel Ms. Estelle Jones Dr. Michael Isaacson Loretta Bookout Lonzo Jones Mr. & Mrs. Bill Duke Dr. Eumar Tagupa Mr. Alec Farmer Mr. & Mrs. Richard Gray Marvin Keeling Mr. & Mrs. Evan Lindquist Dr. DV Patel Mr. & Mrs. Robert Potts Cora Kelley Mr. & Mrs. Joe Rankin Dr. DV Patel Mr. & Mrs. Mark Young Jean Kifer Dr. Ray Hall Factory Sales Agency Mr. & Mrs. John Troutt North School Classics Dr. John Phillips Simmons First Bank Womack, Landis, Phelps & Stewart Electric Company McNeill Paul & Helen Doty
Clarence Page Dr. DV Patel Floyd Parker Dr. Michael Isaacson Fred Payne Dr. DV Patel Mr. Marion Perrin Dr. Michael Isaacson Ellis Pruett Dr. DV Patel Ms. Florence Ray Dr. Michael Isaacson Ms. Marie Reed Dr. Michael Isaacson Jack Riggins Dr. Ray Hall Mr. Talmage Rook Dr. Michael Isaacson Corrine Smith Dr. & Mrs. Mark Stripling Mr. Louis Spears, Jr. Dr. Michael Isaacson Mabe Spurlock Mrs. MG Spurlock Ms. Helen Starnes Dr. Michael Isaacson Lily Tibbs Dr. DV Patel Glenda Tippitt Dr. DV Patel Mr. Johnny Turney Dr. Michael Isaacson Jerry Veal Dr. DV Patel Mr. Marshall Watkins Dr. Michael Isaacson Johnnye Lou Westbrook Dr. Ray Hall Travis Williams Dr. Ray Hall Linda Woods Dr. DV Patel
*Donations given as of July 2008
2008 Spring/Summer Honorariums* To Contribute a Memorial or Honorarium - send information to NEA Clinic Charitable Foundation PO Box 1960 Jonesboro, AR 72403 or visit our website to make an online donation. www.neacfoundation.org
29. NEA HEALTH • Fall/Winter 2008
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After School Exercise Program* Since inception in February 2006, the Center for Healthy Children has strived to meet the needs of overweight children in Northeast Arkansas through a nutrition education and exercise program at the NEA Clinic Wellness Center. Although it has been successful for many, limited space has prevented the program from reaching large groups of children. However, this school year brings new beginnings for the Center for Healthy Children as the free after-school exercise program enters many schools in the area. Here are the details: • Exercise takes place in the schools • Program lasts 3 weeks • Accommodates 50 kids per school • Focuses on 4th, 5th and 6th graders • 3:15 – 4:00, Monday – Thursday • Interactive nutrition lessons on Fridays
Free Program
Taking this program to the schools benefits so many children in the area. With busy schedules and homework, families often struggle to fit exercise into the day. Academics are advancing more and more each year, sometimes making physical activity take a backseat. By incorporating an exercise routine at the end of the day, kids are able to exhaust the excess energy that they have stored all day in the classroom. To volunteer or get more information about the CHC After School Exercise Program, visit our website at www.neacfoundation.org.
Pictures taken at Health, Wellness & Environmental Studies After School program
CHC After School Exercise Program 2008-2009 Sept. 1 – 19: Health, Wellness & Environmental Science Sept. 22 – Oct. 10: Nettleton Intermediate Center Oct. 13 – 31: Brookland Middle School Nov. 3 – 21: Math & Science Jan. 12 – 30: Valley View Intermediate Feb. 2 – 20: Visual & Performing Arts Feb. 23 – March 13: Greene County Tech Elementary March 30 – April 17: Westside Middle School April 20 – May 8: Fox Meadow Intermediate Center
*Note: NEACCF Center for Healthy Children still maintains a core group of students located at NEA Clinic Wellness Center for an after school program. Log on to neacfoundation.org to apply or call 870-336-1760!
Each illness has a specific nutrition class that is lead by a health professional in that particular field. Jennifer Jarrett, APN for NEA Clinic Cardiology teaches the cardiac group, Leah Lewallen, RN for NEA Clinic Oncology teaches the cancer group, and Bilinda Norman, MSN, APN, CDE teaches the diabetic group. Each instructor will share valuable information with the patients that is tailored to their condition. NEA Clinic Charitable Foundation’s Wellness Works program has entered its 5th session this fall with new patients that are on a quest for a healthier lifestyle. Individuals that have been diagnosed with cancer, diabetes or cardiac related illness will participate in nutrition education and exercise at no charge! This free 12 week program is located inside the NEA Clinic Wellness Center and anyone can be referred by their physician for participation. 30. NEA HEALTH • Fall/Winter 2008
The program is managed by Laura Taylor. Medical director for Wellness Works, Dr. Brannon Treece, continues to oversee the program and offer support and advice to the patients throughout the 12 weeks. For more information on Wellness Works, visit our website at www.neacfoundation.org or contact Laura Taylor at 870-336-1760.
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A FATHER’S LOVE – THE HOYT FOUNDATION INC.
T
he first time I saw a Team Hoyt video was during our Sunday School class at Central Baptist Church . The lights were turned off and the video played showing a tremendous story of a father’s love, you could hear the presence of sniffling all across the room. When the lights came on, there wasn’t a dry eye and it was hard to put into words what we had experienced. It is a miraculous story that makes you want to be a better parent and hug your kids tighter.. and thank the Lord for what you have. I try to be a great parent, but compared to Dick Hoyt… well, no comparison. My first thought was, how can we get Team Hoyt to Jonesboro so others can hear this testimony first hand…. After many months of organizing and planning, the opportunity finally arrived. What better time for an event like this, than during NEA Clinic Charitable Foundation’s Hope Week?! The Hoyt story is one of hope and determination…
Dick and Rick Hoyt are a father-and-son team from Massachusetts who together compete just about BIKE IRONMAN HAWAII - 1989 continuously in marathon races. And if they’re not in a marathon they are in a triathlon — that daunting, almost superhuman, combination of 26.2 miles of running, 112 miles of bicycling, and 2.4 miles of swimming. Together they have climbed mountains, and once trekked 3,735 miles across America.
FIRST RACE
It’s a remarkable record of exertion — all the more so when you consider that Rick can't walk or talk. At Rick’s birth in 1962 the umbilical cord coiled around his neck and cut off oxygen to his brain. Dick and his wife, Judy, were told that there would be no hope for their child’s development. If you haven’t had an opportunity to see one of the Team Hoyt videos, please log onto our website www.neacfoundation.org or visit Godtube.com and key in Team Hoyt! Visit our website in the upcoming weeks to see images from our Hope Week celebrations and mark your calendars to participate next year!
YOUNG RICK USING A COMPUTER
Holly Acebo Executive Director NEACCF
Team Hoyt books and T-shirts available on our website as well!
BOSTON MARATHON 2002 31. NEA HEALTH • Fall/Winter 2008
NEA Clinic Charitable Foundation ... Giving back to the community of Northeast Arkansas
counties in Northeast Arkansas and Southeast Missouri. The NEA Clinic Charitable Foundation Medicine Assistance Program has been awarded a $45,000 grant from the Arkansas Attorney General’s office. The grant resulted from a settlement of consumer protection claims against Express Scripts, Inc., one of the nations largest pharmacy benefits management companies. Attorney General Dustin McDaniel presented the check to Dr. Carroll Scroggin, President of the NEA Clinic Charitable Foundation on July 29th, 2008. This grant will allow the Medicine Assistance Program to continue offering services to the community. Since the program’s inception, it has assisted in acquiring over $33 million in prescriptions for over 12,000 patients spanning 17
The Medicine Assistance Program (MAP) has a broad reach, helping not only NEA Clinic patients, but patients from over 200 doctors around the area. In addition, MAP partners with the Jonesboro Church Health Center to ensure these patients receive their much needed medication. MAP assists patients with the necessary paperwork processes that are required to receive medication from pharmaceutical companies. The guidelines which each patient must meet are set by the pharmaceutical company and not by NEA Clinic Charitable Foundation. For more information on the MAP program or to download an application please go to our website www.neacfoundation.org or you may call (870)934.5400.
NEA Clinic Charitable Foundation Fundraising Events
Art Slam
Pictures of Success!
Thanks to NEA Clinic Charitable Foundation Board of Directors for their continued commitment to our mission. Carroll Scroggin, MD - President Janice Cranford - Vice President Steve May - Treasurer
Signature Art by Maryam Moeeni. Fun was had by all as we honored Loretta Bookout. to ride
‘08 BIKER CLASSIC
Ronnie Norman Brannon Treece, MD Susan Hanrahan, PhD John Phillips, MD Lorna Layton, MD Joseph George, MD Bobby Hogue Susan Tonymon Mary Hyneman Woody Freeman Anthony White, MD Melissa Yawn, MD Loretta Bookout Barbara Weinstock Edward Pruett Jim Boswell Robert Taylor, MD FACP Steve Woodruff, MD FACP Holly Acebo, Executive Director Christy Appleton, Director
Over 1,000 bikes rode the Charity Bike Run and many more enjoyed the Downtown Family Festival held in Historic Downtown Jonesboro. 32. NEA HEALTH • Fall/Winter 2008
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The Most Talked About Event in Northeast Arkansas l nnua A 6th
NEACCF Duck Classic takes place over two days. It starts with a dinner and auction followed by a morning duck hunt. The competition is set up like a golf tournament, each team having four members and a host. The host takes the team to their designated hunting location and helps with scoring. Hunting locations are some of Northeast Arkansas’ premiere spots. Corporate sponsors and individuals donate many items for the live and silent auctions. Raffles for guns, hunting equipment, guided hunts, etc. are also held during the evening. Each year hundreds come from over a six-state area. Both men and women enjoy this one-of-a-kind event. All hunters & hosts receive event gifts. 1st place winners receive beautiful trophies and shot guns. Prizes are also awarded for 2nd and 3rd place. NEA Clinic Charitable Foundation is supported through our fund-raising events Duck Classic is our largest event, even receiving national coverage on ESPN Outdoors & The Outdoor Channel.
l... l a C e h t r e Answ e! c n e r e f f i D Make a ck u D . 1 3 9 . 0 7 8 .com lassic
www.duckc
BOATS
®
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Orange & Pineapple Snow 2 cups orange juice 2 cups pineapple juice Pour juice into ice-cube trays; freeze. Place ice cubes in blender container. Blend until smooth. 4 servings
Sweet & Spicy Popcorn
Banana Pops
Cut bananas in half Dip in your favorite yogurt Roll them in corn cereal to add crunch. Freeze and serve Variation: Dip in chocolate and roll in nuts
2 tablespoons brown sugar 1 tablespoon unsalted butter 1/2 teaspoon chili powder 1 package natural microwave popcorn (not buttered) popped Put the sugar, butter, and chili powder in a microwave-safe bowl; microwave until butter melts. Stir to dissolve sugar. Drizzle over freshly popped popcorn; and toss to evenly coat. Serve cool.
Grandma’s Healthy PineapplePie 1 box fat free, sugar free vanilla pudding 8 oz fat free sour cream 1 can crushed pineapple in it’s own juice 1 container fat free, sugar free cool whip 1 packet of Sweet & Low® 1 graham cracker crust
Mix sour scream, pinapple, 1/4 container of cool whip, Sweet & Low®, dry pudding mix. Pour into crust & top with remaining cool whip. 34. NEA HEALTH • Fall/Winter 2008
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100 Calorie Pack ... Friend or Foe? If you have been grocery shopping in the past year, you have probably noticed the 100 Calorie Pack craze. A wide variety of crackers, snack cakes, puddings and cookies are now available in individually wrapped packages. With this option, portion control has never been easier. But is this the answer to all of our snacking qualms? Or, is this just another marketing tool that has tricked us into spending more money on our endless attempts to be healthy? With all of the weight-related problems that are surfacing, it’s not hard to see why we often find ourselves looking for ways to cut back. So what is the problem with these conveniently packaged portions? After all, they are extremely handy. No zip sealed bags needed for divvying them up. No sitting on the couch with your hand repeatedly plunging into the box while you stare at the television set. Convenient, handy… but ideal? Let’s consider the obvious first – cost. A 32 oz box of cheesy flavored crackers cost the same as a 14 oz box that contains 6 individually wrapped packages. A box of pudding mix that makes 4 cups cost about 50¢ while a package of 4 individual cups costs about $1.00. Clearly we pay for the portioning out of our favorite snack foods. And in this day and age, every penny counts! After all, if we are willing to nickel and dime at the gas pumps, shouldn’t we have the same mindset at the grocery store? Second, and more importantly in my opinion, let’s consider nutritional value. Which would be a better choice for your child’s lunchbox, a 100 calorie pack of cookies or a 60 calorie, vitamin packed apple? Or, even a 100 calorie banana? Aren’t convenient foods part of the original problem with our country’s current health state? Sure, apples and bananas spoil and chips and crackers can sit on the shelf for a long time. So, this is that moment where you have to consider the most important factor: “What am I putting in my body?” or “…my child’s body?” Fruits and vegetables are low in calories and high in fiber, vitamins and minerals and can reduce the risk of heart disease and certain cancers (USDA Food and Nutrition Information Center). By replacing a 100 calorie pack of chips with a baggie full of grapes, you’ve added potassium, magnesium and vitamins C, B1 and B6. Replace with baby carrots and add all of those plus vitamins A, B3, K, phosphorus, folate and fiber. And guess what? 1 cup of carrots is about 50 calories! Consider the extra time spent making these items convenient for your children and weigh that with how many years you are adding to their life expectancy by feeding them nutritious foods! The verdict? 100 calorie packs are an excellent way to make sure you (or your child) is not overeating at snack time. They are easy to pack in a lunchbox and they can stay in the pantry for weeks without spoiling. On the flip side, they are costly and provide no nutritional value whatsoever. Snacks like fruit, yogurt or peanut butter crackers provide lots of nutrients and the calorie content is often comparable to many 100 Calorie Packs. In the end, it is up to you to decide what is most important for your family. – Laura Taylor, NEACCF Center For Healthy Children Manager 35. NEA HEALTH • Fall/Winter 2008
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I have no greater joy than this, to hear of my children walking in the truth. 3 John 1:4
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Hot flashes
(or flushes)
Medical professionals at a center near you are conducting a clinical trial of an investigational treatment for hot flushes. Th is in vestigation al dr ug does n ot con tain h or mon es
If you are generally healthy and you have multiple daily bothersome hot flushes, you may qualify to participate in this research study. It must be at least 6 months since your last menstrual period.
Hot flushes
Please call us for more information about this study. Qualified participants may receive study-related drug and payment for time and travel. Examinations and laboratory tests are provided at no charge. Charles Barker MD, Ph.D, FACOG
(or flashes) Call us now at
870-268-8431
or visit www.neaclinic.com Clinical Research Center for more information about this study.
Kim Ford, Vanessa Criswell, Rusty Chambers and Rick McKinley
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262 Southwest Drive Jonesboro 870.934.9600 www.lpinsurance.com 37. NEA HEALTH • Fall/Winter 2008
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INTERNAL MEDICINE
PAIN MANAGEMENT
Alfonso Aquino, MD Oksana Redko, MD 3024 Stadium, Jonesboro (870) 972-7390
Ray H. Hall, Jr., MD, FACP Stephen O. Woodruff, MD, FACP Brannon Treece, MD Kristy Wilson, APN 311 E. Matthews, Jonesboro (870) 935-4150
Raymond Greaser, MD 3005 Apache, Jonesboro (870) 933-7471
Anthony T. White, MD Michael L. Isaacson, MD Robert D. Taylor, MD, FACP Eumar T. Tagupa, MD D.V. Patel, MD Suresh Patel, MD, FACP Margaret Cooper, APN Jennifer Jarrett, APN 311 E. Matthews, Jonesboro (870) 935-4150
Michael E. Crawley, MD Michael E. Tedder, MD Arnold E. Gilliam, MD Stadium Clinic & Urgent Care 3003 Apache, Jonesboro (870) 931-8800
DERMATOLOGY
Craig A. McDaniel, MD Troy A. Vines, MD W. Scott Hoke, MD Randy Carlton, MD Nathan Turney, MD Woodsprings Clinic & Urgent Care 2205 W. Parker, Jonesboro (870) 933-9250
Brewer Rhodes, MD Michael Tomlinson, MD Jerry R. Biggerstaff, MD Daron Merryman, MD JT DeWitt, DO 3024 Stadium, Jonesboro (870) 972-7251
Tim Shown, DO Melissa Yawn, MD, MRO Jeffery Barber, DO, MRO Hilltop Clinic & Urgent Care 4901 E. Johnson, Jonesboro (870) 932-8222
Kevin D. Ganong, MD 311 E. Matthews, Jonesboro (870) 935-4150
416 E. Washington Ave, Suite C Jonesboro (870) 934-1007
EMERGENCY MEDICINE
Michael D. Hightower, MD 311 E. Matthews, Jonesboro (870) 935-4150
GENERAL SURGERY K. Bruce Jones, MD Russell D. Degges, MD John A. Johnson, III, MD 800 S. Church, Suite 104, Jonesboro (870) 932-4875
William Hubbard, MD Robert B. White, MD Brock F. Harris, MD Brian McGee, MD Kara Cooper, MD 3024 Stadium, Jonesboro (870) 275-2916
LATE NIGHT URGENT CARE 1111 Windover (870) 910-6040 open late Mon - Fri
Call 870-935-NEAC
NEUROLOGY Kenneth Chan, DO Bing Behrens, MD William Long, MD/PhD 3100 Apache, Suite A, Jonesboro (870) 935-8388
PODIATRY Chris Rowlett, DPM 1007 Windover, Jonesboro (870) 932-6637
PULMONOLOGY William Hubbard, MD Meredith Walker, MD 311 E. Matthews, Jonesboro (870) 935-4150
Robert Abraham, MD Kenneth Tonymon, MD Rebecca Barrett-Tuck, MD Jeffrey Kornblum, MD 3100 Apache, Suite A, Jonesboro (870) 935-8388
RADIOLOGY Jeffrey S. Mullen, MD 3100 Apache, Jonesboro (870) 934-3533 John K. Phillips, MD Gregory Lewis, MD 3024 Stadium, Jonesboro (870) 972-7000
RHEUMATOLOGY Beata Majewski, MD Leslie McCasland, MD 311 E. Matthews, Jonesboro (870) 935-4150
OCCUPATIONAL MEDICINE
GASTROENTEROLOGY
HOSPITALIST
W. Tomasz Majewski, MD 3100 Apache, Suite B3, Jonesboro (870) 934-5600
Charles L. Barker, MD, PhD, FACOG Mark C. Stripling, MD, FACOG Charles C. Dunn, MD, FACOG Norbert Delacey, MD, FACOG Michael Hong, MD, FACOG Lorna Layton, MD, FACOG 3104 Apache, Jonesboro (870) 972-8788
Diabetes Center Bilinda Norman, APN/CNS 311 E. Matthews, Jonesboro (870) 935-4150
Paragould Wade Falwell, Jr., MD Kenneth Tonymon, MD (Neurosurgery) Paragould Clinic & Urgent Care 4700 West Kingshighway, Paragould (870) 240-8402
PLASTIC & RECONSTRUCTIVE SURGERY
OBSTETRICS & GYNECOLOGY
ENDOCRINOLOGY
Ronald J. Blachly, MD D. Allen Nixon, Jr., MD Carroll D. Scroggin, Jr., MD Stacia Gallion, APN 311 E. Matthews, Jonesboro (870) 935-4150
Michael G. Mackey, MD Amy Ferguson, APN 311 E. Matthews, Jonesboro (870) 935-4150
NEUROSURGERY
James Towry, DO 3100 Apache, Suite B3, Jonesboro (870) 934-3530
Cherokee Village Brad Bibb, MD 51 Choctaw Trace, Cherokee Village (870) 856-2862
Jeff Ramsey, PT Terry Womble, PT 1007 Windover, Jonesboro (870) 336-1530
Dialysis Center 3005 Middlefield, Jonesboro (870) 934-5705
CLINICAL RESEARCH
HEMATOLOGY ONCOLOGY
PHYSICAL THERAPY
NEPHROLOGY
James A. Ameika, MD Deborah Fairchild, APN 3100 Apache, Suite B4, Jonesboro (870) 972-8030
Lake City Kristi Statler, MD 208 Cobean, Lake City (870) 237-4100
Brannon Treece, MD 311 E. Matthews, Jonesboro (870) 935-4150 *All NEA Clinic Family Practice physicians see children as well.
Kelly Derrick, DO Sarah Hogan, APN 1111 Windover, Jonesboro (870) 934-5768
Jonesboro J. Timothy Dow, MD Douglas L. Maglothin, MD Joe McGrath, MD James Murrey, MD Windover Clinic & Urgent Care 1111 Windover, Jonesboro (870) 935-5432
Trumann Alison Richardson, MD Brannon Treece, MD 305 W. Main, Trumann (870) 483-6131
PEDIATRICS
LONG TERM CARE
CARDIOVASCULAR & THORACIC SURGERY
Osceola Kenneth Dill, MD Debbie Wilhite, APN 616 W. Keiser, Osceola (870) 563-5888
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ANESTHESIOLOGY
CARDIOLOGY
FAMILY PRACTICE
2:55 PM
SLEEP MEDICINE
Melissa Yawn, MD, MRO Jeffery Barber, DO, MRO 4901 E. Johnson, Jonesboro (870) 910-6024
David Nichols, MD 311 E. Matthews, Jonesboro (870) 935-4150
OPHTHALMOLOGY
SPECIALTY CLINIC
Joseph George, MD James Cullins, OD 416 E. Washington, Suite B, Jonesboro (870) 932-0485
Pocahontas (870) 892-9541
ORTHOPEDIC SURGERY Jason Brandt, MD Henry Stroope, MD Thomas Day, MD 1007 Windover, Jonesboro (870) 932-6637
VEIN CENTER Michael Raborn, MD 3100 Apache, Suite B1, Jonesboro (870) 219-7685
WELLNESS CENTER 2617 Phillips, Jonesboro (870) 932-1898
OTOLARYNGOLOGY (ENT) WOUND CARE CENTER Bryan Lansford, MD Anthony Bentley, DO Linda Farris, APN 3100 Apache, Suite B2, Jonesboro (870) 934-3484 Hearing Center Amy Stein, AuD, CCC-A 3100 Apache, Suite B2, Jonesboro (870) 934-3484
WINDOVER 1111 Windover (870) 935-9585
STADIUM 3003 Apache Drive (870) 931-8800
HILLTOP 4901 E. Johnson (870) 934-3539
A location near you open 7 days a week
WOODSPRINGS 2205 W. Parker Rd. (870) 910-0012
No Appointment Necessary
DOC+FINDER
James Fletcher, MD NEA Clinic - Windover Clinic, Jonesboro (870) 935-5432
â&#x20AC;˘
PARAGOULD 4700 W. Kingshighway (870) 240-8402
w w w. n e a c l i n i c . c o m