NEA Health 2015 2nd Edition by NEA Health

ISSUE 16

2015 2nd Edition

Brought to you by

NEABaptist.com

Heart Disease Kybella for the Double Chin Arthritis A Note from the Pediatrician Prenatal Care

Precious Miracle

Overcoming Infertility

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

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

Windover Clinic 870-935-5432 Douglas L. Maglothin, MD Joe McGrath, MD James Murrey, MD Angie Jones, APRN Woodsprings Clinic 870-933-9250 Randy Carlton, MD W. Scott Hoke, MD Craig A. McDaniel, MD Nathan Turney, MD Troy A. Vines, MD Brookland Clinic 870-932-1211 Meghan Lyerly, MD Shane Lyerly, MD Sandra Stubblefield, MD

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

Newport Clinic 870 -523-9337 Matthew Haustein, MD (Cardiology) Matthew P. Jackson, MD Roddy S. Lochala, DO Osceola Clinic 870-563-5888

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

Paragould Clinic 870-240-8402

Freij Gobal, MD (Cardiology) Chris McGrath, MD Leslye McGrath, MD Aaryn Spurlock APRN

Trumann Clinic 870-483-6131 Ronald Barnett, MD Chris Rowlett, DPM (Podiatry) Brannon Treece, MD Michelle Montgomery, APRN

Anesthesiology

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

Cardiology

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

Cardiovascular & Thoracic Surgery

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

Center for Cancer Care

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

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

Dermatology

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

Endocrinology

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

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

Gastroenterology Open 7 days a week No Appointment Needed WINDOVER STADIUM 1111 Windover 3003 Apache Dr. 870-935-9585 870-931-8800 WOODSPRINGS HILLTOP 4901 E. Johnson 2205 W. Parker Rd. 870-910-0012 870-934-3539 PARAGOULD 4700 W. Kingshighway 870-240-8402 Open Late Mon - Fri 4901 E. Johnson 870-934-3539 1111 Windover 870-910-6040

Internal Medicine

Pediatrics

Interventional Radiology

Physical Therapy

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

Nephrology

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

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

Neurology

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

Neurosurgery

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

Obstetrics & Gynecology

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

Occupational Medicine

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

1150 E. Matthews Suite 101, 870-972-5437 Richard Reinhard, III, MD J. Justin Yancey, MD Amy Duch, APRN Tomorrow Porter, APRN Medical Campus, 870-936-8000 Brannon Treece, MD Trumann - 305 W. Main 870-483-6131 Ronald Barnett, MD Jonesboro 1007 Windover, 870-336-1530 Leif Lovins, PT Nikki Luster, PT Jeff Ramsey, PT Medical Campus, 870-936-8000 Ken Miller, PT Cindy Norman, OT Ivan Spengler, PT Paragould - 4700 W. Kingshighway, 870-240-8402 Christopher Enger, PT Duston Jones, PT Trumann - 305 W. Main, 870-483-6131 Wayne Traylor, PT

Plastic & Reconstructive Surgery

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

Podiatry

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

Pulmonology

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

Radiology

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

Rheumatology

Ophthalmology

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

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

Optometry

Center for Sleep Disorders

Hospitalist

Orthopedic Surgery

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

General Surgery

Medical Campus, 870-936-1000 Rodney Clark, Jr., MD Kara Cooper, MD Brock Harris, MD William Hubbard, MD Matt Quick, MD Mani Rajagopal, MD Robert B. White, MD, FACP Kelly Rogers, APRN Tonna Dement, APRN

Infectious Disease

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

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

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

1118 Windover, 870-336-4145 Srirangarajan Raju, MD Bing Behrens, MD William Long, MD, PhD

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

Urology

Otolaryngology (ENT)

Wound Care

Medical Campus, 870-936-8000 Bryan Lansford, MD Jeffrey Myhill, MD Heidi Cohn, APRN Hearing Center Amy Stein, AuD, CCCA

1150 E. Matthews #203 870-932-8674 John Allen, MD Michael Suminski, MD

Wellness Center

2617 Phillips, 870-932-1898 1111 Windover, 870-336-3211 James Fletcher, MD Stacy L. Wilbanks, MD Brandy Crump, APRN

www.neabaptistclinic.com

NEA Health, established in 2005, is a publication of free health information and articles written by NEA Baptist physicians for our community. As one of the largest multi-specialty groups in the mid-south, NEA Baptist is dedicated to providing compassionate, personalized medical care. We are committed to the well-being of the community. This magazine along with NEA Baptist Charitable Foundation is part of NEA Baptist’s expanded commitment to the community,

from the editor T

here are many things in life that women prioritize – families, religion, jobs, friends, volunteering and maybe more. I personally know many women who juggle all of these things. One thing that deserves your unwavering attention is your own health. If we want to continue doing the things we love, if we want a long and full life, if we want to be able to feel good, paying attention to our health and our bodies should also be a priority.

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

For this reason, this entire issue of NEA Health is dedicated to women’s health. At NEA Baptist, the health and well-being of our community is of the upmost importance – it only makes sense that we would call out those women who are busy living their lives and challenge them to focus on their own health.

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

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

NEA Health is published bi-annually for the purpose of conveying health-related information for the well-being of residents of Northeast Arkansas and Southeast Missouri. The information contained in NEA Health is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Editorial, advertising and general business information can be obtained by phoning 870-936-8000 or by writing in care of this publication to: PO Box 1960, Jonesboro, Arkansas 72403. Copyright© 2015 NEA Baptist. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording and any information storage retrieval system, without written permission from NEA Baptist.

As you read the 2015 second edition of NEA Health, you will find that NEA Baptist offers many services that are common and/or exclusive to women. In fact, just this year we expanded the physical space in our clinic and hospital to accommodate the growing need for women’s health services in our community. Our services start with prevention and continue on with specialty care, diagnosis and treatment that is personalized to your health care needs. In this issue you will learn from our rheumatologist about beating the odds, find out what happens during prenatal care from our OBGYN and discover elective services in our Plastic Surgery clinic and Medical Spa that may help instill the confidence you desire. This issue is dedicated to women because of the impact they have on us at NEA Baptist. We are blessed to have the opportunity to be part of the miracle of child birth everyday for the families in our community. Our cover story focuses on the Geohagan family and their long journey with infertility that ended this year as they welcomed their second child into the world. This is a subject that hasn’t always been talked about openly but affects so many women and families in various ways. This story is heart warming and could inspire hope for other families. We all have our own personal motivators to feel our best - whatever the reasons are for you, I encourage you to use that to focus on the things that are important to your health. Don’t wait - schedule your preventative check-ups and screenings today. It could save your life. Take control of your health!

Danial Reed, Editor

NEABaptist.com

Cover Photo provided by La Bella Vita Photography by Kelly Creed 1 NEA HEALTH • 2015 2nd Edition

CONTENTS 1 Letter from the Editor - Danial Reed

2 Women’s Services

at NEA Baptist 4 Events @ NEA 6 How to Beat the Odds Rheumatiod Arthritis - Beata Majewski, MD

8 Healthy @ Any Age - Jason Coletta, DO

10 Routine Prenatal Care - Dominique Butawan-Ali, MD

11 Tech Neck - Nikki Luster, PT

12 A Solution for the Double Chin - W. Tomasz Majewski, MD, FACS

14 Better Rehab Just Steps Away 17 Precious Miracle

- Overcoming Infertility 20 Women’s Heart Health - Paul Levy, MD

21 Female Misery Needs

an Office Visit (Vaginitis) - Charles C. Dunn, MD, FACOG

22 Acupuncture for Skin Care - Shea Wilson, LE, CAC

23 A Note From the Pediatrician

EA Baptist is dedicated to caring for a woman’s unique needs in a manner and quality that she deserves.

Wellness and preventative care are offered through our family practice, internal medicine and OBGYN offices and will continue throughout the course of your life with routine check-ups and diagnostic screenings. Your primary care doctor and/or OBGYN will also utilize your family history and any symptoms you may be experiencing to predict and/ or diagnosis a medical condition. One area exclusive to women’s health is our Breast Imaging Center. Here, we offer 3D mammography – the latest technology for breast imaging. Other services include breast cancer risk assessments, 3T breast MRI, stereotactic breast biopsy, bone density and a personal breast health navigator. COMING SOON: NEA Baptist Clinic will soon be offering Vein Services to the community. The Vein Clinic will deliver the most comprehensive vein care to our area using laser therapy for varicose, spider and other vein-vascular needs. The procedure will be done under ultrasound guidance in our office with trained, qualified physicians. We also offer specialists in rheumatology, dermatology, bariatric surgery, plastic surgery and medical spa, and internventional radiology who evaluate, diagnosis and treat many health conditions. Many women choose NEA Baptist for the exceptional prenatal care that our OBGYN’s offer and our state-of-the-art, beautiful Women’s Center – where babies are born. Our team wants each mom and family to know that you should expect to be pampered and truly cared for at NEA Baptist.

- NEA Baptist Clinic - Pediatrics

24 3D Mammography - David Parish, MD

27 What Does Center of

Excellence Mean?

- K. Bruce Jones, MD

28 In Memory of

Dr. Michael Hong 28 The Virginia R. & Wayne F. Baker Hope Garden 29 Caring for our Community - NEA Baptist Charitable Foundation Updates 2 NEA HEALTH • 2015 2nd Edition

As Northeast Arkansas continues to see an increasing demand for Women’s Health Care Services, NEA Baptist has planned well for the future. While designing the facility, we planned early on for the ability to expand and meet these needs. Earlier in the year NEA Baptist expanded its Women’s Unit with 11 additional patient suites, which now has the capacity of 24 private suites on our Women’s Unit. In an effort to promote Patient Family Centered Care we are preparing to transition to Mother Baby Care, where the mother and the baby remain together during the hospital stay. Our Registered Nurses specifically trained in newborn and Women’s Care offer exceptional care and service to our patients every day. Caring for women of all ages in our community is part of who we are at NEA Baptist and we hope that you will entrust our caring and experienced team with all of your health care needs. Paula Grimes,Chief Nursing Officer NEA Baptist Memorial Hospital

NEA Baptist

Women’s Services Women’s Center • Plastic Surgery and Medical Spa Breast Imaging Center • Vein Clinic

LASER SERVICES

NEA Baptist Clinic - Women’s Health can advise you about contraception, perform routine yearly check-ups, help restore normal levels of health when problems occur, and more.

Facial Rejuvenation Laser Hair Removal Treatment of Leg Veins Spider Vein Treatment Laser Peels Laser Genesis® for Nail Fungus Laser Genesis® Skin Therapy

We specialize in complete health care for women by our board certified OBGYN physicians. Designed with women in mind, the NEA Baptist Women’s Center is an inviting and calming environment with spacious rooms and large gathering areas. • 24 Large home-like, private rooms rooms - Personal Storage - Sleeper sofa in all patient rooms - 42 inch flat screen TV’s in all patient rooms

AESTHETICIAN SERVICES

FACE

• da Vinci Robotic Surgery

Kybella Face/Neck Lift Brow Lift (forehead lift) Eyelid Surgery Ear Surgery Rhinoplasty Lip Lift Chin Implants Botox®/Dysport®/Xeomin® Dermal Fillers Fat Grafting Dermabrasion Reconstructive Procedures Skin Lesions/Skin Cancer

• Nursery with large windows includes a spacious gathering area

BREAST

• NEA Baptist Clinic – Women’s Health is located on the same floor as the Women’s Center of the hospital, allowing physicians to easily transition from one area to another at a moment’s notice. • C section surgical suites located on the same floor as labor and delivery

• Safe secure environment with an infant monitoring system

Chemical Peel Dermaplaning Micro needling Facials Facial Lymphatic Drainage Facial Massage Medical Tattooing Microdermabrasion NaturaLash® Eyelash Extensions

PRODUCTS Clarisonic® SkinCeuticals® Peels SkinCeuticals® Advance Revision® Skincare Tizo® Sunscreens

Breast Augmentation Breast Lift/Mastopexy Breast Reduction Breast Reconstruction Revision Surgery

BODY

Mark C. Stripling, MD, FACOG | Charles C. Dunn, MD, FACOG Norbert Delacey, MD, FACOG | Lorna Layton, MD, FACOG Charles Cesare, Jr., MD | Dominique Butawan-Ali, MD | Jason Coletta, DO

Tummy Tuck Liposuction CoolSculpting® Mommy Makeover Body Contouring after Massive Weight Loss Thigh Lift Brachioplasty (arm lift)

W. Tomasz Majewski, MD Paula Arnold RN, CLT, CMLSO/BLS, CLSO/M - Laser Specialist

Shea Wilson, LE - Aesthetician

www.neaplasticsurgery.com 3 NEA HEALTH • 2015 2nd Edition

Events @ NEA

lans are underway for our 13th annual Duck Classic. The event will kick off with a banquet held at the Craighead County Fairgrounds on Thursday, December 10th. This dinner and auction will have something for everyone.

The evening consists of live and silent auctions, tons of raffles, and delicious food. We have some great items secured for our live auction including an Argentina Dove Hunt, Santa Rosa beach trip, and even a Chris Akin duck dog! We hope you will spend the evening with us as we raise funds for NEA Baptist Charitable Foundation. The following morning 30 teams will compete to be the Duck Classic Champion. This is a competitive duck hunt with teams and landowners from all over the region. Set up much like a golf tournament, there is always fun rivalry among the 4-man teams. All proceeds from Duck Classic support the programs of NEA Baptist Charitable Foundation: Medicine Assistance Program, ShareHope, Center for Healthy Children, HopeCircle, and Wellness Works. It takes an army to host this large fundraiser. We are very blessed to have the support of our community and colleagues. Endless volunteer hours go into preparing for the event. We are so thankful to our event sponsors, hunters, landowners, and volunteers for making this possible. For more information or to register a team go to www.duckclassic.com.

Christmas Tree Lighting – Nov. 22nd, 5 pm, NEA Baptist

ShareHope Candlelight Memorial Service – Dec. 6 Duck Classic – Dec. 10 - 11 Monthly Diabetes Support Group 3rd Thurs. each month noon, call 936-8020 to RSVP

Childbirth/Breastfeeding Classes – 2nd Sat. each month, call 936-1000 to RSVP

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

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

13th Annual

Featured on Drake’s Migration Nation

2015 Duck Classic - a fundraiser to benefit NEA Baptist Charitable Foundation

DINNER & AUCTION | Dec 10 DUCK CLASSIC HUNT | Dec 11 Largest Waterfowling Fundraiser in Arkansas

Premier Dinner & Auction | $45 Team Entry | $1,700

PMS 136

Mallard Sponsors: NEA Baptist, DNW Outdoors, Jonesboro Radio Group, Under Armour, Glen Sain, Barton’s Powersports, Gillis, Inc., Mattress King

DuckClassic.com CMYK 0, 31, 87, 0

5 NEA HEALTH • 2015 2nd Edition

How To Beat the Odds from the perspective of a rheumatologist

atients who deal with joint pain or who have family history of rheumatic disease frequently ask what they can do to prevent or reduce the severity of Rheumatoid Arthritis.

We know that autoimmune diseases, like RA, develop in people who are genetically predisposed to them. This does not mean that those with family history of RA are guaranteed to develop the disease, but it does greatly increase the likelihood that they will experience the RA or other autoimmune diseases at some point in their lifetime. So what can you do to prevent or ease the pain of autoimmune diseases? Luckily, scientists have been able to identify the specific gene responsible for carrying this particular predisposition. Furthermore, the science of epidemiology has allowed us to pinpoint the specific preventative measures that can help prevent or ease the pain of the chronic symptoms of RA and other autoimmune diseases. Epidemiology is the study of a large group of people, tracking their dietary and exercise habits, environmental exposures, and other factors to understand which factors affect the prevalence of disease. Airborne exposures Most people donâ&#x20AC;&#x2122;t realize the devastating effect cigarette smoking can have on the prevalence of autoimmunities, including RA. We know that women and men who smoke have a 2-4X higher risk of developing RA. This risk increases in people who have been smoking for many years, or in those who smoke frequently. According to statistical analysis, it takes more than 20 years of living smoke-free to reduce the risk of autoimmunities to a level comparable to nonsmokers. Also, treatment of RA in smokers is much more difficult due to reduced treatment efficacy and increased complications. If you or your loved ones smoke, this is just another reason to encourage quitting immediately. Other airborne exposures to avoid include silica dust, solvents, mineral oil, and air pollution.

6 NEA HEALTH â&#x20AC;˘ 2015 2nd Edition

Womenâ&#x20AC;&#x2122;s Health - Arthritis

Reproductive and hormonal factors

What have we learned?

Epidemiologists found that RA and lupus (another autoimmune disease) are 2-4 times more common in women than men, which led them to take a closer look at the role hormones play in the development of autoimmunities. Young women are much more likely to develop autoimmune diseases than young men. Pregnant women are usually less likely to show symptoms of RA during pregnancy, but the disease can flare up after delivery.

Autoimmune diseases like Rheumatoid Arthritis are more likely to occur in those with a genetic predisposition for them. However, epidemiological research has identified preventative measures that could help prevent or ease the symptoms of these diseases:

An interesting recent study showed that women who breastfed for more than 24 months cut their risk of RA in half. This is thought to be associated with the higher baseline levels of cortisol in breastfeeding women. Women who breastfed for more then 12 months had significantly higher cortisol levels than women who breastfed for shorter durations or not at all. Thereby, breastfeeding is both nutritious for the child and preventative for the mother.

Replace sugary beverages, like sodas, and sweetened coffee and teas, with healthier, naturally unsweetened alternatives like water and unsweetened tea and coffee.

Obesity Obesity contributes to higher levels of inflammation, which increases the prevalence and severity of autoimmune diseases like RA. Young women with a high body mass index are at particular risk for early onset of the disease. In recent decades, there has been an increase in the prevalence of RA as the obesity epidemic has swept across the U.S. The Mayo Clinic calculated that obesity could explain up to 52% of increased incidence of the disease.

Avoid smoking tobacco, and inhaling secondhand smoke or other airborne pollutants.

Eat a diet rich in nutrient-dense foods including fish, antioxidant-rich vegetables and fruits, whole grains, and healthy fats. Maintain a healthy body weight through a balanced diet and moderate exercise, which could include walking, running, swimming, biking, or anything else that makes you sweat for 30 minutes a day. Schedule an appointment with your rheumatologist to learn more about the specific habits you can develop (or lose) in order to keep your RA under control.

Dietary and nutritional factors Epidemiological research has identified a significant correlation between the consumption of sugar-sweetened beverages and the prevalence of RA. For optimal health, aim to eat a diet rich in nutrient-dense foods like vegetables, whole grains, fruits, lean meats, and healthy fats like avocados and nuts. Diets rich in fish, which are high in omega-3 fatty acids, have been shown to decrease the prevalence of RA. Avoid simple sugars, like those found in sodas, processed foods, white breads, and other sweets.

Beata Majewski, MD Rheumatology NEA Baptist Clinic 870.936.8000

7 NEA HEALTH â&#x20AC;˘ 2015 2nd Edition

Healthy Any Age W

ith each generation living longer and women outliving men by several years, a womanâ&#x20AC;&#x2122;s quality of life depends on how well she feels. So women need to start managing their health at a younger age.

8 NEA HEALTH â&#x20AC;˘ 2015 2nd Edition

Women’s Health - For All Ages

“Age-related conditions - high blood pressure, diabetes, physical aches and pains, obesity, cancer and heart disease - can be minimized by eating heart healthy and getting enough exercise,” says Jason Coletta, DO, obstetrician/gynecologist at NEA Baptist Clinic. The choices women make in their 20s and 30s can affect them as they age. Simple things, such as diet and exercise, regardless of how many times you put them off or tell yourself they don’t matter, really make a difference. “It boils down to eating right and exercise – two main things,” says Coletta. That means eating less dessert and maybe changing the way you eat altogether. Coletta recommends a diet that includes more protein and fewer carbohydrates, especially as you get older. Plus, women need to add other nutrients to their diets. The basic dietary things women need to do include watching fats and adding calcium, vitamin D, and a multivitamin with folic acid to their daily regimen. A sensible diet and exercise, coupled with regular visits to your physician and appropriate health screenings, can help prevent diseases and lead to early detection and treatment. Coletta also recommends women do preventive things, such as keeping a family history. “I tell my patients that’s their legacy – leave that information for your family,” says Coletta. Knowing your family history allows you and your children to know your health risks and what to avoid. Another factor that affects women as they age is stress. “The older you get, the more stress you have – relationship stresses, financial stresses, technological stresses,” says Coletta. “People get overwhelmed by it.” “We live in such a fast-moving society – taking care of families and children. For many of us, we’re also taking care of parents,” says Coletta. “The best way to take care of these things is to take care of yourself. Take a half a day of downtime for yourself. Most of the time we’re so busy reacting to the needs of others that we don’t assess our own needs.” Because stress is an inevitable part of life, especially for women, the key is learning how to deal with it. It is recommended that women choose role models to help them manage the stresses of life and to guide them through the years as they age.

“Overall, set goals for each decade of your life,” says Coletta. “Choose role models and mentors, several different ones – someone that’s in good shape, eats well or is a good mother to their family.” Having a picture of good health and well-being clearly in mind can help women stay focused, make wise decisions and plan for the rest of their lives, especially as they age. “I recommend women plan for retirement – think about what you want to do for your second job, the second half of your life,” says Coletta. “Most people are living into their 80s – 20 to 30 years after their children are gone. This is the time to focus on your hobbies. Take stock of what you want to do, and try to stay active.” Another thing that can help women make wise health decisions as they age is gaining as much knowledge as they can about themselves and their bodies. This is especially helpful for women facing menopause. “As far as menopause is concerned, knowledge is power,” says Coletta. “If you know and research what is going on and discuss that with your physician, you can make better choices of how to navigate change. Have a good attitude about change, eat right and exercise. You’ll have a better time navigating change.” It is also recommended that patients develop a relationship with their physicians. While most women start out with an obstetrician/ gynecologist, they also need to have an internist or family medicine physician as they age. The key to staying healthy as you age is pretty simple – live for tomorrow today. Eat right. Exercise. See a physician regularly. Reduce stress. Just be proactive about your health. If you do these things, you will age gracefully and more importantly, happily.

Jason Coletta, DO Obstetrics and Gynecology NEA Baptist Clinic 870.936.8000

9 NEA HEALTH • 2015 2nd Edition

Women’s Health - Prenatal Care

the Importance of

Routine Prenatal Care

t the NEA Baptist Women’s Clinic, our goal is to help guide and educate women through healthy, happy pregnancies that ultimately result in the birth of a healthy baby.

Why do I need prenatal care?

Prenatal care is important for several reasons. We use these visits to educate patients on ways to minimize their risks and try to identify possible complications before they occur. What should I expect at my first visit? At your first visit, you may or may not meet with your physician. You will have an ultrasound, which may be done abdominally or vaginally. The ultrasound helps to establish an accurate due date as not all women know the exact date of their last menstrual period. Your physician’s nurse will complete an intake, which consists of questions about previous pregnancies, medical conditions, past surgeries as well as a genetic history. The goal of these questions is to identify possible risks during the pregnancy. You will also be asked about current medications, allergies and use of other substances such as alcohol, tobacco and drugs. Routine prenatal labs will be drawn to check your blood type, screen for anemia, and previous exposure to infections like Rubella, Syphilis, HIV and Hepatitis B. A urine culture may also be done looking for infection. If you meet your physician, you may also have cervical cultures done for Chlamydia and Gonorrhea both of which can cause problems in pregnancy. You may also have a pap smear if you are due for one. You will also receive a list of medications that are considered safe to take during pregnancy. What other tests should I expect after the first visit? You will be offered genetic screening either in the first or second trimester. At about 26-28 weeks, you will have a screening test for gestational diabetes. This consists of drinking a sugary drink and having your blood drawn after one hour. If you pass this test, no further testing will be done. If you do not pass it, 10 NEA HEALTH • 2015 2nd Edition

you will be asked to come back for a 3-hour glucose tolerance test. For this test, you will need to fast, which means nothing to eat or drink after midnight the night before your test. This will determine if you have gestational diabetes. You will also be screened for anemia at the same time, as it is not unusual to see a drop in your blood count. Between 35 and 37 weeks, you will have a group beta strep test. It tests for a type of bacteria some women naturally carry. If your test is positive, you will need antibiotics when you go into labor. How often do I need to be seen? For the first couple months, up until 28 weeks, usually you will be seen every four weeks. After 28 weeks up until 36 weeks, you will be seen every 2 weeks. After that, expect to be seen every week until delivery. There may be other circumstances that would require you to be seen more frequently but your provider will discuss this with you.

Will I need any shots during pregnancy? At your first visit, you will find out your blood type if you do not already know it. If your blood type is negative, you may need Rhogam early in pregnancy if you experience any bleeding and again at about 28 weeks and possibly after delivery if your baby is Rh positive. You will also need a tDaP injection that covers for tetanus, diptheria and pertusssis (whooping cough) in the third trimester. If you are pregnant, during flu season, a flu shot will also be recommended. What kind of questions should I ask my provider?

Anything! Make sure you know how to get in touch with someone during and after office hours. Ask your provider about what types of foods and drinks to avoid. Discuss potential work hazards and any limitations you may need. Make sure you know about what activities you should avoid and which What should I expect at subsequent visits? are ok to continue. Discuss diet concerns and the recommended amount of weight gain in Expect to be weighed every time and your pregnancy, which will depend on your preblood pressure will be checked every visit. You pregnancy weight. Ask about contraception will also be asked to leave a urine specimen options after delivery. prior to your appointment to look for protein or infection in your urine. You will be able to What about after delivery? hear the baby’s heartbeat with the Doppler at about 12 weeks and this will be done every You will be seen about 1-2 weeks after a cesarean visit. After about 20 weeks, your physician or for a blood pressure check if you will check the fundal height or uterine size to had problems with your blood pressure during pregnancy, ensure appropriate growth. during or after delivery. You will be seen again at 6 weeks How many ultrasounds will I have? for a postpartum visit. In general, the answer is two: one ultrasound to confirm a due date and another between 18-22 weeks to evaluate the anatomy. If other risk factors are identified, you may need them more frequently. Dominique Butawan-Ali, MD Obstetrics & Gynecology NEA Baptist Clinic 870.936.8000

Womenâ&#x20AC;&#x2122;s Health - Tech Neck

It C o u l d b e T ec h Nec k T ech neck is the new term used for neck pain that results from viewing our cell phones, tablets, and other electronic devices. The media does a good job of covering the possible effects that the use of these electronics place on our necks.

In physical therapy, we identify tech neck from a side view as a forward head position in relation to the upper back and shoulders. When the head is in this position, the bones of the neck have to slide forward. This causes the column of the neck to be more forward in comparison to the rest of the upper and lower back. The weight of the head is 8 to 12 pounds. The forward head position is similar to placing a bowling ball on a column and leaning the column forward. The eyes have to be positioned to see level, and the chin tends to jut upward in this position. Most of the population has the forward head position due to our arms being in front of the body. The daily activities of food consumption, computer use, driving, hair styling, reaching, pushing, and pulling are a few examples of postures where the head can easily be placed forward in relation to the neck column. Most of the patients who attend physical therapy for neck pain have their heads in a forward position. Patients are taught to try to keep the head well supported over the column and to keep a more chin down position. Instead of leading with the head, the head should move as a unit with the neck. Patients are also good about the identification of activities that cause neck pain. Two of the main culprits are the computer work station and use of electronic phones. For the computer work station, it is best to have the eyes level with the monitor and the forearms supported at a ninety degree angle. If the monitor is too far away, just move it closer. Also, glasses can cause the upper neck to tilt back and the chin to tilt up. In this process, the neck is used to see instead of the use of the eyes to look up. It would be better to adjust the glasses up or to look up with the eyes. For use of the electronic phone, it is best to have the phone at eye level. If you have to look down at the phone, remember to spin the head down and not to reach the head forward.

A few small postural recommendations would be to move the neck every twenty minutes. Sit tall as much as you can by stiffening the upper back and lifting the head straight up toward the ceiling. Also, placement of the hands behind the back and rolling the shoulder blades back for a nice chest stretch. Life in a more upright position places less stress on the spine, and it is worth the time to treat your body to a more efficient alignment. With a few easy and mindful adjustments in posture, you can avoid tech neck pain.

Nikki Luster, PT Physical Therapy NEA Baptist Clinic 870.936.8000 11 NEA HEALTH â&#x20AC;˘ 2015 2nd Edition

A Solution for the

Double Chin A

recent survey by the American Society for Dermatologic Surgery demonstrated that approximately 7 out of 10 consumers are bothered by fatty deposits in the submental area – otherwise known as the “double chin.”

Until this year, there was no effective non-surgical treatment of that area. Some surgical techniques include liposuction and face/neck lift. These procedures are invasive, require some kind of anesthesia, and involve a trip to the surgical suite (or operating room). They are also associated with a longer recovery time. If a patient has a significant amount of redundant, loose skin, a formal face/neck lift remains the best option. If, however, a patient does not have a lot of loose skin and only requires the removal of excess fatty deposits, they may be able to avoid surgery altogether thanks to a revolutionary new drug called Kybella®. Kybella® is the first and only FDA-approved injectable drug that contours and improves the appearance of submental fullness. Kybella® is manufactured by a California based company, Kythera. In 2015, Kybella® received FDA clearance after more than 9 years of research, and was the subject of over 20 clinical studies involving over 2,600 patients. In those studies, 79% of patients treated with Kybella® reported satisfaction with their appearance following, on average, only two to four treatments. What is Kybella®? It is a medication (deoxycholic acid) injected into the fat under the chin through several injections with a tiny needle, according to a grid pattern marked on the patient’s

12 NEA HEALTH • 2015 2nd Edition

skin prior to the procedure. It contours the area by destroying fat cells. Remnants of the fat cells are eliminated through natural mechanisms, and the fat is destroyed permanently. The procedure is performed in the office under minimal local or topical anesthesia. To achieve optimal results, a patient should have two to four (and up to six) treatments, with at least four weeks between treatments. Based on multiple studies, the best candidates for Kybella® injection are patients with localized fatty deposits in the submental area (under the chin) who have not had any prior procedures performed in that region, have moderate to significant fatty deposit, and do not have significant excess skin. The patient should not have any infection in the area of treatment and should not be on a blood thinner. Not all patients will respond to the treatment in the same way, and the treatment plan will need to be individualized based on the patient’s response (according to studies, 68.2% were “responders”).

Women’s Health - Kybella

The procedure is safe (as evidenced by the FDA approval), but can be accompanied by some side effects and complications. According to clinical studies, the vast majority of the side effects are mild, and most resolve within a reasonable period of time. Some common side effects include: -

edema / swelling hematoma / bruising pain numbness erythema (redness) and induration skin wrinkling dysphagia marginal mandibular nerve dysfunction (resulting in uneven smile)

To minimize risks and complications, only trained physicians should perform Kybella® injections. Kybella® is intended for improvement of appearance of submental fullness in adults. It is not recommended (or approved) for treatment of other areas of fat accumulation. Kybella® is available at NEA Baptist Plastic Surgery. Dr. W.T. Majewski completed the required training and is certified to inject the product. For more information or to schedule an appointment, please call (870) 936-8150.

W. Tomasz Majewski, MD, FACS Plastic & Reconstructive Surgery NEA Baptist Clinic 870.936.8000

13 NEA HEALTH • 2015 2nd Edition

Women’s Health - Inpatient Rehabilitation

Better Rehab Just Steps Away NEA Baptist Inpatient Rehabilitation Unit • 24 fully private rooms • Large windows with natural light and beautiful views • Large dining and recreation room for all patients and families to dine and visit. • Lounge area with flat screen TV • Activities of Daily Living (ADL) training unit and specialty bathroom/shower training unit setup to mirror home like atmosphere and aids in daily living tasks that patients may encounter when they go home • Spacious rehabilitation gym with state-of-theart equipment, guided by trained rehab professionals • The latest safe patient handling equipment located in patient rooms, hallways, dining/lounge area, and rehab gym

14 NEA HEALTH • 2015 2nd Edition

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

Within the Inpatient Rehab Unit is a day room for visiting or eating with family, watching TV or just enjoying the view. The unit also features a fully equipped rehab gym and Activity of Daily Living (ADL) training space. Easy access to the coffee shop, gift shop, chapel and cafeteria in the hospital provides a convenient and family friendly atmosphere. The rehab unit is located on the 5th floor of the hospital and is staffed by doctors, nurses, physical therapists, occupational therapists, speech therapists and other staff who specialize in rehabilitative care. Access to other specialty physicians is also available in the unit as needed.

The best cardiac care is just a heartbeat away. At NEA Baptist, we’ve created an advanced system of diagnosis and treatment for your heart, delivered by some of the most accomplished cardiac physicians in our region. This combination of technology and expertise is one reason NEA Baptist received the American Heart Association’s prestigious Mission: Lifeline® Heart Attack Receiving Center Accreditation, for our lifesaving heart attack treatments from the first 911 call to in-hospital treatment. Get Better with Baptist.

neabaptist.com

870-936-1000

Get Better.

Precious Miracle Overcoming Infertility

Women’s Health - Infertility

he journey of starting a family is different for everyone. For Ashley and Brittany Geohagan, their journey lasted years – far longer than they ever expected. There were many ups and downs for this family, yet after 8 years, adopting their sweet little boy and eventually giving up the hope of birthing their own, the Geohagan’s received their miracle.

We often hear that timing is everything – God has a purpose for everyone and a reason for everything. Infertility is no different. While there are things women can do to increase their chance of becoming pregnant and to remain healthy during pregnancy, some things are simply out of our control.

“He performs wonders

that cannot be fathomed, miracles that cannot be counted.” Job 5:9

Ashley and Brittany Geohagan married in 2007 – excited to share their life together and confident that they wanted to start a family.

The History

Although their journey to becoming a family started in 2007, Brittany’s story of infertility can be dated back to 2004 when she was 19 years old. At the time she lived in Springfield, Missouri and during a routine exam, the doctor congratulated her on being pregnant – something she knew was not even a possibility. An ultrasound later revealed a larger tumor that was pushing over her uterus that needed to be removed immediately. Because she was uninsured at the time, she was referred to several physicians before finding a doctor at a teaching hospital in Columbia, MO who was willing to perform the procedure. On June 18, 2004, the doctor removed a nearly 17 lb dermoid tumor from her ovary. They were able to peel the tumor away – saving her ovary from damage or removal. For two years following the surgery, Brittany experienced severe monthly pain and excessive bleeding to the point that the symptoms felt unbearable. A check-up with an OBGYN in 2006 revealed that there were multiple cysts on her ovaries that would need to be removed. The doctor did remove Infertility continued on page 18

Photo provided by La Bella Vita Photography by Kelly Creed

17 NEA HEALTH • 2015 2nd Edition

Infertility Ccontinued from page 17 them but follow up visits showed that the cysts were growing back nearly as quickly as they were removed. Fast forward a year to 2007 – Ashley and Brittany were married, ready to start a family and weary that the three years of health problems Brittany experienced may affect the outcome of this dream. Brittany made the decision to go straight to a fertility clinic in Memphis to find out what they may be up against. Numerous tests were run however they did not find anything wrong with her ovaries, tubes or ability to ovulate each month. The clinic referred Brittany to Dr. Norbert Delacey at NEA Baptist Clinic for her prenatal care in the event that she became pregnant. With a renewed outlook on their journey, Ashley and Brittany spent the next six months trying to conceive. A series of fertility drugs were also prescribed during this time. Over the next several years, Brittany would try various medicines (many were expensive and not covered by insurance) and went through many tests but did not get pregnant and the doctors did not have an answer.

the decision and started Brittany on a low dose cycle of clomid and a few other medicines that would make sure her ovaries were still working correctly. Unlike years ago, these drugs did not make her sick but after 4 months, the pain and bleeding became unbearable again. Brittany made the difficult decision to go back on birth control to control the symptoms. After a few months of birth control, she would stop with hopes of conceiving. Brittany went through this cycle for years – trying various birth control medicines for months at a time, then stopping to try to get pregnant until the pain and bleeding was unbearable again and the cycle would repeat.

... there was also a baby. A baby that was undetected on an ultrasound that morning – Her Miracle Baby.

The process wore down on Brittany physically, along with the hope she and her husband had of starting a family. They explored further fertility options but ultimately decided the dream of becoming parents was over and accepted that they would never have a baby.

Not long after, the Geohagan’s were introduced to the idea of adoption. After some convincing, Ashley came around to the idea and the couple began the adoption process. They finished the program in November 2009 but decided not to foster any children at that time. A few short months later in May 2010, they received a random call about a child that would be born in July 2010 that needed a family. They decided to meet with the birth mom and on Mother’s Day weekend 2010, they received the life-changing news that they had been chosen as the adoptive parents. Dawson Geohagan was born 8 weeks and 2 days later – Ashley and Brittany were able to be there for the birth of their adopted son. This unexpected change in their plans filled the family with more love and joy than they could have imagined. Around Dawson’s first birthday, Brittany began to realize the longing she still had for a biological child. She had dreamt for years about what it would be like to carry a child – to feel him/her kick and to know she and her husband had created the baby together. She loves Dawson more than she ever could imagine but felt that she now had a renewed strength to continue their journey of becoming pregnant. It had been two years since they gave up hope and decided the best option was to first talk with Dr. Delacey. He was very supportive of 18 NEA HEALTH • 2015 2nd Edition

In April 2014, she stopped taking her birth control again and much to her surprise, Brittany was not experiencing the painful symptoms or heavy bleeding she had in the past. When she followed-up with Dr. Delacey in October for a yearly appointment, she told him she had not been on birth control for 6 months.

“Because of Brittany’s health history, I wanted to set realistic expectations when I learned that they were trying to conceive again,” said Dr. Delacey. “There was still a chance for them to get pregnant but it was certainly not a guarantee.” December 8th 2014 is a date that the Geohagan’s will never forget. Nearly eight years after making the decision to start a family, a pregnancy test confirmed that Brittany was pregnant. If one test isn’t enough assurance - seven tests within 24 hours confirmed a pregnancy that Ashley and Brittany thought would never happen. “There are things women can do to take care of their bodies and overall health that may affect their fertility and ability to conceive. For Brittany, losing a large amount of weight, maintaining a healthy weight range and practicing healthier lifestyle choices ultimately led to a healthy pregnancy. I am so happy for their family and I was thrilled to deliver their baby girl in August. Every story is different and we never know how the timing of these things will work out,” said Dr. Delacey. The rollercoaster doesn’t stop here for the Geohagan’s. Brittany immediately set an appointment with Dr. Delacey but would not see him until January. She had prayed and waited for this moment for so long but could not wait to get a doctors confirmation so she booked a check-up with a doctor closer to their home in Kennett, Missouri. The clinic confirmed the pregnancy with blood work and at 7 weeks they performed the first ultrasound. Then, she was called back the same week for a second ultrasound. At this time, they were told they had a mole pregnancy – a pregnancy in which the DNA does not form during conception, resulting in a mass of tissue rather than a fetus.

Women’s Health - Infertility

“It was a wonderful experienced,” gushed Brittany as she held her newborn baby. “The nurses were all great, there was plenty of space for our family; we couldn’t have asked for a better experience. It was obvious the nurses had good communication – anytime they had a shift change, the transition was seamless and the new nurse walked in knowing exactly what was going on. This really helped to make me more comfortable about the experience.” Brittany added that she was so lucky to experience an easy delivery and impressed by the helpful but private setting that the nurses created. “I was able to rest and relax, but when I needed something they (nurses) were always there quickly, ready to help.” In fact, the family later learned that 6 other babies were born the same day yet they always felt they had the attention and top-notch care they expected. The doctor scheduled her for a DNC to be performed December 23rd 2014. This was not an answer Brittany was willing to accept. She called Dr. Delacey’s nurse to explain what she had been told and expressed need for a second opinion before going through with the surgery. The nurse told her she could get her in that day if they could be there. Brittany rushed to Jonesboro and was immediately taken to the ultrasound area where she met an ultrasound technician named Ashley Walls (they now lovingly refer to her as their miracle worker). After scanning for a few minutes, Ashley asked why she was there and why she did not want the baby. She pointed to the screen and showed Brittany her baby’s heartbeat. Yes, there was a mass in her uterus (that dissipated within the next few months) but there was also a baby. A baby that was undetected on an ultrasound that morning – Her miracle baby. Brittany visited the clinic every two weeks in the beginning to make sure their baby was still doing well. During this time, she became very close friends with their ultrasound tech – Ashley, who was a very strong support system for Brittany during her pregnancy. Even at 36 weeks, Brittany was still in shock. “It is all about God’s timing. This entire experience has been surreal. NEA Baptist has been so positive and helpful. They make the patients’ needs and concern a priority, but they are always upfront, honest and help us to know what to expect.” Brittany was induced on August 14th 2015 and Ashlyn Rose Geohagan was delivered by Dr. Delacey at 3:19 pm, measuring at 7 pounds, 5 ounces and 20 inches long.

Not only were the nurses helpful to provide Brittany with anything she needed, they were there for the entire family and helped to make sure Dawson felt comfortable and important as he became a new big brother. Brittany was excited to be able to start nursing Baby Ashlyn right way. Her protective daddy was also relieved to see that their new baby could stay in the room with them at all times except for the occasional test that they needed to run. Ashley Geohagan added from the dad’s perspective, “Two thumbs up to everyone at NEA Baptist – from the radiology techs that first found our babies heartbeat to the nurses and doctor in the delivery room, everything was great.” The family added that the Women’s Center at NEA Baptist Memorial Hospital exceeded all expectations. “There was plenty of room for our family, the nurses and privacy were great and welcoming to visitors, the cafeteria was always good and we were especially impressed by our steak dinner.” When Ashley and Brittany Geohagan started planning their family eight years ago, they never imagined where that journey would take them. Although it was not always easy, they stated they would not change anything. “We are thankful that God has a plan for everything. Ashlyn Rose is our miracle baby and we wouldn’t have it any other way. We are so happy that our family of four is now complete.” Every patient, every family and every journey is different. At NEA Baptist, we are proud to offer state-of-the-art technology, a beautiful facility, caring nurses and experienced doctors but the biggest blessing is the ability to be a part of this journey for the families that come through our doors.

19 NEA HEALTH • 2015 2nd Edition

Women’s Health - Heart Disease

Women’s Heart Health:

Facts that May Save Your Life!

“T

he GO Red for Women campaign raises awareness of the risk of heart disease. I think a lot of people don’t realize that heart disease is the number one killer of women. So what we’re doing is encouraging women to tell five other women about heart disease and how they can prevent it.” Cheryl Hines

Women have always carried the load for their families. They seem to put their healthcare needs on the “back burner” until their family’s needs have been tended to. Because of their caretaker role, women have been known to present for medical care late in the course of their illnesses. In the event of a heart attack, treatment delay can have devastating consequences. The incidence of heart disease in women is alarmingly high in the U.S.—250,000 heart attacks/year. It is the number one killer of women (125,000 deaths/year)! In fact, over a woman’s lifetime, she has a five-fold increased risk of dying from a heart attack than from breast cancer. “Shock” factor may play a key role; most women are shocked to hear that they are having a heart attack. Their symptoms are often vague and atypical—shortness of breath, nausea and vomiting, fatigue, weakness, indigestion, and back or jaw pain. [Chest pain and/or discomfort are the typical symptoms shared by both men and women.] -American Heart Association About a third of women experience no chest pain at all when having a heart attack and 71% of women report flu-like symptoms for two weeks to a month prior to having more acute chest discomfort or severe shortness of breath. These milder symptoms are under-reported to emergency room staff. -Women’s Heart Foundation

20 NEA HEALTH • 2015 2nd Edition

Understanding and controlling your heart disease risk factors is the first step in heart attack prevention. Heart disease risk factors include: Smoking or Second Hand Smoke Exposure, Diabetes, High Blood Pressure, High Blood Cholesterol, Being Overweight (20 pounds or more), Physical Inactivity, Prior Heart Attack or Heart Stent, Birth Control Pills in Smokers, Family History and Post Menopausal Status. Risk factor modification is of paramount importance and should be a joint-venture between you and your doctor. “Getting your lab values (blood glucose, blood pressure, blood cholesterol, and weight) within normal range is a good start. Smoking cessation and a regular exercise regimen are also important lifestyle alterations.” Awareness of women’s heart health issues are of critical importance in saving lives. The doctors of NEA Baptist Memorial Hospital and Clinic are here to work with YOU to prevent and treat heart disease. If you have any signs or symptoms of heart attack, call 9-1-1 and get to a hospital right away.

Paul Levy, MD Cardiovascular & Thoracic Surgery NEA Baptist Clinic 870.936.8000

Female

Women’s Health - Vaginitis

aginitis is a very common problem resulting in clinic visits, phone calls, millions spent in over-the-counter and prescription medications and most importantly, MISERY for female patients!

Vaginitis is a general term associated with vulvovaginitis, meaning both the vulva and vagina. Most symptoms involve itching and/or burning of the vulva (the anatomic opening to the vagina) plus a vaginal discharge. The vagina harbors the offending organism (germ) which produces the bothersome discharge and irritation. Here I break down the causes, and list the Diagnoses (D) and Treatments (T). Infectious: This involves different types of germs/microbiological organisms: Fungal (yeast); Bacterial (BV); Protozoal (trichomonas) and Viral (genital herpes) Fungal (Yeast): Actually yeast is NOT the most common kind of vaginal infection. Nevertheless, it occurs very frequently. Normally the vaginal discharge is made up of Lactobacillus (a type of bacteria), with a few other types of bacteria and even yeast, all in much smaller concentrations. A yeast infection occurs when the yeast overgrows; essentially replacing the Lactobacillus (bacteria). Another cause for yeast infection is when a woman is treated with an antibiotic (for example, for a sinus infection) which unfortunately also destroys the Lactobacillus, allowing the yeast to thrive. In addition, yeast loves sugar (glucose) so diabetics with poor sugar control are at increased risk for infection. Yeast infections are rare in children and uncommon in post-menopausal women.

For proper diagnosis, see a health care provider. A history will look for risk factors (antibiotic use, diabetes or recurrent yeast infections), symptoms of itching and the type of discharge. On exam, the classic cottage cheese type discharge may be seen, though often it is of various colors and consistency. A wet mount (lab sample of discharge) is performed and yeast looked for under the microscope.

Charles C. Dunn, MD, FACOG Obstetrics & Gynecology NEA Baptist Clinic 870.936.8000

Misery Needs an Office visit Tsuppositories, Anti-fungal products such as creams, or pills are over the counter and by prescription. Usually a better cure rate is obtained with prescription drugs, but about 70% of women are cured with overthe-counter medications. For the itching, a steroid cream provides relief. Occasionally, with time, the Lactobacillus returns on its own, thus resolving the yeast infection. Diabetics: get blood sugar under control!

Bacteria (Bacterial Vaginosis or BV): BV is the MOST common vaginal infection, made up of various types of bacteria which essentially “kick out” the Lactobacillus. This is your own bacteria, usually from the colon (nothing to do with hygiene; the anus is just that close to the vagina regardless of how clean you are). Why this infection occurs is a mystery!

A trip to the health care office is necessary. History of prior BV infection, vulvar irritation with yellowish discharge that has a fishy odor, especially after sex or with menstrual flow (remember, this bacteria comes from the colon) may be present. On exam, a yellow/ frothy vaginal discharge is seen with specific findings under the microscope.

Antibiotic vaginal cream, suppositories or pills. For the irritation, a steroid cream applied to the vulva provides relief. [over the counter anti-fungal products do not cure bacterial infections.] Protozoa (Trichomonas): Trichomonas is uncommon, though not rare, and is associated with sexual transmission in virtually all cases. Thus, Trichomonas unfortunately is a Sexually Transmitted Disease (STD), unlike BV and yeast. This is a one celled organism with a flagella (“tail”) which produces movement. (Think back to high school biology, this is in the same category as amoeba and paramecium.)

D Yup - Needs an office visit with history, exam and evaluation of

the discharge under the microscope. History includes prior trichomonas infection, irritation and a heavy

vaginal discharge. The examination and especially lab testing (visualization of active organisms) are critical so that an accurate diagnosis for successful treatment and management.

Oral antibiotic and a steroid cream applied to the vulva for irritation. Viral (Herpes Genitalis): This is more common than most people realize (actually the #1 STD). Unfortunately most people, men included, don’t realize they have it. It may appear as blisters which turn into painful ulcers, but sometimes there is just a tingling sensation. Some outbreaks can occur monthly but most are less frequent.

An office visit for a history (known exposure, prior oral cold sores, a new partner, painful blisters and ulcers) and examination is needed. A lab with viral testing of the lesion or blood testing for antibodies, both of which take a few days to return, will be done.

Tmedication Anti-viral medication and pain if needed.

Non-Infectious: Reactive vulvitis is just like dermatitis (such as skin reaction to poison oak); however, the vulva is more sensitive, so this area is more reactive or sensitive to “chemicals”. Soaps, detergents, bubble baths, bath oils, lotions, certain lubricants (warming gel), etc., may contain dyes, scents, deodorants that might irritate the vulva thus causing itching and burning.

Visit your health care professional. A history (exposure to any possible “irritants”, prior similar episodes, recent travel, etc.), examination (redness, discharge or lack thereof, area affected) and of course, a lab will be performed.

Remove the irritant. Apply steroid cream which not only provides relief but also cures the problem. Consider using ivory bar soap, rinse the vulva with fresh water after being in a pool/hut tub, use hypoallergenic laundry detergent and double rinse underwear, especially in summer months when sweat leaches detergent from underwear.

Vaginitis symptoms are such that self-diagnosis and even over the phone clinical diagnoses are often wrong. Thus, the recurrent article theme is that an office visit is critical for an accurate diagnosis. This allows for successful treatment and management. Of note, do not douche! This does not work to resolve any type of vaginitis and may lead to serious internal pelvic infection. Again, the best course of action is to see your health care professional. 21 NEA HEALTH • 2015 2nd Edition

Women’s Health - Skincare

Acupunture for Skin Care H

...fine lines, wrinkles, pore size? Join the club!!! Help is out there! There is a breakthrough remedy for the treatment of these aging issues. This treatment is called Collagen Induction Therapy, also referred to as Microneedling. Microneedling is a suitable treatment for almost all skin types and ethnicites and can be performed on all areas of the face, neck, chest, abdomen and hands. The treatment is performed using a surgical grade instrument with twelve acupuncture type needles that can penetrate the skin by up to 2mm. The treament starts by applying a topical numbing agent to the area being treated for twenty to thirty minutes. The numbing agent is then removed and the area is throughly cleaned. The acupuncture needles are then inserted into the skin creating tiny micro channels or “punctures” in the skin. In doing so, the deeper layer of skin is encouraged to stimulate and produce collagen and elastin, which gives our skin a plump and youthful look. By stimulating the collagen and elastin, you will lessen, if not eliminate textural issues such as the fine lines, wrinkling, pore size and acne scarring. A stem cell serum is then applied directly after treatment and left to penetrate directly into the micro-channels and is carried to the deeper skin layers where it becomes 1,000 times more effective as it is carried directly where it needs to go. This treatment is very desireable in that you will not experience much “downtime” in the coming days after treatment. You will however experience a mild post-inflammatory effect for several hours to a full day after treatment such as sunburn like redness and swelling at treatment site, but this can be easily concealed with makeup and/or a tinted sunscreen. 22 NEA HEALTH • 2015 2nd Edition

ave you ever worried about the effects of aging skin?

Patients should expect to have anywhere from three to six treatments performed about four weeks apart. Even though results can be slightly noticeable even after just one treatment, it can take several weeks for even more visible signs of the skin regeneration process and this process will continue to evolve over the next six to ten months providing further skin improvement. Some of the visible improvements of collagen induction therapy include improved skin texture, improved tone, reduced signs of acne scarring, surgical scarring, sundamage and even stretchmarks. As with any skin treatment, it is best to schedule a complimentary consultation so that you and your skin specialist can discuss your medical and skincare history and determine the best treatment plan for you. The treatments are cost effective as compared to other resurfacing procedures and disounted package pricing will also be available. Call to find out more information on this amazing procedure and to schedule a consultation.

Shea Wilson, LE, CAC Aesthetician NEA Baptist Clinic 870.936.8000

- A Note From the Pediatrician -

Prevention Can Be the Best Medicine

NEA Baptist Clinic Pediatrics, we take a proactive approach to your child’s health. We believe that preventative care, through your child’s well visits and immunizations, is vitally important.

Immunization Guide

The American Academy of Pediatrics (AAP) recommends that babies visit their pediatrician for a well-child check-up as a newborn by one month, at two, four, six, nine, twelve, fifteen, eighteen, and twenty-four months of age; and then once a year from ages three and up. These visits are important so that your provider can monitor your child’s growth and development along with administering any vaccines your child may need. We know that you are bombarded by conflicting information on vaccine safety and want to offer our stance as healthcare professionals to help you make that decision. We firmly believe that vaccines are effective, safe and may be the single most important health-promoting intervention we perform as health care providers. It is essential that your child stays up to date, so we have provided you with an immunization guide.

2 months: Pediarix #1, Prevnar #1, Rotarix #1, Hib #1 4 months: Pediarix #2, Prevnar #2, Rotarix #2, Hib #2 6 months: Pediarix #3, Prevnar #3, Hib #3 12 months: MMR#1, Varicella #1, Hep A #1 15 months: Dtap #4, Prevnar #4, Hib #4 18 months: Hep A #2 4-5 years: MMR #2, Varicella #2, Kinrix (prerequisite for pre-k/ mandatory for kindergarten) 11 – 12 years: Boostrix #1, Menactra #1, Gardasil x3 (required prior to entering 7th grade)

In addition to the above vaccines, we recommend yearly flu vaccines (fluzone) for all patients above six months of age beginning in September. If your child needs updated immunizations or has not had a check-up recently, we would like to encourage you to call our office at (870) 972-5437 to schedule an appointment.

Thank you for choosing NEA Baptist Clinic Pediatrics.

23 NEA HEALTH • 2015 2nd Edition

Women’s Health - Breast Imaging

Mammography

he NEA Baptist Breast Imaging Center is dedicated to keeping women healthy and cancer free. With the addition of 3D mammography women now have the latest technology in mammography available here in northeast Arkansas.

What is 3D mammography? 3D mammography is a revolutionary state of the art technology approved by the FDA in February 2011, which gives radiologists the ability to view inside the breast layer by layer, helping to see the fine details more clearly by minimizing overlapping tissue. During a 3D mammogram, multiple low-dose images known as “slices” of the breast are acquired at different angles. With 3D technology, radiologist can view a mammogram in a way never before possible. What are the benefits? 3D mammography can help improve breast cancer screening and detection. Since 3D mammography helps distinguish harmless abnormalities from real cancer, false positives are reduced. With the advanced technology of 3D, women have less anxiety, because now, there are fewer call backs for further testing.

24 NEA HEALTH • 2015 2nd Edition

New technology sounds good, but how much radiation will I be exposed to? It varies from person to person. A 3D mammography adds about 4 seconds per view to the compression time. Radiation exposure varies from person to person and is roughly equivalent to film/screen mammography. The amount of radiation is still below what the government sets as being safe. Am I a candidate for 3D mammography? Doctors and scientists agree that early detection is the best defense against breast cancer, which is why an annual mammogram and monthly self-exams are so important. 3D mammography has been shown in clinical studies to be more accurate than conventional mammography alone and all patients benefit from this revolutionary technology regardless of breast density or family history. When should I schedule my first mammogram? All women age 40 and older should have a screening mammogram every year. Women 18 or older with a family history of breast cancer should consult with your doctor.

phy

gra o m m Ma

• Taking the Fight to the Next dimension

Should I have a 3D mammogram even if I had one last year? Yes! At NEA Baptist, we recommend that all women get a 3D mammogram every year as part of their annual mammography examination. Early detection provides the greatest chance for finding curable breast cancers and the best chance for early detection is with 3D mammography. Women should ask for this new technology, it is truly an important component in the screening process. Does research support the use of 3D mammography? A recent study published in The Journal of American Medical Association (JAMA) has found that the addition of tomosynthesis, a 3D imaging technique, to digital mammography was linked to a reduction in the number of patients being called back for additional testing and a rise in the breast cancer detection rate. The study scrutinized data from 13 medical centers that had switched to 3D imaging. The researchers compared results from the years when the centers were using digital mammography alone compared to mammograms along with tomosynthesis (3D). They found a 15 percent reduction in recall rates along with a 41 percent increase in the detection of cancer. Studies like the one cited above continue to reinforce the benefits of 3D mammography in breast cancer screening.

• Improved Cancer Detection • Reduced False Positives • Less Patient Anxiety • Clearer, more precise images

870-936-PINK Call our Breast Health Navigator for a free high risk assessment.

We are excited to provide this new technology to our patients, and we encourage every woman to take advantage of 3D mammography. To schedule your 3D mammogram at NEA Baptist Breast Imaging Center, call 870.936.PINK. David Parish, MD Radiology NEA Baptist Clinic 870.936.PINK

25 NEA HEALTH • 2015 2nd Edition

A baby changes everything, especially you. NEA Baptist Clinic – Women’s Health is here with the information and guidance to see you through. We focus on you, from the confirmation of pregnancy to the sound of your infant’s cry. We conduct lab tests to assure you of the safety of both you and your baby. Ultrasounds are available to see your infant’s first movements. We provide nursing personnel to answer any concerns, and have an excellent team of physicians readily available. Our practice is dedicated to caring for a woman’s unique needs in a manner and quality that she deserves. We can advise you about contraception, perform routine yearly check-ups, and help restore normal levels of health when problems occur.

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

Get Better. Get Better. 870-936-8000 • 4802 Johnson., Jonesboro • NEABaptistClinic.com

Women’s Health - Weight Loss

What Does It Mean To Be A Center of Excellence?

arlier this year NEA Baptist Memorial Hospital was designated a Center of Excellence in bariatric surgery (surgery for obesity). What does that mean for our patients?

Center of Excellence (COE) is a term bantered about when promoting various services provided by hospitals and other health care entities. Sometimes the term means that the hospital, doctors, and nurses have put special emphasis on a particular service or disease. Other times COE is little more than a marketing term. Many times individual hospitals determine their own criteria for Center of Excellence. These criteria may be different for hospitals across the country or even in the same town. In such cases, patients cannot be sure care is equivalent from one place to another. On the other hand, Bariatric Surgery Center of Excellence status is only granted after a rigorous process that is standardized for all hospitals across the United States. The American College of Surgeons (ACS), the scientific standard bearer for surgeons, and the American Society of Metabolic and Bariatric Surgery (ASMBS) have combined to produce standards for designation as a center of excellence in bariatrics. NEA Baptist has received the highest designation given in bariatrics by the American College program. From the time a patient first inquires about weight loss surgery, through the educational process, during the surgery, and through long-term follow-up, our patients can be confident that they are receiving the same level of optimal care as any other certified center. Surgeon and staff education, hospital infrastructure, protocols for care, and patient outcome through an American College of Surgeon registry are all rigorously evaluated in the American College of Surgeons – American Society of Metabolic and Bariatric Surgery COE process. K. Bruce Jones, MD Bariatric and General Surgery NEA Baptist Clinic 870.936.8000

27 NEA HEALTH • 2015 2nd Edition

In Memory of Dr. Michael Hong

n March 2015, the NEA Baptist Women’s Center expanded to meet the growing needs in our community by adding a wing with 11 new beds. Following the ribbon cutting, NEA Baptist OBGYN physicians had the idea to work with our Charitable Foundation to start a campaign that would raise funds to name the new area after Dr. Michael Hong. Dr. Hong was an OBGYN who joined our practice 17 years ago. They decided the goal for the campaign would be $50,000 and that the funds raised would go back to support our existing ShareHope program and palliative care program. ShareHope is one of the 5 free programs of NEA Baptist Charitable Foundation that offers support and resources to families who lose a baby during pregnancy, birth or shortly after. Dr. Hong passed away in May 2015 but knew about the donations being made in his honor and was very humbled and grateful for the support. In total, the campaign raised $90,000 through donations made by our physicians, colleagues, community friends and the friends and family of Dr. Hong.

The Virginia R. & Wayne F. Baker Hope Garden

n August 20th, 2015, NEA Baptist Fowler Family Center for Cancer Care dedicated the Virginia R. and Wayne F. Baker Hope Garden in honor of a gift Mr. Baker made in memory of his wife Virginia in late 2014.

Mr. and Mrs. Baker were pioneers in the Jonesboro business community starting the first fencing business: Northeast Arkansas Fence, the first rental business: Baker Rentals and Sales, and the first medical supply company: Baker Health Care Specialties in the region. The couple was married for 66 years and business partners for most of those years.

The new area in the Women’s Center is now designated In Memory of Dr. Michael Hong and a dedication ceremony was held in August.

The legacy of this great man and doctor will be remembered for many years to come.

28 NEA HEALTH • 2015 2nd Edition

The garden is located outside the infusion center at the cancer center and is a beautiful space for patients and families to reflect during treatment. It is a space for healing and peace. It features scripture stones and an artistic cross statue. Funds from this generous donation were given to enhance the Cancer Patient Assistance Fund.

Caring for Our Community NEA Baptist Charitable Foundation’s mission is to help change lives through its free programs and services in Northeast Arkansas. The Foundation, through your generous gifts, touches every community member and every corner of Northeast Arkansas. Center for Healthy Children – An exercise and nutrition education program for children who struggle with weight problems.

HopeCircle – A community of hope, support and educational programs for families living with a catastrophic illness. Medicine Assistance Program – This program helps patients get their prescriptions from pharmaceutical companies.

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

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

Come volunteer with us! Memorials and Honorariums Welcome - PO Box 1960 • Jonesboro, AR 72403

870.336.1421 • NEABaptistFoundation.org

Helping Patients

arc Ford was a loving husband, father, son, and brother, as well as a patient. Like many people today, Marc wore many hats, but one that he did not choose was patient. Marc found himself battling a chronic disease for the majority of his life. Due to a blood transfusion he received at birth, Marc contracted Hepatitis C. Not diagnosed until he was in his twenties, Marc battled this illness for over twenty years before complications from his disease forced him to get a liver transplant. In December of 2014, Marc passed away. The outpouring of love and support Marc received over the years from his community made a tremendous impact on his family. The simple day-to-day expenses as his family traveled to and from the hospital were an overwhelming financial burden. Marc’s wife would often come home to find someone had anonymously left them money or a gas card in their mailbox to help them with these expenses. These small gifts during this difficult time helped to financially sustain them. Shortly after Marc’s death, his family wanted to find a way to help other patients like Marc that were battling a chronic disease but didn’t have the support system that they had. As a way to honor Marc and help others, the family established the Marc Ford Patient Assistance Fund. This fund is a tangible way to come alongside others in the same way that so many helped them. So often, a chronic illness is accompanied by a financial burden as the daily life of the patient and the family is drastically altered. Through the Marc Ford Patient Assistance Fund, we will seek to alleviate some of that burden. Would you help us? Would you come alongside chronically ill patients like Marc and their families who are burdened with financial strain as they fight to get better? By making a tax-deductible gift to the Marc Ford Patient Assistance Fund, you can help these patients who already find themselves struggling with their disease but are now overwhelmed with the financial burden of daily expenses. Your donation will make a difference in the lives of these patients and families for generations to come. There are several ways to give. You can simply mail a check made payable to the NEA Baptist Charitable Foundation for the Marc Ford Patient Assistance Fund- Attention: Robbie Johnson 4802 East Johnson, Jonesboro, AR 72401. You can also give by credit card on the foundation’s website at neabaptistfoundation.org. If you have any questions or would like more information about the Marc Ford Patient Assistance Fund or the NEA Baptist Charitable Foundation, please contact me at robbie.johnson@bmhcc.org or (870) 936-8479. Thanks for your donation. Your generosity heals! Robbie Johnson, Director of Development robbie.johnson@BMHCC.org NEA Baptist Charitable Foundation 30 NEA HEALTH • 2015 2nd Edition

ur fall CHC program has started with 20 children for our 12 week program and they are engaging in a lot of physical activity and nutrition lessons. The kids take monthly field trips to go bowling, play at the Miracle League of Jonesboro park and play basketball. Our physical activities include outside games, swimming and team workouts. The kids also learn about nutrition and taking what they learn in class and apply it to their everyday lifestyle. Parents are also involved in participating in our weekly nutrition lessons. Our spring signup will begin in late November for the Center for Healthy Children spring 2016.

ellness Works has had a successful year with over 99 referrals for patients from January thru September 2015. The participants are involved in a 12 week program with weekly workouts and every other Friday are offered a health education class on health and nutrition related topics. This program is dedicated to helping people with a chronic illness and disease and a FREE gym membership to the NEA Baptist Clinic Wellness Center for 12 weeks. Our January signup will begin in December for our spring 2016 sessions.

Erica Huffstetler, Program Manager Erica.huffstetler1@neabc.com Center For Healthy Children Wellness Works NEA Baptist Charitable Foundation

hen we moved into the new HopeCircle space in the Fowler Family Center for Cancer Care 20 months ago, we knew we were blessed with a state of the art facility. What we didn’t realize was how our families were going to love the new space and how they would react to the healing environment. We continue to hear comments such as, “I feel more at peace when I come here”; “Coming into HopeCircle helps me relax and feel calm”; “What an amazing space this is” and “The colors, the music and the furniture make me want to sit down and stay awhile.” While our space is wonderful, what really makes HopeCircle special is our resource

en years ago Hope Week began as a way to call attention to the importance of Hope in all our lives and to help people find ways to share that Hope. We understood, through our experience and research, the importance of Hope and we discovered, through Hope Week, the joy that is generated when people come together and spread Hope across our area.

The week kicked off with “Touch a Truck”, a new event that allowed children (of all ages) to see, climb on and ride on vehicles of all sizes and shapes. The bucket truck, antique fire truck and garbage truck were huge hits. The Nettleton EAST teachers and students did an incredible job of putting together a fun event that brought joy and laughter to many and generated funds for Miracle League and HopeCircle.

center volunteers. This group of caring, HopeCircle’s mission is to provide supportive committed individuals is always ready to care for families living through a life changing help patients find the perfect wig; choose a diagnosis. Susie & I could not do that hat or select some scarves, or a book from without our wonderful volunteers. They the lending library. They staff the resource give hope in many different ways and remind center and work in the infusion area, serving me of a quote by Rev. Judith E. Meyer: snacks, getting blankets and pillows and “When we are depleted, Hope finds us by the helping wherever needed. Perhaps their care others give.” most valuable service is their willingness to listen - to both patients and families. Many families become attached to our volunteers and continue coming to HopeCircle long after treatment ends to visit and share their new life experiences. June Morse, HopeCircle Program Manager june.morse@neabc.com NEA Baptist Charitable Foundation

Individuals and groups worked on projects and events as diverse as the participants involved. As they worked to bring Hope to others, they bonded in unexpected ways and found themselves more hopeful. Children received eye exams and glasses, yarn was purchased for afghans for cancer patients, stained glass pendants were given to cancer patients, food was collected for Helping Neighbors and the Food Bank of NEA. There were projects involving Children’s Hospital, area schools, ovarian and breast cancer awareness. The Nettleton High School choir and EAST had a “Hopeful Concert” that visited nursing homes, hospitals and businesses across the community. During the month of September area nail techs provided ovarian cancer awareness tips and participated in “Teal Toes”; painting toes teal to call attention to the importance of recognizing ovarian cancer early. The Jagged Edge capped off the month with a “Teal Toes” event at the salon, with all proceeds going to HopeCircle.

The annual “Teal Talk” featured Dr. Scott Dorroh and was an opportunity for people to hear about the progress and advances in cancer diagnosis and treatment. It served as another reminder of why there is such a sense of Hope in the cancer community. “Hoping for a Cure” was another opportunity for the community to receive awareness information, for breast and prostate cancer and for qualified individuals to receive free mammograms or prostate screenings. The week culminated in the ShareHope Walk of Remembrance and Hope. This wonderful event honored babies who died too soon and offered Hope to families who have suffered tremendous loss. It was another reminder that while Hope may not alter the outcome of an experience, it provides comfort for the journey. While Hope Week has grown and evolved over the past ten years, the purpose has remained the same: Recognize the importance of Hope and pass it on...

31 NEA HEALTH • 2015 2nd Edition

For Those Who have Suffered Loss ShareHope, a program of NEA Baptist Charitable Foundation, is a FREE support program for those whose lives are touched by the tragic death of a baby through pregnancy loss, stillbirth or in the

It’s a New Addition!

This support encompasses emotional, physical, spiritual and social healing, as well as sustaining the family unit. ShareHope also provides free information, education and resources on the needs and rights of bereaved parents and siblings.

M Volunteer Opportunities Available. 870.936.8400 • NEABaptistFoundation.org

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

Examples of who may qualify for this assistance are; patients in the Medicare coverage gap and have no way to purchase medications on their own, have a lapse in insurance coverage, have more medications than slots available on Medicaid, or have lost their job and insurance. Applicants must meet EMF guidelines. The Medicine Assistance Program (MAP) is set up to assist uninsured and underinsured patients obtain medication free from pharmaceutical companies. Anyone may apply regardless of who your doctor is or where you live. The income guidelines are set up by the pharmaceutical companies.

FREE Wellness Program for patients with chronic illness including high blood pressure, diabetes, obesity and cancer.

Applications are available online at www.neabaptistfoundation. org. Click on Medicine Assistance Program to download the application. Call Terry at 870-934-5400 for more information about Medicine Assistance Program or Emergency Medication Fund.

12 week program with physician referral

870-336-1770 32 NEA HEALTH • 2015 2nd Edition

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

There when you need us

Walk-in clinic, when you need a doctor, but not an emergency room. No appointment necessary. HILLTOP CLINIC

WINDOVER CLINIC

4901 E. Johnson Ave. • 870-934-3539 Mon - Thurs 9am - 6pm Fri 9am - 5pm, Sat 8am - 1pm Sun 8am - 12pm

1111 Windover Rd. • 870-935-9585 Mon - Fri 8am - 6pm Sat & Sun 8am - 12pm

STADIUM CLINIC

2205 W. Parker Rd. • 870-910-0012 Mon - Thurs 9am - 6pm Fri 9am - 5pm Sat 8am - 1pm, Sun 8pm - 12pm

WOODSPRINGS CLINIC

3003 Apache Dr. • 870-931-8800 Mon - Thurs 9am - 6pm Fri 9am - 5pm Sat & Sun 10am - 3pm

L AT E N I G H T

PARAGOULD CLINIC

4700 W. Kingshighway • 870-240-8402 Mon - Fri 8am -5pm Sat 8am - 1pm, Sun 8am-12pm

4901 E. Johnson Ave. 870-934-3539

DOC+FINDER

1111 Windover Rd. 870-910-6040 Mon - Fri 6pm - 9pm

L AT E N I G H T

DOC+FINDER 870.936.NEAB (6322)

870.936.NEAB (6322)

NEABaptistClinic.com

The best way to fight cancer is together. At the NEA Baptist Fowler Family Center for Cancer Care, we believe the best way to fight cancer is together. Our team approach combines radiation therapy, chemotherapy, research and support, all backed by a dedicated medical team with one common goal - to help you get better. That is one reason we were the first in Arkansas to receive certification by the Quality Oncology Practice Initiative for meeting the highest standards in quality cancer care. Get Better with Baptist.

FOWLER FAMILY CENTER FOR CANCER CARE

neabaptist.com

870.936.7000

Get Better.