ISSUE 13
Spring/Summer 2011
Brought to you by
neabaptistclinic.com
Botox® & Beyond W. Tomasz Majewski, MD, FACS
Patient Centered Medical Home Hip Replacement? CPAP Tips & Tricks Cutting-Edge Technology Women’s Health
Our Vision Becomes Reality Construction Update Inside
“Agency Of Excellence” on Medicare HomeCare Elite List
HOME HEA LTH HEALTH P ROFESSIONALS IN C. PROFESSIONALS INC.
HOSPICE CARE off NEA ““Your Your first first cchoice hoice ffor or q quality ualiity h hospice ospice ccare” are”
WHAT WHAT IIS SH HOME OME H HEALTH, EALTH, H HOSPICE, OSPICE, & P PALLIATIVE ALLIATIVE C CARE? ARE? Medical M edical ccare are a and nd a assistive ssistive sservices errv vices iin home n yyour our h ome DO QUALIFY? DO I Q UALIFY?
If have medical orr If you you are are under unde er tthe he ccare are of of a physician, physician, h edical llimitation imitation o ave a m need, and with one off o our health professionals n eed, call call a nd sspeak peak w ith o ne o ur h ealth ccare are p rofessionals WHO PAYS FOR SERVICES? WHO P AYS F OR S ERVICES?
Medicare, Private Limited HMO’s, Private Pay imited H M edicare, Medicaid, Medicaid, P rivate IInsurance, nsurance, L MO’s, P rivate P ay
HOME HEALTH v v v v v v
H Homebound omebound Medical Assistance M edical A ssistance Physician ordered Physic ian o rdered Nurses N urses Aide Therapy
HOSPICE
PALLIATIVE CARE
Terminal diagnosis v T erminal diagn osis v T eam approa ch to Team approach fulfill desires orr fulf fill last last d esirres o request v Pa Pain management ain m anagement v T Team Physician, eam of Phys ician, Nurse, Clergy, Clerg gy, Aide, Aide, Sociall Worker Socia Worker
acute v Chronic Chronic or a cute diagnosis diagnos is v Same team approach team app roach as hospice as h ospice management v Pain manageme nt option v Retain Retain Medicare Medicarre o ption of treatment treatment and and hospitalization hospitalization
SUSAN CARTER Susan Carter Carter, r,, President/CEO, P is a Registered Nurse with over 25 years experience. She started company, her own company any y,, Home Health Professionals Inc. in 1989, which is recognized as one of the top 150 experts in the United States by the National Association of Home Care and Hospice. She has served as President of the Home Care Association of Arkansas, and participated as a delegate to the Home Care and Hospice Industrty Strategic Planning Congress, and is currently appointed to the Governor’s Arkansas Governor ’s Healthcare Advisory Board. Please feel free to call me at 870-761-7630 regarding Home Health questions
COUNTIES SERVED: Arkansas: Craighead, Mississippi, Greene, Poinsett, Clay ay y,, Crittenden Clay, Missouri: Pemiscot, Dunklin
FOR FURTHER INFORMATION CALL: Blytheville Jonesboro Missouri
870-762-1825
870-932-7630
573-695-3966
NEA Health magazine benefits the programs of
On The Cover
NEA Baptist Charitable Foundation has a mission to raise funds to help support the programs that impact lives and meet needs in Northeast Arkansas. 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)9345117 or Kim Provost at (870)336-1422. We would love to have you be a part of helping meet the needs of others in our community.
W.
Tomasz Majewski, MD came to Jonesboro in 2001 to join NEA Clinic as the Clinic’s first plastic surgeon. His practice includes most aspects of plastic surgery.
1835 Grant Ave., Jonesboro, AR 72401 neabaptistclinic.com
Dr Majewski received his medical degree in 1987 from the Medical Academy in Lodz, Poland. His entire life revolves around medicine: his parents were pediatricians, wife – Beata Majewski, MD – is a rheumatologist at NEA Baptist Clinic and his in-laws are physicians as well. In fact, all of them except his mother graduated from the same medical school.
Deaundra Waddell, Editor Director of Marketing NEA Baptist Clinic
After graduation he worked in Poland as a general surgeon, receiving a 1st degree specialty training in that discipline.
Thanks to all of our advertisers! Publication office
Danial Trotter, Marketing Coordinator Nicole Frakes, Art Direction and Design
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. Copyright© 2011 NEA Baptist Clinic. 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 Clinic.
www.neabaptistclinic.com
After arriving in the United States in 1993 he continued his career at the Berkshire Medical Center (University of Massachusetts system) in Pittsfield, Massachusetts, where he completed his General Surgery residency program in 1999. As a resident he received a prestigious Willie Chang Award for excellence in plastic surgery. That year he entered his plastic surgery residency at the Medical College of Georgia in Augusta, Georgia, which he completed in 2001. Dr. Majewski is Board Certified by the American Board of Plastic Surgery and the American Board of Surgery. He is a Fellow of American College of Surgeons and a member of American Society of Plastic Surgeons. His plastic surgery practice with NEA Baptist Clinic encompasses a broad spectrum of services, including both cosmetic and reconstructive procedures. Dr. Majewski and his wife, Beata, have been married for over 22 years. They have two daughters, Karolina and Maja, and three dogs.
1. NEA HEALTH • Spring/Summer 2011
from theeditor T
CoNTENTs 20+
pages of advice from doctors and health professionals you know and trust.
he land is clear, the safety fence is up and the construction phase of our new medical campus has begun. Every time I see the floor plans or drive by the construction site, I am amazed at how the face of health care is changing in Jonesboro. Speaking of changes, you may notice that NEA Health has a new editor, I am excited to be a part of the publication of this magazine and this great organization. Our new medical campus consists of a professional medical office building that will house NEA Baptist Clinic’s medical specialists and surgeons, as well as diagnostic testing services. This building will be connected floor by floor with the new 6 story NEA Baptist Memorial Hospital. Additionally, a free standing cancer center is being constructed on the northwest corner of the property. Look across the highway to see more NEA Baptist construction as our new Dialysis Center is being built next door to our Hilltop Family Practice and Urgent Care Clinic. The new buildings are just a part of what is going on at NEA Baptist Clinic. The physicians and employees that care for our patients are the real story. In this issue of NEA Health, be sure and read the heart warming ‘My Hero’ story written by Anna Vinson, age 10, about Dr. Carroll Scroggin, Jr. and the care he gave to her mother during her cancer treatment.
Celebrate with us as Dr. Tomasz Majewski marks his 10th anniversary as a plastic surgeon in Jonesboro and learn more about plastic surgery procedures in his NEA Health feature article, ‘Botox and Beyond’. Meet our newest clinic physicians as we continue to bring new specialty services or expand our services to our patients. Other physicians contributing to this issue of NEA Health include Jason Brandt, MD, Ray Hall, MD, David Nichols, MD, Norbert Delacey, MD and John Phillips, MD. Hopefully, these doctors’ insights will be beneficial to you as you take care of your health or that of another. Finally, get up to date with news from NEA Baptist Charitable Foundation. This is another group of people that work to give back to our community. Through your donations and fund raising events, the foundation is able to provide programs such as HopeCircle, Center for Healthy Children, Wellness Works!, ShareHope and Medicine Assistance. NEA Baptist Clinic is proud to be our area’s single largest multi specialty group clinic – made up of great physicians, employees and even new buildings. All that said, the ultimate goal for all of us is providing the best health care for our patients.
Here’s to good health! Deaundra Waddell, Editor
2. NEA HEALTH • Spring/Summer 2011
4 Patient-Centered Medical Home
- Ray Hall, Jr., MD 6 Hip Replacement?
- Jason Brandt, MD 7 Feed Your Children Well 7 Looking to the Future
- Darrell King, CEO, NEA Baptist Clinic 8 Considering a Laser Procedure
- Paula Arnold, RN, CLT 9 New NEA Baptist Clinic Dialysis
Center 10 CPAP Club
- David Nichols, MD 12 Our Vision Becomes Reality - New
Medical Campus 14 Cutting – Edge Technology
- John Phillips, MD 16 Women’s Health
- Norbert Delacey, MD 18 Botox® & Beyond
- W. Tomasz Majewski, MD 24 How Hard Do I Have to Exercise?
- Pamela and Steve Bowen, NEA Baptist Clinic Wellness Center 26 My Hero - Dr. Carroll Scroggin-
- Anna Vinson 27
In Review NEA Baptist Charitable Foundation - Program Updates - Event Updates - Memorials/Honorariums
34 Healthy Eating
JEFF BRECKLEIN IS A GREAT EXAMPLE OF A LOCAL BANKER. He’s lived in Northeast Arkansas all his life, so whether you need a business or personal loan—from a home or home equity line of credit to auto or personal—Jeff knows how to navigate the territory and get you your best rate. With more locations than ever, free online banking and bill pay card, we’re n lender, we’re bank for you
Jeff Brecklein
Executive Vice President Commercial Lender
870-802-2344 www.heritagebankark.com +POFTCPSP t -FBDIWJMMF t $BSBXBZ t .POFUUF t .BOJMB
Thanks to Dr. Bruce Jones
I Can! Sit in an airplane seat comfortably. Play with my nephew. Walk up stairs.
Learn more about Weight Loss Surgery with free monthly seminars. July 26 & August 30*, 6pm at NEA Baptist Memorial Hospital Dr. Bruce Jones is the most experienced, board certified bariatric surgeon in Northeast Arkansas. He has successfully helped many people change their lives through weight loss surgery. Dr. Jones, an NEA Baptist Clinic physician, and NEA Baptist Memorial Hospital are the most trusted, experienced team for your surgery. *Look for future dates on our website.
Your Health. Your Team. (870) 932-4875 neabaptistclinic.com
Bruce Jones, MD Bariatric and General Surgeon, Board Certified, Member of American Society of Bariatric Surgeons 3. NEA HEALTH • Spring/Summer 2011
Patient – Centered Medical Home T
he patient-centered medical home (PCMH) is a model of health care based on an ongoing, personal relationship between a patient, and and their personal physician, and encompasses preventive care, acute care, chronic care, or endof-life care. The PCMH model includes a personal doctor and care team that will provide medical care on a continuous and comprehensive basis. When subspecialty care is needed, the doctor and care team will personally manage, facilitate, and coordinate the care with appropriate qualified professionals; such as hospitals, nursing homes, pharmacies, and related community resources.
4. NEA HEALTH • Spring/Summer 2011
Patient satisfaction, delivered in accordance with an agreed care plan is the hallmark of the PCMH. Patients who choose to receive care through the PCMH model will benefit by the following: • Access to doctors that utilize improved technologies to stay better connected with the medical community and manage care more efficiently. • Improved access to care through easier scheduling of appointments and extended hours. • More focused personal interaction with doctors and care teams who will help navigate through the complex health system. • A more comprehensive delivery of primary care through the improved coordination of care, management by the patient’s personal doctor, and their care team.
Quality and safety are hallmarks of the medical home. • Practices advocate for their patients to support the attainment of optimal patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family. • Evidence based medicine and clinical decision support tools guide decision making. • Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement and performance measurement and improvement. • Patients actually participate in decision-making, and feedback is sought to ensure patient’s expectations are being met. Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication. • Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient-centered services consistent with the medical home model. • Patients’ families participate in quality improvement activities after practice level.
Arkansas Blue Cross/Blue Shield has selected the Internal Medicine Department at NEA Baptist Clinic to participate in a pilot program. At NEA Baptist Clinic, our internal medicine department has already implemented many of the features of the PCMH. Our electronic medical record (EMR) was installed several years ago. Significant financial resouces have been invested in this advanced information technology program, and new software features are being added each year. Our robust EMR will not only provide the entire clinic with the integrated individual patients’ medical history, but will also feature e-mail, e-prescribing, clinical decision support (i.e. practice guidelines for specific disease processes), track preventive tests and measures, and will also document quality of care markers in patient outcomes. These measures will differentiate NEA Baptist Clinic performance from other health care providers. Currently our Internal Medicine Department has three physicians, an advanced practice nurse (APN), a PA (physician assistant), a diabetic nurse educator, RN’s, LPN’s, and clerical support staff. Our clinic Information Technology Department is available 24 hours a day to provide EMR support. In the near future, we will add additional physicians and mid level providers and utilize a social worker (case manager), a neuropsychologist, and employ demand management techniques to enhance our patient access to the team. Our new clinic facility now under construction on East Johnson near Hilltop, is designed to facilitate practice in the PCMH model. Without a doubt, health care delivery is changing. Our goal at NEA Baptist Clinic is to position our clinic at the forefront in providing our patients with the highest quality care. Ray Hall, Jr., MD, FACP Internal Medicine NEA Baptist Clinic – 870.934.4150 Pictured: NEA Baptist Clinic – Internal Medicine front row: Ray Hall, Jr., MD, FACP, Stephen O. Woodruff, MD, FACP back row: Carla Nix, PA, Brannon Treece, MD, Kristy Willson, APN
5. NEA HEALTH • Spring/Summer 2011
Hip Replacement? The Answer May Be Right in Front of You
H
ip replacement surgery has been performed successfully for decades. As with any procedure, refinements in technique can evolve with time. One of the latest advancements is hip replacement through a direct anterior approach. This means that the surgeon enters the hip from the front instead of from the back or side of the hip.
The difference: The direct (front) anterior approach differs from a traditional approach in several ways. • The hip is exposed in a way that muscles and tendons are NOT detached. • Intraoperative x-ray (fluoroscopy) is typically used to assure correct placement and alignment of the implants. • Intraoperative positioning allows leg lengths to be checked and equalized.
Potential benefits: • Possibly smaller incision and reduced muscle disruption may allow for a shorter recovery time. • Risk of dislocation may be reduced • Less post operative activity restrictions • Minimized limp since the muscles around the hip are not cut.
Any type of surgical approach has risks and benefits. The ultimate performance of a hip replacement depends on a patient’s age, preoperative activity level, weight, and associated medical conditions. Recovery after a hip replacement takes time. Hip replacement through a direct anterior approach offers patients some significant potential advantages. Only your orthopedic surgeon can help you determine whether hip replacement through direct anterior approach is right for you.
Jason Brandt, MD Orthopedic Surgery NEA Baptist Clinic – 870.932.6637
6. NEA HEALTH • Spring/Summer 2011
NEAHealth Tip! Feed Your Children Well Childhood obesity is becoming a major health issue, and parents everywhere are concerned about teaching their children to eat nutritious meals and maintain a healthy weight. Here are some basic ideas for instilling good nutrition habits: • Set the right example. Let your children see you eating good food, not junk. • Provide a healthy variety. Don’t force foods on kids, but make nutritious food available in your home so they can choose what they want. • Avoid power struggles. You can’t control what other children eat, nor what your child eats at a friend’s house. You can set the rules for your own home, so do it and don’t obsess about what others do.
• Involve your children. Take them to the store so they can see what you choose and they can make a few selections of their own. Enlist them in helping prepare meals so they see what goes into a healthy dinner. Talk about where fruits and vegetables come from, and what goes into processed foods. • Eat together. As much as possible, schedule dinners so everyone in the family can join. This helps you influence what your children eat at meals. • Remind everyone to slow down. The faster people eat, the more they eat. Don’t let your kids race through dinner; urge them to take their time with every bite. • Drink water. Water is better than soda and other sugary drinks, and helps kids feel full between meals.
Is Osteoarthritis arthritis Knee Knee eping You You On Pain Keeping On The S Sidelines? idelines?
ONE E iinjection. njection. Up to 6 months ths o off k knee nee pain pain relief. relief. We’re pleased to offer our patients Synvisc One - the first and only single injection treatment option that lubricates and cushions the knee joint and relieves pain for up to six months. Synvisc-One is covered by Medicare and most insurance plans.
Orthopedic Surgery Surgery
LookiNg FuTurE S
to the
tarted in 1977 with the vision of Ray Hall, MD for a multi-specialty physician group, NEA Baptist Clinic continues to look toward the future. The highlight of the coming months is the progress of the largest building project in the state of Arkansas.
Driving north on 49 toward Paragould, you will see two large cranes as you round the curve. These cranes are so large that they had to be built on site. It took 13 tractor trailer loads to haul the parts. But even bigger news is the medical campus that is being built. The new NEA Baptist Clinic medical office building will house our specialty clinics. This building will connect to the new 181 bed NEA Baptist Memorial Hospital, bringing a new concept in health care to our area as physicians and patients can easily move between the clinic and hospital. The medical campus will also include a free standing cancer center unlike any in the area. The family practice and urgent care clinics will remain in their current convenient locations. NEA Baptist Clinic is committed to taking care of your health care needs. That is why we have 10 physicians joining our practice this year. As the largest multispecialty group in the state, we continue to strengthen our staff by welcoming the following physicians. • Ryan Brenza, DO - Family Medicine/Trumann • Kristin Addison-Brown, PhD Neuropsychology • Charles Cesare, Jr., MD - OB/Gyn • Keith Criner, MD - Pulmonary/Critical Care • Matthew Haustein, MD - Cardiology • Thomas Nix, MD - Ophthalmology • Adam Sills, MD - Dermatology • Tommy Taylor, MD - Internal Medicine, Cherokee Village • Aaron Wallace, MD - Orthopedic Surgery • Adam Woodruff, MD - Nephrology I hope you get a sense of our excitement. NEA Baptist Clinic is proud to be a part of the most significant health care news in Northeast Arkansas.
To learn more, call for an appointment today:
870.932.6637 www.neabaptistclinic.com V Visit isit w www.SynviscOne.com ww.SynviscOne.com ffor or in information formation about S Synvisc-One. ynvisc-One.
Darrell King Chief Executive Officer NEA Baptist Clinic 7. NEA HEALTH • Spring/Summer 2011
Considering a
Laser procedure?
N
EA Baptist Clinic – Plastic and Reconstructive Surgery offers patients the latest laser techniques for cosmetic procedures. With laser skin rejuvenation, acne treatment, rosacea treatment, skin resurfacing, hair removal and vein therapy, we provide enhanced skin care services. In response to patient demand, we offer the most advanced and accurate treatments available.
The lasers at NEA Baptist Clinic – Plastic and Reconstructive Surgery are very safe. The procedures are comfortable with little to no down time. Patients can come in and receive their treatment, then go about their business, returning to school or work. We are very fortunate that our generation today has access to several different lasers, which provide treatments for various problems and conditions; both medically and cosmetically.
Laser acne reduction treatments work by triggering the body’s natural bacteria fighting defenses. Each treatment triggers a chain reaction that eliminates some of the problem-causing bacteria, reducing the severity of current and future breakouts. Most patients who have experienced this procedure see considerable improvement after 2 treatments per week, for 2 to 5 weeks, depending on the severity of the acne condition treatment. The enhanced skin rejuvenation treatment and the laser skin resurfacing use precision laser therapy to remove the most common signs of aging and sun damage, as well as remove wrinkles, scars and discoloration. The enhanced skin rejuvenation treatments work by precisely targeting the three major signs of aging: brown discolorations, red discolorations and wrinkles. The laser skin resurfacing treatment works by comfortably removing the top most layer, or layers, of skin. For both treatments, most patients experience considerable improvement after 1 to 4 treatments depending upon their skin condition and level of treatment.
... both men and women can benefit ...
Because of the variety of laser treatments offered at the clinic, both men and women can benefit from the procedures. Also, many teenagers as well as some younger children benefit from the various laser treatments offered. Skin services that are offered include laser hair reduction and the treatment of Pseudo-Folliculitis, laser leg vein removal, laser acne reduction, enhanced skin rejuvenation and laser skin resurfacing. The Lyra laser that is used at NEA Baptist Clinic – Plastic and Reconstructive Surgery is the first laser the FDA cleared for hair removal in all skin types, as well as the removal of shaving bumps. Lyra’s low absorption in pigment makes it an ideal and safe treatment, achieving outstanding results while maintaining the normal appearance of the skin. Laser hair removal treatments work by impairing the growth capacity of hair follicles. Several treatments every few weeks may be necessary in order to obtain the desired result. Most patients experience considerable reduction after 4 to 7 treatments, depending on the hair density, hormone fluctuation, age and level of treatment. Laser leg vein removal treatments work by selectively heating vein walls until they collapse and seal shut. The body then absorbs the sealed vein over a period of months. Most patients experience considerable improvement after 1 to 3 treatments, with 4 to 6 week intervals, depending upon the severity and size of vessels being treated.
8. NEA HEALTH • Spring/Summer 2011
The laser procedures that are offered at NEA Baptist Clinic – Plastic and Reconstructive Surgery can help improve the appearance of patients with all different skin types. We believe that by having clear and smooth skin, people have more confidence in themselves, which carries over in all areas of life. If you are interested in receiving treatment, we recommend a consultation to make certain that you are a good candidate for appropriate treatment. All first time laser consults are free at NEA Baptist Clinic laser center. All laser treatments have been carefully researched and FDA cleared. Paula Arnold RN, CLT Medical Aesthetic Laser Specialist Plastic & Reconstructive Surgery NEA Baptist Clinic – 870.934.3530 NEA Baptist Clinic Laser Specialists Melanie Greeno Hart, ICT Paula Arnold, RN, CLT
Call Us Today! 934-3530 3100 Apache Dr. Suite B-3, Jonesboro neaplasticsurgery.com
New NEA Baptist Clinic Dialysis Center
I
n May, NEA Baptist Clinic broke ground on a new dialysis treatment facility to be located at 4909 East Johnson in Jonesboro, across from the new NEA Baptist hospital and medical office building and next door to NEA Baptist Clinic’s Hilltop family medicine office. The 8,000 square foot facility will have twelve dialysis chairs, an isolation treatment room and a private area for peritoneal dialysis training.
The new treatment center will provide additional convenience for patients who reside in the area and will expand available treatment in the Jonesboro area. NEA Baptist Clinic’s current dialysis center has had to add additional shifts to try and meet the demand for dialysis treatment needs, so the additional chairs are needed in the community. In addition, NEA Baptist Clinic will be adding a new nephrologist, Adam Woodruff, MD, to help meet the community need for nephrology services. Dr. Woodruff received his medical education and nephrology fellowship at the University of Arkansas for Medical Sciences College of Medicine and will start seeing patients in August 2011. The new dialysis center is expected to be complete by the end of 2011.
Gibson’s Pharmacy 870-972-9125 Monday - Friday 8 am - 6 pm Saturday 9 am - Noon Free Local Delivery 403 East Matthews Ave. Jonesboro, AR 72401
Pictured l-r: Mark Oliver Cahoon, Architect discusses details with NEA Baptist Clinic representatives - Mari Mullis, Dialysis Center Director, Lexanne Horton, Chief Operating Officer, Denise Boles, Director of Specialty Operations
Pharmacists Brian Oholendt, Pharm D Brittani Mallett, Pharm D Brandy Lane, Pharm D 9. NEA HEALTH • Spring/Summer 2011
Tips, Tricks and Thoughts to Help Stick with CPAP Therapy for Obstructive Sleep Apnea Does this sound like you or someone you love and care about?
J
oe had just completed the sleep test his wife and children had so insistently pushed him into doing because he was “such” a loud snorer. He didn’t even think he did snore, and even if he did it was clearly not as bad as everyone insisted. Several days later he received a call from someone telling him he needed to get his CPAP equipment to use at home to treat his newly found obstructive sleep apnea. He was to visit Happy Time Medical, a durable medical equipment company (DME) that provided the stuff he needed and training on its care and use. And then the “fun began”. The first night passed, and he didn’t think he really wanted to even put that stuff on. The next night his wife insisted, so he put the mask on, filled the water reservoir, hit the machine’s on button and tried to sleep. After he finally did fall asleep, he woke with a squealing and burping sound with air blowing into his eyes. He recalled something about tightening the straps and dutifully cinched them back. A bit later he awoke again and this time he had severe pain at the bridge of his nose and over the cheek bones. He rapidly decided that this was not for him and tossed the mask over onto the bedside stand and said, “I cannot handle this thing, I quit!” An aggressive team approach can increase the level of successful treatment. Although this story could take many different twists, what happened to Joe is that he has just become a member of the CPAP non-compliance club. What does that mean? It implies that Joe will be labeled as unable to tolerate continuously positive airway pressure (CPAP), the gold standard of therapy for obstructive sleep apnea (OSA). If left unaided, it will make perfect sense to Joe that he should stop therapy. Is this really true? The single biggest reason for failure to succeed with CPAP therapy relates to the patient’s decision not to continue with therapy due to pain, perceived lack of efficacy, or frustration with the therapy. Could anything be done differently that would give a different outcome? I think the answer is clearly yes, and it involves multiple members of a team formed when the diagnosis is first suspected. The team members are the patient (with family support), the physician (with his staff ) and the durable equipment company (with its staff and therapist). Each of the team members can be thought of as one of the legs of a three-legged stool. If each does its part to support the therapy (the stool) it will be successful, if not it will tilt and tumble and therapy will be unsuccessful. 10. NEA HEALTH • Spring/Summer 2011
Better patient understanding leads to better likelihood of success.
Compliance failure can come from multiple sources that have workable solutions if recognized.
I am a firm believer that a patient’s success with therapy is directly related to how well that patient understands the illness present and the resulting symptoms, the rationale for the recommended treatment, the benefits of treatment, and the consequences of no treatment. It is also important that all available treatment options are discussed and compared. This is important so that the patient understands when options are exhausted and efforts need to be focused on making the chosen option succeed. This process begins with the patient’s initial evaluation of sleep complaints and symptoms. During the interview process, OSA is described as a sleep disorder that involves the upper airway muscles relaxing with sleep and resulting in a narrowing or closure of the airway. The brain must leave the sleep state and awaken to stiffen the muscles and re-establish the open airway. Severity of OSA is expressed in the number of such events that occur for every hour of sleep. This can be as high as 60-100 times or more per hour and results in a highly fragmented or broken up sleep pattern. This poor quality sleep is not efficient in ridding the brain of the sleepiness acquired throughout the normal period of wakefulness and results in a sleep deprived brain expressed through altered mood, intellectual functioning and excessive sleepiness.
The remainder of this article is devoted to discussing the potential reasons for failure with CPAP. They are broadly divided into (1) technical issues with the mask and other equipment, (2) preexisting medical conditions and (3) attitudes and behaviors adopted by the patient.
The goal of the CPAP treatment is to convert the poor quality sleep of the apnea patient back to normal high quality sleep free of interruptions. The CPAP, while applied, creates an air tunnel stretching from the facial area down to the opening of the windpipe or larynx. Pressure is applied shoring up the walls of the tunnel which keeps the tissues from collapse or narrowing. This in turn eliminates the snoring and breathing events and allows for free and uninterrupted sleep that promotes a restful and restoring sleep in the brain that, as a result, takes away the daytime tiredness and sleepiness. To establish the tunnel a seal must be created somewhere at the air entry points on the face (nose, mouth or both), and is achieved by a comfortably fitting mask. The needed pressure level is sustained by an air pressure device (CPAP machine) that has been adjusted to levels adequate to keep the airways open. Free and easy breathing is then guaranteed through the tunnel. Successful tunnel operation is only possible when the mask and device remain in place. Without them the airway collapses and is vulnerable again to interrupted breathing and resultant poor sleep. The prescription for successful therapy must also be clearly stated and understood. CPAP needs to be viewed as a tool capable of converting the poor sleep of a sleep apnea sufferer back into a high quality sleep of a normal sleeper. It should be viewed in clear black and white terms. Use the CPAP and get normal or better sleep which restores the daytime alertness, or don’t, and continue to be tired and sleepy during the day. Greatest success in eliminating the unwanted daytime fatigue, tiredness or sleepiness comes from using the CPAP at the prescribed pressure (pressure dose) over every hour of sleep an individual takes during a 24 hour cycle (duration). Failures usually result when the pressure falls due to a mask leak, or there is an inadequate quantity of high quality sleep from the CPAP use pattern (failure to use enough time).
Technical Issues The mask selection, fitting, and adjusting is hands down the most important technical thing to get right. The best mask is, simply put, the one that the patient finds comfortable enough to wear for the full night of therapy. Wearing a mask is never natural but should not be uncomfortable. It is important that a mask be of the correct physical size for the patient’s face; compromise is never a good idea in this area. Adjusting a mask is accomplished by properly placing it on the face and adjusting the Velcro straps that hold the mask to the face. If the mask leaks things are too loose; but if there is facial pains then they are too tight. The “Happy zone” lies between the two extremes and they are, unfortunately, not very far apart. All adjustments need to be made with tiny steps to all four of the straps. The bridge of the nose is a special situation. It is very sensitive to pressure because there is very little fat tissue between the skin surface and the bone. This makes it not only sensitive but vulnerable to skin redness and breakdowns. Many masks have a special device designed to raise the tip of the mask up off of the nose without using the straps and the DME company should be asked about it. Other masks use softer material and design to avoid this complication. It is not unexpected to find some red pressure marks from the edges of the mask. This is normal and usually fades after having the mask off for a while each morning. It will not create any serious issues. However, pain and skin breakdown is unacceptable and should be promptly reported by the patient. The mask selection may be influenced by prior conditions a patient may have present prior to the start of CPAP. These are a few examples: IF a patient has a history of trouble with nasal obstruction during the night or with seasonal changes then a mask dependent on air entry via the nose may not work. If there is claustrophobia or fear of suffocating when the face feels too covered then a large full face mask may not be the best choice. If the mouth routinely opens during sleep then the use of a nasal only mask may also be a bad choice. When a mask change is contemplated because of a problem it is important that the choice begins with the patient giving the best possible description of the offending problem to the treating therapist or physician with special emphasis on what specifically would make the situation CPAP Club continued on page 22
D
11. NEA HEALTH • Spring/Summer 2011
T
he single largest investment in a community by Baptist Health Care and the largest health care investment in Arkansas in the last decade, the new NEA Baptist Health System medical campus is comprised of NEA Baptist Memorial Hospital and NEA Baptist Clinic.
Our Vision Becomes
• Construction on the medical campus began Spring 2011. During construction the site will be enclosed by a fence for safety. • Designed by nationally known Earl Swensson Associates of Nashville, TN, the integrated medical campus features a healing, light filled environment. • The general contractor, Hoar Construction, is known as one of the top health care contractors in the country. • Focusing on safety and stability, construction begins with the drilling for approximately 2,400 foundation pilings. •The 6 story hospital will have larger patient rooms and operating suites and allow for future growth.
12. NEA HEALTH • Spring/Summer 2011
Reality
• NEA Baptist Clinic specialty physician offices will be connected to each floor of the hospital allowing for ease of access. • A free standing cancer center will be located on the 80 acre site. • The clinic portion of the facility will be 5 stories and house the clinic specialities. • Family Medicine and Urgent Care clinics will remain in current convenient locations.
Watch the construction of our new medical campus online through streaming video. neabaptist.com
Building Size: 765,703 sq. ft. Number of Hospital Beds: 181
Services offered include Heart, Cancer, Women’s, Bariatric, Neurology, Orthopedics, Plastic Surgery, Outpatient Rehabilitation, Emergency
H E A L T H
S Y S T E M
neabaptist.com 13. NEA HEALTH • Spring/Summer 2011
Cutting – Edge Technology Unveiled at NEA Baptist Memorial Hospital
E
arlier this year, NEA Baptist Memorial Hospital installed the first dual source CT scanner in the state of Arkansas. The Siemens Somatom Definition Flash CT scanner is 1 of only 43 in the United States and 150 in the world.
The new scanner can capture incredibly detailed images of the heart, brain, bones—even the smallest blood vessels. This kind of speed is unprecedented and utilizes the lowest radiation exposures. NEA Baptist Health System is pleased to bring the fastest, safest and most technological diagnostic CT scanner to Jonesboro. This incredible machine is a large investment in the care of NEA Baptist patients. The machine can scan the entire body in less than six seconds and image the chest in 0.6 seconds. Thus, sick patients don’t have to hold their breath during chest scans. This speed provides significant advantages when imaging older patients and children, as well emergency department and intensive care unit patients and ultimately minimizes the radiation exposure to the patient and the length of the exam. Until now, patients would have to travel to St. Louis, Mayo Clinic, or Dallas for this technology. The new NEA Baptist Memorial Hospital’s scanner means patients can be treated much closer to home. In addition to speed and low dose, the scanner can determine the composition of the tissue imaged using a combination of high and low energy radiation. This is done at no increased dose. No other scanner in Arkansas has this ability. NEA Baptist Memorial Hospital is a 100-bed acute care facility in Jonesboro. The hospital offers a number of inpatient and outpatient services, including an emergency room, surgical services, neurology, respiratory care, cancer care and pulmonary rehabilitation. NEA Baptist Memorial also offers heart care through its Heart Center and labor and delivery services through the hospital’s Women’s Center. For more information about NEA Baptist Memorial Hospital, please call 870-972-7000 or visit www.neabaptist.com. John Phillips, MD Radiology – NEA Baptist Clinic Radiologist-in-Chief – NEA Baptist Memorial Hosptial 14. NEA HEALTH • Spring/Summer 2011
Advanced CT angiography – automatically removes bone and calcified plaque to see the arteries in greater detail. Very useful in stroke patient evaluation, aneurysm cases and after endograft repair of aneurysms. Better blood clot detection – detects areas in the lung that don’t receive enough blood flow. This can help doctors detect blood clots in the lungs.
Contrast optimization – focusing on the low energy tube makes contrast brighter. Allowing the radiologist to administer less X-ray dye. Less dye is important to patients with kidney problems. Kidney stone characterization – determines if kidney
Virtual noncontrast imaging – offers contrast enhanced and unenhanced images in one single scan whenever needed. With the Flash scanner the patient can frequently be scanned one time with dye. Then, the computer can subtract away the dye, eliminated a second scan. This lowers radiation dose and scan time.
Better lung cancer and lung nodule characterization – dual-energy technology accurately determines the vascularity of lung nodules helping doctors predict the probability of malignancy within a given nodule.
stones contain uric acid, which can be treated with medication. While calcium containing stones may be treated with surgery or lithotripsy.
Selectively reduces radiation – exposure to dose sensitive
Diagnosis of gout – in patients with arthritis the machine
organs, such as breasts, eyes, and thyroid with X-CARE application.
can actually identify uric acid collections, signs of gouty arthritis.
Speed reduces the need for sedation of children
The world’s fastest examination of the heart – with
Motion issues are virtually eliminated – when dealing
lowest radiation exposure.
with all patients.
15. NEA HEALTH • Spring/Summer 2011
Womens’ Health...
There Are Options
W
omen have unique health care needs and play an important part in making health care decisions for their families. How a woman feels can have a huge impact on her quality of life. Women need to manage their health—the earlier they start, the better. Diet, exercise, history, screenings and medical decisions all play a part in women’s health. The choices women make in their 20s and 30s, even 40s and 50s, 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. As you get older, your diet needs to include more protein and fewer carbohydrates as well as other nutrients. Many women benefit from also taking supplements such as a multivitamin. You should visit with your doctor about your diet, exercise and overall health. Something as simple as knowing your family history allows you and your children to know your health risks and what to avoid. Take the time to write your history down as part of your prevention plan and share it with your physician and children. A sensible diet and exercise, coupled with regular visits to your physician and appropriate health screenings, can help prevent disease and lead to early detection and treatment. Recommended screenings will change as you age, but it is important for women to receive screenings for heart, bone, and breast health. Your doctor can help insure that yearly screenings are scheduled and performed through routine visits. Despite eating right, exercising and taking other preventative measures, sometimes women face difficult decisions about medical procedures to stay healthy. In relation to women’s health, one of the more common operations in the United States is the hysterectomy; with more than
600,000 being performed each year. Seventy percent of these operations are currently invasive and performed through incisions that can be 4-8 inches long, require a 2-3 day hospital stay, and the recovery process may last up to 6 weeks. Many women do not realize that there are less invasive procedures that sometimes can be performed. One alternative we, at NEA Baptist Clinic – Women’s Health, advocate is the minimally invasive laparoscopic procedure. The advantages of choosing this type of procedure include smaller incisions that are one inch or smaller, shorter hospital stays--sometimes less than 24 hours, fewer complications and a shorter overall recovery. Laparascopic hysterectomy is just one of the many women’s services provdided by NEA Baptist Clinic – Women’s Health. Visit neabaptistclinic.com for a full list. When it comes to health care, women have a choice. Don’t be afraid to ask your physician if there are other options. You make decisions every day that affect your health and well-being. Take the time to make wise decisions and plan for the rest of your life. Managing health through diet, exercise, routine doctor visits and screenings can impact your quality of life. Discuss your options with your doctor and consider the recommendations they give you from the smallest changes in diet to considering life changing operations. Norbert Delacey, MD, FACOG Obstetrics & Gynecology NEA Baptist Clinic – 870.972.8788
Botox®/Dysport • Dermal Fillers • Breast Enhancement • Body Contouring • Liposuction Rhinoplasty • Facial Rejuvenation • Skin Care • Permanent Makeup • Chemical Peels Microdermabrasion • Laser Hair/Spider Vein Removal
870-934-3530 W. Tomasz Majewski, MD FACS Board Certified in Plastic & Reconstructive Surgery and in General Surgery
Melanie Greeno - Hart, ICT Skin Care/Aesthetician
Paula Arnold, RN, CLT Laser Specialist
www.neabaptistclinic.com 16. NEA HEALTH • Spring/Summer 2011
Let’s talk about whether Essure is right for you. Call our office today 870-972-8788. Charles L. Barker, MD, Ph.D, 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 Drive • Jonesboro, AR 72401 870-972-8788 • www.neabaptistclinic.com
Cover Story
Plastic Surgery Reconstructive surgery is performed on abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease. It is generally performed to improve function, but may also be done to approximate a normal appearance. Cosmetic surgery is performed to reshape normal structures of the body in order to improve the patient’s appearance and self-esteem.
& x o t o B d ®
n o y e B S
ince the very beginning of the quest for facial rejuvenation there was a strong interest in minimally invasive, or even better – noninvasive techniques. Scientists were always looking for a way to erase wrinkles, make the skin look smoother, and make the person look younger.
18. NEA HEALTH • Spring/Summer 2011
Over the centuries, scientists and alchemists created myriads of formulas, some more successful than others, of creams, ointments, lotions etc. sometimes claiming “miraculous” results with their use. Even Cleopatra, the queen of ancient Egypt, took daily baths in goat milk to achieve these optimal effects. The 20th century brought us evidence-based medicine. Although the gigantic market of cosmetics with hyper-inflated promises still dominates the world of beauty, there has been a significant growth of minimally invasive procedures with real benefits, including chemical peels, lasers, IPL (intense pulse light) and others. However, none of them can compete with Botox® (and its younger competitor – Dysport®) in terms of popularity. Botox® has become a household name, and the term is frequently misused as a substitute to several other injectables. Last year there were over 3 million injections of Botox® administered in the US alone. In addition to Botox® and Dysport® (and Xeomin®, coming soon), described jointly as neurotoxins, i.e. muscle-relaxing substances, there is a whole spectrum of injectable dermal fillers available to help eradicate (or at least improve) wrinkles and rejuvenate the aging face. Botox & Beyond continued on page 20
D
19. NEA HEALTH • Spring/Summer 2011
Cover Story
Botox® & Beyond Ccontinued from page 19 Before I explain the differences among the injectables, let’s talk more about the types and causes of wrinkles. To simplify the issue we can divide wrinkles into two categories - dynamic and static ones. Dynamic wrinkles appear when the underlying muscle contracts, folding the skin in the direction perpendicular to the course of muscle fibers. For example: contraction of a vertically oriented frontalis muscle of the forehead results in transverse wrinkles on the forehead. Pure dynamic wrinkles disappear when the muscle relaxes. Botox® and Dysport® are injectables which relax these muscles. Since the muscle attachments to skin are constant, every muscle contraction folds the skin in the same location. After years of this action the skin develops static wrinkles – they persist even if the underlying muscle is completely relaxed. Just like a paper clip that you bend and straighten several times will eventually crack or break – skin will create these unwanted wrinkles. As a general rule, Botox®/Dysport® will improve the appearance of dynamic wrinkles, but not the static ones. When static wrinkles appear – one should consider fillers.
Dynamic
Fillers are the substances injected through a small needle to improve the appearance of wrinkles, or to restore lost or replenish insufficient volume in the face. Their evolution continues: from the early ones (of historical interest only at this point: crushed nails, early injectable silicone etc.), through newer ones (collagen-based: Zyderm®, Zyplast®, Cosmoderm®, Cosmoplast®) to the most modern and cuttingedge. There are several FDA-approved fillers available, but they are not created equal. Different products are designed to address different problems and most of them are not interchangeable if one wants to achieve the desired result.
Static
Type of wrinkle... you mean there’s more than one?
20. NEA HEALTH • Spring/Summer 2011
Here are some of the most common fillers: Restylane®/Restylane-L® and Juvéderm® Ultra/Juvéderm® Ultra XC (hyaluronic acid): designed to address fine to moderate wrinkles. Used predominantly around the mouth and orbits. Also helpful to “plump up” the lips. Clear gel, injected superficially, lasts 6-12 months. Perlane/Perlane-L and Juvéderm® Ultra Plus/ Juvéderm® Ultra Plus XC (hyaluronic acid): chemically same as the above, but “thicker”. Used for deeper wrinkles and for moderate correction of volume depletion (nasolabial folds, marionette lines). Injected slightly deeper. May last 6-12 months. Radiesse ® (calcium hydroxyapatite): used to augment certain areas, especially useful to correct deficiency of the underlying facial skeleton. Also used for volume augmentation in the nasolabial folds, prejowl sulcus (depression between the chin and the jowl) etc. It’s white and pasty, so it has to be injected deep to avoid visibility and nodularities. Not recommended for injection into the lips. May last up to a year and sometimes even longer. Sculptra® (poly-L-lactic acid): typical “volumizer”, helps to increase lost volume of the cheeks, around the mouth etc. Typically injected in three sessions in one month intervals. The patient’s collagen accumulates and creates deposits around microscopic granules of the product, further increasing the volume. May last up to 2 years. Other dermal fillers used less frequently include: Artefill©, Evolence™, Elevess™, Prevelle Silk®, Cosmoplast®/Cosmoderm®. To find out what injectable substance (or their combination) would be the most appropriate to use in your particular situation, schedule a consultation with Dr. W. Tomasz Majewski, Board Certified Plastic Surgeon by calling (870) 934-3530.
W. Tomasz Majewski, MD, FACS Plastic & Reconstructive Surgery NEA Baptist Clinic – 870.934.3530
N
EA Baptist Clinic Plastic Surgery practice was established in August of 2001 when Dr. W. Tomasz Majewski joined NEA Baptist Clinic. The practice complemented the multispecialty profile of NEA Baptist Clinic. The practice encompasses the entire spectrum of plastic surgery, including cosmetic and reconstructive aspects.
Our goal is to provide patients with personalized, high-quality service. Dedication to quality, ethics, and friendliness are the hallmark of the practice. Emphasis is placed on patient’s education and patient’s participation in the decision making process. Dr. Majewski provides a detailed consultation with each patient explaining treatment options, risks and benefits of proposed procedures, recovery time, etc. Each patient is treated individually and the treatment plans are tailored accordingly. Patients are encouraged to ask questions and bring family members with them for consultation. We want our patients to feel comfortable with their decisions and with us. We try our best to help our patients obtain approval from insurance carriers of the services provided whenever the treatment meets criteria of medical necessity. We incorporate the newest trends and technologies in our practice as they emerge. As a board certified plastic surgeon, general surgeon and a third generation physician, Dr. Majewski has an understanding and resources to treat complex problems that the patient presents to our clinic. Growth of our practice is a result of the growing network of satisfied patients referring their family members and friends and referrals from physicians that are pleased with the care provided to their patients. Contact us today for your consultation! neaplasticsurgery.com 21. NEA HEALTH • Spring/Summer 2011
CPAP Club
Ccontinued from page 11 better. With this information the therapist or physician can help decide if a change will solve the problem or not. Sometimes an adjustment could be more likely to fix the problem. It is important to realize a friend’s favorite mask may be your worst nightmare. Mouth openings or other oral leaks may require use of a chin strap or a change to a full-face mask which covers the nose and mouth. Masks can wear out; particularly the cushion in contact with the face; Velcro straps may stretch as they age. Replacement should be done on a regular basis. (3-6 months). This is particularly true if leaks begin to appear on a previously good fitting mask. Machine settings can be another technical issue needing attention. The highest pressure that the machine delivers is best thought of as the dose of the CPAP. Like a drug dose this is a medical decision, and is made at the time the CPAP pressure is determined in the lab. It is usually found to be somewhere between 5-20 cm H20 pressure and is well tolerated. At the upper levels there can be some facial pain from sinus pressure build up, air may enter the middle ear space and cause pain or air could be swallowed causing some belly pain, but these events are unusual. Use of a machine, which can vary the pressure within a range, may help these complaints by only reaching the upper pressures when the patient need is present, which is often after falling asleep. When starting pressures are 10 cm or more this can often cause an unpleasant feeling that can be relieved by using the ramp- up feature. This is a setting which allows the pressure to start below the therapeutic pressure and gradually increase the pressure over a preset time. The concept is that the patient will often fall asleep prior to reaching the uncomfortable therapy pressure. If the time is too long the patient could have an apnea event and wake up with a snore or choking. This is fixed by shorting the ramp time. If too short then sleep may not occur before reaching the higher pressure. Using a humidification system to increase water vapor in the inflowing air can often help the feelings of a dry nose or mouth, and can help reduce nasal obstruction because of the pushing of air through the nose and the beneficial effect of the moisture. Heating the water allows more water to be carried to the nose. This often reduces burning discomfort and congestion. It is important to realize that too much heat can cause a condensation in the tube or mask and cause noise in the tubing or unwanted droplets in the mask. This can be eliminated by reduction of the heat or by providing an insulation coat to the tubing from the machine to the mask. Newer machines have heated tubing to extend from the machine to the mask. It is clear that the proper use of humidity is a critical factor in keeping the patient comfortable on the CPAP device and in turn increases the compliance with therapy.
A well trained, experienced, knowledgeable and empathic coach is a clear plus to successful compliance. It should be obvious that having a good coach is critical to successfully negotiate the pathways that lead to solving the many 22. NEA HEALTH • Spring/Summer 2011
common discomforts. The patient plays a key role by being a good observer and describer of the problem or discomfort, but then the coach (physician, sleep lab technologist, or DME company therapist) must engage their brain and be a good listener and then combine their experience gained from prior problem solving and their knowledge of available equipment to suggest possible solutions. In this process it is important for all to remember that CPAP is not natural but should not be painful or overly frustrating. Benefits of treatment should outweigh the frustrations. Coaches should have regular follow-up assessment visits to assess compliance, and search for problems. Patients should not hesitate to call for help or explanations when continued use is threatened by unresolved frustrations or discomforts. Both must accept the concept that failure is not an option.
Some pre-existing conditions can impact the success of CPAP therapy and be mistakenly attributed to CPAP use, causing people to stop thier therapy. Pre-existing medical conditions in a patient can significantly impact success if they are not recognized early in the treatment. The concept here is that if a patient has, for example, chronic nasal problems that historically have interfered with breathing comfortably through the nose then there is a pretty good bet that they will surface during treatment and may become a reason for failure. Clearly, the patient must not blame the CPAP for the problem, but instead see the medical problem as an obstacle to successful CPAP treatment and therefore a problem in need of its own management strategy. Some nasal issues are structural in nature and may crowd the airway or allow for collapse of the nasal passage with inspiration. This would include things like septal deviation, nasal polyps, swollen nasal lining, broken nasal bones or weak cartilage areas can obstruct the nasal air flow. Other issues are medical in nature and may relate to allergies, or chronic rhinitis that can cause the lining of the nose to become swollen and obstruct airflow, or create excessive drainage causing coughing or dripping. At times over use of nasal decongestant spray creates a chronic obstruction problem as well. All of these issues can be evaluated for surgical or medical treatment that when applied will make the CPAP more comfortable and successful. Claustrophobia or fear of close spaces can interfere with the ability to tolerate masks over the face. This needs addressing by both selecting masks that cover the least possible amount of the face, but also by teaching the patient that the breathing is not limited by the mask, and that they are in charge of when the mask is removed and replaced. Progressive and slow introduction of therapy and gradual increase in the wear time can help such patients. Sometimes the reason patients don’t use a device relates to being concerned that a young child sleeping with them is frightened by the mask. This is an issue that can generally be handled by explaining the medical need for the patient and explaining how the device helps the patient’s breathing; that it is not painful or harmful to them. Most children will adapt to the CPAP equipment and accept its need.
Patients can make behavior decisions that can have unintentional impacts on successful compliance with CPAP therapy. It is my belief, supported by medical research, that good patient understanding of OSA’s treatment concepts and benefits can improve compliance. I would like to share some commonly encountered behaviors in patients that can result in unintentional negative effects on the success of CPAP use. • Falling asleep watching TV in bed or a recliner prior to placing the CPAP mask in place. • Getting up to use the bathroom and deciding that there is no need to replace the mask when only an hour or two remain before the normal wake time. • Going on an overnight trip and not taking the CPAP equipment because it is only one night. • Not using the CPAP because of spending time in the hospital either as a patient or attending a sick friend or relative. • Having an illness with intermittent gastrointestinal symptoms or coughing and deciding not to use CPAP for the entire night. • Failure to use CPAP when camping rather than explore battery options to support the use of the CPAP. Often these decisions are due to a lack of full understanding of the prescription for therapy and the importance of adherence to the duration of therapy. It is important that the patient realize that the improvement in daytime sleepiness is gained through hour by hour use of the CPAP. All sleep without CPAP is not as effective at ridding the brain of sleepiness as the high quality sleep created by using the CPAP device. The CPAP should be used for all of the night time sleep and any naps exceeding 10 minutes. If up out of bed during the night, the mask should be replaced for the remaining time spent in bed. It is important to guard against falling asleep either in bed or in a recliner or on a sofa before placing the mask on. All travel should be covered with the CPAP device even for a single night. Why is this important? The absence of using it will cause sleep loss and the brain will acquire a sleep debt and daytime sleepiness will appear along with decreased function. I hope that by reading this article CPAP users and their families will begin to see that it is important to accept the notion that Obstructive Sleep Apnea can be treated successfully with reduction of the unwanted sleepiness and daytime functional changes and a reduction of the health risks that strike at patients with untreated sleep apnea. There are many reasons for failure to comply with CPAP but most if not all have a “work around” solution to regain successful CPAP use if all members of the CPAP team will extend the collaborative efforts to reach out and find the fix.
David Nichols, MD Sleep Medicine NEA Baptist Clinic – 870.935.8388
nea baptist clinic – center for Sleep Disorders Receives accreditation
N
EA Baptist Clinic Sleep Disorders Center (located at 1118 Windover) has received full accreditation from the American Academy of Sleep Medicine. The Sleep Disorders Center is the only sleep center in the region with all board certified sleep physicians and all registered sleep technologists (some of whom hold multiple credentials—-CRT-SDS and RN.) The physicians that practice at the center are Dr. David Nichols, Dr. Bing Behrens and Dr. William Long.
The Sleep Disorders Center has state of the art sleep technology with a commitment to quality sleep medicines; which include diagnostic, treatment, and follow up care (all provided at the center). In addition, the center offers a great educational resource room which includes computers and many references to better educate patients and family concerning sleep disorders (open to the public during normal business hours). Dr. David Nichols, Medical Director of the sleep center says, “I am proud of the hard work of the center manager, Mr. Rickey Lee and the sleep center personnel in achieving this status. Even more important to us is the benefit to our patients and the community from raising the standards of care offered for sleep disorders in the community. We see this as an important first step and look forward to continuing our efforts to broaden the scope and quality of services for those who suffer from poor quality sleep. Accreditation is a professionally rewarding stamp of approval offered by recognized experts in the field of sleep medicine.” NEA Baptist Clinic – Center for Sleep Disorders specializes in conditions that result in sleep disturbances capable of creating sleep loss sufficient to interfere with the quality of life. Through accurate diagnosis and appropriate therapy addressing these disorders, a patient’s daily quality of life can be improved. Some of the common problems seen in the clinic are sleep disordered breathing, insomnia, restless leg syndrome, narcolepsy, and excessive daytime sleepiness. The Sleep Disorders Center opened in November 2008 and under American Academy of Sleep Medicine guidelines, had to operate a period of time in order to receive full accreditation status and the permission for this public announcement. 23. NEA HEALTH • Spring/Summer 2011
How Hard Do I Have to Exercise?
T
o get the most cardiovascular benefit from your workout, it is necessary to exercise within a recommended range. Determining if you are doing it correctly is the hard part. Heart-rate is a commonly used method for monitoring exercise intensity. This method can be difficult to master, especially when moving, and depending on the individual’s medical history, can affect one’s heart rate.
One of the easiest ways to monitor your exercise intensity is to use the ratings of perceived exertion (RPE) scale. Whether you walk, jog, bicycle, swim or perform low-impact aerobics, your exercise intensity should be within a range of comfort. By using the RPE scale, you can monitor your exercise intensity and get the most out of your exercise routine. Perceived exertion is assessed by a 0-to-10 scale to rate the feelings caused by your exertion. For example, using the 0-to-10 scale, sitting on the sofa watching TV would have a rating of 0. Raising your legs up alternating one at a time for 2 minutes might increase the effort to 1. Walking in the mall could be rated as 1.5. Walking briskly for 15 minutes may have your RPE up to 5. We want to continually increase our rate of exertion by small amounts when starting out. For example increase our RPE by 1 point every two weeks. We have a tendency to not push ourselves…it is just human nature to avoid being uncomfortable. But, to reach our goals of weight loss and better health we need to push past our normal level of comfort. Remember, the rate of your exertion is based on how you feel, not how fast you are moving. You can also use the “Talk Test”, when walking with a buddy during your conversation, be sure that you are not able to complete a sentence without needing to take a few deep breathes. If you are able to have a normal conversation while walking then you are not pushing yourself hard enough. Whether you are new to exercise or a fitness fanatic, use the RPE scale to evaluate your level of effort. Your exercise sessions will be more effective and more enjoyable. Pamela and Steve Bowen Director of Functional Training/ Nutritional Planning and Wellness Center Director NEA Baptist Clinic Wellness Center – 870.932.1898 24. NEA HEALTH • Spring/Summer 2011
Medical employees mention this ad to receive your discount!
N
EA Baptist Clinic Wellness Center tirelessly works to do what is necessary to ensure that their members meet their individual goals. Each person is unique, which is why the Wellness Center constantly strives to incorporate different workout regimens to accommodate the needs of all. Below are just some of the new, innovative workouts the Wellness Center has added recently.
Cardio Krank – Kranking is the first exercise program to focus on the upper body as a way to build cardio fitness. It represents a new way to build aerobic capacity and upper body strength, burn calories and build core stability. Since it utilizes the upper body instead of the legs, it represents a unique cross training opportunity for athletes of all types. One of the most exciting aspects of Kranking is its impact on upper body strength. Studies have demonstrated muscle growth and increased definition, so participants are developing strength while performing an effective cardio workout. There are three different ways a person can incorporate Kranking into their workout regime.
Kranking Fusion Classes: mixing multiple training modalities in one session! Upper Body strength, cardiovascular and strength training, core stabilization and conditioning all in one! Power Kranking Classes: 30 minutes of heart pumping format that uses seated and standing movements incorporating arms, shoulders, chest, back, abdominal, and core muscles. 30 minutes will provide a unique, full body training session that you never forget! Individual Kranking: Define upper body, build muscle, cross train, put a new spin on cardio! Women on Weights (WOW) – Weight lifting is growing in popularity with women. That’s why the Wellness Center offers a 6-week program. Participants learn how to safely lift weights by using important training principles such as sets, reps, spotting, the buddy system and more. Fitness Bootcamp – A high energy group exercise class that combines stretching, strengthening and cardiovascular exercises. Personal Trainers – A good personal trainer can be an excellent addition to a person’s workout program. NEA Baptist Clinic Wellness Center’s certified personal trainers provide structure and accountability. Whether it’s to lose weight or tone, they can help develop a lifestyle that assists in achieving a person’s goal(s). They offer group, first timer, partner, fusion and even children’s personal training. They can also provide meal plans and food. NEA Baptist Clinic Wellness Center has much to offer the individual who cares about their health and well-being. State-of-the-art equipment, juice bar, swimming pool, indoor track, certified personal trainers and group exercise classes give a person a variety of options when it comes to enhancing their quality of life.
Visit neaclinicwellness.com or call (870) 932-1898 2617 Phillips Drive, Jonesboro, AR
PRIVATE BANKING or any one of our other 14 branch locations in NE Arkansas.
Call 870-934-4091 or visit us at www.iberiabank.com
25. NEA HEALTH • Spring/Summer 2011
Anna Vinson, 10, wrote the above paper for a class project. She is pictured with NEA Baptist Clinic’s Carroll Scroggin, Jr., MD. 26. NEA HEALTH • Spring/Summer 2011
NEABaptistFoundation.org • 870.336-1421
in
Review
The Charitable Foundation’s mission is to help change lives through the programs and services in Northeast Arkansas. The Foundation, through your generous gifts, touches every community member and every corner of Northeast Arkansas.
Make a cherry blossom! Visit NEABaptistFoundation.org for instructions on how to make the cherry blossom.
facebook.com/NEABaptistCharitableFoundation
A ll gifts to NEA Baptist Charitable Foundation are appreciated and carefully used. Your support gives help and hope to the many people who benefit from the special community services and programs provided by NEA Baptist Charitable Foundation. – In this section you will find stories of how our events and programs affect Northeast Arkansas.
27. NEA HEALTH • Spring/Summer 2011
NEA Baptist Charitable Foundation ... Caring for our Community
Vol
Thank You W
e wanted to take a moment to express how thankful we are for the volunteers who make it possible for our NEA Baptist Charitable Foundation programs to function effectively and efficiently. We depend on volunteers for a variety of services, from working special events, soliciting items, knitting, crocheting and sewing, to assisting patients in the HopeCircle resource center, the chemo room or working with children at the Center for Healthy Children. A volunteer may visit a bereaved family after the loss of a child or listen to a newly diagnosed patient. Our volunteers utilize their skills and interests as they respond to the needs of our families. Some of our volunteers work at our sites, some never come on site, but provide needed items. While our volunteers and their contributions are varied, one thing remains constant – our appreciation of their commitment. We are thankful for their giving spirit and grateful for all they do for Center for Healthy Children, HopeCircle, Medicine Assistance Program, ShareHope and Wellness Works! You are appreciated!
Lilly Oncology on Canvas
N
EA Baptist Charitable Foundation’s HopeCircle recently worked with Lilly to present the Lilly Oncology on Canvas Art Exhibit in Jonesboro. The traveling 25 piece mixed media exhibit features art from Lilly’s biannual competition for people whose lives have been affected by cancer. Patients, family, friends, caregivers and health care providers express through art and narrative, the lifeaffirming changes that gave their cancer journeys meaning. The traveling exhibition is currently touring hospitals, cancer centers and patient advocacy venues nationwide. We look forward to this touching exhibition every year. For further information on Lilly Oncology On Canvas, visit www.LillyOncologyOnCanvas.com 28. NEA HEALTH • Spring/Summer 2011
INTRODUCING..........................................
Jennifer Martinez
A
t the beginning of June, I was blessed with the opportunity to help change individual’s lives in a positive way. I became the new program manager of NEA Baptist Charitable Foundation Center Healthy Children and Wellness Works! I will be responsible for managing and conducting exercise and nutrition classes for children as well as managing the Wellness Works! Program. I’ve been a part of the NEA Baptist Health System for over two years now and am extremely excited to embark on this new adventure. Education, children, health and wellness have always been a huge part of my life in one capacity or another and I truly am lucky to be able to combine each of these passions to help people be the best person they can possibly be. Jennifer Martinez, Program Manager jennifer.martinez@neabaptistclinic.com Center For Healthy Children & Wellness Works NEA Baptist Charitable Foundation
NEABaptistFoundation.org • 870.336-1421
lunteers Robbie Johnson
............................................................................................................ am excited about the great things going on here at NEA Baptist Charitable Foundation!
Baptist Health System will impact the lives of patients in our region both now and for generations to come.
My name is Robbie Johnson and I am the new Director of Development for the Charitable Foundation. Being new to NEA Baptist, but not to Jonesboro, I graduated from Jonesboro High School and Arkansas State University. Jonesboro is my hometown. Over the last twenty-one years I have worked in outside sales with the last ten in the pharmaceutical industry. In the 20 years of marriage to my high school sweetheart, Stacey Canada Johnson, we have been blessed with three children: Nathan (15), Stephen (12), and Betsy (8). My family and I are members of the Journey Campus of Central Baptist Church. I have also been an avid runner and cyclist for the past 20 years, and enjoy those activities in my spare time.
It is my privilege to oversee fund raising that will provide these innovative health services. Monies donated to NEA Baptist Charitable Foundation will provide revolutionary new ways to treat diseases and improve outcomes for our patients. Every penny donated to the Foundation will be invested in the health of our region. I hope that you are as excited as I am about the future of healthcare in our community. If you would like to know what you can do now to impact the health of our community for tomorrow, feel free to send me an email. I would love to sit down and talk with you. Join us in building today for a healthier tomorrow.
I
As dirt is being moved and concrete is poured at the site of the new NEA Baptist campus in north Jonesboro, think about the new foundation that is being laid for health care in Northeast Arkansas and Southeast Missouri. Think about the new technologies that will treat cancer patients, women’s health issues, and so much more. NEA
Robbie Johnson, Director of Development robbie.johnson@neabaptistclinic.com NEA Baptist Charitable Foundation
29. NEA HEALTH • Spring/Summer 2011
NEA Baptist Charitable Foundation ... Caring for our Community
Foundation Events
N
EA Baptist Charitable Foundation supports five programs offered free of charge to our community. This is only possible due to the community support of our fundraising events. We are so appreciative of our sponsors, volunteers, and event participants without whom these events would not be possible.
Duck Classic was held December 3rd and 4th at the Craighead Fairgrounds. We had a wonderful turnout for the Thursday evening banquet and auction. On Friday morning Duck Classic teams were hunting at premiere locations all over Northeast Arkansas thanks to our landowners and hosts. This years Duck Classic winning team was Focus Bank hosted by Clay Hubbard. It was a beautiful evening for an art auction – April 28th at the home of Dr. Craig and Cindy McDaniel (pictured with the feature artist print) where there was a lovely turnout for Art Slam 2011. Sam Jones IV served as our signature artist for the evening. We are so grateful to the generous artists of our community who donated to the live and silent auction. Thank you for making this evening a success! Biker Classic 2011 was a blast! What a fun event held in Downtown Jonesboro – lots of motorcycles, great food and an awesome crowd. Thank you to all of our sponsors and participants who helped raise funds for Jonesboro Police Department D.A.R.E. and NEA Baptist Charitable Foundation. We truly appreciate your support of these two great causes. Please check out our website for event photos www.bikerclassic.com The NEA Baptist Charitable Foundation website is a great resource for events, dates and information. neabaptistfoundation.org
Kim Provost, Director of Fundraising & Events kim.provost@neabaptistclinic.com NEA Baptist Charitable Foundation
30. NEA HEALTH • Spring/Summer 2011
NEABaptistFoundation.org • 870.336-1421
National Cancer Survivor’s Day
M
ark your calendar and make plans to be part of the 6th annual Hope Week, a week set aside to celebrate and highlight the importance of Hope in the lives of all of us – individually and as a community.
Six years ago, NEA Baptist Charitable Foundation’s HopeCircle began Hope Week as a way to celebrate and highlight the importance of Hope in the life of our community. In dealing with families experiencing life changing illness, death and grief, it was observed that Hope made a difference, not necessarily in the outcome of a person’s life, but in the living of that journey. Hope Week gives individuals, non-profit organizations, schools, businesses and organizations an opportunity to celebrate the importance of Hope and to spread Hope through activities and events that signify Hope to them. On Sunday, September 25, area churches are encouraged to emphasize Hope in their worship services. Throughout the rest of the week individuals and groups are asked to host activities and events that create Hope for area nonprofit organizations. Examples of Hope Week activities include: ovarian and breast cancer awareness events; “Teal Toes”; collection of household items for families in need; food drives; job fairs; pet adoptions; mentoring at area schools; knitting and crocheting items for patients; hat and yarn drives; “Hopeful Art” contests and exhibitions; making and delivering cards and/or food to patients and nursing homes and carnivals for special needs children. The activities are as varied as the groups participating. The one constant is – the emphasis on celebrating and fostering Hope.
National Cancer Survivor Day is a day of celebration and that is what NEA Baptist Cancer survivors, family, friends and oncology staff did at the annual Cancer Survivors’ Day event on June 5th. There was laughter, and even a few tears as people visited with their “chemo” friends and staff, traded stories and reconnected. The oncology staff provided the food with the help of “chefs” Harold and Jay from Home IV. Dan Ross created a musical background as survivors visited, viewed the Lilly Oncology on Art exhibit and listened for their name to be called for a door prize. As one participant said, “It’s good to visit with my Thursday friends without getting chemo.” National Cancer Survivor Day is a reminder to all of us that each day is a gift and is to be celebrated.
Each participating group will have their slogan and events listed in a “Hopeful Events” community calendar and on facebook and several websites. Details for events and slogans can be sent to June Morse at june.morse@neabaptistclinic.com. For additional information on how to be a part of Hope Week contact co-chairs Melinda West, melinda.west@staffmark.com, or Shanna French, smfrench@rittermail.com. June Morse, HopeCircle Program Manager june.morse@neabaptistclinic.com NEA Baptist Charitable Foundation
Don’t have prescription coverage...
Maybe we can help! PO Box 1089, Jonesboro, AR 72403 neabaptistfoundation.org
870-934-5400 31. NEA HEALTH • Spring/Summer 2011
NEA Baptist Charitable Foundation ... Caring for our Community
The Cherry Blossom
Memorial and Honorary Contributions – We offer a way to remember friends and loved ones through a Memorial Contribution or to recognize a birthday, anniversary or major accomplishment through an Honorarium. With each memorial or “gift in honor” contribution received, an acknowledgement letter is sent to the appropriate person named. You will also receive letter for your records. Gifts may be designated for specific programs or services.
Memorials 2010
Irene Ameika Dr. Ray H. Hall Dr. Bruce Jones Dr. & Mrs. Robert Taylor NEA Baptist Clinic Physicians & Staff Lawrence Baltz Dr. Michael Isaacson Gary Barney Dr. Michael Isaacson Robert Bornhoft Mr. & Mrs. Scot Davis James Boozer Dr. Ray H. Hall Elymus Bradley Betty Crawford Linda Brewer Dr. Michael Isaacson Willis Broadaway Dr. Ray H. Hall Cyrus Brown Dr. Michael Isaacson Mr. Frances Burris Dr. Ray Hall Mornay Busloy Dr. DV Patel William Capooth Dr. Eumar Tagupa Elda Carter Dr. Michael Isaacson Glen Chelton Dr. Michael Isaacson Matthew Childers Mr. & Mrs. Ronald Towery Dacon Clay Mr. Gorden Clay Ms. Nina Malloy Laverne Couch Dr. DV Patel John Crain, Jr. Dr. Eumar Tagupa Lois Creeg Dr. Michael Isaacson
Eugene Dudley Dr. Ray H. Hall Dr. Michael Isaacson Charlotte Faulkner Mr. & Mrs. Jerry Blanton Mr. & Mrs. Jim Bowlin Dr. Jon Collier Ms. Carol Croy Mr. & Mrs. Michael Exum Mr. & Mrs. Larry Faulkner Mr. Robert L. Franks Mr. & Mrs. Bill Harris Ms. Carolyn Haynes Mr. & Mrs. Tom Jones Ms. Janice Long Mr. & Mrs. Shane Mikel Mr. & Mrs. Charles Moore Mr. & Mrs. Ron Pique Mr. & Mrs. Larry Poynor Mr. & Mrs. David Pratt Ms. Sandra Reddick Ms. Carrie Rowland Faye Shaw Mr. & Mrs. Dalton Shewbuirt Mr. & Mrs. Mel Sonney Ms. Janet West Ms. Virginia West Ethel Franks Family Greene Couty Tech Class of ‘65 Kathy Faust Dr. Michael Isaacson Nona Ford Brad & Dawn Schulz Elwood Freeman Dr. Ray H. Hall Warren Gallion Dr. Anthony White Ronnie Gann Dr. Michael Isaacson Kay Gardner Dr. DV Patel Woodraw Goff Dr. Michael Isaacson Freeman Goode Dr. Michael Isaacson
32. NEA HEALTH • Spring/Summer 2011
Kathy Gott Mr. & Mrs. Chris Childers Mr. & Mrs. Ronald Childers Mr. & Mrs. David Clark Ms. Mary Clark Mrs. Connie Cook Mr. & Mrs. Randy Dent Ms. Delores Garner Mr. & Mrs. Patrick Haynes Mr. & Mrs. Gerald Lumpkin Ms. Tanya McKenzie Mr. & Mrs. Brent Phillips Mr. & Mrs. Caleb Strait Mr. & Mrs. Coma Tippitt Jennie Harris Mr. & Mrs. Joe Hendrix Mr. Bobby McDaniel Joe Hendrix Mr. & Mrs. Frank Lee Glidis Hester Dr. Michael Isaacson John Hickman Dr. DV Patel May Hicks Dr. Michael Isaacson Brian Hill Dr. Michael Isaacson Crawford Holmes Dr. Ray H. Hall McKenzie Horton Megan Cooper Walmart 128 Bobby Hughes Dr. Michael Isaacson Mark James Dr. Ray Hall Aniyah Lynn Jones Danielle Pittman Annice Pauline Johnson Mr. & Mrs. Scot Davis Joanne Johnson Mrs. Jennifer Cates Mr. & Mrs. Chester Key Dorothy Kelly Dr. Ray Hall
Just as five petals make up the cherry blossom, creating more than the sum of its parts. The origami cherry blossom, where each petal is created separately and then glued together, illustrates how the hard work and dedication of the foundation’s staff and volunteers make up NEA Baptist Charitable Foundation.
Robert Kern Dr. Michael Isaacson Jean Kingston Dr. Michael Isaacson J.W. Kirkland Dr. Michael Isaacson Betty Krone Dr. Ray Hall Memory W.P. (Rosemary) Lamar Dr. & Mrs. Ray H. Hall William Lamar Dr. Ray H. Hall Junior Lansdell Dr. Michael Isaacson Jason Lassiter JoAnn Harmon Marlene Jones Vickie Macon c/o Marlene Jones Lensmasters Shirley Lassiter Dr. DV Patel Mitchell Lawson Dr. Michael Isaacson Joy Ledbetter Dr. & Mrs. Ray H. Hall Lee Liles Dr. Eumar Tagupa Henry Lindsey Dr. Michael Isaacson Violet Mandrell Dr. Eumar Tagupa William McCall Dr. DV Patel Bert McGowan Dr. Michael Isaacson Dale McKinney Dr. Ray Hall David McLarry Dr. Ray H. Hall CoyAnn McSwain Dr. Ronald Blachly Mr. & Mrs. Kenneth Blanchard Ms. Mary Epping
Mr. & Mrs. Charles Frierson Dr. Ray H. Hall Ms. Carolyn Hayward Mr. & Mrs. Robert Houston Mr. & Mrs. Bud Langford Mr. & Mrs. Frank Lee Ms. Lisa McBride Ms. Dora May Meredith Mr. & Mrs. Bobby Miller Mr. & Mrs. Lanier Moore Ms. Susan Osborn Mr. & Mrs. Bobby Puryear Mr. Robert Sloan Lilly News Company, Inc. Magee Enterprises Karl McSwain Peggy Barbour Dr. Ronald Blachly Mr. & Mrs. Robert Houston Mr. & Mrs. Bud Langford Mr. & Mrs. Frank Lee Dora May Meredith Ms. Susan Osborn Mr. Neil Puryear Earl Metcalf Dr. Michael Isaacson Flora Michael Dr. Michael Isaacson Eddie Morrison Mr. & Mrs. Brian Day William Mosbach Dr. Michael Isaacson Kenneth Mowery Dr. & Mrs. Michael Isaacson Christie Munn Ms. Elizabeth Coleman Ms. Laurie Cotter Mr. & Mrs. Steve Johnson Mr. & Mrs. Mark Stever Mr. & Mrs. David Thorne NEA Education Coop-Early Childhood Jeanne Murray Dr. Michael Isaacson Norma Neece Dr. Ray Hall
NEABaptistFoundation.org • 870.336-1421
Wellness Works! is a FREE medical and health professional monitored fitness program available exclusively for diabetic, cardiopulmonary and cancer patients.
A FREE exercise and nutrition education program for children who struggle with weight problems. 2617 Phillips Drive, Jonesboro, AR 72401
2617 Phillips Drive, Jonesboro, AR 72401 • 870.336.1760 870.336.1760 A community of hope, support and educational programs FREE for families living with a catastrophic illness. 311 East Matthews, Jonesboro, AR 72401 870.934.5214 This program helps patients get their prescriptions from pharmaceutical companies for FREE.
A FREE 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. 311 East Matthews, Jonesboro, AR 72401 • 870.336.1421
Lane Wyatt Nichols Mr. & Mrs. RJ Ashcraft Ms. Danielle Pittman Mr. & Mrs. Larry Spurlock Mr. & Mrs. Bruce West Riceland International Allen Nixon Mr. & Mrs. Scot Davis Norma Emison Dr. Ray H. Hall Mr. John Jarrett Mr. & Mrs. Frank Lee Dr. & Mrs. Doug Maglothin Mr. & Mrs. Morris Mays Ms. Ann Moore Paul & Gail Osborn Mr. George Puryear Dr. Scott Puryear Ms. Liz Rainwater Ms. Beatrice Robey Dr. & Mrs. Carroll Scroggin, Jr. Dr. Robert Taylor Mary Wegert Mr. & Mrs. J.T. Williams The Jack Carson Family Jones & Co Womack, Landis, Phelps & McNeill Hazel Noblin Dr. Eumar Tagupa Linda Novis Dr. Michael Isaacson William Olson Dr. & Mrs. Michael Isaacson Royce Pierce Dr. Michael Isaacson
Stacie Pierce Dr. K. Bruce Jones Charles Potter Dr. Eumar Tagupa Connie Pratt Dr. Michael Isaacson Elbert Qualls Dr. Michael Isaacson Everette Radcliff Dr. DV Patel Elvie Redwine Dr. DV Patel Orba Roberts Dr. Ray H. Hall Clay Robertson Mr. & Mrs. Scot Davis Blueberry Robinson Mr. Jerrod Stonecipher Neda Rorie Dr. Michael Isaacson Ross Runyan Dr. Michael Isaacson Dr. Buck Rusher Mr. & Mrs. Frank Lee Dr. & Mrs. Robert Taylor Dolphis Russell Dr. Michael Isaacson Carl “Doc” Rutherford Mr. & Mrs. Scot Davis Donald Lynn Scott Mr. & Mrs. Brian Day Carletta Settlemoir Ms. Carolyn Haynes
Honorariums - 2010 50th wedding anniversary of Mr. & Mrs. Tom Reeves Mrs. Janice Mather Holly Acebo Danielle Pittman Nicole Frakes Jennifer Martinez
Dr. & Mrs. Lou Adams Louis Schaaf Cardio partners Dr. DV Patel Honor Mr. & Mrs. Neal Graham Louis Schaaf
PO Box 1089, Jonesboro AR 72403 • 870.934.5400
Dorothy Sharp Dr. Michael Isaacson Lola Sharp Dr. Anthony White Henry Simmons Dr. Michael Isaacson Lori Sims Dr. & Mrs. Michael Isaacson Gordon Simpson Gary & Dean Austin Henley Bergstrom Hillary Hunt Steven and Martha McFerron Bonnie and Ted Smith James Way Claimsnet.com Wood Ford Sales Reedie Smith Dr. Michael Isaacson Vastima Smith Dr. Michael Isaacson Ethel Stubblefield Dr. Michael Isaacson Floyd Snyder Dr. Michael Isaacson Dexter Tate Drs. Chris & Leslye McGrath John Tatum Dr. Michael Isaacson Florence Taylor Mr. & Mrs. Scot Davis Mr. & Mrs. Brian Day Dr. & Mrs. Michael Isaacson Dr. Bruce Jones Mr. Darrell King
Mr. David Hogan Louis Schaaf Dr. & Mrs. Allen Hughes Louis Schaaf Mary Johnston Dr. DV Patel June Morse Jonesboro University Rotary
Dr. & Mrs. Doug Maglothin Dr. Eumar Tagupa Dr. & Mrs. Brannon Treece Dr. Stephen Woodruff Robert Tedder Mr. & Mrs. Scot Davis Mr. & Mrs. Brian Day Dr. Norbert Delacey Dr. & Mrs. Michael Isaacson Dr. Bruce Jones Dr. & Mrs. Brannon Treece Dr. Stephen Woodruff George Tollison Dr. Michael Isaacson Carol Traum Mr. & Mrs. Brian Day William Treneman Dr. DV Patel Awle Tribble Dr. Michael Isaacson James Turner Sharon Cooper Mr. Christopher Gardner Mr. & Mrs. David Pratt David Turner Mr. & Mrs. Randall Dunnam Mr. & Mrs. Jake Morse Jan Turney Mr. & Mrs. Randall Carlton Carl Vaupel Mr. & Mrs. Scot Davis James W. Veal Dr. DV Patel Elwood Vines Mr. & Mrs. Randall Carlton Dr. K. Bruce Jones Mr. & Mrs. Gary Prosterman Louis Schaaf Mr. Stephen C. Reynolds Louis Schaaf Dr. & Mrs. M. Coyle Shea, Jr. Louis Schaaf Dr. Stephen Woodruff Mr. John & Norma Stotts
John Walker Randall & Teresa Dunnam Hancil Wall Dr. Michael Isaacson Peggy Weaver Mr. & Mrs. Joe Bergan Ms. Bonnie Lee Gifford Raymond Hoelscher Mr. & Mrs. Daniel Maddock Ms. Norma Martinez Sally Shepard & Family The Stonewall Community Church The Cumberland Family Elbert Williams Dr. Eumar Tagupa Carolyn Wilson Dr. Bruce Jones Donald Winstead Dr. Michael Isaacson Carlos Woodard Dr. Michael Isaacson Theretha Woods Dr. DV Patel Charlotte Wooten Dr. Eumar Tagupa Jim Wright Dr. Ray H. Hall Annie Wyatt Dr. Michael Isaacson Judy Wynne Dr. Michael Isaacson
The perfect gift for any occasion!
A Memorial or Honorarium
mail to PO Box 1960, Jonesboro, AR 72403 or donate online NEABaptistfoundation.org
33. NEA HEALTH • Spring/Summer 2011
Salmon & Zucchini with Red Pepper Sauce No-Bake Mac & Cheese
Ingredients 1/3 cup sliced toasted almonds 1/4 cup chopped jarred roasted red peppers 1/4 cup halved cherry tomatoes 1 small clove garlic 1 tablespoon extra-virgin olive oil 1 tablespoon red-wine vinegar 1 teaspoon paprika 3/4 teaspoon salt, divided 1/2 teaspoon freshly ground pepper, divided 1 1/4 pounds salmon fillets 2 medium zucchini Canola or olive oil cooking spray 1 tablespoon chopped fresh parsley, for garnish
Preheat grill to medium. Blend almonds, peppers, tomatoes, garlic, oil, vinegar, paprika, 1/4 teaspoon salt and 1/4 teaspoon pepper in a food processor or blender until smooth; set aside. Coat salmon and zucchini on both sides with cooking spray, then sprinkle with the remaining 1/2 teaspoon salt and 1/4 teaspoon pepper. Grill, turning once, until the salmon is just cooked through and the zucchini is soft and browned, about 3 minutes per side. Transfer the zucchini to a clean cutting board. When cool enough to handle, slice into 1/2-inch pieces. Toss in a bowl with half of the reserved sauce. Serve vegetables with salmon topped with some of the remaining sauce. Garnish with parsley, if desired. Serves 4
Ingredients 8 ounces whole-wheat elbow noodles, (2 cups) 1 10-ounce package frozen chopped broccoli 1 3/4 cups low-fat milk, divided 3 tablespoons flour 1/2 teaspoon garlic powder 1/2 teaspoon salt 1/4 teaspoon ground white pepper 3/4 cup shredded extra-sharp Cheddar cheese 1/4 cup shredded Parmesan cheese 1 teaspoon Dijon mustard
Bring a large pot of water to a boil. Cook pasta for 4 minutes. Add frozen broccoli and continue cooking, stirring occasionally, until the pasta and broccoli are just tender, 4 to 5 minutes more. Meanwhile, heat 1 1/2 cups milk in another large pot over medium-high heat until just simmering. Whisk the remaining 1/4 cup milk, flour, garlic powder, salt and pepper in a small bowl until combined. Add the flour mixture to the simmering milk; return to a simmer and cook, whisking constantly, until the mixture is thickened, 2 to 3 minutes. Remove from the heat and whisk in Cheddar, Parmesan and mustard until the cheese is melted. Drain the pasta and broccoli and add to the cheese sauce. Return to the heat and cook, stirring, over medium-low heat, until heated through, about 1 minute. Serves 4
Chicken Wraps & Guacamole Ingredients 2 tablespoons fresh lime juice 1/4 teaspoon salt 1 ripe peeled avocado 1/2 cup chopped seeded tomato 4 Romaine lettuce leaves 4 (8-inch) Whole Wheat flour tortillas 2 cups shredded skinless, boneless chicken (about 8 ounces)
34. NEA HEALTH • Spring/Summer 2011
Place first 3 ingredients in a medium bowl; mash with a fork until smooth. Stir in tomato. Place 1 lettuce leaf on each tortilla; spread about 1/4 cup avocado mixture on each lettuce leaf. Top each serving with 1/2 cup chicken. Roll up. Serve. Serves 4
Staying Hydrated During the Summer
B
eing athletic, I’ve always known the importance of staying hydrated. It’s been ingrained in me as far back as I can recall how necessary it is to drink while being active. It becomes twice as important as the summer months approach. This knowledge seemed to escape me this past May while I was completing my first marathon. About mile 10 I became quite familiar with the signs of heat stroke because I neglected to drink properly. Generally speaking, a person should consume ½ of their body weight in ounces. For example, if you weigh 120 lbs. you should consume 60 oz. of fluid daily. As you become active, the amount increases. Add the heat from the summer months to that and frequent fluid intake becomes vitally important. As little as 2% dehydration can cause a significant drop in your performance. Four percent dehydration can cause lethargy, apathy and lack of focus. If left untreated, dehydration can turn into heat exhaustion which can then turn into the more serious heat stroke. According to the Kendrick Fincher Memorial Foundation, the signs of dehydration are as follows: • Noticeable thirst • Muscle cramps • Weakness • Decreased performance • Nausea • Headache • Fatigue • Lightheaded feeling or dizziness • Difficulty paying attention If you experience any of these signs, try resting in a cool place and consume fluids such as water or a sports drink. Steer clear of soda or caffeinated beverages. If your condition worsens or doesn’t change, it may be best to consult a physician. The best way to prevent dehydration is by consuming fluids before, during and after physical activity. Water and sports drinks are good to keep on hand. You can also consume your fluid through food by eating fruits such as grapes, watermelon or orange slices. Summer’s a great time to get outdoors and be active with activities such as swimming and baseball. Keeping your hydration in mind will insure that your time outdoors will be an enjoyable one. Jennifer Martinez, Program Manager jennifer.martinez@neabaptistclinic.com Center For Healthy Children & Wellness Works NEA Baptist Charitable Foundation 35. NEA HEALTH • Spring/Summer 2011
Finally. Relief to leg pain & varicose veins.
There is a solution to the discomfort, swelling & appearance of varicose and spider veins. Clinically proven, minimally invasive ways to treat varicose veins and spider veins, with little or no pain. Find out what procedure is right for you. Call us today. After hours visits available.
Michael Raborn, MD 36. NEA HEALTH • Spring/Summer 2011
3100 Apache Dr., Jonesboro, AR 72401 (870) 934-3530 • neabaptistclinic.com
Clark- born at NEA Baptist Memorial Hospital
Delivering an exceptional experience.
NEA BAPTIST WOMEN’S CENTER — NEA Baptist is dedicated to making sure every birth is a beautiful beginning. That means a compassionate, highly trained maternity staff that’s with you throughout labor and delivery. And technology like Safe Place®, a computerized infant security system in the nursery that tells us where your child is at all times. But our care doesn’t begin and end in the delivery room. Our breastfeeding and lactation consultants will help make sure you and your baby get off to a good start together. And if you want guidance during your pregnancy, log into www.HerBaptist.org and subscribe to the My Baby Expectations e-newsletter. Subscribe to receive month-by-month information about the changes you will experience, delivered right to your inbox — all the way through your baby’s first year.
870-972-7000 www.neabaptist.com
FAMILY PRACTICE 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
ANESTHESIOLOGY
HOSPITALIST
OTOLARYNGOLOGY (ENT)
Oksana Redko, MD Larry L. Patrick, MD Reagan Baber, MD 3024 Stadium (870) 972-7390
William Hubbard, MD Brock Harris, MD Robert B. White, MD, FACP Kara Cooper, MD Matt Quick, MD 3024 Stadium (870) 275-2916
Bryan Lansford, MD Heidi Cohn, APN 3100 Apache, Suite B2 (870) 934-3484 Hearing Center Amy Stein, AuD, CCC-A 3100 Apache, Suite B2 (870) 934-3484
INTERNAL MEDICINE
PAIN MANAGEMENT
Ray H. Hall, Jr., MD, FACP Stephen O. Woodruff, MD, FACP Brannon Treece, MD Kristy Wilson, APN Carla Nix, PA 311 E. Matthews (870) 935-4150
Raymond Greaser, MD 3005 Apache (870) 933-7471
CARDIOLOGY 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 Matthew Haustein, MD Margaret Cooper, APN Jennifer Jarrett, APN 311 E. Matthews (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 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
CARDIOVASCULAR & THORACIC SURGERY James A. Ameika, MD Deborah Fairchild, APN 3100 Apache, Suite B4 (870) 972-8030
W. Tomasz Majewski, MD, FACS Paula Arnold, RN, CLT Melanie Greeno Hart, ICT 3100 Apache, Suite B3 (870) 934-5600
NEUROPSYCHOLOGY
PODIATRY
311 E. Matthews (870) 934-5343
Kristin J. Addison - Brown, PhD 2205 W. Parker, Jonesboro (870) 935-4150
Chris Rowlett, DPM 1007 Windover (870) 932-6637
DERMATOLOGY
NEUROSURGERY
PULMONOLOGY
Robert Abraham, MD Rebecca Barrett-Tuck, MD 3100 Apache, Suite A (870) 935-8388 Kenneth Tonymon, MD 4700 West Kingshighway, Paragould, (870) 240-8402
William Hubbard, MD Meredith Walker, MD Owen K. Criner, MD Sara Hogan, APN 311 E. Matthews (870) 935-4150
CLINICAL ONCOLOGY RESEARCH Adam Sills, MD 3100 Apache (870) 935-4150
EMERGENCY MEDICINE Brewer Rhodes, MD Jerry R. Biggerstaff, MD James Fletcher, MD Karen Kuo, MD Cole Peck, MD Stacy L. Wilbanks, MD 3024 Stadium (870) 972-7251
Cherokee Village Tommy Taylor, MD 51 Choctaw Trace, Cherokee Village (870) 856-2862
ENDOCRINOLOGY Kevin D. Ganong, MD 311 E. Matthews (870) 935-4150
Paragould Chris McGrath, MD Joe McGrath, MD Kenneth Tonymon, MD (Neurosurgery) William Long, MD, PhD (Neurology) Chris Rowlett, DPM (Podiatry) Angie Fowler, APN Paragould Clinic & Urgent Care 4700 West Kingshighway, Paragould (870) 240-8402
Diabetes Center Amber Toombs, APN 311 E. Matthews (870) 935-4150
GASTROENTEROLOGY Michael D. Hightower, MD 311 E. Matthews (870) 935-4150
GENERAL SURGERY K. Bruce Jones, MD Russell D. Degges, MD David L Phillips, MD 800 S. Church, Suite 104 (870) 932-4875
HEMATOLOGY ONCOLOGY open late Mon - Fri 1111 Windover (870) 910-6040
Jeff Ramsey, PT Nikki Luster, PT 1007 Windover (870) 336-1530
Kenneth Chan, DO Bing Behrens, MD William Long, MD, PhD 3100 Apache, Suite A (870) 935-8388
416 E. Washington Ave, Suite C (870) 934-1006
Trumann Brannon Treece, MD Ryan Brenza, DO Michelle Montomery, APN 305 W. Main, Trumann (870) 483-6131
Dialysis Center 3005 Middlefield (870) 934-5705
PHYSICAL THERAPY
PLASTIC & RECONSTRUCTIVE SURGERY
CLINICAL RESEARCH
Osceola Kenneth Dill, MD Debbie Wilhite, APN 616 W. Keiser, Osceola (870) 563-5888
Michael G. Mackey, MD Adam B. Woodruff, MD Sara Culbreath, APN 311 E. Matthews (870) 935-4150
Brannon Treece, MD 311 E. Matthews (870) 935-4150 *All NEA Baptist Clinic family medicine physicians see children as well.
NEUROLOGY
Michael Raborn, MD 3100 Apache, Suite B1 (870) 219-7685
Tim Shown, DO Melissa Yawn, MD, MRO Jeffery Barber, DO, MRO Hilltop Clinic & Urgent Care 4901 E. Johnson, Jonesboro (870) 932-8222
NEPHROLOGY
PEDIATRICS
Ronald J. Blachly, MD D. Allen Nixon, Jr., MD Carroll D. Scroggin, Jr., MD Stacia Gallion, APN 311 E. Matthews (870) 935-4150
OBSTETRICS & GYNECOLOGY 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 Charles Cesare, Jr., MD 3104 Apache (870) 972-8788
RADIOLOGY Jeffrey S. Mullen, MD 3100 Apache (870) 934-3533 John K. Phillips, MD Gregory Lewis, MD 3024 Stadium (870) 972-7000
RHEUMATOLOGY Beata Majewski, MD Leslie McCasland, MD 311 E. Matthews (870) 935-4150
SLEEP MEDICINE
OCCUPATIONAL MEDICINE Melissa Yawn, MD, MRO Jeffery Barber, DO, MRO 4901 E. Johnson (870) 910-6024
OPHTHALMOLOGY Joseph George, MD Thomas Nix, MD James Cullins, OD 416 E. Washington, Suite B (870) 932-0485
David Nichols, MD Bing Behrens, MD William Long, MD, PhD 1118 Windover (870) 336-4145
SPECIALTY CLINIC Pocahontas, (870) 892-9541
VEIN CENTER Michael Raborn, MD 3100 Apache, Suite B1 (870) 934-3530
ORTHOPEDIC SURGERY
WELLNESS CENTER
Jason Brandt, MD Henry Stroope, MD Aaron Wallace, MD 1007 Windover (870) 932-6637
WOUND CARE
A location near you • Open 7 days a week • No Appointment Necessary WINDOVER STADIUM WOODSPRINGS 1111 Windover 3003 Apache Drive 2205 W. Parker Rd. (870) 935-9585 (870) 931-8800 (870) 910-0012
2617 Phillips (870) 932-1898 James Fletcher, MD Stacy L. Wilbanks, MD Brandy Crump, APN NEA Baptist Clinic - Windover (870) 336-3211
HILLTOP 4901 E. Johnson (870) 934-3539
PARAGOULD 4700 W. Kingshighway (870) 240-8402