NEA Health - Spring/Summer 2010 by NEA Health

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ISSUE 12

Spring/Summer 2010

4/19/10

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WHAT IS RESEARCH

P a r k i n s o n â&#x20AC;&#x2122;s D i s e a s e A n e w t h e r a py f o r overactive bladder

Obstructive sleep apnea

Integrated Medicine

Treatment Trials Prevention Trials Screening Trials Quality of Life Trials

Brought to you by

www.neabaptistclinic.com

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OUR ROOTS RUN DEEP IN NORTHEAST ARKANSAS Steve May President and CEO

We planted that seed by taking care of each customer, one by one. Our goal has never been to be the biggest bank, but to offer the best in banking services. From our personal service, our products and our convenient locations—we’re just plain more bank for your buck.

870-802-2344 www.heritagebankark.com

Time&Temp

Jonesboro • Leachville • Caraway • Monette • Manila

932-1112

STROKE

Parkinson’s

Orthopedic replacements

Multiple sclerosis Brain injury

Hip fractures

Spinal cord injury

At HealthSouth Rehabilitation Hospital of Jonesboro, we specialize in the rehabilitation of many conditions, offering patients and families a more diverse menu of capabilities. Our team of professionals offers the latest technology and treatments for enhanced improvements. And team members are specially trained in treating specific conditions, helping patients achieve maximum outcomes. For a higher level of care, choose the hospital that specializes in comprehensive patient care – choose HealthSouth Rehabilitation Hospital of Jonesboro.

A Higher Level of Care

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NEA Health magazine benefits the programs of

NEA Baptist Charitable Foundation has a mission to help change lives through the programs and services it supports in Northeast Arkansas. The Foundation, through the generous gifts of our community, touches every community member and every corner of Northeast Arkansas.

Thanks to all of our advertisers! PUBLICATION OFFICE

1835 Grant Ave., Jonesboro, AR 72401 www.neabaptistclinic.com Holly Acebo, Editor

Kim Provost, Director of Fundraising and Events NEA Baptist Charitable Foundation Cheryl Goad, Director of Programs and Grant Development NEA Baptist Charitable Foundation Nicole Frakes, Graphic 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© 2010 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

On The Cover

Page 1

Current Clinical Trials: 870.934.1006 Acute Coronary Syndrome - heart attack, MI, unstable angina

Pediatric Acute Ear Infection with Ear Tubes

Cardiac Stent

Pink-eye

Congestive Heart Disease with Cardiac Event

Seasonal Flu

Congestive Heart Failure Diabetes Type I (newly diagnosed) Diabetes Type II - many (previous medicines & naïve)

Taking Aspirin after a Cardiac Event or Stroke or with a Gastric Ulcer Coming soon: Anemia Female Hyposexual Desire Disorder

Diabetic Painful Neuropathy Epileptic Seizures

Overactive Bladder/Urge/ Urinary Incontinence

H1N1 Flu

Post-op Hernia Surgery or Hysterectomy

Osteoarthritis

Current Oncology Trials: 870.934.5343 Breast Cancer, Esophageal Cancer, Lung Cancer, Colon Cancer, Rectal Cancer , Lymphoma We also have registry studies open for colon, lung, lymphoma and myelodysplatic syndrome.

If you would like to become part of an exclusive group of people benefiting from and helping clinical research, please contact us.

www.neabaptistclinic.com

1. NEA HEALTH • Spring/Summer 2010

from the editor

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otivation, accountability, relationships…. These are all key words we hear when someone talks about what it takes to embrace change in their lives. The change could be diet, exercise, reaching a goal or wanting to cross an adventure off their “bucket list”! I didn’t realize the importance of these three things until I was asked to join a group of incredible ladies to run with them. Up until that point I was primarily running and exercising on my own, but when I started getting serious about training for a half marathon I knew I needed some support. At first fear was my primary reason for not joining others – fearful they’d be faster and I wouldn’t keep up. Once I decided to give it a try, I found I was right – they were faster, but they were highly encouraging, motivating and made running a lot more fun than I had ever expected it to be.

My fear quickly turned to excitement to be surrounded by ladies who enabled me to reach deeper within myself, to exceed limits that I didn’t think I would ever obtain, and to have new found relationships, friendships and accountability partners – ladies who did really Julie Thatcher, Beverly Lutrell, care if I didn’t show up to run with them, and Karla Williams, Kerri Parnell, Pam Bass, I cared if they didn’t show up! Tonya Poteat, and Holly Acebo

Embarking on changes of lifestyle may seem scary or impossible, but surrounding yourself with people who motivate you and hold you accountable and who care about your well-being – make it not only attainable, but truly a lot of fun along the journey. I encourage you reach deep within yourselves, to find friends or accountability partners to reach goals with you, you will be surprised at what you can achieve. Read the Women Can Run story on page 14 of this issue. Katie embarked on a new journey of weight loss with her mother as her support – and it’s amazing the outcome she achieved! We are so proud of her story and of the changes women have achieved through the Women Can Run program! It is our hope that you will enjoy this issue of NEA Health! Clinical Trials are exciting and cutting edge and an important part of what we are doing at NEA Baptist Clinic… I have personally been a part of a clinical trial, and found it very rewarding and exciting to think that I could have played a part in advancing medicine! Whatever your goal in 2010, grab a friend and embrace it with all your heart and soul… you won’t be disappointed! Have a healthy & blessed day!

Holly Acebo, Editor 2. NEA HEALTH • Spring/Summer 2010

Page 2

CONTENTS

pages of advice from doctors and health professionals you know and trust. 3 Integrated Medicine

- Jim Boswell, CEO, NEA Baptist Clinic

6 Orthodontics: Braces?

- Dr. Ben Burris

8 A New Therapy For Overactive Bladder

- Dr. Michael Hong

10 Obstructive Sleep Apnea

- Dr. William Long

11 Clinic and Hospital Connected:

A patient’s perspective - Dr. Stephen Woodruff

12 Advances in Permanent Birth Control

14 Women Can Run Spotlight - Katie Wysocki

- Amanda Herget

15 Improving Medical Care In

Northeast Arkansas - Dr. Robert Taylor

16 Sleep Disorders & Neurological Conditions

- Dr. Bing Behrens

18 What is Clinical Research?

- Paul Koros, RN, CCRC

20 Oncology Clinical Research

- Dawn Smith, BSN

23 Pictures of Joy

- Dr. Charles Barker

24 My Hands Shake...Do I have

Parkinson’s Disease ? - Dr. Kenneth Chan

26 NEA Baptist Hospital Service First

- Paul Betz, CEO, NEA Baptist Memorial Hospital

In Review

NEA Baptist Charitable Foundation - Program Updates - Event Updates - Memorials/Honorariums

34 Healthy Eating

36 How to Make the Most, Academically, of

your Child’s Summer Break

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What Does an Integrated Delivery System mean to Northeast Arkansas?

ayo Clinic CEO Dr. Denis Cortese describes integrated systems “as having high levels of physician engagement, teamwork, connectivity and a greater level of efficiency and quality controls”. All of these traits of an Integrated Delivery System (IDS) are hard to achieve and take many years to develop but are clearly superior to the more fragmented model of care that exist in most communities today. Simply put, an integrated delivery system (IDS) is an organization whereby the physicians and the hospital are all under the same ownership. A true IDS achieves high levels of quality care in a very cost effective manner. The physicians are actively involved in the governance of the organization thus ensuring a patient centric focus. Notable examples of highly successful IDS are Mayo Clinic, Cleveland Clinic, Geisinger and St. John's Health System just to name a few. Most highly successful integrated systems began with the merging of a multi-specialty group practice and a highly successful hospital organization. These two organizations typically arrive at the point whereby they realize that in order to truly reach the level of “coordinated care” required to improve performance and patient outcomes they must come together as one entity. A true multi-specialty group practice is one in which the physicians all practice together as “partners or owners” of the clinic all under one roof sharing common management and governed by a physician board. The level of coordination of care in a multi-specialty group practice is superior to that of the more fragmented care provided in independent or loosely affiliated physician offices. The culture of a successful multi-specialty group practice is one in which “the needs of the patient and the organization surpass the needs of the individual physician”.

Integrated Medicine continued on page 4

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Integrated Medicine continued from page 3

As stated, one of the secret ingredients to successful physician-hospital integration is a “true multi-specialty group practice”. They are extremely hard to create and sustain but by definition the physicians within a group practice are accustomed to partnering with others and working towards the greater common good. The merging of NEA Clinic and Baptist Memorial Healthcare is not unlike the evolution of other integrated delivery systems. In fact, NEA Clinic as well as Baptist have each been pursuing for years their own integrated system and it wasn't until November 2008 that the two became partners in the local ownership of NEA Baptist Memorial Hospital. At first, the partnership between NEA Clinic and Baptist Memorial Health Care was focused on maximizing the performance of NEA Baptist Memorial Hospital in terms of providing the highest level of quality care. However, the relationship began to flourish as trust and respect for each other's value grew. It soon became apparent that a rare opportunity existed to merge the two organizations together, forming a fully integrated non-profit delivery system. The partners realized that through it's combined strength they could in fact build a new integrated campus. The partners vision for Northeast Arkansas was to first create the integrated ownership structure between NEA and Baptist and then develop a new physically integrated clinic and hospital campus. The non-profit entity, NEA Baptist Health System, was formed to steer the activities of two other non-profit entities to include NEA Baptist Clinic and NEA Baptist Memorial Hospital. It is under this integrated health system that the clinic and hospital will be governed and whereby the physical campus will come together. By forming this new integrated system, NEA and Baptist have positioned themselves and the community well for health care reform. Health care experts believe that the formation of clinically integrated enterprises and accountable care organizations is the key to improving patient outcomes and controlling cost. Amongst experts it is clear that the multi-specialty group practice model integrated with a highly successful hospital system provides higher quality care in a more efficient, costeffective manner.

“Serving Jonesboro over 35 years”

Flowers • Plants • Roses • Gift Baskets Weddings • Banquets • Gift Shop

2005 E. Highland Dr. • (870) 935-1120 4. NEA HEALTH • Spring/Summer 2010

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NEA Health Tip! Practices conducive to good sleep For Northeast Arkansas, this newly created integrated delivery system means a “one stop” approach to health care. The clinic's electronic medical record is integrated with that of the hospital. On the new campus, to be built on Hwy 49N, the clinic and hospital buildings will be integrated around specialty services, floor by floor, in order to maximize patient conveniance. The health system itself will be governed by a board of local physicians, Baptist management as well as community leaders. For the patient, the pairing of the clinic and hospital will allow us to provide a more “seamless” level of care. The community of Northeast Arkansas is fortunate to have such an integrated organization emerge in Jonesboro. The investment in terms of both capital and management is no small amount. In fact, it is estimated that the cost of the facilities as well as formation of the health system is approximately $400 million- the single largest made by Baptist in any community and the largest health care investment in Arkansas in the last decade. The significance of the partnership between NEA and Baptist in the formation of the states' only integrated delivery system will be seen in the next few years. The impact that this system will have on the delivery of health care in our region will be forever felt and coordinated care will benefit the patients and community of Northeast Arkansas.

Jim Boswell Chief Executive Officer NEA Baptist Clinic 870.934.5101

• Sleep only when drowsy • Minimize light, noise and extreme temperatures • Avoid strenuous exercise six hours before bedtime • Avoid large meals, caffeine, alcohol and nicotine before bedtime • Avoid napping during the daytime • Avoid lying in bed unable to sleep • Maintain a regular arise time, even on days off and on weekends

Do you get the right amount of sleep... Take a sleep quiz at

neabaptistclinic.com

More on Integrated Medicine page 15

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A DVANCES

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Permanent Birth Control A

significant advance in permanent birth control utilized worldwide is offered at NEA Baptist Clinic-Women’s. The Essure® procedure allows doctors to provide women with the first and only non-incisional alternative to tubal ligation, eliminating the risks of surgery and general anesthesia.

The doctors at NEA Baptist Clinic - Women’s are performing the Essure® procedure in an office setting. We’re very excited to be able to offer women this proven and reliable method of permanent birth control. It is over 99.80% effective without the use of hormones and is covered by most insurance plans. During the Essure® procedure, the doctor places a soft, flexible coil called a “micro-insert” into each fallopian tube using a small catheter. Because the procedure does not involve incisions, it can be performed with just a local anesthetic. Most patients leave the doctor’s office less than an hour after the procedure, with most patients returning to their normal activities the next day. Once in place, the Essure® micro-inserts cause tissue to grow in and around the devices, forming a barrier that blocks the fallopian tubes. The barrier takes about three months to form so a woman will continue to use an alternative form of birth control during that time. The barrier formed by the Essure® micro-inserts is confirmed with a special x-ray The doctors at NEA Baptist Clinic - Women’s agree that the Essure® procedure gives women the piece of mind that they are protected from unintended pregnancy. Tens of thousands of women in the U.S. are relying on this revolutionary method of permanent birth control. If you would like more information about the Essure® procedure, visit www.essure.com or contact NEA Baptist Clinic - Women’s at (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, ICT Skin Care/Aesthetician

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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

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Women Can Run Spotlight

Katie Wysocki

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Q & A with Katie Wysocki How has Women Can Run program affected/changed your life? Katie (K): “The Woman Can Run program has definitely had a positive effect on my life. I feel physically and mentally so much better. One thing I really enjoy about this program is the 5K run in Conway at the end of the program. It is so cool to see all the women from around the state that did the same training I did. It is such a positive environment. There is so much encouragement and positivity.”

What advice do you have for beginning runners?

ave you ever wanted to meet new people, lose weight or improve your current fitness level? Katie Wysocki did, and she accomplished all of those things with the help of the Women Can Run Clinic. Katie, a former soccer player for Jonesboro High School, had gotten out of the exercise routine and gained weight. In 2007 Katie’s mother, Marilyn, saw an ad in the Jonesboro Sun for the Women Can Run Clinic. Marilyn, an avid walker and jogger at the time, wanted to see if she could improve her running abilities. She invited her daughter to join her in the clinic and Katie agreed. The mother/daughter duo began the clinic as beginning runners with hopes of finishing a 5K race together. Two months later they accomplished their goal. After participating in the clinic Katie was able to run and finish several 5K races, but she didn’t see much weight loss. Taking advice from the Women Can Run Leaders, she decided to make some dietary changes. In addition to her running program she cut out fast food and snacking in-between meals. She minimized her soda intake and started drinking more water, skim milk, and orange juice. The result: immediate and dramatic weight loss. Although Katie is private about her weight loss numbers she does admit she likes shopping in stores she never could before. As participants of the Women Can Run Clinic for 4 years, Katie and Marilyn Wysocki have completed multiple 5K races as runners. Katie has even competed in 2 half- marathons. Her focus for the future is to maintain her current weight by continuing to run and eat healthy. She is now training for her 3rd half-marathon. 14. NEA HEALTH • Spring/Summer 2010

K: “My advice for a beginning runner is not to compare yourself to other runners. Everyone is different. For example, at the clinic they explained different breathing techniques, I just had to try each one until I found something that worked for me. Find what works best for you. Also, they told us last year not to look at the ground when running. Look up, several feet in front of you. I hadn’t thought about it, but once I did, it made a huge difference in how I ran. It was much more comfortable.”

Since the clinic is only 2 months out of the year, how do you stay motivated the other 10 months of the year? K: “After the 5K Women Run Arkansas in Conway last May, I had my best 5K time and it was such a great feeling I did not want it to end. I continued with my running, going just a little further each time I ran. At first I was running for 30 minutes around my apartment complex, then 45 minutes, then an hour. Before I knew it I mapping routes and running 6 miles and feeling great after!”

You have been a participant of the Women Can Run clinic for 4 years, do you feel each year gets easier for you? K : “The first three years I was in the beginning runners group and learned much from the leaders. This year, running did seem easier, so now I am in the intermediate runners group and it is a good challenge.”

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“The “The miracle miracle isn't isn't that that II finished. finished. The The miracle miracle is is that that II had had the the courage courage to to start." start." -John -John Bingham, Bingham, running running speaker speaker & & writer writer

Where is your favorite place to run? K: “My favorite place to run is Craighead Forest Park.”

Why do you run? K: “Running sometimes gives me a chance to clear my head. Maybe it has been a stressful day and going out for a run or out for a walk is a great way to unwind. Other times I just grab my IPod and listen to some great music and think about nothing at all.”

What is your proudest running achievement? L: “My proudest achievement is being able to say I have completed 2 half-marathons, one in Memphis and one in Little Rock. If someone said to me last year at this time that I would be able to, I might have said, ‘Yeah right’. I’m really excited that Jonesboro will be doing a Half-Marathon this September and can’t wait to be able to say I’ve completed 3!”

Congratulations Katie on all of your success. The Women Can Run Clinic is sponsored by NEA Baptist Clinic and Gearhead Outfitters and is in it’s fourth year in Jonesboro. If you are inspired by Katie’s story, email her at katiewysocki1@yahoo.com For more information on the Women Can Run Clinic, contact Amanda Herget at acherget@hotmail.com or visit www.neabaptistclinic.com

Improving Medical Care in Northeast Arkansas

he recent national debate about health care reform has highlighted the need for change in the way medical care is delivered. The demand for better value (higher quality at reasonable cost) medical care is greater than ever. A truly integrated delivery system has been shown to be the best way to deliver high quality care in a very efficient and cost effective manner. We believe our recent partnership with Baptist Memorial Health Care has resulted in a structure which will allow us to progress to a fully integrated and synergistic system. In this system we will be able to coordinate care across all aspects of inpatient and outpatient care. Pairing of physicians with professional managers at all levels of the institution should result in optimal use of resources around the needs of the community and individual patient. This system will allow the best clinical quality and highest operational efficiency with sustained improvement over time. We have committed to significant investment in the new and updated infrastructure, including buildings, technology and electronic records, which will be necessary to make this progress possible. Even more important than the physical infrastructure is our ability to recruit, support and retain the best physicians and staff. We are convinced that we now have an organizational structure in place that allows us to pursue our vision of continually improving medical care for the people of northeast Arkansas.

Amanda Herget Gearhead Outfitters gearheadoutfitters.com

brought to you by Robert D. Taylor MD, FACP Cardiology NEA Baptist Clinic – 870.935.4150 15. NEA HEALTH • Spring/Summer 2010

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s n io it d n o C l a ic g o l o r u e Sleep Disorders & N

eurological disorders and sleep disorders often coexist, and their relationships are increasingly recognized. Neurologic disorders may cause a variety of sleep dysfunctions. Conversely, sleep disorders may have profound effects on the natural courses of neurologic diseases. Thus, it is important that we understand, recognize, and diagnose sleep disorders when evaluating patients presenting with neurologic illness, so that these patients can be treated appropriately.

Many neurologic disorders may result in sleep disturbances, which include sleep related breathing disorders, hypersomnia (excessive daytime sleepiness) or insomnia, parasomnias, sleep related movement disorders and circadian rhythm disorders. The following are just a few examples of many neurologic conditions that present important relationships with sleep disorders.

SLEEP & DEMENTIA Alzheimer’s disease (AD) is the most common cerebral degenerative disorder causing irreversible dementia. Dementia with Lewy bodies (DLB) is now considered the second most common irreversible cause of Dementia. Other causes of Dementia include Pick’s disease, cortical basal degeneration (CBD), and vascular dementia, etc. Sleep disturbances in Dementia include sleep related breathing disorders, movement disorders, parasomnias, insomnia, circadian rhythm disorders and hypersomnia. • Although the relationships between obstructive sleep apnea (OSA), cognitive status, and dementia are still being defined, there appears to be an association between OSA and Dementia. OSA should be considered one of the treatable contributors to and causes of Dementia. Treatment of OSA, particularly with nasal continuous positive airway pressure (CPAP) may improve cognitive performance, excessive daytime sleepiness (EDS), mood and overall quality of life. Central sleep apnea (CSA) can also occur in patients with primary central nervous system dysfunctions. The dysregulation of the brainstem respiratory neuronal networks is presumed to be responsible for CSA in degenerative dementia. • Restless legs syndrome (RLS) is one of the common movement disorders and occurs quite frequent in patients with Dementia. RLS often results in Insomnia. The treatment of RLS with dopaminergic agents may also lead to Insomnia in some dementia patients. Patients with cognitive impairment and RLS can be challenging to treat. Cognitively impaired patients may have difficulty preparing meals with adequate nutrition, leading to inadequate iron intake. Iron deficiency should be considered since iron deficiency can precipitate or aggravate RLS. • The associations of rapid eye movement (REM) sleep behavior disorder (RBD, a type of parasomnia) with Neurodegenerative disease are well established. Patients with RBD experience violent dream-enacting behavior during 16. NEA HEALTH • Spring/Summer 2010

REM sleep, often causing self-injury or injury to bed partners. The most prominent finding in polysomnography (PSG) recording in these patients is REM sleep without muscle atonia. • Circadian dysrhythmias are common in patients with AD. The degenerative changes in a brain structure named suprachiasmatic nucleus, and the decreased melatonin production are thought to be contributing factors in the circadian dysrhythmic abnormalities in patients with AD and other dementing conditions. Sleep disturbance may lead to nocturnal wandering. Nocturnal wandering in Dementia may reflect insomnia secondary to night/day reversal, medication effects, emotional distress, or restless legs syndromes. • Hypersomnia is quite evident in patients with dementia, especially in patients residing in chronic care facilities. Hypersomnia may reflect untreated OSA, CSA, RLS, circadian dysrhythmia, or some combination of above.

SLEEP & STROKE Sleep disturbances and complaints are common in stroke patients. Sleep apnea, snoring, and stroke are intimately related. Stroke may predispose patients to sleep apnea; sleep apnea may predispose patients to stroke. It is important to diagnose sleep apnea in stroke patients, because untreated sleep apnea may adversely affect their short-term and long-term outcomes. Effective treatment for sleep apnea may decrease risk of future stroke. Insomnia is another disturbance observed in stroke patients. The associated depression, spasticity, and immobility from stroke may result in Insomnia. Brain stem infarction may cause the syndrome known as Ondine’s curse, or primary failure of automatic respiration. These patients become apneic during sleep.

SLEEP & EPILEPSY A reciprocal relationship exists between sleep and epilepsy (i.e., sleep affects epilepsy, and epilepsy affects sleep). Sleep facilitates epileptic activity and seizures. Most of the time, seizures are triggered during Nonrapid Eye Movement (NREM) Stages N1 and N2 sleep, occasionally during NREM Stage N3 sleep. In contrast, during REM sleep, epileptic activity decreases. Some epileptic syndromes have a

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marked tendency to occur only or predominantly during sleep. Sleep related epilepsy range from 10% to 45% of epileptic patients. Sleep deprivation, which increases cortical excitability, is also an important seizure trigger. OSA may also exacerbate sleep related seizures and complicate their treatment.

SLEEP & HEADACHE Epilepsy affects the structure and stages of sleep. These include delay in sleep-onset, increase in waking after sleep onset, reduced REM sleep and NREM Stage N3 sleep, and an increase of stage N1 and N2 sleep. Headache and sleep complaints are common. Sleep related headaches are a group of headaches that occur during sleep or upon awakening from sleep. Most sleep related headaches occur daytime as well as during sleep. These include migraines, cluster headache and chronic paroxysmal hemicrania (a type of headache which presents as frequent, short-lasting attacks of unilateral headache). Hypnic headaches (a benign type headache), on the other hand, only occur in sleep. Patients with hypnic headache are usually awakened from sleep at a constant time each night. Sleep related headaches may cause sleep disruption and insomnia with decreased sleep efficiency. Other sleep disorders including obstructive sleep apnea (OSA) and snoring may also result in sleep related headaches. Treatment of OSA may improve headache.

SLEEP & NEUROMUSCULAR DISORDERS Sleep disorders have been described in many patients with neuromuscular disorders, including motor neuron disease (such as amyotrophy lateral sclerosis, ALS), polyneuropathies, myasthenia Gravis, myotonic dystrophy and other primary muscular diseases. The most common sleep complaints among these patients are excessive daytime sleepiness resulting from frequent arousal or awakening from sleep, associated with sleep apnea and hypoventilation. Sleep disturbance in these conditions usually results from the weakness of respiratory muscles, caused by the diseases of these muscles, nerves or the junctions between the nerves and the muscles. Some patients may have insomnia, especially in those with painful neuropathies, muscle pain, muscle cramps and immobility due to muscle weakness.

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EVALUATION & MANAGEMENT • A detailed patient history and physical examinations are essential, and lab tests should be conducted as an extension of history and physical examinations. Tests should be directed at diagnosing primary neurological disorders and assessing sleep disturbances that are resulted from neurologic diseases. Common tests that assess primary neurologic conditions include neurophysiologic tests (EEG, NCS/EMG, and video-EEG monitoring, etc.), Neuroimaging studies (CT, MRI, etc.), cerebrospinal fluid examinations, and general lab tests. Lab tests which are available in most sleep centers to investigate sleep and sleep-related breathing disorders in neurologic conditions include overnight PSG, multiple sleep latency test (MSLT), maintenance of wakefulness test, actigraphy, and video-PSG. • In order to manage sleep dysfunctions in neurologic disorders, primary neurologic disorders should be properly diagnosed, followed by treatment and monitoring of the neurologic illness. Treatment of underlying causes may improve sleep disturbances. When a satisfactory treatment is not available for a primary neurologic condition or does not resolve the problem, treatment should be direct to the specific sleep disturbance. Treatment modalities for sleep disorders include general measures, pharmacologic agents, mechanical devices (nasal CPAP and other ventilatory supports), supplemental oxygen, and surgical treatment. For an appointment to evaluate your sleep and/or neurologic problems, please call (870) 935-8388.

Dr. Bing Behrens is board certified in Neurology and Sleep Medicine. She is a member of the American Academy of Neurology, and the American Academy of Sleep Medicine.

Bing Behrens, MD Neurology & Sleep Medicine NEA Baptist Clinic – 870.935.8388

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Cover Story

Clinical Research A clinical trial is a study conducted with patients, usually to evaluate a new treatment. Each study is designed to answer scientific questions and to find a new and better way to help patients. During a trial, more information is gathered about a new treatment, the side effects, and how well it may or may not work. The treatments that are now considered standard for patient care, were at one time clinical trials.

EA Baptist Clinic, has been in existence for over 30 years. For 26 of those years we have been doing clinical trials. We began by conducting Oncology Trials only. A little over 10 years ago we broke into all other specialties of clinical trials. NEA Baptist Clinic has made a name for itself within the Clinical Trial industry. We have been recognized as a leader in clinical trails throughout the nation. NEA Baptist Clinic runs the second largest clinical trial department in the state, second only to the University of Arkansas at Little Rock (UAMS) where they train physicians and study medicine. Our clinic has completed over 1,000 studies and had over 10,000 participants yet most people still know little about clinical trials. Clinical trials have been taking place for as long as medicine has been around. It is because of those trials that medicine is where it is today. Trials are regulated with 2 main organizations overseeing every aspect that takes place: 1) The Food and Drug Administration (FDA) - A government agency charged with overseeing the structure of the trials. Their main focus is to keep all Americans safe. 2)

18. NEA HEALTH â&#x20AC;˘ Fall/Winter 2009

Institutional Review Board (IRB) Review all aspects of what patients see/hear about the trial. They oversee the trials to make sure the trials arenâ&#x20AC;&#x2122;t coercive.

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What are some of the benefits of Clinical Trials?

Advances in Medicine- every time we do a clinical trial we learn something new about the human body or medicines. It is the best way to continue advances in medicine.

2) Helps future generations- most of the reason we are living longer and healthier lives is because of what we have learned from clinical trials. We continue to make large strides in medicine which are passed onto future generations. 3)

Jobs - in a time that jobs are so important and difficult to come by, clinical trails are making and supporting jobs. NEA Baptist Clinic employees 14 people to bring these great trials to our area.

4) Helps patients- patients are recieving some of the leading treatments in the world at no cost thanks to the sponsoring companies. Not only does the sponsor pay for the treatment but sometimes they also pay the patients for their participation and they commonly do more testing than what would normally be done so the patient knows more about their general health than they would otherwise. 5) Feeling of importance in knowing what you are doing is making a difference and that you are contributing to the health of future generations. .

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So what am I saying? I’m saying you can get some of the best treatments available at no cost to you to help both you and others. Some of the diagnoses NEA Baptist Clinic specializes in are: • Diabetes - both Type 1 and Type 2 diabetes. Some are for newly diagnosed patients while others are looking for long term diagnoses of diabetes. Some diabetic trials need patients controlling their diabetes with diet and exercise alone and taking no medications. Others have patients who have to take numerous diabetic medicines. • Women’s Health- everything from infertility to postmenopausal symptoms, anemia to hypo-sexual desire disorder and yeast or other types of infections. • Cardiology- blood thinners, arrhythmias. • Family Practice- hypertension, cholesterol. • Ears Nose Throat (ENT)- allergies, sinus infection. • Devices- pap smear machine, cardiac stents, a hand-held device to check anti-coagulation. Of all of the clinical trials perhaps the most important and most life altering trials are the Oncology (cancer) trials.

More information on Oncology trials on page 20

Paul Koros, RN, CCRC Clinic Research Center NEA Baptist Clinic – 870.934-1006

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Cover Story

Clinical Oncology Research Oncology clinical trials are research studies in which people help doctors find ways to improve health and cancer care. Each study tries to answer scientific questions and to find better ways to prevent, diagnose, or treat cancer.

EA Baptist Clinic-Oncology offers comprehensive patient care including clinical research protocols for most cancer types. The oncology department has been active in clinical trials for approximately 26 years. Today, patients benefit from an environment that combines a caring staff with clinical research. NEA Baptist Clinic-Oncology physicians conduct research in a broad area. Trials ranging from Phase 1 to Phase IV are conducted in collaboration with the National Cancer Institute, Cooperative Groups such as CALGB, ECOG, NCCTG, NSABP, RTOG, and SWOG, cooperative groups, Sarah Cannon Research Institute and pharmaceutical companies.

When you, a family member, or a friend is diagnosed with cancer, it is important to know what treatment options are available. One of the options might be that of a clinical trial. Before you sign up for a clinical trial you may have questions. To help answer some of those questions, the following is an overview of clinical trials. What is an oncology clinical trial? Clinical trials are research studies that are set up to evaluate new treatment options. The actual research process may take years. The clinical trial itself tests the safety and effectiveness of new or modified treatments in cancer patients. These treatments may include new medications or the modification of new or existing medications. Why are there oncology clinical trials? A clinical trial is one of the final stages of a careful research process. Every clinical trial is designed to find a new or better way to prevent, diagnose, or treat cancer. What are the different types of clinical trials? • Treatment trials - test new treatments (such as a new cancer drug, new methods of surgery or radiation therapy, new combinations of treatments, or new methods of gene therapy). • Prevention trials - test new approaches including medicines, vitamins, minerals, or other supplements that some believe may lower the risk of certain types of cancer. • Screening trials - test the best way to find cancer, especially in early stages. • Quality of life trials - review ways to improve comfort and quality of life for cancer patients. Clinical Oncology Research at NEA Baptist Clinic predominately participates in treatment trials. Many of the treatment trials have an added Quality of Life component.

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Potential benefits include

Clinical trials are not all the same. Most clinical research testing must take place in organized and orderly steps. These steps are divided into four phases of study. • Phase I trials: these are the first studies in people to evaluate how a new drug should be given, how often, and what dose is safe. A Phase I trial usually only enrolls a small number of patients. • Phase II trials continue to test the safety of the drug, and begins to evaluate how well the new drug works. Phase II studies generally focus on a specific type of cancer. • Phase III trials test new drugs or a new combination of drugs. A participant will usually be assigned to the standard treatment or the new group at random. Phase III trials enroll large numbers of people. • Phase IV trials are studies that take place after a drug has been approved. The purpose of phase IV trials is to evaluate side effects, risks, and benefits of a drug over a longer period of time with a larger group of patients. Phase IV trials usually involve thousands of patients.

• Health care provided by leading physicians in the field of cancer research. • Access to new drugs and interventions before they are widely available. • Close monitoring of your health care and any side effects. • A more active role in your own health care. • If the treatment being studied is found to be helpful, you may be among the first to benefit. • An opportunity to make a valuable contribution to cancer research. • The primary reason oncology patients participate in clinical trials is because it may benefit them and it will certainly benefit their children and grandchildren. And, it is important to them to know they have made a difference in the future of cancer care.

Before NEA Baptist Clinic - Clinical Oncology Research can participate in a clinical trial, the research protocol itself must be reviewed and approved by the sponsor of the study, the FDA (Food and Drug Administration) and an Institutional Review Board. Phase III trials have an additional group known as the Data Safety and Monitoring Committee that looks at test results and monitors the safety of the participants, and decides if the study can continue. Who can participate in a clinical trial? Clinical trials try to enroll patients that are alike in certain ways. Every trial has a specific list known as eligibility criteria. The eligibility criteria specifies exactly who can participate in any given trial, and serves to protect the patient from any unusual risks. Before a patient decides to participate in a clinical trial they should know and understand their disease and review the benefits and potential risks involved. Now that the clinical trial process has been reviewed, let’s focus on Clinical Oncology Research at NEA Baptist Clinic. As was stated earlier, this department and its physicians have been involved in clinical trials for approximately 26 years. Ronald Blachly, MD, Allen Nixon, MD, and Carroll Scroggin, MD have been participating in clinical trials for a combined total of 79 years. All three physicians serve as Principal Investigators on various studies. We have participated in Phase I through Phase IV trials, and have done well in all four phases. Just to highlight a few of the trials conducted in the Clincal Oncology Research over the last several years we would include the following: • From 1999 through 2002 we participated in a Phase I/II clinical trial using the drug Leukine, in which we were the top enrollers in the country. In 2003, Ronald Blachly, M.D. and Carroll Scroggin, M.D. presented the study results at an Oncology Forum in Amsterdam. • From 2000 through 2005 we participated in an adjuvant breast cancer study using the drung Herceptin in which the results were so overwhelmingly positive, it resulted in changes of the standard of care for women with adjuvant HER 2+ breast cancer.

Currently NEA Baptist Clinic - Clinical Oncology Research has 40 clinical trials open for enrollment in the following areas, either as treatment or treatment support: • • • • • • • • • •

Breast (adjuvant and metastatic) Lung (respectable, non-resectable, and metastatic) Bronchioalveolar (metastatic) Colon (adjuvant and metastatic) Rectal (adjuvant and metastatic Lymphoma (Non-Hodgkin’s Lymphoma) Prostate (metastatic) Renal Cell (advanced) Ovarian (metastatic) Melanoma (low grade)

Clinical Oncology Research continued on page 22

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Clinical Oncology Research continued from page 22

• From 2003 through 2007 we participated in a clinical trial using the drug Lapatinib for metastatic breast cancer using a new oral drug that has now become standard of care in women with HER 2 + metastatic breast cancer. NEA Baptist Clinic - Clinical Oncology Research was the first site in the United States to enroll a patient on this study. • From 2007 through 2008 we participated in a clinical trial using the drug Eltrombopag for patients with ITP (Idiopathic Thrombocytopenic Purpura). This study allowed patients with ITP to have an entirely new quality of life. The oral agent used in this study has now received FDA approval and has become standard of care in the patient with ITP. NEA Baptist Clinic - Clinical Oncology Research was also the first site in the United States to enroll a patient in this study. • From 2008 through 2009 we participated in a registry study looking for patients that had a positive PNH clone. This study recently closed with an enrollment of 52 patients.

One of the aspects that separate the oncology research from other clinical trials is that of cost. The oncology trials do not provide total patient care at no cost. Patient care that is considered to be routine standard of care for your disease continues to be billed to you or your insurance. The trial sponsor usually pays for the cost of the treatment being studied, and any cost associated with that special treatment testing, or extra required physician visits. If the study is utilizing a new drug, that drug will also be provided at no cost to you. Clinical Oncology Research at NEA Baptist Clinic also offers genetic testing in the areas of breast, colon and melanoma. If you decide to participate in a clinical trial, you will work with a research team that includes your doctor(s) and the clinical trial coordinators. This team will be in charge of your care during the trial and will often stay in contact with you after the trial ends.

NEA Baptist Clinic - Clinical Oncology Research team • Ronald Blachly, MD • Allen Nixon, MD • Carroll Scroggin, MD • Lena Harrison, Clinical Research Associate

• Mary Dover, BSMT, Certified Clinical Research Coordinator • Dawn Smith, BSN, Clinical Research Manager • Stacia Gallion, BSN, APN

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22. NEA HEALTH • Spring/Summer 2010

Dawn Smith, BSN Clinical Oncology Research NEA Baptist Clinic 870.934.5343

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pictures of joy Who could not smile when they view a beautiful newborn? NEA Baptist Clinic - Women’s is delighted to announce the recent donation and hanging of a beautiful collection of exceptional portraits by local photographer Courtney Fitzwater. The majority of these striking photographs are captured in Courtney’s easily recognized dramatic black on white and white on black. There is also a number of colorful hangings that capture an entirely different take on our joy of family and life as captured by Ms. Fitzwater’s studio. This $30,000-plus donation of art is not only available for our patients to enjoy, but anyone interested in this artistic medium is welcome. Visit NEA Baptist Women’s Clinic, 3104 Apache Drive, Jonesboro, AR to view the entire collection.

www.CourtneyFitzwater.com

www.neabaptistclinic.com

Charles L. Barker, PhD, MD, FACOG pictured here with Courtney Fitzwater 23. NEA HEALTH • Spring/Summer 2010

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My hands shake...

Do I have Parkinson’s Disease?

rs. Jane is a school teacher who is now in her fifties and thinking of retiring. Mrs. Jane is also concerned about a tremor (shaking) in her right hand that has become more evident over time. She has also noted stiffness in the right shoulder and attributed it to her ‘getting older’ but it has now limited her writing on the chalkboard. Her speech has also been involved and she finds herself repeating sentences because her students cannot hear her very well. Her voice volume has diminished. Her students have seen that Mrs. Jane takes a longer time to get to the cafeteria at lunch and they wondered why she is ‘slowing down’. Mrs. Jane saw her family doctor who then referred her to a neurologist thinking that she may have Parkinson’s disease. The neurologist examined her and found the following: • Resting tremor in the right upper extremity • Rigidity (stiffness) in the same area • Her voice volume was reduced • Bradykinesia( slowing of movements) in the right arm and when walking Mrs. Jane was diagnosed with mild Parkinson’s disease and she deferred treatment at this time. Mrs. Jane continued teaching but her job was becoming more than she can handle because now she notes ‘weakness and fatigue’ and she shakes more now especially under stressors or when she becomes anxious. This prompted another visit to her neurologist. The neurologist found that Mrs. Jane had changed on her presentation because now her gait was also affected. She was much slower and did not swing her right arm as well as before when walking and had more difficulty with balance especially when she turned. She did not shuffle her feet while walking but had difficulty getting up from her chair. 24. NEA HEALTH • Spring/Summer 2010

Treatment was again offered to Mrs. Jane who was willing to try medications to reduce her symptoms so she can continue teaching till retirement. Her neurologist discussed most of the available treatments (Requip, Mirapex, Azilect, Sinemet, Zelapar, Stalevo) and explained the rationale for using these medications. He also explained the role of neurotransmitters (messengers in the brain) and why dopamine is the main treatment for the disease. Mrs. Jane was started on a dopamine medication and was followed about every three months and her medication was adjusted if needed. She continued with her teaching career for many more years till retirement but her disease continued to progress. Parkinson’s disease is a progressive neurological disease and to date there is no cure. It is estimated that about 80% of the nerve cells that are responsible for producing the neurotransmitter, dopamine, are not viable when the symptoms begin. It is believed that the remaining viable nerve cells that aid in the production of dopamine are also depleted over time and this leads to less response to medications. Parkinson’s disease can be divided into five stages (stage 1 – stage 5) with stage 1 being mild and stage 5 being severe. Untreated parkinsons progresses over five to ten years from mildly symptomatic to severely disabling.

Parkinson’s disease is a progressive neurological disease ... ...all tremors are not Parkinson’s...

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Parkinson’s disease is not a terminal disease but complications arise from immobility (pneumonia, heart disease). Mrs. Jane did retire and had touched many lives during her teaching career but especially a young male student (Thomas) who knew about her ‘shaking disease’ and who also had ‘shaking’ in both upper extremities and had many conversations with her about that topic. He wanted to know if he has Parkinsons’s disease. Thomas was about sixteen years of age when he first noticed that he had a tremor in both of his hands. He enjoys fishing and this is where he noted a mild difficulty baiting the hook. He did not pay much attention to it but then he was introduced to target shooting and he again noted the tremor while holding the hand gun and much more intense when pulling the trigger. In class while holding the pen in a certain position the fingers will shake uncontrollably. This tremor was becoming more frequent especially while eating with a fork and he was embarrassed when he would go out to the local restaurant with his friends. Thomas did not know much of his family history nor been around much of his close relatives because his family had relocated when he was very young. He found out later that his paternal grandfather, two of his uncles and three cousins all have similar tremors. He then had a consultation with his family doctor who assured him that he did not have Parkinson’s disease. He was relieved but was sent to a neurologist for further testing and or treatment. The neurologist found no clinical evidence for Parkinson’s disease but diagnosed him with an action tremor or familial tremor not akin to Parkinson’s disease. Treatment options were discussed and Thomas started treatment and follows routine visits with the neurologist. Benign essential tremor, familial or action tremor are at times used interchangeably. These tremors are worsened with advancing age and can be debilitating especially if your livelihood depends on precision use of your hands (dentists, surgeons, carpenters, mechanics etc.). Tremors classified as movement disorders are routinely diagnosed and treated by neurologists with varying results. Keep in mind that all tremors are not Parkinson’s disease and a visit to a neurologist can make a difference. Kenneth Chan, DO Neurology NEA Baptist Clinic 870.935.8388 25. NEA HEALTH • Spring/Summer 2010

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am proud to work at NEA Baptist Memorial Hospital for many reasons. I am reminded of these reasons when I visit our patients. They tell me how wonderful our staff and physicians were to them. They tell me how good the food was and how clean the hospital is. This gives me great confidence that not only will our patients receive great clinical care but that they will be treated like family. Our mission at NEA Baptist Memorial Hospital is based on the three-fold ministry of Christ â&#x20AC;&#x201C; to heal, to preach and to teach. This is the foundation for the care our patients receive. When our staff cares for our patients in the way they do, they are reinforcing our mission. Delivering this level of care day in and day out has developed a culture at our hospital called Service First. Service First is basically the golden rule interpreted from Matthew 7:12: Therefore all things whatsoever ye would that men should do to you, do ye even so to them. We encounter examples of Service First in our every day lives. When someone helps you change a flat tire, or when your church family brings you food when a loved one passes away are examples of this. These people do not have to do these acts of kindness but because they care they went above and beyond for you. This is what our staff does for our patients. Four colleagues of mine were recognized by their peers in 2009 for their Service First acts. These individuals went out of their way to care for our patients by doing many things such as praying for a patient when delivering their meal, or making sure a patient found their way throughout the hospital.

26. NEA HEALTH â&#x20AC;˘ Spring/Summer 2010

These colleagues are David Jewell, Becky Brewer, Joey Ca-Ang and Farnie Scott. We take time each quarter to recognize the individuals that have been nominated and won the Service First Champion award. These four individuals are the first to win this award and have set the standard for all future Service First Champions to be measured against. Although we do measure our Patient Satisfaction scores and are particularly proud of our Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) results, we know that the best satisfaction for our patients is delivered by our colleagues and having a Service First culture. Paul Betz, FACHE Chief Executive Officer NEA Baptist Memorial Hospital

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NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas

REVIEW

g people and gr n i p l e owi h ng

. a st y t i ronger commun

NEA Baptist Charitable Foundation Programs:

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NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas

CHARITY I

n Christian theology, charity is an unlimited loving and kindness toward all others. As the greatest of the three theological virtues, charity is selfless and unconditional. Charity and love are synonymous.

How fortunate we are to have the opportunity to give and receive charity (love) in our daily lives. Most often, the path we walk in life is one we would have never guessed for ourselves; but, as we meander along our path we are presented with opportunities to give and receive charity. Several years ago, while in Greece, I was given a delicate gold etched ring which symbolized the meandering path of life. I began to grasp the concept of meandering – to move about life with all its twists and turns, never really knowing what would happen next or where the path might lead. In the years since, my meandering path has indeed been an adventure with ups and downs, happiness and heartbreak. Through it all, the choice to give and receive charity has been mine to make. Throughout the next few pages, the charity of individuals involved in the programs of the NEA Baptist Charitable Foundation are evident. Take the opportunity to reflect on your meandering path and your expressions of charity. Allow the stories to inspire you, uplift you, and if needed, motivate you toward charity for a cause greater than yourself. Blessings, Cheryl Goad Director of Programs and Grant Development NEA Baptist Charitable Foundation

Grant Update!

Craighead County Community Foundation provided the following: • NEA Baptist Charitable Foundation Center for Healthy Children $875 – Teach Nutrition Today – provides funding for to improve nutrition knowledge and health eating habits for children and families. • NEA Baptist Charitable Foundation ShareHope Pregnancy and Infant Loss Support Program - $700 – Bereavement Photography – provide tangible mementos (photos) for parents grieving the loss of their baby.

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NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas

BLESSINGS B

lessings really do come in small and sometimes large packages. NEA Baptist Charitable Foundation’s ShareHope, since it's inception in January of 2009, has been in need of beautiful gowns and outfits to give to our bereaved families. Many volunteers have sewn tiny little gowns, hats and blankets. We are truly grateful for the support of those who have seen the need and made things for these little babies. We are always in need of more items like these and I began to scour the internet for groups that would donate burial gowns for these little ones. I stumbled upon two groups. The Mary Madeline Project and the Smocking Guild of America. Both of these groups were eager to help us with whatever we might need. The Mary Madeline Project was started because of the profound impact one little baby girl, Madeline Marie Erickson had on her family and those who loved her. Madeline Marie only lived for seven weeks but she is always in the hearts of those who volunteer their time to sew and make beautiful burial gowns in her memory. Women from all over the country donate their cherished wedding gowns to this project and volunteers give their time, talents and love by making the baby burial gowns and blankets. I cannot really express to you the wave of emotions that swept over me as I opened this huge (wedding dress size) box to find it filled with beautiful little gowns for our bereaved families. Many of the dresses and outfits are adorned with beads, pearls and sequins. Each dress was carefully packaged with a blanket, booties and a hat. Each one comes with a precious note that reads:

Another organization that is is dear to our hearts is the Smocking Guild of America which has several chapters in Arkansas. The chapter out of Hot Springs called the “Quachita Mountain Smockers” has been most generous in sending us some absolutely beautiful hand smocked gowns for all of our babies, ranging in size from less than a pound to full term. Darby Logan, vice-president of this group says her volunteers do this because “they love to smock but more than anything they love to help others in their time of need.” It is very difficult to shop for a burial garment when a baby dies. For stillborn or premature babies, it is often difficult if not impossible to find something small enough. It is always heartbreaking when a family must bury their baby, but I am so thankful that we now have beautiful burial gowns to give these hurting families. Just knowing that their baby is dressed in a beautiful outfit made out of love and compassion really does bring them comfort in their darkest hour. After having gone through this myself and now helping other families as they cope with the loss of their baby I can tell you without a shadow of a doubt that these two organizations and all of the volunteers here in our community who give their time and talents to help others are truly priceless to NEABCF ShareHope. We are humbled by your generosity and forever thankful for your support of NEABCF ShareHope.

Stacey Orr ShareHope Program Coordinator NEA Baptist Charitable Foundation

*Glass Pocket Cross provided to families by Hope Glass. www.hopeglass.com 29. NEA HEALTH • Spring/Summer 2010

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NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas

FUNDRAISING EVENTS... S

pring has Sprung at the NEA Baptist Charitable Foundation! Our 4th annual Gala honors Fred and Susan Cathcart for their dedication to serving our community. Fred and Susan started the St. Jude Super Bowl party 17 years ago as a way to honor their precious daughter Donna’s memory, raising over $2 million and keenly increased awareness of the work of St. Jude in our area. Our Gala also honors Douglas L. Maglothin, MD and William Hubbard, MD for 25 years of service to Northeast Arkansas. June 4th and 5th are the dates for the 5th annual NEA Baptist Clinic DARE to Ride Biker Classic. Join us Friday evening for the downtown festival complete with live music, great food, and vendors! Saturday morning begins with the Charity Bike Run which will end downtown. The day will conclude by giving away a brand new Harley –Davidson motorcycle! We will be raffling a Harley-Davidson FLSTC Heritage Softail Classic courtesy of Harley-Davidson of Jonesboro. Be sure and

WHO ARE FRED & SUSAN CATHCART...

red and Susan Cathcart never imagined that their lives would be forever intertwined with St. Jude Children’s Research Hospital. They never imagined, on that fateful day of March 26, 1993, their beloved 9 year old daughter, Donna, would be diagnosed with a rare inoperable brain tumor, undergo months of chemotherapy, and then pass on from this life on November 28, 1993. In those months, the Cathcart family trudged on as families do when dealing with the shock and emotion of a life-changing event. St. Jude became their home away from home. Natalie, Donna's older sister by one year, visited her sister weekly as she continued her studies at Hillcrest and lived with her Aunt. Donna's illness seemed to happen overnight. “Donna was not a sick child,” says Susan. But, the family suddenly faced a horrible situation and which led them to St. Jude. “When we arrived at St. Jude we knew we would be okay,” said Susan. “They gave us hope and let us know they were going to do everything they could do.” “No one pays,” says Fred, “we had been at St. Jude for two or three weeks before we were asked about our insurance.” St. Jude's policy is to bill the family's insurance provider, if available, in the allowable amount and then provide everything else free. Donna, and the entire Cathcart family, received excellent care. “The doctors and all the staff at St. Jude were caring. They would help us focus on

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check out our website www.bikerclassic.com for more information. Are you on Facebook? If so, please become a fan of our programs and events. Social Media is a great way to stay connected with our donors and friends. One of our greatest challenges at the Foundation is awareness of our programs – what we do and why. Hardly a day goes by that we do not receive the opportunity to educate someone on one of our 5 programs. With over 350 million members worldwide Facebook offers an excellent way to spread the word and work of our foundation. So check us out on Facebook! Kim Provost Director of Fundraising & Events NEA Baptist Charitable Foundation

and live for the day – it was all about the good days,” shared Susan. With full support from “Make-A-Wish” Donna's wish to watch a live episode of the sitcom “Full House” and to meet the Olsen twins was fulfilled. Donna died peacefully at home the Saturday after Thanksgiving. She was surrounded by her loving family. Fred and Susan knew immediately that they wanted to do something to honor Donna and give back what had been so graciously given to them. They organized a crawfish boil on Super Bowl Sunday at the 501 Club & Restaurant to raise money for St. Jude Children's Research Hospital. “We had no idea how difficult it would be to get crawfish at that time of year, so we mostly served shrimp,” laughed Fred. There were about 500 in attendance and $14,000 raised for St. Jude in the first year. By the third year, the St. Jude Super Bowl S'travaganza had outgrown the 501 Club and was moved to a larger venue. In the seventeen years of this fundraiser, with this year raising $255,000, more than $2 million has been raised and donated to St. Jude. Fred and Susan work to accomplish two goals: To raise awareness about St. Jude Children's Research Hospital and to raise money for St. Jude. They are vocal about the community of volunteers it takes to accomplish those goals. “People are giving and supportive,” says Fred, “We could not do any of this without the help of our family, friends, and the countless volunteers that show up and make it happen.” The Cathcart's think about the happy memories now and are grateful for the nine years they had with Donna. “I got to be Donna's mother,” shared Susan, “and I cherish that time.” Susan & Fred Cathcart

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CHILDREN F

or the second consecutive year, NEA Baptist Charitable Foundation's Center for Healthy Children has received funding to provide a free exercise and nutrition education program to elementary and middle school students. The NEABCF After School Program (ASP) is a six week program that takes place within various schools in Northeast Arkansas. During the six weeks, as many as 65 students gather in their school gymnasium for fun, games and lots of physical activity. Blue and You Foundation funds Center for Healthy Children After School Program The purpose of NEABCF ASP is to provide additional exercise to students who may not be active for the remainder of the day once school is dismissed. It is common for kids to stay inside and watch TV, play video games or use the computer during the majority of their time spent at home after school. NEABCF ASP provides fun activities for students to engage in with friends immediately after school. Beyond the six weeks, it is a goal to make after school exercising a habit for many families. During the six week program, students undergo several pre and post measurements. One tool is a questionnaire that evaluates thoughts and opinions on foods, exercise and overall health. Another method of measurement is fitness testing. Students are evaluated on pushups, sit-ups and a shuttle run. Fitness improvements and positive attitudinal changes towards diet and exercise are common among the students that complete the six week program. In addition, students receive an NEABCF ASP t-shirt and a notebook full of nutrition information, resources and games. The first session of the 2010 NEABCF After School Program was held at Nettleton's Fox Meadow Intermediate Center in Jonesboro. Session 2 will take place at Greene County Tech Elementary in Paragould. Plans for the beginning of next school year include Jonesboro's Health, Wellness and Environmental Studies Magnet School. The program is provided free of charge for students interested in increasing physical activity and learning to embrace a healthy lifestyle. For more information on NEABCF ASP or other programs of NEA Baptist Charitable Foundation Center for Healthy Children, please visit our website at www.neacfoundation.org or call 870-336-1760.

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NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas

riumph of the Human Spirit celebrated the lives of eight individuals with an evening highlighted by music, laughter, smiles and a few tears. For the sixth year The Sun and NEA Baptist Charitable Foundation’s HopeCircle honored individuals who have faced adversity and illness and used their experiences to positively affect the lives of others. Teresa Ashley, Raul Blasini, Mickey Bridger, Rick and Nakostta Dement, Lora Mason, Carrie Mae Snapp and Sarah Smith were nominated and then selected for recognition by a committee of past recipients and community leaders. This year’s honorees exemplify how the power of the human spirit can face and overcome apparently insurmountable obstacles. They were selected for the way they handled difficult circumstances and impacted family, friends and sometimes strangers. Ovarian cancer, prostate cancer, a brain tumor, loss of an infant, kidney and liver transplants are some of the difficulties the honorees faced with grace and courage. Attendees were inspired and encouraged by the stories as shared by emcee Diana Davis.

Contributing to the success of the evening were Home Health Profesisonals and Hospice, Inc., Hilton Garden Inn, Harmony Gardens, NEA Baptist Clinic, Nettleton EAST, John Miles, The Sun, NEABCF HopeCircle volunteers and Dr. Dan Ross and friends.

June Morse HopeCircle Program Manager NEA Baptist Charitable Foundation

Each honoree received a piece of original art from artist Gima Jansen, entitled Circles of Life.

32. NEA HEALTH • Spring/Summer 2010

BIKERCLASSIC.COM

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NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas given from Memorials 2009 Fall/Winter * *Donations August - December 2009 Elmwood Abraham Penny King Fintan Baltz Bob & Pern Eubanks Matt Bibb K. Bruce Jones, MD NEA Baptist Physicians & Staff Tyler William Bonjour Larry & Barbara Petty Continental Computer Corporation Almeda Bonner Michael Isaacson, MD Mary Bradsher D.V. Patel, MD Clarence Brand Michael Isaacson, MD Matthews Childers Clyde & Pam Rhea Kathy Gardner Ronald & Pam Towery Vetrie Dyer D.V. Patel, MD Nona Ford Dawn Schulz Ladon Halsey Michael Isaacson, MD Jackie Hilburn NEA Baptist Charitable Foundation Board & Staff Roy Hintan Michael Isaacson, MD Ray Hall, MD Euguen Hopkins Michael Isaacson, MD

Jerry Hubbard Michael Isaacson, MD Jewel Jarret Michael Isaacson, MD Charles Knight Michael Isaacson, MD Shelly Martin Windover Baptist Church Tommy Martin Union Glass Sherry Stone The Steel Yard, Inc. John, Mary, Lee & Mary Kathryn Marcom Karen & Bill Slicer C.L. Templeton Jonesboro Prosthetic & Orthotic Lab Thomas Martin, Jr. Michael Isaacson, MD Bessie McClaughlin Michael Isaacson, MD Randy McGrew D.V. Patel, MD Ruben Mitchell Anthony White, MD Jerry Moore Michael Isaacson, MD Robbin Neece The Greensman Doug Jensen George Nothern Ray Hall, MD & Staff Auston Pasquith III D.V. Patel, MD Paul Pickle Anthony White, MD

Mary Cooper Pitts Shireen Fogleman Delsma Reagan Michael Isaacson, MD Lois Reed D.V. Patel, MD Henry Stoll Anthony White, MD William Stovall Michael Isaacson, MD Alberta Tate Ray Hall, MD Evert Tate Michael Isaacson, MD Parker Gavin Taylor Gary & Joyce Rose Angel Michelle Timms Amanda Adcock Marvin Treadway Michael Isaacson, MD Jane Turney Dr. & Mrs. Stephen Woodruff D.V. Patel, MD Ray Hall, MD Orma Vincent Windover Baptist Church Dr. Fred Wagner Mr. & Mrs. Scot Davis Forrest Widel Allen & Gloria Nixon Pat Williams Mary Wegert Mary Willis K. Bruce Jones, MD Fern Woodard Ray Hall, MD

Dr. & Mrs. Jason Brandt Mary Margaret Scholtens

Dr. Amy Stein Charles & Tommye Givens

Cardio Partners D.V. Patel, MD

Honorariums - 2009 Fall/Winter *

Chemo Party Generates Items for HopeCircle

onors are taking creative approaches to supporting NEABCF HopeCircle and its programs for families living through a catastrophic illness. A recently diagnosed patient, Diane Blackwood, used her diagnosis and her friends’ efforts to support her, as an avenue for providing items for NEABCF HopeCircle.

Family and friends held a “Chemo Party” for Diane. Yarn for afghans & caps, books, hats and money were collected and contributed to NEABCF HopeCircle in Diane’s honor. At the party, Diane talked about her experiences at NEABCF HopeCircle and attendees learned more about the various services and programs.

The perfect gift for any occasion!

Contribute a Memorial or Honorarium mail it to NEA Baptist Charitable Foundation PO Box 1960, Jonesboro, AR 72403 or make online donations at www.neacfoundation.org 33. NEA HEALTH • Spring/Summer 2010

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Garlic Chicken with Sweet Potatoes Makes: 4 to 6 servings. Prep: 25 minutes. Roast: 1 1/2 hours

3 heads garlic 2 tablespoons olive oil 1 1/2 tablespoons snipped fresh rosemary 1 teaspoon ground black pepper 1/2 teaspoon salt 1 (3 to 3 1/2 pound) whole roasting chicken 3 medium sweet potatoes (1 1/2 to 1 3/4 pounds), peeled and cut into 1-inch pieces 1 large sweet onion (such as Vidalia, Maui, or Walla Walla), cut into wedges

Directions: Preheat oven to 375° F. Separate the cloves of garlic (you should have about 30 cloves) and peel. Mince four of the cloves. Set aside remaining garlic cloves. In a small bowl, combine minced garlic with 1 tablespoon of the olive oil, 1 tablespoon of the rosemary, the ground black pepper, and 1/4 teaspoon of the salt. Rub minced garlic mixture over chicken. Place six of the garlic cloves into the cavity of the chicken. Tie legs to tail. Twist wing tips under back.

hours or until drumsticks move easily in their sockets and meat thermometer registers 180°F. Meanwhile, place sweet potatoes, onion wedges, remaining garlic cloves, 1/2 tablespoon of the rosemary, and 1/4 teaspoon of the salt in a 13x9x2 inch baking pan. Drizzle vegetable mixture with remaining 1 tablespoon olive oil; toss to coat. Place in oven on a separate rack and roast, uncovered, for 50 to 60 minutes or until tender, stirring every 15 minutes. Remove chicken from oven. Cover loosely with foil and let stand 15 minutes before carving. Serve chicken with vegetables. Carve chicken; discarding skin before serving. Nutrition Facts per serving: Calories 393; Total Fat (g) 12; Saturated Fat (g) 2; Monounsaturated Fat (g) 7; Polyunsaturated Fat (g) 2; Cholesterol (mg) 119; Sodium (mg) 481; Carbohydrate (g) 30; Fiber (g) 4; Protein (g) 40

Place on a rack in a shallow roasting pan. Insert oven-going meat thermometer into center of an inside thigh muscle. Do not allow thermometer tip to touch bone. Roast, uncovered, for 1 1/2 to 1 3/4

Beef Fajitas

Makes: 4 servings Prep/Chill: 2 hours Cook Time: about 5 minutes

This classic southwestern-style beef dish is a perfect low-fat supper, as long as you use fat-free sour cream. 3/4 pound boneless beef round, trimmed & cut into strips 1/4 cup fresh lime juice 1 tsp. ground cumin 1 tbsp. chili powder 1 garlic clove, crushed 1 tbsp. canola oil 34. NEA HEALTH • Spring/Summer 2010

American Heart Association Recipe

1 yellow pepper, seeded & cut into strips 1 red bell pepper, seeded & cut into strips 1 red onion, thinly sliced 4 fat-free whole-wheat tortillas, warmed 1/2 cup salsa 4 tbsp. fat-free sour cream Chopped cilantro to garnish

In a large nonstick skillet, heat tablespoon of oil. Add beef strips, bell peppers and red onion, stirring and tossing until beef is cooked - about 5 minutes. Divide fajita mixture among four tortillas. Garnish with salsa, fat-free sour cream and cilantro, and roll tortillas up.

Directions: Combine lime juice, cumin, chili powder and garlic in a glass dish. Add beef and toss to coat. Cover with wrap and marinate in the refrigerator for 2 hours. Remove beef strips and discard marinade.

Nutrition Facts per serving: Calories 253; Total Fat (g) 6.7; Saturated Fat (g) 1.2; Cholesterol (mg) 45; Sodium (mg) 269; Carbohydrate (g) 25.8; Fiber (g) 11.4; Protein (g) 22.2 American Heart Association Recipe

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Do you really know what's on your plate? Unfortunately, consumers cannot always trust the front advertisement on food packages. That is exactly what it it – an advertisement! Claims on the front of food packages may indicate that a product is “a good source” of a certain nutrient, or “less” or “lower” in calories, sodium or fat. These claims are subjective! For example, if a brand of soup claims it contains less sodium than their previous soup, it may still be a high sodium food. If a fruit drink claims it contains a lower amount of sugar or something like 25% less sugar, it may still contain unhealthy amounts of sugar. A dairy product may claim to be a good source of calcium, but only contain 10% per serving (milk contains 30% per serving). However, if you were planning to purchase the food anyway, of course the less or lower amount would be a better choice. But don't be tricked into thinking that you are buying something that is “good” for your body because of these claims. The US Food and Drug Administration (FDA) regulates food labeling. It is required to properly label most prepared foods, such as breads, cereals, canned and frozen foods, snacks, desserts, drinks, etc. Nutrition labeling for raw produce (fruits and vegetables) and fish is voluntary (www.fda.gov). In recent years, the FDA has improved it's label laws by putting some restrictions on front package claims. It is still important for consumers to know what they are looking for on labels. Here are some guidelines to help you when shopping: • The most important thing you will ever read on a food label is the SERVING SIZE! Without it, none of the other information will add up correctly • Avoid large amounts of saturated or trans fat and sugar • For vitamins and minerals – Aim for at least 15% • In whole grains – Look for at least 1 gram of fiber per 50 calories • In a 2,000 calories per day diet – Aim for each meal to be around 500 calories, and 2 snacks of around 250 calories. Don't forget to add the calories you drink! • Do the majority of your shopping on the outside isles of the grocery store. This is where you will find fresh fruits and vegetables, meats, dairy and bread. The inside isles contain prepackaged, processed foods that have many hidden ingredients that can be unhealthy. It may feel like it is taking you far too much time to shop when you begin reading food labels, but it is worth it! And becoming familiar with products that you have read and trust will speed up the process. – Laura Taylor, NEABCF Center For Healthy Children Manager 35. NEA HEALTH • Spring/Summer 2010

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How to Make the Most, Academically, of Your Child’s Summer Break

weighing fruits and vegetables, etc. Providing assistance with cooking can also familiarize children with weights and measures, organization and planning and following a recipe. Perhaps you and your children could make a special dessert for the whole family. Help them pick a recipe, create an ingredients list and go shopping together.

ithin 24 to 48 hours after learning new concepts, students often begin to forget information unless it is reinforced or applied immediately. That’s why, during school breaks, even the best students forget lessons they have learned during the school year.

Reading - You can’t start too early. You can’t read too much. Reading to young children nurtures an interest in language, words and communication. For older kids, reading together can be fun and interesting. Children also learn by example. If parents are setting time aside to read, it reinforces the fun and enjoyment of reading. Local libraries offer infinite resources for children. Librarians can recommend books appropriate for your child’s reading level and interests, and many libraries offer free children’s programs and clubs. There are an abundance of sites that provide reading lists for children. At www.bookadventure.com, children (K-8) create personalized books lists from more than 7,000 recommended titles, take quizzes on the books they’ve read at school or at home, and earn prizes for their reading comprehension.

While a break from school is great for recharging your children’s batteries, if students aren’t using the skills they acquired in the classroom, they could find themselves lagging behind once the school bell rings again. Sylvan Learning center offers great ways to help your child continue to learn, in a fun way, when away from the classroom. Writing - Encourage your child to start a diary or write letters to a grandparent or friend. If you are traveling on a vacation, ask your child to keep a travel journal recording where you stayed and what you did. At the end of every day, talk through the activities with your child and help him or her with a journal. It not only improves writing skills, but also creates great family memories.

Academic Camps - There are many enrichment activities available for children when school is out-of-session. Sylvan Learning Center offers engaging programs that keep the interest and fun in learning alive through the summer and into the school year.

Mathematics - Helping mom or dad with grocery shopping develops opportunities to use math skills, such as making change,

Ashley Hill, Sylvan Learning Center www.JonesboroSylvan.com

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 2010

3100 Apache Dr., Jonesboro, AR 72401 (870) 934-3530 • neabaptistclinic.com

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Clark- born June 2009 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. You’ll get free month-by-month information about the changes you’ll experience, delivered right www.neabaptist.com

to your inbox — all the way through your baby’s first year. It’s all part of the benefit of NEA Baptist.

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ANESTHESIOLOGY

INTERNAL MEDICINE

PAIN MANAGEMENT

Alfonso Aquino, MD Oksana Redko, MD Larry L. Patrick, MD Reagan Barber, MD 3024 Stadium (870) 972-7390

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 Margaret Cooper, APN Jennifer Jarrett, APN 311 E. Matthews (870) 935-4150

CARDIOVASCULAR & THORACIC SURGERY James A. Ameika, MD Deborah Fairchild, APN 3100 Apache, Suite B4 (870) 972-8030 Michael Raborn, MD 3100 Apache, Suite B1 (870) 219-7685

CLINICAL RESEARCH 416 E. Washington Ave, Suite C (870) 934-1006

CLINICAL ONCOLOGY RESEARCH 311 E. Matthews (870) 934-5343

EMERGENCY MEDICINE Brewer Rhodes, MD Jerry R. Biggerstaff, MD James Fletcher, MD Karen Kuo, MD Cole Peck, MD 3024 Stadium (870) 972-7251

ENDOCRINOLOGY Kevin D. Ganong, MD 311 E. Matthews (870) 935-4150 Diabetes Center Bilinda Norman, APN 311 E. Matthews (870) 935-4150

GASTROENTEROLOGY

PEDIATRICS Brannon Treece, MD 311 E. Matthews (870) 935-4150 *All NEA Baptist Clinic family medicine physicians see children as well.

NEPHROLOGY Michael G. Mackey, MD Sara Lamberson, APN 311 E. Matthews (870) 935-4150

PHYSICAL THERAPY Jeff Ramsey, PT Gail Williams, PT 1007 Windover (870) 336-1530

Dialysis Center 3005 Middlefield (870) 934-5705

NEUROLOGY

PLASTIC & RECONSTRUCTIVE SURGERY

Kenneth Chan, DO Bing Behrens, MD William Long, MD, PhD 3100 Apache, Suite A (870) 935-8388

W. Tomasz Majewski, MD, FACS Melanie Greeno, ICT 3100 Apache, Suite B3 (870) 934-5600

NEUROSURGERY Robert Abraham, MD Kenneth Tonymon, MD Rebecca Barrett-Tuck, MD 3100 Apache, Suite A (870) 935-8388

PODIATRY

OBSTETRICS & GYNECOLOGY

PULMONOLOGY

Chris Rowlett, DPM 1007 Windover (870) 932-6637

William Hubbard, MD Meredith Walker, MD 311 E. Matthews (870) 935-4150

Charles L. Barker, MD, PhD, FACOG Mark C. Stripling, MD, FACOG Charles C. Dunn, MD, FACOG Norbert Delacey, MD, FACOG Michael Hong, MD, FACOG Lorna Layton, MD, FACOG 3104 Apache (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

OCCUPATIONAL MEDICINE

RHEUMATOLOGY

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

Beata Majewski, MD Leslie McCasland, MD 311 E. Matthews (870) 935-4150

OPHTHALMOLOGY

SLEEP MEDICINE

Joseph George, 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

ORTHOPEDIC SURGERY

SPECIALTY CLINIC

Michael D. Hightower, MD 311 E. Matthews (870) 935-4150

Jason Brandt, MD Henry Stroope, MD 1007 Windover (870) 932-6637

GENERAL SURGERY

OTOLARYNGOLOGY (ENT)

K. Bruce Jones, MD Russell D. Degges, MD David L Phillips, MD 800 S. Church, Suite 104 (870) 932-4875

Bryan Lansford, MD 3100 Apache, Suite B2 (870) 934-3484 Hearing Center Amy Stein, AuD, CCC-A 3100 Apache, Suite B2 (870) 934-3484

VEIN CENTER Michael Raborn, MD 3100 Apache, Suite B1 (870) 219-7685

WELLNESS CENTER 2617 Phillips (870) 932-1898

WOUND CARE CENTER James Fletcher, MD NEA Baptist Clinic - Windover (870) 935-543

HEMATOLOGY ONCOLOGY Ronald J. Blachly, MD D. Allen Nixon, Jr., MD Carroll D. Scroggin, Jr., MD Stacia Gallion, APN 311 E. Matthews (870) 935-4150

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 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 Tim Shown, DO Melissa Yawn, MD, MRO Jeffery Barber, DO, MRO Hilltop Clinic & Urgent Care 4901 E. Johnson, Jonesboro (870) 932-8222 Osceola Kenneth Dill, MD Debbie Wilhite, APN 616 W. Keiser, Osceola (870) 563-5888 Trumann Alison Richardson, MD Brannon Treece, MD 305 W. Main, Trumann (870) 483-6131 Lake City Angie Fowler, APN 208 Cobean, Lake City (870) 237-4100 Cherokee Village 51 Choctaw Trace, Cherokee Village (870) 856-2862 Paragould Chris McGrath, MD Kenneth Tonymon, MD (Neurosurgery) David L. Phillips, MD (General Surgery) William Long, MD, PhD (Neurology) Paragould Clinic & Urgent Care 4700 West Kingshighway, Paragould (870) 240-8402

A location near you open 7 days a week No Appointment Necessary

HOSPITALIST William Hubbard, MD Robert B. White, MD, FACP Kara Cooper, MD Matt Quick, MD 3024 Stadium (870) 275-2916

Pocahontas, (870) 892-9541

FAMILY PRACTICE

WOODSPRINGS 2205 W. Parker Rd. (870) 910-0012

WINDOVER 1111 Windover (870) 935-9585

STADIUM 3003 Apache Drive (870) 931-8800

HILLTOP 4901 E. Johnson (870) 934-3539

PARAGOULD 4700 W. Kingshighway (870) 240-8402

LATE NIGHT URGENT CARE 1111 Windover (870) 910-6040 open late Mon - Fri