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Complimentary March 2013

Living the Good Life

Viewmont Surgery Center Your Outpatient Surgical Home for Value in Healthcare HICKORY LIVING • MARCH 2013

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from the publisher

Hickory

Welcome to the March issue. March is the month for new beginnings. The arrival of spring, my favorite time of year, signals a welcome change from the cold and gray days of winter. Daylight savings time starts on March 10th as we set our clocks ahead one hour. And this year, Easter comes at the end of March. Many folks will be out getting their grass fertilized and ready for the upcoming mowing season. Gardens will be turned and seeds planted. Beautiful flowers and trees will begin to show signs of coming to life. The abundant sights and sounds of the season are all around us to enjoy. And, of course, this is the time of year to do the proverbial “spring cleaning.” Whether it is cleaning out your closet to get rid of old clothes, getting the basement in order by throwing away items you no longer need, or washing and waxing the vehicles, there is a great feeling of accomplishment in doing these things. Most of us have an extra bounce in our step this time of year! Thank you for reading the March issue of Hickory Living Magazine!

LIVING Living the Good Life

March 2013

Mailing Address - 1670 E. Broad Street, Suite #195 Statesville, NC 28625 828-464-4060 E-mail - HickoryLiving@gmail.com CONTRIBUTING WRITERS Kristie Darling • Meredith Collins Kathy Wheeler • Cheryl Grant Karen Shore COVER PHOTOGRAPHY Shane Greene Photography COVER STORY Viewmont Surgery Center Editorial Stock photography, unless otherwise noted, is from ThinkStock.

Find Hickory Living Magazine on Facebook. http://twitter.com/HickoryLiving

Myron Gough Publisher, Hickory Living

W W W. H I C KO RY L I V I N G M AG A Z I N E . C O M

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Myron T. Gough Publisher/Owner

Kathy Wheeler Art Director/Sales

Karen Shore Sales

myronlivingmagazine@gmail.com (828) 464-4060

kathylivingmagazine@gmail.com (828) 238-3224

karenlivingmagazine@gmail.com (704) 425-3986

Bob Church Sales

Linda B. Wilson Sales

conradchurch@gmail.com (336) 686-7271

lindalivingmagazine@gmail.com (704) 657-0237

HICKORY LIVING • MARCH 2013

Hickory Living reserves the right to deny any advertisement or listing. Submissions are welcome, but unsolicited materials are not guaranteed to be returned. Hickory Living assumes no responsibility for information, products, services or statements made by advertisers or editorial contributors. All rights reserved. Reproduction in whole or in part without written permission from the publisher is prohibited.


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content

March 2013 8 • Spring Fever 12 • Viewmont Surgery Center Your Outpatient Surgical Home For Value In Healthcare 18 • Gastroenterology Associates, P.A. Expert, Compassionate Care 24 • Spring Cleaning 27 • The Power Of Listening Thank you for viewing our online version of Hickory Living Magazine. We invite you to read this month's cover story and browse through our advertisers. You can pick up the full version of the magazine at one of our many distribution locations. You will find a list on our website where you can get your free copy today!

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Spring Fever By Kathy Wheeler

Are you getting spring fever yet? According to the Almanac, spring starts on March 20th at 7:02 a.m. Early March is the perfect time to start planning your annual flower beds and potted gardens. It is still too early to plant annuals, but if you planted tulip bulbs and March flowers in the fall, you will be seeing those spring up in March and April. If not, don’t worry. It won’t be long before you can plant those beautiful annuals for that pop of color you have been longing for. When to plant can be somewhat of a guessing game, but wait until you are sure that we have experienced our last frost of the season before planting.

Planning your flower garden I love planning a flower garden almost as much as planting it. The best place to start is choosing a color scheme. I usually love pink, purple, yellow and a little white thrown in. Choose plants in varying heights and textures. All of your color doesn’t have to come from blooms. Consider foliage in various colors or variegated. By repeating the plants that you choose, and the colors throughout the garden, you can create a cohesive look. Layer the plants according to height, placing the smaller plants in front of the taller ones. Creating gardens in pots works much the same way as in your flower beds. After deciding on a color scheme, choose a tall plant for the center of the pot, a medium height, blooming plant to surround the taller one and a low growing vine to spill over the pot. Just make sure that your plant selection has similar water and sunlight needs. Use a container large enough to allow for growth to prevent the plants from crowding each other. Photos: Above, urns can be used to bring height to a garden. The one shown is filled with a pink geranium, red million bells and small, white trailing flowers.  A flower bed can be lined with low growing pink impatiens or petunias. The yellow Stella lilies add both color and height.  Left, the colorful foliage of Coleus, and ornamental cabbage, can add texture.

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Each time you purchase a plant, it comes with a small plastic tag that gives you the name of the plant and how much sun and water it requires. I like to keep these in a binder from year to year and make notes as to whether or not the plant did well in my garden. After a few years, you will have many favorites to choose from.

Lawn Care Just because you have a lawn, doesn’t mean you know how to take care of it. I’m a perfect example. It is always good to have a trusted source that you can rely upon to answer any questions that you may have. Bruce Hartsell at Killian’s Hardware has always given me great advice. You can tell from looking at my lawn that I haven’t always followed through with his advice, but

he is definitely a wealth of knowledge. He can answer just about any questions you have concerning lawn care, among other things. For example, last fall I had a yellow jackets nest under an evergreen tree. The bees were probably underground, but you couldn’t see the nest or get to it. There were holes in the side of the tree where the bees had been flying in and out. I asked Bruce about it and he stopped by one evening with a container of Sevin Dust. Apparently the treatment needs to be applied late in the evening when most of the yellow jackets are in the nest. He threw the Sevin Dust in the holes and my bee problem was solved! I would have never known to use Sevin Dust on yellow jackets.

However, if you apply crabgrass preventer, do not aerate or seed. The crabgrass preventer will keep the seed from germinating. This is also a good time to apply lime if needed. Bruce also advices not to cut grass too short. If you have tall fescue, 3.5 inches is the recommended height. Cutting grass too short makes your lawn susceptible to weeds and shallow root structure. This spring, I hope you enjoy your time outside digging in the dirt, preparing your flower beds and feeding your lawn. I can't wait to see all the colors!

Bruce says that it is still okay to fertilize fescue lawns or apply fertilizer with crabgrass preventer in early March.

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cover story

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Viewmont Surgery Center Your Outpatient Surgical Home for Value in Healthcare By Kristie Darling

Photos: Pictured from left to right– Back row: Dr. Mauldin, Dr. Harrill, Dr. Kirkland Front row: Dr. Cost, Dr. Seshul (Board Chairman), Dr. Sladicka (Board Vice Chairman) On the cover, from left to right–Back row: Dr. Sladicka, Dr. Seshul, Dr. Harrill Front row: Dr. Kirkland, Dr. Cost, Dr. Mauldin 12

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The cost of healthcare is a concern on everyone’s mind these days. It’s in the news, the subject of books, blogs and conversation. In fact, if you Google “healthcare costs” you will find over 75 million references on the Internet. Needless to say, we are all looking for the best affordable options in medical care. For the greater Unifour region and outlying communities, Viewmont Surgery Center is one healthcare provider that offers high quality, patient-focused surgical procedures in a very efficient and affordable manner. As a multi-specialty ASC (ambulatory surgical center) Viewmont Surgery Center is available to anyone who is a candidate for, and will benefit from, an outpatient surgical procedure. “On average, our services are 40% less than you will find at a hospital’s outpatient surgical department, based on data from the Centers for Medicare and Medicaid services,” explained Dr. Merritt Seshul, board certified otolaryngologist (ear, nose and throat physician) and current board chairman of Viewmont Surgery Center. “This cost savings can be critical to patients with large deductibles and high co-pays. We are the only multi-specialty ASC within approximately a 70-mile radius of Hickory, and we currently have 39 credentialed physicians working in five surgical specialties. Consistently, the physicians who offer outpatient surgery here tell us they do so because of our excellent patient care, convenience for patients and families, and significant cost savings.” When you break down the costs associated with surgeries–surgeons, anesthesiologists, plus facility costs, the highest will be the facility. At an ASC, compared to a hospital’s outpatient department, facility costs are substantially reduced. More and more surgeons are opting to perform their outpatient surgeries at an ambulatory surgical center like Viewmont. FIVE SURGERY SPECIALTIES The surgical specialties available at Viewmont Surgery Center are offered by dedicated surgeons from these Hickory practices: Unifour Pain Treatment Physicians, Carolina Orthopedic Specialists, OrthoCarolina, Carolina Ear, Nose & Throat, Head and Neck Surgery Center, Darab Richardson & Miller Oral Maxillofacial Surgery, Carolina Podiatry Center and Foot Health Center of Hickory. Within the scope of these specialties, outpatient procedures include: Pain Management: diagnostic and therapeutic injections including epidural steroid injections for back and neck pain, facet blocks targeting spinal arthritis, joint injections of inflammation reducing steroids; and advanced therapies such as implantation of spinal cord stimulators. Orthopedics: general orthopedic surgery; sports medicine; foot, ankle, shoulder, elbow and hand surgery; fracture surgery; and arthroscopic surgery.

Photos, top to bottom: • In the operating room Dr. Sladicka performing a shoulder arthroscopy with Renae Frey (front right) and Beth White (front left), surgical technologists; Crystal Klahn, RN; Dr. Schiebel, anesthesiologist • Dr. Sladicka talking to his patient before surgery in pre-op • Dr. Sladicka speaking to the family and patient about her procedure in the recovery room. Pictured: RNs Charmaine Bowman (left), Sharon Paap (right) HICKORY LIVING • MARCH 2013

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Otolaryngology: pediatric ear, nose, and throat surgery; sinus, nasal and ear surgery; surgery of the voice; thyroid disorders; head and neck cancer. Maxillofacial Dentistry: oral surgery; implants; maxillofacial surgery and wisdom teeth extractions. Podiatry: foot surgery and sports medicine of the foot. These specialists appreciate the advantages of an ASC for their patients– Viewmont’s reputation for excellent patient care, its central location, and amenities such as on-site parking, free Wi-Fi, Spanish language speaking staff, as well as fresh coffee, vending machines and short waits in the recently remodeled center. To ensure privacy, the center has seven recovery bays with room for families to sit with patients, as well as a private exit where families can pull up for the ride home. “Our physicians find the layout of our 7,500-square-foot center, with three surgical suites, permits better time efficiency than in a large hospital, allowing more time with patients,” Kathy Kelly, facility administrator, explained. “We’re seeing increased interest from the physician community about joining us.

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Doctors know the value of a patientcentered, dedicated support team– anesthetist, perioperative nurses, surgical technologists, anesthesiologists, administrative and office staff–and they find that here. Our staff provides attentive, personal care, and we all work hard to make patients comfortable and relaxed, especially children in our care.” Kathy also shares the benefits of Viewmont Surgery Center with regional employers. The cost savings of using an ASC like Viewmont is very attractive to companies and HR departments trying to manage healthcare costs for employees. Informed consumers often ask their doctors if their surgery can be performed at an ambulatory surgery center–well informed patients are driving the increased usage of ASCs. PROFESSIONAL MANAGEMENT TEAM Viewmont Surgery Center was developed in 2007 as a joint venture between Frye Regional Medical Center, Nueterra Healthcare and area physicians. Frye Regional understood that a privately owned, outpatient surgery center is a good addition for our community. The healthcare trend today is converting more hospital outpatient departments into ASCs.

Photos, above, left to right: • Carolina Orthopedic Specialists, PA: Dr. Kirkland, Dr. Sladicka. Not pictured: Dr. Brazinski, Dr. Daley, Dr. DePerczel, Dr. Keverline, Dr. Stanislaw • Carolina Ear, Nose & Throat, Head and Neck Surgery Center: Dr. Seshul, Dr. Harrill, Dr. Cost, Dr. Mauldin. Not pictured: Dr. Jarrett, Dr. Melon, Dr. Griesen • Dr. Seshul (Board Chairman), Dr. Harrill, Dr. Sladicka (Board Vice Chairman) Photos, below, left to right: • Anita Roper, RN, BBA group vice president • Kathy Kelly, RN, MSN, CNOR, facility administrator • Casey Starnes, materials manager • Joyce Weaver, business office manager • Janet Killian, RN, perioperative staff supervisor Photos by Shane Greene Photography


Photos, left to right: The staff of Viewmont Surgery Center: Back row–Wendy Bivens, Sandra Stanley, Sherri Horton, Melissa Cavallone, Joyce Weaver Second row–Michelle Starnes, Sharon Paap, Beth White, Karen Causby, Janelle Mitchell, Sue McDonald Front row–Cynthia Consing, Crystal Klahn, Nicole Mull, Renae Frey

Nueterra, a global healthcare management company, is the largest U.S. private-sector organization specializing in developing joint equity partnerships with health systems, governments, hospitals, and physicians. It is one of the leading managers of health systems, physician-owned surgical facilities, and community hospitals. Dr. Merritt Seshul is a founding physician at Viewmont Surgery Center. He practices otolaryngology at Carolina Ear, Nose & Throat, Head and Neck Surgery Center and has served as Viewmont’s board chairman for three years. “Since 2007, we have seen over 20,000 patients and no doubt have saved millions in healthcare costs in the Unifour area,” Dr. Seshul said. “We have patients who travel in from Charlotte, Lincolnton, Morganton–throughout the region–for excellent surgical care here, and report back that the travel was well worth it. We benefit from Nueterra’s management in many ways, especially by maintaining best practices and having an independent resource to support the medical care we provide.” Nueterra’s management team at Viewmont includes Anita Roper, RN, BBA, group vice president and Kathy Kelly,

RN, MSN, CNOR, facility administrator. Anita oversees and manages the regional ASCs affiliated with Nueterra. A Hickory native, she has over 20 years’ experience in healthcare administration and is pursuing an MBA at Appalachian State University. Kathy joined the team in January, and her responsibilities include developing, planning and organizing ongoing operations at Viewmont. She has a Master of Science degree in Nursing from Walden University. As director of nursing, Janet Killian, RN, supervises the perioperative staff. She specialized in Orthopedics and Anesthesia and is currently working on her Bachelor’s degree in Nursing. Completing the administrative staff are Casey Starnes, materials manager and Joyce Weaver, business office manager. Casey holds a Surgical Technologist degree from Catawba Valley Community College. He is responsible for ensuring that all supplies and equipment are on hand, including biologics (living tissues), which are critical in some surgeries. Joyce has Bachelors degrees in Computer Information Systems and Business from Lenoir Rhyne College. EXCEPTIONAL SURGICAL CARE The complete list of Viewmont Sur-

gery Center’s credentialed physicians and surgery team can be found at www.viewmontsurgerycenter.com. In addition, the website is a wealth of information about surgical procedures, preparing for surgery, pre- and postop instructions, surgery for children and special needs patients, and patient testimonials–my favorite, “…everyone made me feel that I was the only patient they had to take care of that day." Watch the photo tour on the website– you will find the facility warm and welcoming, modern and professional. When you are looking for a surgeon for your outpatient procedure, make sure to contact Viewmont Surgery Center. All your questions will be answered, and you will be better informed about your options. With a mission to “…be the provider of choice for our patients, physicians and employees,” Viewmont Surgery Center delivers the highest quality, compassionate, safe and efficient care to the communities it serves. You, too, will be well served at Viewmont Surgery Center. For More Information visit www.ViewmontSurgeryCenter.com or call 828.624.1272 HICKORY LIVING • MARCH 2013

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Photo, left: Gastroenterology Associates medical staff, left to right: Back row–Gaa Richardson, MD; Frank Wright, MD, FACG; Susan Nikrooz, MD; Simon Allport, MD; Gregory Diamonti, MD. Front row–John Meier, MD, FACG and Caroll Koscheski, MD, FACG.

Gastroenterology Associates, P.A. Expert, Compassionate Care Article by Meredith Collins | Photos by Shane Greene

Gastroenterology Associates, P.A. was formed in 1996 with two physicians and three employees. Since then, it has grown to a seven-physician practice with more than 50 full and part-time healthcare professionals. With clinics in Hickory and Lincolnton, they provide gastroenterology and hepatology services to patients well beyond the Unifour area. Dr. Caroll Koscheski and Dr. John Meier have watched the practice grow during the last 17 years. “The growth of our practice can be attributed to the commitment of our staff and physicians to quality care,” said Dr. Koscheski. All physicians are board-certified in gastroenterology. They provide advanced evaluation of diseases of the esophagus, stomach, small intestine, colon, pancreas, biliary system (gallbladder and 18

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bile ducts) and liver. The physicians are GI specialists who are fellowship-trained experts in endoscopy, the examination of the intestines with a scope or light. The entire group adheres to very strict performance standards for this exam and consistently performs among the top groups both regionally and nationally. The latest benchmarking study by NCAEC revealed Gastroenterology Associates had the highest adenoma detection rate among 32 regional practices. “It’s very important to us to be recognized as a regional leader for benchmarks set within our specialty,” said Dr. John Meier. “Quality assurance is something we monitor regularly, and we are extremely proud of our record. We are dedicated to the delivery of high quality care with each patient and with every procedure.”

The physicians of Gastroenterology Associates are affiliated with Catawba Valley Medical Center, Frye Regional Medical Center and Carolinas Medical Center – Lincoln where they perform endoscopy procedures. While affiliated with these hospitals, the physicians also perform procedures in the state-of-the-art endoscopy facility in their Hickory office. Their endoscopy facility allows patients to receive outpatient care as well as endoscopy services in a safe, comfortable, and relaxed atmosphere. The endoscopy facility has been recognized for outstanding quality measures by the American Society for Gastrointestinal Endoscopy (ASGE) and is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). It is licensed by Medicare and the State of


North Carolina. Patients appreciate the comfortable atmosphere, the friendly staff, and the significant cost savings associated with procedures performed at the in-office facility. The physicians of Gastroenterology Associates are experts in colon cancer diagnosis and prevention. They have successfully performed tens of thousands of examinations. It makes a difference. Colon cancer is the number three cause of cancer death in the United States, and interestingly, it is also the most preventable cancer. Colorectal cancer screenings should be a part of routine healthcare

for people 50 years of age and over. Scheduling a screening colonoscopy is simple; the procedure is well tolerated, and it could save your life. There is no office or doctor referral necessary. To schedule a screening colonoscopy, or to learn more about how Gastroenterology Associates can help you, contact them today! www.gastro-associates.net 828.328.3300 415 North Center Street, Suite 300 Hickory, NC 28601 1470 East Gaston Street, Suite 600 Lincolnton, NC 28092

Photos, above, left to right: • Dr. Frank Wright and Dr. Susan Nikrooz discuss patient care in the state-of-the-art endoscopy facility. • Terry Thomas, RN, CGRN, clinical manager (left) assists Dr. Wright during a colonoscopy procedure for colon cancer screening. • Terry Thomas, RN, CGRN, clinical manager loads an endoscope into the EVOTECH endoscope cleaner and reprocessor, a fully automated unit that offers an extra measure of safety and control for each patient.

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Spring Cleaning By Cheryl Grant

another; pants, suits and dresses will be hung; and cardigans folded and placed in a drawer. Socks will go in one basket, scarves in another and swim suits in yet another. Belts will be hung on a nail inside my closet and purses line several shelves. Of course you always need new clothes. Make a list of items you need, but beware of impulse buying sale items. If you have nothing to wear with it, then the item will not be worth the money or the space it fills. Craft organizers for beads make great containers to store jewelry in. The multiple, small compartments are perfect for keeping earrings, bracelets and rings separated. Small, zip lock bags can be bought at craft stores to further help organize and protect your jewelry. If you have jewelry that is outdated and you no longer wear, consider selling it for scrap gold or silver. Go through your makeup, bath products and lotions. If they are old and you haven’t used them in a while, get rid of them. Makeup is notorious for harboring bacteria and some items get stale.

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hen I start thinking about spring cleaning and clearing the clutter, I start wanting to buy baskets to put things in. However, I don’t necessarily need more storage items as much as I need to get rid of about half of what I own and don’t use. So I think this year I am going to start with what I have the most of, and see if I can pair down and donate items, instead of buying more storage items. 24

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Clothes seem to take up the most real estate in my home. It is time to store boots in boxes and heavy sweaters in bags, and get out the sandals and t-shirts. Clothes that have reached their lifespan will be tossed, those that are still in great shape, but do not fit or I haven’t worn, will be donated. The rest will be organized into business attire and casual categories. Jeans and t-shirts go on one shelf; exercise clothes on

Once you have tackled your personal items, move to the family areas like the kitchen and dining room. Maybe you have china that you received as a wedding gift and never used, or perhaps you didn’t complete the set. Ebay is a perfect place to sell it or buy extra pieces. Chances are the pattern is discontinued and you can get a good price if you sell it by the piece. Get rid of odd lids and items that you don’t need and replace with items that you do need. Recently, I cleaned out all of the plastic containers in my cabinets and bought glass storage containers that stack instead. Plastic is cheap, but you can wind up with much more than you need.


Cleaning Tips Decluttering is just part of spring cleaning. The rest of it is cleaning! Baking soda, distilled white vinegar, rubbing alcohol, club soda and lemon juice are all excellent cleaning products. For windows, mix 1 part distilled white vinegar with 3 parts warm water–you can also add a little rubbing alcohol or lemon juice if they have buildup on them. Scrunched up newspaper, with black ink only, can be used instead of paper towels or a clean blackboard eraser.

Instead of using the Swiffer WetJet spray mop, which uses disposable pads, requires batteries and cleaner refills, consider buying a Rubbermaid Reveal spray mop (less than $30). No batteries are required. You can fill the bottle with your own cleaner or just water, and the reusable microfiber pad can be cleaned in the washing machine. Rubbermaid has updated their spray mop for this spring to include a nonscratch scrubber on top of the mop. To make your own floor cleaner, mix ¼ cup of white distilled vinegar with a gallon of water for hardwood floors, ½ cup per gallon of water for tile, and one cup per gallon of water for vinyl floors. Carpets can be deodorized by sprinkling baking soda on them using a sifter. Let stand for at least one hour before vacuuming. Club soda can be used on most stains and blotted away. Check carpets for color fastness before

cleaning stains. Open boxes of baking soda are also good deodorizers for closets and refrigerators. When cleaning base boards, remove dust and dirt with a stiff broom first, then clean with a damp cloth. Mr. Clean Magic Erasers are great for cleaning painted walls, doors and trim work. They also work well when cleaning buildup in the tub. Denture cleaning tablets can remove stains from the bowl. When the fizzing stops, brush the stain and flush. Lemon juice and baking soda can be mixed for a paste to clean stain from sinks. The lemon acts as a bleach and the baking soda works as a mild abrasive. With these easy solutions, you can save money, improve the environment and keep toxic cleaners out of your home.

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The Power of

Listening

By Karen Shore

Business Consultant with Dale Carnegie Training of Western North Carolina

Listen. Everyone needs to feel like you value what they have to say. By listening, you can raise morale and energize your workforce. Customers much prefer to feel that they are buying of their own accord or acting on their own ideas. With family and friends, try honestly to see things from the other person’s point of view. We all like to be consulted about our wishes, our wants, and our thoughts. One of the most important aspects of a true relationship is to think in terms of the other person’s angle, as well as your own. Honestly try to put yourself in their place, and the only way to know how to do that is to listen to what is important to them. Most people are starving for sympathy and attention to their misfortunes, so be sympathetic with their ideas and desires. To be a good conversationalist, be an attentive listener. Dale Carnegie

says, “to be interesting, be interested. Ask questions that others will enjoy answering. Encourage them to talk about themselves and their accomplishments.”

Here are a few tips on how to become an active listener: Look at the other person. Eye contact is very important. It allows the other person to know that you are listening and have an interest in what they have to say.

Ask questions. By asking questions, you can better understand what the person is saying, and you are also engaging them.

Don’t change the subject. You should not be the one leading the conversation. Listen and let the other person lead. Allow the person to stay on the topic.

Express emotion with control. Emotion is a form of nonverbal feedback. A smile or a frown lets the person know that you understand what they are saying.

Action. If a question or concern is left unanswered, show that you will follow up, take action, and return back to them with a response. At all times, show respect for the other person’s opinions even if they differ from your thoughts. Don’t argue with your customers or your spouse or your fellow employees. Our success in building stronger relationships is related directly to how well we ask questions and listen to understand the answers. As we get more information about a person’s needs and desires, we increase the power to develop trust and increased understanding in any situation. HICKORY LIVING • MARCH 2013

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Hickory Living Magazine March 2013  

Welcome to the online version of Hickory Living Magazine. We invite you to read March’s cover story and visit our advertisers. For recipes a...

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