Kentucky Doc Summer 2019 by Rockpoint Publishing

summer 2019 â&#x20AC;˘ volume 11 â&#x20AC;˘ issue 2

Building Strong Physician Families Balancing your medical profession and maintaining strong family connections

COMPASSION Marta Hayne, MD Bringing Positive, Compassionate Energy to Radiation Oncology

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CONTENTS Building Strong Physician Families PAGE 5 PHYSICIAN HEALTH AND WELLBEING Your Best Possible Self PAGE 11 The trials and tribulations of planning a family vacation while being married to a physician… PAGE 14

FROMTHEEDITOR • SUMMER 2019

The Stewart Home And School PAGE 18 PROFILE IN COMPASSION Bringing Positive, Compassionate Energy to Radiation Oncology: Marta Hayne, MD PAGE 20 COMMUNITY NEWS PAGE 26 Medical Legacy of the Doctors Moore PAGE 29

EDITORIAL

BOARD MEMBERS Robert P. Granacher Jr., MD, MBA editor of Kentucky Doc Magazine Tuyen Tran, MD John Patterson, MD Thomas Waid, MD

STAFF Brian Lord Publisher David Bryan Blondell Independent Sales Representative Jennifer Lord Customer Relations Specialist Barry Lord Sales Representative Anastassia Zikkos Sales Representative Kim Wade Sales Representative Janet Roy Graphic Designer Purple Patch Innovations Website & Social Media

Robert P. Granacher Jr., MD, MBA, Editor-in-Chief, Kentucky Doc Magazine

Welcome to the Summer Edition 2019 of KentuckyDoc magazine. Our focus in this edition is upon physician families. We lead off with the article by Stephen Smith, Ph.D. Dr. Smith, along with Dr. Sandra Hough, are licensed psychologists with the Woodland Group in Lexington. They are the administrators of the LMS Physician Wellness Program. Dr. Smith gives us insight that has been obtained by working with physician families of LMS for the last few years. He provides timetested and learned opportunities that can be used to help physician families strengthen their relationships and find time to be together. John Patterson, MD, a member of LMS, provides us with his article, “Your Best Possible Self.” This is a guide for physicians and their families to imagine the best possible self, and boost one’s optimism, fill up one’s cup, promote one’s resilience, prevent burnout, and perhaps save your life. The next article in this series is written by wives of our LMS physicians, Lynh Tran and Tracy Francis. These ladies provide some insight that dovetails with the first two articles. They do this through their article, “The Trials and Tribulations of Planning a Family Vacation While Being Married to a Physician…” Their ideas and learned experience will help physician families to learn to prioritize what is important and to stave off the potential ravages of burnout. Dr. Granacher gives an insight into two great legacies within the Lexington Medical Society. These are the medical legacies of the Stewart family and the Moore family. The first article in that series is about the five generations of Stewarts who have developed and continued the Stewart Home and School in Frankfort, Kentucky. This is one of the nation’s pinnacle institutions for providing a private, tuition-based, year-round facility that acts as a special education boarding school for the intellectually disabled and developmentally disabled person. John D. Stewart II MD, is the current President of the Board and Chief Administrator, and the fifth Stewart family member to operate this unique institution. That article is followed by John Patterson, MD’s Profile in Compassion series. He

develops the example of medical compassion by using the life of Marta Hayne, MD as an example. Marta practices radiation oncology at Baptist Health in Lexington, and her medical life example can be used by all physicians as a model for providing balance in one’s life, providing structure for one’s family, and it demonstrates the compassioned approach to a complex profession, such as radiation oncology. Next in this quarter’s edition of KentuckyDoc is The Medical Legacy of the Doctors’ Moore by Dr. Granacher. Beginning with Dr. Bernard Wise Moore in the early 1900s, this article profiles the Moore family’s medical legacy through 4 generations, ending with Mike Moore, MD’s son, Evan Moore MD who will join the Plastic Surgery practice of Michael Moore, MD and Joe Hill, MD in early 2020. The story of the Moore’s is a compelling history of medical legacy within the Lexington Medical Society. Please enjoy the Summer Edition of KentuckyDoc magazine. It provides a window to the lives of physicians within our midst in Lexington and their stories of family, resiliency, and achievement.

Mailed to 100% of physicians licensed in Fayette County. Mailed to 75% of doctor office managers & other decision makers in Fayette County Practices. For advertising rates and to find out how to get your article published, please call

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© Copyright Kentucky Doc Magazine 2019. All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Kentucky Doc Magazine. Kentucky Doc Magazine reserves the right to publish and edit, or not publish any material that is sent. Kentucky Doc Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. Kentucky Doc Magazine is a proud product of Rock Point Publishing.

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Building Strong Physician Families Physicians are busy people! It can be quite the juggling act to balance the time required by a medical profession while trying to build and maintain strong family connections. By Steven Smith, Ph.D. The quality of our family life has a major impact upon the quality of our work life. Family discord and conflict often seeps its way into the workplace, which can result in reduced concentration, increased mistakes, and a greater susceptibility to burnout. Strong physician families actually provide a buffer to workplace stress and offer a place for support and renewal. But what are the qualities that create a strong and healthy family? What is it that distinguishes healthy families from those that are not? Research in this area has repeatedly identified several patterns of behavior that characterize healthy families. The following is a list of suggested ways to cultivate those behaviors. Slow down and engage with your family. All relationships need attention. Families who spend time together are more likely to build stronger ties than those that don’t. However, that time doesn’t count if it’s spent sitting passively together in front of a screen. It also doesn›t count if it›s spent arguing. In other words, quality trumps quantity. In today’s busy world it can be difficult for families to find time to be together. If you’re too busy to eat dinner with your family, then perhaps you’re simply too busy. Once children are of age, the dinner table can become a place to share stories, family history, and talk about what’s happening in their lives. Spending time together with activities such as playing games, taking walks,

sharing household chores, and watching a movie together help to strengthen family bonds. Also, don’t forget to take advantage of the moments spent in the car or in traffic to talk to your kids about your day and ask them about theirs. How do you know if your work life is usurping your family life? Ask your family members because they will likely feel the effects before you do. They are the canary in the coalmine. Get off of or limit your time on social media. Social media is very stimulating to our brains and many experience a dopamine release when they engage with it. As a result, we can easily be sucked into this digital vortex and give away precious time. Additionally, we often attempt to multitask as we scan social media. Our attention gets fragmented as we attempt to have a conversation while scrolling through a social media app. Multitasking is a myth because your brain in incapable of simultaneously processing separate streams of information from multiple tasks. Give your children and spouse your full attention when having a conversation. Turn off the TV and mute your phone. By doing that you’re sending a message that validates their importance to you. Give the gift of time. Healthy parents don’t find time; they make time. Giving your child some “special time” helps to develop a close relationship with your child. Collaborate with your child to help you decide how to spend this time. You could read books, sing songs, go for a walk, play a game—whatever your child

enjoys. If you can create a predictable ritual, your children will depend on it and look forward to their time with you. The more you are able to spend quality time with your child the stronger your relationship will be. Promote open communication channels. Strong families feel secure and safe in expressing their thoughts and feelings. Practice active listening by delaying your response until you’ve communicated back to them what you think you’ve heard, i.e., “I hear you saying that you don’t like your brother and you seem pretty angry. Is that right?” By giving your full attention and resisting giving advice until you fully understand what the other person is saying to you, you create a safe place for family members to communicate openly with you. Use “I” messages. “I” messages help us to clearly communicate our thoughts and feelings. They also are a way to decrease the chances that an argument will occur. “You” messages should be discouraged because they often lead to shaming and seldom resolve the problem. An example of a “you” message would be, “What’s wrong with the two of you? You kids are making me crazy! Can’t you ever get along?” An “I” message could be reconstructed as this, “I don’t like all this fighting. It upsets me to see the two of you not getting along.” Set boundaries to protect your personal time and time with your family. Say “no” and say it often. Physicians are natural caregivers,

FAMILY Continued on Next Page

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BUILDING STRONG FAMILIES If you’re too busy to eat dinner with your family, then perhaps you’re simply too busy. Once children are of age, the dinner table can become a place to share stories, family history, and talk about what’s happening in their lives.

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FAMILY continued from Previous Page

but frequently sacrificing family time to meet the needs of others is a recipe for personal burnout and a dysfunctional family. Be the person you want your children to emulate. What do your children see modeled in your character? Do they see truth, honesty and integrity in action? Are you a healthy example of how to successfully resolve conflict? Do you express emotions in a healthy way and do you encourage them to do the same? The greatest gift you can give your child is who you are. It’s true that how you live your life will have a much greater impact on

shaping your children than the time spent instructing them on how to live. Create an encouraging environment. An encouraging environment is one in which you spend more time building up your loved ones rather than scolding and correcting them. Try to emphasize what you see them doing right rather than focusing on their mistakes. A positive focus creates a felt sense of safety among family members which is critical to forming strong bonds. When asked what people value most in their lives, family is almost always listed first as a priority. Step back and take an objective appraisal of the time and attention you give your family to see if your current lifestyle

actually reflects that stated priority. It’s far too easy to let the demands of a purposeful career crowd out what is truly most important in your life—your family. There’s a difference between living a life of purpose that is in balance and one that isn’t. If you listen to your heart, you’ll know the difference. About the Author Dr. Steven Smith along with Dr. Sandra Hough are licensed psychologists with The Woodland Group and they are administrators of the LMS Physician Wellness Program.

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PHYSICIAN HEALTH AND WELLBEING

Your Best Possible Self Imagining your best possible self can boost your optimism, fill up your cup, promote resilience, prevent burnout and perhaps save your life.

By John A. Patterson MD, MSPH, FAAFP Defining resilience: The American Psychological Association (APA) describes resilience as “the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress, such as family and relationship problems, serious health problems or workplace and financial stressors. It means ‘bouncing back’ from difficult experiences.” APA further describes resilience as “ordinary, not extraordinary. People commonly demonstrate resilience. Being resilient does not mean that a person doesn’t experience difficulty or distress. In fact, the road to resilience is likely to involve considerable emotional distress. Resilience is not a trait that people either have or do not have. It involves behaviors, thoughts and actions that can be learned and developed in anyone.” Resilience is one of the internal resources we draw upon to manage stress, prevent burnout and recover from compassion fatigue, emotional numbness, psycho-spiritual exhaustion and living our lives out of balance – disconnected from joy, meaning, purpose, values, belief and faith.

Optimism is considered by some to be the most important determinant of resilience. It is a critical survival skill for our current age of stress. Positive psychology research suggests that resilience can be modified by our personal explanatory style- how we explain events to ourselves- whether we are a ‘cup half full’ person or a ‘cup half empty’ person- whether we are optimistic or pessimistic. Our explanatory style involves the mental processing of life events, assigning meaning to them, and assessing them as threats/dangers or challenges/opportunities. These words and images in our heads affect our stress levels. An optimistic explanatory style is related to far greater resilience and much less stress than a pessimistic explanatory style. Optimists are more successful in school, at work, and in athletics. They are healthier and live longer. They are more satisfied with their marriages and less likely to suffer from depression and anxiety. And rather than being a static trait you are born with, you can learn to grow optimism- increasing resilience, health, well being and fulfillment in relationships. One way to grow optimism is the practice of imaging your best possible future self. WELLBEING Continued on Page 12

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WELLBEING continued from Page 11

Physicians and patients alike are all affected by our current age of stress. There are healthy, growth-promoting ways to manage that stress. Some surprisingly simple strategies can help us live healthy lives and teach our patients to do the same. Practicing your Best Possible Self exercise may be a useful tool for your self-care toolkit. Resources • The road to resilience- American Psychological Association https://www.apa.org/helpcenter/roadresilience • Martin Seligman PhD, Learned Optimism https://positivepsychologyprogram.com/ learned-optimism/ • Picture Your Best Possible Self https://www.mindful.org/how-to-fosteroptimism/ About the Author Dr. Patterson chairs the Lexington Medical Society’s Physician Wellness Commission, is past president of the Kentucky Academy of Family Physicians, is board certified in family medicine and integrative holistic medicine and is a certified Physician Coach. He teaches Mindfulness-Based Stress Reduction for the UK Health and Wellness Program and Saybrook College of Integrative Medicine and Health Sciences (Pasadena). He owns Mind Body Studio in Lexington, where he offers integrative mind-body medicine consultations, specializing in stress-related chronic conditions and burnout prevention for health professionals. He can be reached through his website at www.mindbodystudio.org

Best Possible Self Exercise Allow 10-15 minutes for this practice. Think about how your life would look in your best possible future (say in the next 10 years). Imagine that you have reached your goals, everything has gone as well as it possibly and feasibly could. Use vivid images of scenes with as much detail as possible. Perhaps you have reached the pinnacle of your dream career, you have loving relationships, great friends and family and good health. Think of this as the realization of the best possible life you could ever hope for yourself. Then, for 10 minutes, write non-stop, without analyzing, about what you imagined. Use the instructions below to help guide you: 1. Be as creative and imaginative as possible. 2. Use whatever writing style you wish, write continuously, without erasing or editing- just write what you imagined. 3. Don’t worry about grammar and spelling. 4. Be specific. It will increase the effectiveness of the exercise. For instance, imagine the precise nature of your future work or your relationships in as much detail as possible.

Practicing your Best Possible Self exercise may be a useful tool for your self-care toolkit.

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PLANNING A VACATION We try to plan 6 to 12 months in advance, but sometimes it takes even longer.

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The trials and tribulations of planning a family vacation while being married to a physician… By Lynh Tran and Tracy Francis Logistically, it’s crazy. Our spouses keep long hours. They miss out on a lot of family time and kids’ extracurricular activities. So, when they manage to get vacation time, our spouses generally pack (or get packed for), walk out the door, and enjoy the vacation. They might do a little “Monday morning quarterbacking” on the vacation planning, but that goes with any marriage. When you are first married, planning a vacation is simple and the only hindrance might be if you could afford the trip. When the kids arrive, life gets a little hectic and the “where to go with infants and small kids” takes more thought. The logistics of how to get there, where to stay and what to pack gets even harder. Somehow, the lure of a week away with your spouse and your kids propel you to get the job done. The actual planning of the vacation usually falls on the spouse who is not the physician. The who, what, when, where and how issues need to be discussed, but the details are pretty much left to you. And as we all know, the devil is in the details. We try to plan 6 to 12 months in advance, but sometimes it takes even longer. The more people involved, the more calendars to consider. We have a calendar that shows the whole year and as soon as the new year calendar is out, everything goes on it. When are the kids

out of school? When are the school plays, performances, and projects? Don’t forget the science fair, academic meets, speeches, school parties, graduations… where do all the extracurricular activities fall? Sports practices, games, conferences, music lessons and recitals, STEM activities, art, archery, and overnight camps, Girl Scout cookies, Boy Scout campouts, play dates, weekends with the extended family… is your head spinning yet? The next challenge is you and your spouses’ calendar. If you both work in or out of the home, you have CE, CME, conferences, networking, political obligations, religious commitments, social calendars, physical-fitness priorities, personal medical appointments, volunteering, and the list goes on and on. This last piece of the puzzle has been the hardest - coordinating time off with the other medical partners. The smaller the group, the harder it is to coordinate. This is where planning early (and a good support staff at the office) really helps. If there’s a scheduling conflict, sometimes it can be adjusted, and priorities shifted. We personally try to set up at least a three or four-day weekend every other month. Sometimes the hardest thing is just getting days down on the calendar when you don’t have anything up and coming. It feels silly to ask for days off when we have nothing planned, but the reality is sometimes you just need a break. Sometimes the brain needs to power down and relax with some

video games, a book, swimming with the kids, and dare we say – date night??? Although we are usually pretty good at building in the brain breaks, sometimes I slip (I/we - the non-medical spouse who schedules everything) a little and the significant other works three weeks in a row. It’s not good for anyone. The kids need parent-time; doc needs to decompress, and spouses’ ‘honey do’ list gets long. When we fail to take breaks, we fail to prioritize what’s important - our family, our sanity, and our happiness. Whatever you do this summer - don’t forget to take a break. For the couples who are both MDs – we’re not sure how you do it. We assume one of you has a little more down time or one of you has a travel bug and somehow gets the planning done. Or maybe there’s magic involved. We’re not sure… In general, just thank your spouse for planning everything. It’s not easy running a household or holding down your own career, but when you add on a vacation trip, the spouse is working overtime to make it work. It’s not easy squeezing a square peg into a round hole, but they make it work for the love of family.

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Take Care of Your Patients by Taking Care of Yourself

The Lexington Medical Society

Physician Wellness Program

TAKE CARE OF YOUR PATIENTS BY TAKING CARE OF YOURSELF The Physician Wellness Program (PWP) was designed as a safe harbor for physicians to address normal life difficulties in a confidential and professional environment.

WHY WAS THIS PROGRAM CREATED? Being a physician isn’t easy. Difficulties with the current health care delivery system, maintaining a healthy work/life/ family balance, and dealing with the normal stresses of everyday life can take their toll on physicians. We serve not only as treating physicians, but many times as counselors to our patients who turn to us for guidance. Who do we turn to when we need to talk through an issue or get some coaching for how to handle stress in our life? Too often the answer is “no one,” and that is regrettable because it is imperative that we be as healthy as possible in our role as health care providers. We deserve to function at our best in all areas of our life. By addressing areas of difficulty, we can decrease our stress levels and increase our levels of resilience.

Some examples of those difficulties include: • •

Family issues

•

Relationship problems

Depression & anxiety

•

Work-related

Difficulty managing stress

• •

Mood swings

difficulties

•

Alcohol/drug abuse

Suicidal thoughts

How PWP Works We have contracted our program with The Woodland Group. The Woodland Group will provide counseling to active physician members of the Lexington Medical Society and UK Graduate Medical Education residents and fellows. The Woodland Group also provides telephonic or video counseling to UK Graduate Medical Education residents and fellows located outside of Lexington, Kentucky. Non-emergency sessions will be scheduled during regular business hours. Emergency sessions can be scheduled on a 24-hour, 7 days-aweek basis. Seven licensed psychologists make up the Woodland Group and have been vetted by LMS. Steven Smith, Ph.D. and Sandra Hough, Ph.D. are our program coordinators and will serve as points of contact to access PWP. The Woodland Group will maintain a confidential file for each physician, but no insurance will be billed and LMS will not be given any information about those who utilize the program. As such, this program is completely confidential which is crucial to its success. LMS will pay The Woodland Group a monthly bill based on the number of sessions provided. The Woodland Group will verify LMS membership from the physician finder on the LMS webpage.

TO MAKE YOUR APPOINTMENT 1) Call the confidential hotline at 1-800-350-6438 and leave a message in either Dr. Smith’s or Dr. Hough’s voice mailbox. 2) They will call you back to schedule an appointment. It’s that simple!

PWP Benefits 8 free sessions each calendar year Complete confidentiality Easy access Convenient location (535 W. 2nd Street, Suite 207) 24/7 availability

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THE STEWART HOME AND SCHOOL IN FRANKFORT, KENTUCKY By Robert P. Granacher Jr., MD, MBA I had the privilege of consulting to the Stewart Home & School (SH&S) 2 decades ago. John D Stewart II MD was practicing general and vascular surgery in Lexington at that time while working part time at the family business in Frankfort. I came to know that John was the 5th generation of Stewarts to manage this institution. I asked him to help me with the history for this article and he graciously complied. The SH&S was originally founded in 1893 at its current address in Frankfort. The main building was constructed in 1836 (see picture), and the architect was the famous Gideon Shryrock who was the architect for the Kentucky Capitol. The ground on which the SH&S sits today was first acquired by Colonel Robert Allen of Baltimore. He founded the Kentucky Military Institute in 1845. The Institute closed during the Civil War and was moved to Louisville. It eventually closed its doors in 1971 (see picture) One of its famous alumni is Governor John Y. Brown.

Dr. John Q. A. Stewart

ABOVE: Depiction of the Kentucky Military Institute, 1845. (The Gideon Shryrock building is the current administration building at the Stewart Home and School.)

John Quincy Adams Stewart MD, the first Stewart physician in a long legacy of medical practitioners in Kentucky, bought the buildings in 1892. Originally the buildings consisted of the old KMI Main Building (see picture) with dormitories forming a quadrangle. Dr. John Q.A. Stewart, as he is called today, began the school with his son who was an alumnus of the Kentucky Military Institute. Dr. John Q.A. Stewart was born in 1829 in Hardin County, Kentucky (see his portrait). At age 18, he received a law degree from the University of Louisville. He, like many people in the United States, got gold fever, and he went west during the Gold Rush for several years. He was elected a magistrate in Sacramento, California and later got married. He obtained his medical degree from the University of Louisville after two years of medical education and received that degree in 1859. He practiced in Western Kentucky and he came to the attention of Governor McCreary in 1878 who enticed John Q.A. Stewart M.D. to come to Frankfort and head the Kentucky Institute for the Feebleminded . This politically incorrect title by our modern times later became the current facility owned by the state for the intellectually disabled in Somerset, Kentucky at Oakwood. Dr. John Q.A. Stewart was a very intellectually precocious person. He became an advocate for the intellectually handicapped and developed vocational training for those individuals. He served under four governors. These are known to

have been Governors: McCreary, Brown, Knott and another. In 1888, Dr. John Q.A. Stewart convened probably the first conference in the US for the intellectually handicapped. This took place in Frankfort, Kentucky and is thought to have lasted up to three-week durations. Dr. John Q.A. Stewart retired from state government in 1892. Generation two in the Stewart Legacy at the SH&S begins with the administration by John P. Stewart, M.D. in 1898. He became the president of the institution and kept that position until 1941. He is noted for increasing the size of the school as the United States went through the business headwinds of the Great Depression. Generation three includes the only nonphysician in the family of the SH&S legacy, John Dowling Stewart. This Dr. Stewart is the grandfather of John Dowling Stewart II, M.D. who is generation five, and the current Chairman and Medical Director of the SH&S. John took over the institution in 2014 at the death of his father at age 86. John Dowling Stewart was not a physician but was an administrator trained in business administration in college and was able to carry on the institutional needs from 1941 to 1963 until his untimely death. After John D Stewart died, John P Stewart, MD, John D. Stewart II, MDâ&#x20AC;&#x2122;s father, became the Chairperson at the institution in 1963. He was a graduate of the University of Pennsylvania Medical School and completed his residency in Radiology at the University of Michigan. He is known in the Stewart family for developing special education programs at the SH&S and he was very

Dr. John Q.A. Stewart was a very intellectually precocious person. He became an advocate for the intellectually handicapped and developed vocational training for those individuals.

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Dr. John P. Stewart II (pictured, top right) became the president of the institution and kept that position until 1941. He is noted for increasing the size of the school as the United States went through the business headwinds of the Great Depression. personally involved in the institution and very progressive. He took the capacity of the institution from 175 persons in 1963 to greater than 400 persons by 2014. John P Stewart, MD, the fourth generation of SH&S chairpersons, is also known for being president of the KMA in 1978. He is the second of the Stewart doctors to be president of the Kentucky Medical Association, as the first in this line, John Quincy Adams Stewart, M.D., was President of the Kentucky Medical Association in 1894. John D. Stewart II, M.D. was very helpful to me in developing this wonderful history of the legacy of the Stewart family (see his picture). I learned that the SH&S is a private, tuition-based, year-round facility acting as a special education boarding school for the intellectually disabled and developmentally disabled. John told me that the current residents are made up primarily

of three diagnostic groups: autism spectrum disorder, Downâ&#x20AC;&#x2122;s syndrome, and cerebral palsy. However, the school does have a significant number of fragile X syndrome patients, and those with diseases such as Williamâ&#x20AC;&#x2122;s syndrome. They are also noted to have other significantly rare syndromes of intellectual disability in their resident population. One-third of the residents are senior in age. They continue to learn lifelong, and there are special programs for community integration for them. The present residents at the SH&S come from 35 states and 6 foreign countries. John D. Stewart II, M.D. told me that new admissions have many more medical problems than 20 to 30 years ago. As the less disabled people are able to find community placements, individuals with significant medical problems are left in the

remainder. At the SH&S today, there are 90 seizure patients, 108 patients on psychiatric medications, and 90% of the patients take prescribed medications. The current average census at the SH&S is about 345 persons. The Stewart Home & School is one of the most prominent facilities of its kind in the United States, and it enjoys a national and international reputation for providing the highest of quality care and continuing care for the intellectually disabled person. About the Author Robert P. Granacher, Jr., MD, MBA practices clinical and forensic neuropsychiaty in Lexington KY. He is a noted scientific author and past president of the Kentucky Psychiatric Medical Association and the Lexington Medical Society and a member of the volunteer faculty as Clinical Professor of Psychiatry at the University of Kentucky College of Medicine.

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PROFILE IN COMPASSION

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Bringing Positive, Compassionate Energy to Radiation Oncology Marta Hayne, MD By John A. Patterson MD, MSPH, FAAFP Marta Hayne, MD practices radiation oncology at Baptist Health in Lexington. She knew she wanted to be a doctor as early as kindergarten. Growing up in Charleston, West Virginia, she says “My father was an OB-GYN and really loved his work. I always felt comfortable following him around the hospital. I hung out with him all I could and loved seeing him take care of people. I began filing his office charts from the time I could alphabetize.” She graduated early from high school and college, planning to go to medical school. Then at age 20, she began doubting herself, seeing all the charts in her father’s office as overwhelming. She actually applied to medical school but withdrew her application. Over the next several years, she and her husband had 3 children. They also sold medical office billing technology. This opened her eyes to some questionable ethical practices in some medical offices. “I thought to myself-‘people deserve better than this’.” Inspired by an aunt who was a nurse and continued her education over many years, Marta’s desire to be a doctor was rekindled. She went back to medical school at age 34. Why radiation oncology? During clinical rotations in West Virginia University School of Medicine, she loved all the different medical specialties but really connected with hematology/ oncology because of the patients. “They were the most inspiring, courageous people I had ever met. I knew I wanted to be in oncology.” She found her dream career in radiation oncology. “It was a match made

in heaven. I had the oncology patients and the high tech world of radiation oncology. I loved the math and physics and energy of radiation. I still do.” How is it knowing many of your patients will die? “We are each on our own journey and I don’t have any control over that but I can help alleviate suffering. Radiation is great at relieving pain from bone metastasis. We can often open airways, stop bleeding and treat brain metastasis and spinal cord compression to preserve neurologic function. One of my greatest joys was a lady who was aphasic from brain metastasis and, after radiation, was able to talk to her family until she died. I didn’t change how long she lived but radiation improved the quality of her life.” “Whether as a doctor or a person, I’m not afraid to talk to patients about dying. Most of them are quite relieved. We discuss their cancer treatment options and realistic goals. They inspire me with their bravery and multiple times every day I’m reminded to keep everything in perspective.” Even after the patient’s radiation therapy is completed, she and her team often make courtesy call when former patients are admitted, taking food or informally supporting the care provided by their admitting physician. Managing Burnout Marta worked 60 hours a week and took calls every other week until a 3rd partner joined her team recently. “To me, feeling burned out means you don’t have anything to give. I questioned whether I could continue practicing after my father died in 2012. I’ve been fortunate to have a partner, Dr. Alan Beckman, who has been right there with me through it all. I also began meditating a couple of years ago when my husband developed progressive supranuclear palsy and was dying. I use the Headspace

meditation app. It reminds you to breathe, take time and be present. It helps.” She met psychiatrist Mark Wright before medical school. Her children call him Uncle Mark. He is a great friend and ‘brother’ who celebrates all Marta’s family joys. Mark loves it when he is seeing a patient who has also seen Marta, without knowing they are friends. He says, “They tell me wonderful things about her, including how she saved their life.” What are Your Go-To Stress Relievers? “I take vacations and re-energize. I have three grown children who have fabulous spouses and four children of their own. I love spending time with all of them. I have really great friends to walk with and talk with. I play tennis and love to travel. I now have a dog, Einstein, who keeps me busy! He’s a mess. I laugh a lot. My husband taught me to laugh at myself.” PROFILE Continued on Page 22

We are each on our own journey and I don’t have any control over (death) but I can help alleviate suffering. – Marta Hayne, MD

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PROFILE continued from Page 21

Personal Beliefs/Patient Beliefs Marta describes herself as spiritual but not religious. “Everyone has their own belief system and I support them all. Patients say I listen and they like that. They feel like they can talk to me and that makes me happy. I try to be present to them. When I go into a room, I try to set aside whatever I’ve got going on and take good energy in there- this is their day. I sometimes take some deep breaths and get focused before going in.” “I feel we are all connected. When one of us hurts, we all hurt. I try to live each day the best I can and look for the good in people. Everything you ever wanted to know you learned in 8th grade science. Energy never dies, it just changes form. It’s not over when someone dies. It all breaks down into molecules and atoms spread out like one huge mosaic throughout the universe. Some are bunched together and make me. Others are bunched together and make you. But it’s all part of one mosaic. It’s science. You can’t argue with science. I grew up Baptist. I believe in God and Jesus but I haven’t sorted all that out. I don’t think it has to be either/or.”

Careful to respect her patients’ belief systems regarding death and dying, she sometimes shares images of the great unknown such as the transformation of the caterpillar into the butterfly. Her Message to Colleagues and Physicians in Training “Don’t take yourself too seriously. Find the humor. Disconnect from work so you can re-energize.” Her Colleagues Speak Jim Borders, MD, Chief Medical Officer for Baptist Health Lexington- “Marta epitomizes the culture of caring and compassion to which Baptist aspires.” Firas Badin, MD, oncologist- “Marta Hayne not only treats her patients, she showers them with love, attention, and compassion. I am so proud to work by her side.” Elvis Donaldson, MD, oncologist- “For 25 years, no matter how the day is going, a phone call with the greeting ‘Hi, this is Marta’ is uplifting and brings a smile. As a colleague, she is the epitome of a competent, caring, compassionate partner. As a friend, her smiles and sincere greetings are well

In 19 years of working as partners, we’ve never had an argument. She is the most positive person I have ever known. – Alan Beckman, MD

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known throughout the community. She has a fierce dedication and desire to do good. On a personal level, she is a true and dependable colleague and friend.” Alan Beckman, MD, radiation oncologist- “In 19 years of working as partners, we’ve never had an argument. She is the most positive person I have ever known. She always looks for the good in every situation and in every person, so much so, that she earned the nickname Mary Poppins. But Marta does not just sugarcoat life’s difficulties. She has dedicated her career to helping people with cancer during extremely serious and difficult times in their lives. And she has recently been through her own personal difficult period during her husband’s illness and death. Yet even in sad times, she finds a way to celebrate the moment. She can cry with someone and then find something to laugh about. She doesn’t take herself so seriously that she can’t laugh about herself. She is truly genuine and honest. She has the gift of being able to bring out the best in others. She is a true friend to everyone. Those are the reasons she has so many friends and everyone loves Marta! I consider myself fortunate to have met her. She is a wonderful friend.” Leslie Melton, RN- “I’ve had the perfect job the last 4 years, working 50+ hours a week with Mar Mar (her grandkids name for her). She is a very humble person whose entire career is based upon compassion. She brings so much joy to the work place and to patients. The glass is always half full with her. She has a smile that lights up a room and her patients and staff absolutely adore her. She keeps our morale up and is the ring leader for special occasions (Derby hats, Halloween costumes, nurse’s week, etc).” Quotes from Radiation Oncology Staff “Dr. Hayne’s heart overflows with compassion and love for each patientas well as the staff that work in our department.” “If you ever feel like you can’t go to anyone about something, just find Dr. Hayne. She will drop everything to ensure you have what you need- making a phone call, an ear to listen, or a hug for support.” “Dr. Hayne is unlike any doctor I have worked with...she approaches everyone with positive energy and compassion, whether it’s the first encounter or the 100th.” “Saying that Dr. Hayne values her team is an understatement. She goes out of her way to make sure everyone feels included and appreciated.” “The thing I love most about Dr. Hayne is that she isn’t afraid to laugh or cry with her patients. She truly feels the love, pain, happiness, and other emotions patients and their families go through.”

(My patients) inspire me with their bravery and multiple times every day I’m reminded to keep everything in perspective. – Marta Hayne, MD

“Dr. Hayne isn’t just your radiation doctor... she makes herself a part of your life from the moment you meet. She makes it truly seem effortless to get to know her patients as the people they are and not just the circumstances that brought them into our department.” As I was writing this article, a long-time friend told me he had just been diagnosed with inoperable metastatic cancer and would need radiation therapy. I referred him to Marta Hayne so that his radiation therapy would include her energy of positivity and compassion. About the Author Dr. Patterson chairs the Lexington Medical Society’s Physician Wellness Commission, is past president of the Kentucky Academy of Family Physicians, is board certified in family medicine and integrative holistic medicine and is a certified Physician Coach. He teaches Mindfulness-Based Stress Reduction for the UK Health and Wellness Program and Saybrook College of Integrative Medicine and Health Sciences (Pasadena). He owns Mind Body Studio in Lexington, where he offers

integrative mind-body medicine consultations, specializing in stress-related chronic conditions and burnout prevention for health professionals. He can be reached through his website at www.mindbodystudio.org

She has a fierce dedication and desire to do good. On a personal level, she is a true and dependable colleague and friend. – Elvis Donaldson, MD

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Kentucky

All I Need to Know is Where I Need to Go! Call 1-844-249-0708! For Information on Free or Low Cost Mammograms and Pap Tests Eligibility Requirements: • Age 21 or older and younger than 65 • Has a household income less than 250% of the federal poverty level • Has no health insurance (no Medicare, no Medicaid, or no private health insurance)

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Quick Guide for Health Care Providers to Kentucky’s Breast & Cervical Cancer Screening and Treatment Programs All I Need to Know is Where I Need to Go! Call 1-844-249-0708! • The Kentucky Women’s Cancer Screening Program (KWCSP) provides breast and cervical cancer screening and follow-up diagnostic services for eligible Kentucky women.

• KWCSP eligibility requirements: – Age 21 or older and younger than 65 – Has a household income at or below 250% of the federal poverty level – Has no health insurance (no Medicare, no Medicaid, or no private health insurance)

• The Breast and Cervical Cancer Treatment Program (BCCTP) provides treatment for breast or cervical cancer, or precancer of the breast or cervix for eligible Kentucky women. • Women who may qualify for the KWCSP or BCCTP must be referred to the local health department PRIOR to screening or treatment by the health care provider.* • The local health department will facilitate completing the application for Medicaid who will determine participant eligibility for BCCTP.

• BCCTP eligibility requirements: – Has been screened and diagnosed with cancer by the Kentucky Women’s Cancer Screening Program through a local health department and/ or contract providers – Has been found to be in need of treatment for either breast or cervical cancer, including a precancerous condition or early stage cancer – Age 21 or older and younger than 65 – Has a household income at or below 250% of the federal poverty level – Does not otherwise have credible health insurance coverage

* Please refer program eligible patients to the local health department or call 1-844-249-0708 prior to screening or diagnosis.

– Is a United States citizen or qualified immigrant – Is a resident of Kentucky – Is not eligible for medical assistance or public insurance in any other eligible group – Is not a resident of a public institution (e.g. prison)

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Baptist Health Lexington receives top hospital safety "A" rating Baptist Health Lexington has earned the top rating of “A” for hospital safety from The Leapfrog Group, a national nonprofit healthcare ratings organization. Of the 52 hospitals rated in Kentucky, only 11 received an “A” rating. No other Lexington hospital received an “A.” Twice each year, The Leapfrog Group released its Hospital Safety Grades, in which it assigns letter grades of A, B, C, D and F to hospitals nationwide based on their performance in preventing medical errors, infections and other harms. This latest rating marks the third time in a row that Baptist Health Lexington has received an “A” grade. “Keeping patients safe is our No. 1 priority,” said William G. Sisson, president of Baptist Health Lexington. “We are committed to constant and consistent improvement of our safety measures because our patients deserve the very highest-quality care.” The Leapfrog Hospital Safety Grade uses 28 measures of publicly available hospital safety data to assign grades to approximately 2,600 U.S. hospitals. It is calculated by top patient safety experts, peer reviewed, fully transparent and free to the public. To see Baptist Health Lexington’s full grade, and to access patient tips for staying safe in the hospital, visit www.hospitalsafetygrade.org .

Lexington Clinic Partners with Berea College Lexington Clinic is pleased to announce Berea Collegehas signed a multi-year, exclusive population health and premier provider network agreement with Lexington Clinic. With this agreement, approximately 1,200-1,300 members will become covered and gain affordable access to all Lexington Clinic offices and associate practicesunder Lexington Clinic’s award-winning population

health program. In addition, Lexington Clinic will also provide on-site services, specifically designed to care for the needs of that population.“Through our partnership, we will be able to provide the innovative, personalized healthcare Lexington Clinic is known for to all Berea Collegeemployees and their families,” said Eric Riley, Lexington Clinic Chief Administrative Officer.Lexington Clinic in partnership with BIM Group offers customized, premier network options for progressive employers in the Commonwealth, and is able to address both preventive care and chronic health conditions of employee populations.

Baptist Health Lexington using KORE grant to fund path to recovery Baptist Health Lexington has implemented a Kentucky Opioid Response Effort (KORE) grant-funded initiative to increase access to high-quality, evidence-based prevention, treatment, and recovery support services. The Lexington hospital along with its sister hospital, Baptist Health Corbin, received a $471,000 KORE grant, awarded by the state Cabinet for Health and Family Services, to provide services to patients with opioid use disorders to increase access to medicationassisted treatment and recovery support services. The grant is supported by funds from the federal Substance Abuse and Mental Health Services Administration (SAMHSA), a branch of the U.S. Department of Health & Human Services. Baptist Health Lexington received $146,000 of the grant. A portion of that money is funding a new position at the hospital – an addiction disorder nurse coordinator. This full-time staff member will assess patients affected by opioids, such as individuals who have experienced an overdose and present to the Emergency Department, as well as inpatients referred by medical staff. Using FDA-approved medications for opioid use disorder, treatment can be

initiated in the hospital. Individuals will then be referred to a community provider, based on their individual treatment needs. A partnership with Second Chance Clinic, a Lexington center for opioid addiction treatment, has been established to ensure that patients are seen within 24 to 48 hours of hospital discharge. “The hospital can now be one of many pathways to treatment for opioid use disorder, just as it is a pathway to treatment and remission for other chronic diseases,” said Dr. Katie Marks, Project Director for KORE. The addiction disorder nurse coordinator will work closely with a peer recovery support specialist contracted through Lexington-based Voices of Hope, a recovery support services organization. The peer recovery support specialist, an individual in substance use recovery, will meet with patients, offer guidance and emotional support, and exemplify that recovery is possible and sustainable. The peer recovery support specialist also will collaborate with social workers and case managers to help remove barriers to treatment and recovery support for patients.

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Dr. Bernard Wise Moore

Medical Legacy of the Doctors Moore By Robert P. Granacher Jr., MD, MBA I have known Lexington plastic surgeons Woody, Andy and Mike Moore most of my medical career. Woody and I often hunted quail with other medical colleagues. During our hunting expeditions, Woody would tell me “Moore Stories” (my emphasis). I vowed someday to tell a short story of this family’s medical careers in the heartland of America. Andy has retired from plastic surgery and Woody has retired and moved to North Carolina. Mike and I have become friends in the last few years as our offices are on the same floor at St, Joseph Office Park near St. Joseph Hospital. Mike kindly shared his family story with me. This story starts with the first physician in the Moore family, Bernie (see picture). Bernie was the older brother of the

grandfather and great uncle of Andy, Mike, and Woody Moore. Bernie went to medical school at the University of Virginia. He was born about 1871, and he completed a surgery residency at the College of Physicians and Surgeons in New York City. He was Professor of Children’s Medicine and Obstetrics at Washington University in St. Louis and died of pneumonia unexpectedly in 1911. He was the oldest of the Moore siblings during this era. Mike’s grandfather, Sherwood Moore (also known as “big daddy”), was born in 1880 and was Bernie’s little brother. Sherwood was the youngest of the 9 children. He graduated from Washington University Medical School and completed his residency in Obstetrics. He went into private practice until about 1913. He needed money to get married, so in 1914, he signed on with a Belgian diamond company and went to the Belgian Congo to practice medicine for the employees

of the diamond company. World War I broke out, and he eventually made it back to St. Louis. Thereafter, he completed a radiology residency at Barnes Hospital in St. Louis. Following his residency, he served as Professor of Radiology at Washington University from 1930 to 1949 (see teaching picture). Sherwood is the father of Andrew Moore, who was the father of Andy, Woody, and Mike Moore of Lexington. Andrew Moore Sr. was born in 1924 in St. Louis and grew up there. He was attending medical school in St. Louis when World War II broke out. He attempted to join the Army and was rejected, as he was thought to have tuberculosis. His radiologist father had determined earlier that this was histoplasmosis scars, and he was finally taken into the Army. After the Army, Andrew completed a plastic surgery residency in Valley Forge Pennsylvania MOORE Continued on Page 30

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MOORE continued from Page 29

towards the end of World War II. He had a close friend at Valley Forge, Joe Murray, M.D., who was exceptionally talented in tissue management and became a Nobel Prize winner for his work in renal transplantation. Howard Dorton, M.D., a prominent general surgeon in Lexington in the 1940s, 1950s, and 1960s, recruited the father of Mike, Andy, and Woody to come to Lexington. Andrew Sr. had a distinguished practice in Lexington and was president of the Lexington Medical Society, president of the Southern Medical Society and president of the South Eastern Plastic Surgery Society. Mike, Andy, and Woody spent their careers in Plastic Surgery in Lexington as private practitioners. Mike is the only

ABOVE: Andy, Mike, Woody and their father Andrew. RIGHT: Dr. Andrew Moore.

one who currently remains in practice, and Andy and Woody have retired. All three completed a traditional plastic surgery program, which required five years of general surgery and then residency in plastics. Woody interned at the University of North Carolina, and then spent two years in the Army to satisfy the Berry Plan. Andy trained in general surgery at Charlotte Memorial Hospital and completed his plastics residency at Vanderbilt. Mike completed his general surgery residency at UK with Ward Griffin, M.D., Chief of Surgery, and then also completed his plastic surgery residency at UK. Mike Moore’s son, Evan Moore, will finish a plastic surgery residency at UK on June 30, 2019. He is then scheduled to start a 6-month cosmetic surgery fellowship in Louisville. He plans to join the practice

with Mike and Joe Hill, MD. Joe Hill, MD. has been a member of the Moore’s plastic surgery practice for a few years. When Andy Moore was actively practicing plastic surgery, Joe had the opportunity to shadow Andy quite a bit. Mike believes this might have influenced Joe’s decision choose plastic surgery. Joe is married to Andy’s daughter. The Moore family not only brings a tremendous medical legacy to the medical profession, they have been uniformly responsible for increasing the expertise and presence of plastic surgery in Lexington and Kentucky, starting with their father, Andrew (see picture of Andrew with his 3 young doctor sons). When Andrew started his plastic surgery practice in Lexington, his was the second such practice in Kentucky. Andy, Mike, Woody and their father Andrew, have contributed greatly

Andy, Mike, Woody and their father Andrew, have contributed greatly to plastic surgery in Lexington, and as many of us know, Andy is responsible for developing Surgery on Sunday in the St. Joseph Health System.

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to plastic surgery in Lexington, and as many of us know, Andy is responsible for developing Surgery on Sunday in the St. Joseph Health System. Citizens of Lexington and central and eastern Kentucky are uniformly better off with the influence the Mooreâ&#x20AC;&#x2122;s have made upon the practice of plastic surgery in our region. About the Author Robert P. Granacher, Jr., MD, MBA practices clinical and forensic neuropsychiaty in Lexington KY. He is a noted scientific author and past president of the Kentucky Psychiatric Medical Association and the Lexington Medical Society and a member of the volunteer faculty as Clinical Professor of Psychiatry at the University of Kentucky College of Medicine.

Sherwood Moore (pictured, above) served as Professor of Radiology at Washington University from 1930 to 1949.

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