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How to Navigate SEASONAL ILLNESSES Managing the Roller Coaster of MENOPAUSE

Three-peat! Three Consecutive Years as One of the Nation's Top 100 Hospitals

The magazine from FirstHealth of the Carolinas

FirstHealth.org

CEO MESSAGE

Celebrating Three Consecutive Years of Achievements in Health Care Excellence At the time of this writing, FirstHealth Moore Regional Hospital, including our Richmond and Hoke campuses, has just been recognized as one of the nation’s 100 Top Hospitals® by PINC AI™ and reported by Fortune. Moore Regional is the only hospital in North Carolina to earn this prestigious designation as one of the best hospitals in the United States. Furthermore, it’s the first time in FirstHealth’s history that Moore Regional has earned this distinction for three consecutive years, which also marks the eighth year overall. The criteria for this award encompassed clinical expertise, financial stewardship, operational efficiency and, most importantly, the quality of our patients’ experiences. This year, based on comparisons between the study winners and a peer group of similar hospitals that were not winners, the analysis found that the winners of the 100 Top Hospitals® program delivered better outcomes while operating more efficiently and at a lower cost. Compared to non-winning hospitals, this year’s winners had: • 31% fewer deaths • 9% fewer patients with complications • 39% fewer health care-associated infections (HAIs) • Nearly 20% lower inpatient expenses per discharge • 0.5-day shorter average length of stay • Better reported patient experience scores

Our journey toward this recognition has been a collective effort. Every member of the FirstHealth family, from the dedicated providers and staff to our devoted volunteers, has played a pivotal role in this achievement. It's their exceptional skill, compassion and teamwork that have kept FirstHealth at the forefront of health care and among the nation’s best. But the credit for this success doesn't solely belong to us. It belongs to the communities and patients who have entrusted us with their care. We understand the profound responsibility that comes with providing health care, and we are humbled and deeply proud to serve you. As we celebrate this recognition, we are reminded of our core purpose To Care for People, and our commitment to continue to set the standard for what it means to be a top health care provider. Once again, thank you to our outstanding health care team and the communities and patients we serve. Your trust inspires us to be the best of the best. Sincerely,

Mickey W. Foster, MHA Chief Executive Officer FirstHealth of the Carolinas

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TABLE OF CONTENTS 155 Memorial Drive P.O. Box 3000 Pinehurst, NC 28374 FirstHealth.org

BOARD OF DIRECTORS FIRSTHEALTH OF THE CAROLINAS

What’s Happening at FirstHealth

Southern Pines Woman Is First to 'Ring the Bell' in New FirstHealth Cancer Center

ASK THE EXPERTS: Getting Back to Everyday Life, Lung-Sparing Surgery, Care and Comfort at FirstHealth Hospice

Gary VonCannon, Chair Cindy Goodman, Ed.D., Vice Chair and Treasurer David Wood, Corporate Secretary Sherwood Blackwood, Immediate Past Chair Ray Allen Mickey W. Foster, MHA David Grantham, M.D. Ben Jones Susan Keller Brian McMurray

Arthur P. Medeiros Kamron D. Monroe, DDS James Obi Tom Pashley Sushma Patel, M.D. Elizabeth Webster

CORPORATE OFFICERS Chief Executive Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Mickey W. Foster, MHA President, FirstHealth Physician Group . . . . . . . . . . . . . . Daniel R. Barnes, D.O. Chief Information Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Chris Beasley, MBA President, Eastern Region . . . . . . . . . . . . . . . . . . . . . . . . . . . Susan K. Beaty, R.N. Chief Medical Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Jenifir Bruno, M.D. President, FirstHealth Montgomery Memorial Hospital and Western Region . . . . . . . . . . . . . . . . . . . . . . . .Rebecca Carter, R.N. Chief Financial Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Jeffrey A. Casey Chief Operating Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Jonathan Davis, MPH, FACHE

10 Managing the Roller Coaster of Menopause 12 Podcast Round-Up 13 The Healing Powers of Yoga 14 How to Navigate Seasonal Illnesses 16 FirstFutures: Growing our Own – FirstHealth CNA Academy 18 3 Top Tips for a Heart-Healthy (and Tasty!) Thanksgiving 19 FirstHealth in the Community 20 Meet Our New Providers 22 KUDOS: Appreciating All That FirstHealth Hospice Provides

Vice President, Finance FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Chris Fraley, CPA Chief Strategy and Innovation Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Amy Graham, MHA Chief Diversity Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Sharon Harrell, DDS, MPH, FAGD President, Southern Region . . . . . . . . . . . . . . . . . . . . . . . . . .Christy Land, R.N. Chief Nursing Officer FirstHealth Moore Regional Hospital . . . . . . . . . . . . . . . . .Jacklynn Lesniak, DNP, R.N. Chief Quality Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Cindy McNeill-McDonald, R.N. Vice President, Operations FirstHealth Moore Regional Hospital . . . . . . . . . . . . . . . . . Matthew Prestwood, MHA President, The Foundation of FirstHealth . . . . . . . . . . . . Kathleen Stockham Chief People Officer FirstHealth of the Carolinas . . . . . . . . . . . . . . . . . . . . . . . . . .Berni Szczepanski, MBA FirstHealth of the Carolinas, a not-for-profit health system, is headquartered in Pinehurst, North Carolina, and comprises Moore Regional Hospital, Montgomery Memorial Hospital, Moore Regional Hospital – Richmond, Moore Regional Hospital – Hoke, The Foundation of FirstHealth and the FirstHealth Physician Group. Comments on the FirstHealth magazine or changes of address should be directed to (800) 213-3284 or Marketing@FirstHealth.org.

FirstHealth is published by the Communications Department. Contributing writers: Maggie Bonecutter and Tyler Scott For more information on any of the programs or services offered by FirstHealth of the Carolinas, please call (800) 213-3284 or visit FirstHealth.org.

© Copyright 2023 FirstHealth of the Carolinas, Inc. No part of this publication may be reproduced or transmitted in any form or by any means without written permission from FirstHealth of the Carolinas, Inc. Articles in this publication are written by professional journalists who strive to present reliable, up-todate health information. However, personal decisions regarding health, finance, exercise and other matters should be made only after consultation with the reader’s physician or professional adviser. All editorial rights reserved. Opinions expressed herein are not necessarily those of FirstHealth of the Carolinas. Models are used for illustrative purposes only. Developed by Krames, a WebMD Ignite solution

7 13 www.firsthealth.org @FirstHealthoftheCarolinas @FirstHealthoftheCarolinas @FirstHealth (800) 213-3284 • FirstHealth.org

What’s Happening at Moore Regional Ranked a Top Hospital

s d r a w A Community CARING IN THE

R ou n

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FirstHealth Moore Regional Hospital, including the Hoke and Richmond campuses, has again been recognized as one of the top hospitals in North Carolina by U.S. News & World Report. Moore Regional is ranked No. 5 in the annual Best Hospitals recognition and also received high-performing ratings for back surgery; chronic obstructive pulmonary disease (COPD); colon cancer surgery; diabetes; heart attack; heart bypass surgery; heart failure; hip and knee replacement; kidney failure; leukemia, lymphoma and myeloma; maternity care; prostate cancer surgery; and stroke. The annual Best Hospitals rankings and ratings, now in their 34th year, are designed to assist patients and their providers in making informed decisions about where to receive care for challenging health conditions or for common elective procedures.

Epic

FirstHealth’s CARE Suite was awarded the North Carolina Healthcare Association’s Healthier Communities Award on July 19, 2023, at NCHA’s Summer Membership Meeting. This award recognizes collaborative work by an NCHA member institution to promote health and well-being by addressing an identified need. Accepting the award were FirstHealth Chief Medical Officer Jenifir Bruno, M.D., CEO Mickey Foster and CARE Suite Director Amy Hamilton-Forester. The CARE Suite is an innovative FirstHealth program that identifies and eliminates barriers to improving the health and well-being of patients and the community. Through collaboration with health care partners and community resources, the program can assist with transportation, housing, utilities, food support, finances and more.

DISTINCTION

FirstHealth has earned Epic Gold Stars Level 9, which recognizes consistent and innovative organizational application of Epic features. Only a small number of organizations achieve Level 9 distinction, placing FirstHealth in a select group of top performers.

FirstHealth Hospice

Earns Top Rating FirstHealth Hospice received a 5-star rating from the Centers for Medicare & Medicaid Services in its 2023 Consumer Assessment of Healthcare Providers and Systems Hospice Survey. The survey measured a variety of categories to provide hospice programs a star ranking from 1 to 5, with 5 being the highest possible score. Only 11% of all hospices across the United States, and 24% of hospices in North Carolina, received a 5-star rating in the last reporting period. Congratulations to the FirstHealth Hospice team, and thank you for your continuous compassion and tireless dedication to all you serve.

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High-Quality Stroke Treatment Moore Regional, MRH-Hoke and Montgomery Memorial have achieved recognition from the American Heart Association and American Stroke Association, earning 2023 Get With The Guidelines® – Stroke awards. Quality achievement awards are given to hospitals that are committed to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, which ultimately leads to more lives saved and reduced disability.

FirstHealth FIRSTHEALTH'S CHEST CENTER

GREAT 100

NURSES The North Carolina Great 100 exists to recognize registered nurses in North Carolina for their commitment to excellence and to promote a positive image of the nursing profession. Among the thousands of nominations from across the state, just 100 nurses who exemplify excellence in the profession are selected. FirstHealth nurses Jason Grooms, BSN, R.N., and Emily Harder, MSN, R.N., TNCC, were recognized for their remarkable achievements as 2023 North Carolina Great 100 Nurses.

TAKES PART IN CLINICAL STUDY DESIGNED TO IMPROVE LUNG CANCER TREATMENT

The care team at the Chest Center of the Carolinas, led by Pinehurst Medical Clinic pulmonologist Michael Pritchett, D.O., recently treated the very first patient in the United States in the AFFINITY clinical study. The trial is designed to demonstrate the safety and technical success of the Aliya™ Pulsed Electric Field (PEF) System in treating patients with certain types of lung cancer. Pritchett called the procedure a “glimpse into the future” of patient care. “It’s exciting to be able to diagnose and treat in a single procedure, but we have the added prospect of creating a systemic response in a patient with metastatic disease, which is a game changer,” he said. “Best of all, the patient went home the same day with a recovery equivalent to a biopsy alone.”

ANNIVERSARY CELEBRATIONS 10th

25th

30th

Anniversary of MRH-Hoke Campus

Anniversary of Dental Care

Anniversary of Stent Procedure

FirstHealth MRH-Hoke Campus opened its doors to patients on October 7, 2013, as the first hospital in Hoke County. The opening was a historic event for a county long acknowledged as one of the largest in the state without its own hospital.

On October 18, 2023, FirstHealth celebrated the 25th anniversary of FirstHealth Dental Care.

On August 13, 2023, FirstHealth of the Carolinas celebrated the 30th anniversary of the region’s first coronary artery stent procedure. FirstHealth interventional cardiologist Scott Denardo, M.D., performed that procedure, which helped launch FirstHealth’s reputation as a state and national health care leader in cardiovascular services.

Since that opening, the hospital has seen tremendous growth in volumes and recently completed an expansion that included additional emergency rooms and the opening of a second operating room.

Since 1998, FirstHealth Dental Care has provided services to more than 30,000 underserved children in Moore and Montgomery counties. The dental program for kids and young adults averages almost 1,000 visits a month across four centers and accepts 50 new patients per month. About 70% of the children seen during the program’s first year of operation had either never seen a dentist at all or hadn’t been to the dentist in more than a year. Sharon Nicholson Harrell, DDS, MPH, FAGD, FICD, FADI, CDE, was the inaugural director of dental care and still serves in that role.

(800) 213-3284 • FirstHealth.org

What’s Happening at FirstHealth

continued from page 5

A SITE TO SEE! On August 16, 2023, FirstHealth of the Carolinas launched its new website. FirstHealth.org has a fresh look and is full of new features to provide easier access to information about FirstHealth.

FirstHealth Now Offers Multi-Cancer Early Detection Blood Test FirstHealth is the first health system in North Carolina to offer the Galleri® MCED test to those at an elevated risk for cancer, including those ages 50 and older, as part of its comprehensive cancer screening and care. The testing initially began with FirstHealth Concierge Medicine and is now being offered at several primary care locations. FirstHealth Occupational Health & Wellness is also offering the test to many of its businesses and local municipalities. In a clinical study, the Galleri test demonstrated the ability to detect a shared cancer signal across more than 50 types of cancer. When a cancer signal is detected, Galleri can determine the origin of the cancer signal with high accuracy, enabling clinicians to focus their diagnostic evaluation. The Galleri test is intended to be used in addition to other cancer screening tests, not as a replacement. It requires only a simple blood draw from those patients eligible for the screening. The test is currently not covered by insurance. Visit FirstHealth.org/Galleri to learn more.

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Southern Pines Woman Is First to ‘Ring the Bell’ in New FirstHealth Cancer Center

“R

inging the bell” is a picture-taking, social-media-posting event for most cancer patients. Family, friends and medical staff cheer as they make a joyful, clanging noise, signaling the end of their chemotherapy treatment. For Southern Pines resident and breast cancer survivor Christina Sullivan, her April 2023 celebration was particularly notable. She was the first patient to ring the bell in FirstHealth of the Carolinas’ new $68 million comprehensive outpatient cancer center. The FirstHealth Cancer Center opened on March 27, 2023. Under one roof, patients can receive stateof-the-art outpatient care, from chemotherapy and radiation to palliative care, support services and even yoga. Natural light, calming decor and friendly faces occupy each of the center’s four floors. Christina’s Story “I get happy when I walk in the cancer center door; it’s so fun,” Christina laughed, a little surprised at herself. “Everyone there – from the receptionist to volunteers to nurses and doctors – is so nice and easy to talk with. I can’t imagine not knowing the people I met there.” At 31, Christina is young to have breast cancer. However, breast cancer can develop sooner for women with an inherited gene mutation – like Christina has.

Her mother, a two-time breast cancer survivor, had the BRCA1 gene mutation. Christina underwent genetic testing at age 26 and learned she also had the gene mutation, increasing her likelihood of developing the disease. When a lump developed in her armpit in December 2021, Christina consulted with physicians. Her diagnosis: early-stage breast cancer. Christina’s friends connected her with Saritha Ravella, M.D., a FirstHealth and Pinehurst Medical Clinic medical oncologist and hematologist. “Dr. Ravella was easy to talk with and welcomed my questions,” Christina said. “Developing a personal connection with doctors is important to me, and I found that with all of my doctors at FirstHealth.” Christina and her husband Brett also met Lynn Lanier, MSN, R.N., ONN-CG, breast cancer nurse navigator. Among their many functions, nurse navigators coordinate treatments, connect patients to helpful resources and serve as sounding boards.

“One of the things about every doctor’s appointment, but especially one with a cancer diagnosis, is that it’s hard to process what you just learned,” Christina reflected. “Having Lynn there was the first thing that made me think, FirstHealth is where we’re supposed to be.” Today, Christina’s cancer-free. However, her health care journey isn’t over. Christina’s cancer type carries an increased risk for ovarian cancer, so she returns to the cancer center regularly to meet with FirstHealth Gynecologic Oncologist Michael Sundborg, M.D. Other FirstHealth professionals help with family planning discussions. She’ll also take oral medication for five years to prevent cancer recurrence. Comprehensive Cancer Care The new center’s expansive size gives Christina and other patients in the Sandhills access to next-level cancer services usually available only at large academic medical centers. Learn more about the FirstHealth Cancer Center at FirstHealth.org/Cancer.

(800) 213-3284 • FirstHealth.org

Ask the Experts David Botnick, DPT, MHA, CPHQ

Getting Back to Everyday Life FirstHealth offers a new program for patients through its Inpatient Rehabilitation program. David Botnick, DPT, MHA, CPHQ, tells us about physical medicine and rehabilitation (PM&R) services, which offer specialized care for patients who have temporary or permanent loss of function and independence.

Q. Why should patients seek out PM&R? A. PM&R aids patients

in recovery after acute medical events, such as stroke, limb loss, brain injury or neurological disease. A PM&R physician will thoroughly assess your condition, needs and expectations and rule out any serious medical illnesses. A clear understanding of your condition and limitations will help you and your PM&R physician develop a treatment plan suited to your unique needs.

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Q. What is the role of a doctor as opposed to a physical therapist during inpatient rehabilitation? A. PM&R providers are

medical doctors who have gone through medical school and completed training in the specialty field of physical medicine and rehabilitation. They diagnose illnesses, design treatment protocols and can prescribe medications. In coordination with therapists, they may design exercise programs tailored to patients’ needs and prescribe treatment regimens that are utilized by therapists. PM&R providers Joel Pieper, M.D., and Michael Gwinn, M.D., work with each individual to help them regain functionality in everyday life and find their new normal. Both doctors are board certified in physical medicine and rehabilitation and electrodiagnostic medicine.

Q. How does partnering with other medical services make PM&R an easier plan for patient recovery? A. Recovery after a major

medical event is confusing and difficult to navigate, especially while focusing on healing. PM&R partners with other specialists to coordinate care between various services, from orthopaedics and urology to lab services and home care. This comprehensive approach preserves quality of life and helps effectively manage co-existing conditions. Our providers will help navigate through the web of care so that nothing falls through the cracks. The primary goal of PM&R is to achieve maximal restoration of physical, psychosocial and vocational functioning through a comprehensive multidisciplinary team approach.

Peter Ellman, M.D.

Lung-Sparing Surgery New research is changing the way surgeons approach lung cancer treatment. Peter Ellman, M.D., cardiovascular and thoracic surgeon at FirstHealth Reid Heart Center, explains a procedure called a segmentectomy.

Q. Can you describe a segmentectomy? A. Segmentectomy is a surgical procedure that removes diseased lung tissue while leaving as much healthy tissue as possible. If you have a small tumor in one of the segments of your lung, you might be a candidate for a segmentectomy instead of a lobectomy, which removes an entire lobe from the affected lung. Recent data tells us that a segmentectomy can be as good as a lobectomy.

Q. Who is a candidate for segmentectomy? A. We are talking about

patients who have a small lung cancer, usually in the 1to 2-centimeter range, caught

early. It may have been found incidentally or during a screening CT scan of the chest, which is done for people who have a history of smoking. If you have a history of smoking, talk to your primary care provider about getting a screening CT scan. It's low dose and no contrast and it can find lung cancers early, when they’re easier to treat.

Q. What is the recovery like for a segmentectomy? A. For the robotic

lobectomy and the robotic segmentectomy, short-term recovery is not significantly different. However, in the long term, removing less lung tissue will preserve lung function. So, patients may notice a difference compared to how they would've felt with the full lobectomy. This is especially true for those who already had limited lung function due to smoking; they may have a little bit more wind and a little bit more stamina. If you’re age 50 or older and you smoke or have smoked in the past, you may be a candidate for a low-dose CT lung cancer screening. Talk with your primary care provider to determine your eligibility. Download a referral form to share with your provider at FirstHealth.org/Referral.

through these challenging transitions. Grief counseling and resources are available to anyone in the community. Tina Gibbs, MSW, LCSW

Care and Comfort at FirstHealth Hospice Tina Gibbs, MSW, LCSW, discussses the variety of resources available for patients and familes to help relieve suffering and maintain quality of life.

Q. What services does FirstHealth Hospice offer? A. FirstHealth Hospice

provides care for patients with a general life expectancy of six months or less. We offer at-home care for patients, as well as admission to the FirstHealth Hospice House for individuals who need more acute medical care than can be provided at home. We also provide end-of-life education and resources, including our annual advance directives event and an interfaith chapel with spiritual chaplains. In addition to caring for the patient, we support patients’ families and loved ones

Q. What makes FirstHealth Hospice unique? A. We have a

comprehensive team ranging from hospice physicians and nurses to medical social workers, hospice aides, dietitians, volunteers and bereavement counselors, all dedicated to providing excellent patient care. Additionally, FirstHealth Hospice is a not-for-profit hospice, which means we can focus more resources on serving the community and reinvest proceeds to further enhance patient and family care. A National Partnership for Healthcare and Hospice Innovation study found that not-for-profit hospices provide patients with 10% more nursing visits, 35% more social work visits and twice as many

To find a provider closest to you, call (800) 213-3284 or visit FirstHealth.org/Directory.

therapy visits versus for-profit hospices. Nonprofit hospices were also found to admit more critically ill patients immediately after a hospital stay.

Q. What is the difference between hospice and palliative care? A. While hospice is

only available to people with a prognosis of less than six months who are no longer seeking life-prolonging medical therapies, palliative care is available at any stage of a progressive illness. Both hospice and palliative care work to address the medical, emotional, social and spiritual needs of the patient and family. To learn more about FirstHealth Hospice, call (910) 715-6000 or visit FirstHealth.org/ Hospice.

(800) 213-3284 • FirstHealth.org

MANAGING THE ROLLER COASTER OF

Menopause

o, it’s not all in your head. Menopause and its various symptoms can present disruptive symptoms for women in their 40s and 50s. The decline of estrogen and the fluctuation of other reproductive hormones in the body can cause myriad physical and emotional changes, including hot

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flashes, fatigue, mood changes and sleep disturbances. These symptoms last anywhere from two to eight years and can impact day-to-day function. Menopause costs women an estimated $1.8 billion in lost working time per year, according to a Mayo Clinic study.

While virtually all women experience menopause, 73% of women weren’t actively treating their symptoms, a 2021 State of Menopause study found. And one-third of the women surveyed had never researched or sought out information regarding menopause before they experienced it.

Recognizing the Signs Lower estrogen levels contribute to a variety of menopause symptoms, including: • Hot flashes and night sweats • Mood swings and anxiety • Insomnia • Difficulty concentrating • Thinning tissue and increased bladder infections • Increased risk for osteoporosis and heart disease • Bloating and digestive problems • Dizziness • Breast heaviness and soreness • Electric shocks • Weight gain Pamela Kantorowski, M.D., an OB/ GYN at Southern Pines Women’s Health Center, a FirstHealth clinic, said that, while you cannot reverse the body’s natural changes, there are ways to help manage symptoms. “Typically, when I have a patient come in and talk to me about menopause, I run through the different hormonal and nonhormonal options, dietary changes, as well as some over-thecounter supplements – St.-John’swort is one,” said Dr. Kantorowski. “It’s a balance between what the symptoms are and what medication or treatment is best. Some herbal and over-the-counter remedies can also pose risks. It’s very important to discuss your options with your physician before using them.” Medications to Manage Symptoms Hormone replacement therapy (HRT) is a popular option to treat common symptoms such as hot flashes and

Pamela Kantorowski, M.D.

vaginal discomfort. HRT focuses on replacing the estrogen in your body and can also help prevent bone loss and risk of bone fracture, associated with low estrogen. Hormone therapy is available in pill, patch, ring, gel or spray form. Dr. Kantorowski said more research is supporting the use of HRT to protect women against heart disease, the No. 1 cause of death in both men and women. She said being educated and making a decision about HRT early on in the process is important. “We now have more information from the American Heart Association that if women start HRT within three to five years of the onset of menopause, they can provide themselves with some cardiovascular protection. After the body has experienced the lack of estrogen, and the elevated cholesterol effects, if you add estrogen back later it can actually cause harm rather than help.” Nonhormonal medications, such as selective serotonin receptor inhibitors (SSRIs), also known as antidepressants, have been shown to reduce the frequency and severity of hot flashes and improve low mood. Lifestyle Tips The foundations of a healthy lifestyle – eating a well-rounded diet and exercising regularly – are also beneficial in managing physical and emotional changes. Strength training can help maintain bone density and reduce the risk for osteoporosis. A nourishing diet will help you maintain a healthy weight and ease mood swings. Choose plenty of:

To learn more about OB/GYN services at FirstHealth, visit FirstHealth.org/OBGYN.

• Veggies, fruits, beans and whole grains • Lean proteins, such as fish, chicken, turkey, tofu, eggs and low-fat dairy • Healthy fats, such as avocado, olive oil, nuts, seeds and fatty fish A healthy and sustainable lifestyle also improves your mood and lowers stress. Additional lifestyle changes to improve menopause include: • Practicing self-calming skills, such as yoga or meditation • Avoiding hot flash triggers, such as alcohol and caffeine • Trying alternative therapies, like acupuncture • Keeping yourself cool by dressing in layers and using a portable fan Educating yourself on the process and working with a health care provider are beneficial ways to prepare for menopause and make the transition easier. “The main thing for me when I talk to my patients is individualization, because no one comes into menopause with the same symptoms. About 10% of women never have hot flashes, 10% never get rid of them and there’s everybody in between. Everybody needs to have that conversation with their physician so they can go through the transition in the best way for them.”

“

IT’S A BALANCE BETWEEN WHAT THE SYMPTOMS ARE AND WHAT MEDICATION OR TREATMENT IS BEST, BECAUSE NOT EVERYONE HAS THE SAME SYMPTOMS.” (800) 213-3284 • FirstHealth.org

Podcast Round-Up FirstHealth of the Carolinas is committed to providing exceptional care to people throughout the Sandhills and beyond. The FirstHealth & Wellness Podcast is designed to connect you to the people and medical services that can make your life healthier.

LEARN MORE ABOUT THESE TOPICS: » Cardiac Rehab 101: Here's What to Do After a Heart Event – Melissa Stewart, R.N., CCRP » Tips for Your First Mammogram (and All the Others After That) – Tina LaForge, RT (R)(M) » Genetic Counseling 101: Know the Facts to Help Your Family – Harleigh Quick, MMSc » Treating Addiction and More: Meet FirstHealth’s Behavioral Services Team – Jason Jerry, M.D.

» Segmentectomy: How Research Changed the Way Surgeons Treat Lung Cancer – Peter Ellman, M.D., FACS » Structural Cardiology: What Is It and How Has Tech Changed the Game? – Sun Moon Kim, M.D., FACP, FACC » When Should I Get Checked? Making Sense of Breast Screening Guidelines – Laura Hanson, M.D.

You can subscribe to the FirstHealth & Wellness Podcast on Apple Podcasts, Spotify or wherever you get your podcasts, as well as listen at FirstHealth.org. 12

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Yoga

THE HEALING POWERS OF

oga has been shown to improve sleep quality and fatigue in cancer patients and survivors, a clinical trial conducted through the University of Rochester found. FirstHealth of the Carolinas participated in the original study to help patients with insomnia and cancer-related fatigue through Yoga for Cancer Survivors (YOCAS). Cinnamon LeBlanc, an exercise specialist and certified YOCAS instructor, led the yoga portion of the study at FirstHealth as part of the greater University of Rochester trial. LeBlanc held two 75-minute YOCAS sessions twice a week for four weeks. Each yoga posture in the program had a corresponding adaptive pose for individuals with a more limited range of motion. “Being in some of those poses was difficult,” LeBlanc said. “For example, if you have knee issues or back problems, traditional child’s pose is pretty hard because you have to be on your knees. YOCAS gave us ways to adapt poses and use bolsters. Everyone also brought blankets because we did restorative poses, which require bolsters, chairs and props.” Participants were randomized into three groups. Of the 740 participants, 251 were in the YOCAS

group, 238 were in the cognitive behavioral therapy (CBT) group and 251 were in the survivorship health education (SHE) group. At the end of the study, yoga participants were found to have significant improvement in insomnia. While CBT proved effective in treating insomnia, more participants withdrew from the CBT group due to disliking the therapy compared to yoga. Overall results showed YOCAS improves sleep and quality of life for participants. A more recent study by the University of Rochester also found cancer survivors who do YOCAS have lower levels of inflammation, which can help prevent cancer from returning. Almost 40% of cancer survivors experience sleep issues up to five years after diagnosis, American Cancer Society researchers found in a separate study. Poor sleep or insomnia in cancer survivors was often linked to physical, emotional or financial distress. LeBlanc has continued to lead yoga classes for cancer patients and survivors at the FirstHealth Cancer Center, home of the Cancer Wellness Program. She said many participants

attend the monthly class for years and see health benefits beyond improved sleep. “I think the class offers a lot for stress reduction and relaxation. Some of the people have been doing this for a long time, and I think the relaxation and community is beneficial,” she said. “You have a group of people who’ve been through the same experience and can offer support without necessarily talking about it.” Yoga for cancer patients and caregivers is held monthly at the FirstHealth Cancer Center and is free to the community, though registration is required. The Cancer Wellness Exercise is Medicine program includes multiple yoga classes, including chair-assisted yoga and traditional.

To learn more, visit FirstHealth.org/Cancer or call (910) 715-3636.

(800) 213-3284 • FirstHealth.org

HOW TO NAVIGATE

SEASONAL ILLNESSES As kids go back to school and activities migrate indoors, seasonal illnesses like colds, the flu and COVID-19 are ramping up. FirstHealth of the Carolinas helps navigate the sniffles and sneezes of the season. “The pandemic changed how we respond to sickness,” explained Alysa Young, FNP, convenient care nurse practitioner for FirstHealth. “For so long, we were told to seek help at the first sign of a runny nose or sore throat, but for most people that’s not necessary. Monitoring symptoms at home and treating with over-the-counter medications can help keep you out of busy medical offices and recover faster.”

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When to Seek Help There is no one-size-fits-all approach to treating seasonal illnesses. As a general rule, Young recommends checking in with a health care provider if general symptoms do not improve within a few days. But some people should seek care sooner. “Older adults, those with multiple chronic health issues and people with a compromised immune system are more vulnerable to illnesses like influenza and

ER, ER,Convenient Convenient ConvenientCare, Care, Care, ER, Where to Go Doctor? Virtual VirtualCare Care Care Or OrYour Your Your Doctor? Doctor? Virtual Or When medical attention is necessary, knowing the right place to go for help is key. Follow these guidelines.

FIRSTHEALTH FIRSTHEALTH CONVENIENT CONVENIENT CARECARE FIRSTHEALTH FIRSTHEALTH CONVENIENT CONVENIENT CARE CARE

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Use Use FirstHealth FirstHealth On the On the Go to Gotreat to treat See See youryour Primary Primary CareCare Provider Provider for for Use FirstHealth On the Go to treat See your Primary Care Provider for Use FirstHealth On yourthat primary care conditions conditions thatthat do not do not require require a visit a visit to toSee problems problems that don’tdon’t needneed immediate immediate conditions that do not require a visit to problems that don’t need immediate the ER theorERUrgent or Urgent CareCare such such as: as: attention attention suchsuch as: as: to treat these provider thethe ER or Go Urgent Care such as: attention such as:for problems • Cold/Flu • Cold/Flu • Routine • Routine follow follow up care/testing up care/testing •conditions Cold/Flu • Routine follow up care/testing that do not that attention • Allergies • Allergies • need Medication • Medication refills refills • Allergies • Medication refills • Rash • Rash • as: Preventative • Preventative care/vaccines care/vaccines a visit to the such •require Rash • Preventative care/vaccines • Pink • Pink eyeeye • Routine • Routine health health exams •ER Pink • Routine health exams oreye convenient care: • Preventive care/exams • Minor • Minor illnesses illnesses • Minor illnesses • Cold/flu vaccines • Cold/flu • Cold/flu symptoms symptoms • Cold/flu symptoms

• Bad headache • X-ray needs • Allergies • Routine follow-up • Sudden weakness/ • Cold/flu symptoms • Rash care/testing speech changes • Cuts that may need • Pink eye • Medication refills This avomiting/ isof list a examples list of examples of examples isstiches not is not intended intended aastool atotool to diagnose to diagnose injuries injuries or illnesses. or illnesses. When When in doubt, in doubt, call call 911. 911. • This Profuse • doubt, Routine is This aislist andand is and not intended as aastool diagnose injuries or illnesses. When in callhealth 911. bad abdominal pain • Sports/school exams • Severe fracture physicals • Minor Illnesses • Cold/flu symptoms

This is a list of examples and is not intended as a tool to diagnose injuries or illnesses. When in doubt, call 911. Need a primary care provider? Call (910) 715-5106. To find a FirstHealth Convenient Care Clinic near you, go to FirstHealthConvenientCare.org.

“Your PCP understands you and your COVID,” said Young. “If you are susceptible medical history. This continuity of care to complications, see a provider promptly, is especially important for people with especially if symptoms are severe. Certain chronic health issues,” explained Young. antiviral medications can be given if the “For example, your provider knows if you illness is caught in the first 48 hours.” Alysa Young, FNP are prone to certain types of infections, what As always, seek help immediately if you medications work best for your body or how your current experience symptoms of an emergency. medical issues may exacerbate seasonal symptoms. “Call 911 or get to the emergency department if you This baseline knowledge can lead to better treatment have chest pain, difficulty breathing, or loss of speech and outcomes.” or muscle control,” urged Young. “Do not wait and see if If you are unable to get an appointment with your symptoms will go away on their own.” PCP or need help for a nonemergency issue after hours, convenient care centers or video appointment options, Why Establishing Care Is Important like FirstHealth On the Go, can stand in for your provider The best time to prepare for cold and flu season is while and offer immediate assistance. you are well. If you do not already have a primary care “Locate a convenient care center close to your home or provider (PCP), it is important to establish care. Your PCP work, and download the FirstHealth On the Go app now can help prevent or reduce the severity of infections by so you don’t have to research care options when you’re keeping you up to date on vaccinations and ensuring your under the weather,” advised Young. “Just check in with overall health is on track. If you do get sick, your provider your PCP for any follow-up care.” is often the first point of care for nonemergency issues.

(800) 213-3284 • FirstHealth.org

FirstFutures: Growing our Own FIRSTHEALTH CNA ACADEMY

ursing assistants are an integral part of care teams across FirstHealth of the Carolinas, helping us deliver on our core purpose while providing essential support. As FirstHealth’s footprint continues to grow in the Sandhills and beyond, the system is also committed to helping advance the careers of those who wish To Care for People. The newly launched Certified Nursing Assistant (CNA) Academy is one of many ways FirstHealth invests in its team. It offers those who are interested a chance to become certified nursing assistants while still working in their current jobs. They go to class in the morning or on days they don’t work in their departments, and FirstHealth helps pay for the cost of the program. Chief Nursing Officer Jacklynn Lesniak, DNP, M.S., R.N., NEA-BC, calls the academy a win-win. “Our core purpose here at FirstHealth is To Care for People, and the academy is a perfect example of how that mantra applies to our employees as well as our patients,” she said. “We are committed to maintaining a vibrant, caring and supportive environment, and a place where people have the opportunity to advance their careers.”

Fall 2023

Tamara Beyer

Samantha Funk

Tamara Beyer and Samantha Funk, two of the earliest graduates of FirstHealth’s CNA Academy, said signing up and completing the program was easy and allowed them work-life balance while advancing in their field. Beyer came to FirstHealth four years ago after “doing anything and everything.” “I have bachelor’s degrees in communication and graphic design and in agriculture, both of which were done in Germany. I’ve worked on a horse farm. I’ve driven a semitruck. Working in elder care is what got me interested in health care.” Beyer started out in FirstHealth’s medical records department prior to the pandemic. Oddly enough, COVID-19 and the impact it had on the system also inspired Beyer’s career shift into patient care. “FirstHealth created the COVID response schedule, and I had the chance to help out in different departments. I got hooked on the emergency room,” Beyer said.

Soon after, Beyer heard about the CNA Academy and quickly signed up for it. She said the process was smooth and didn’t create extra stress. “[Our instructor] Angineek Gillenwater was wonderful. She talked to our managers, and we would have class from 7:45 a.m. until about 2:15 p.m. The other hours each week, we were able to work in our regular departments.” After finishing the program, Beyer is working in the emergency department at Moore Regional Hospital and has her next goal in mind – completing the NA II program. “I’m very excited about that, and working in the ED. I love the fast pace and every day is different. I love the people in our unit, as well, because we always work together. We get the call for a critical patient coming in, and without saying much everybody gets what they need and gets ready. It’s great to watch and be a part of that.” Samantha Funk echoed Beyer’s thoughts, saying she signed up for the CNA Academy shortly after joining FirstHealth in January 2023. “I started at the 3 Surgical unit concierge, and I was given this opportunity to go to school, continue working and be home for my kids. The CNA Academy made it much easier to move up the ladder and into patient care,” Funk said. Coming from a family of nurses, Funk said she felt like health care ran in her family. As for the academy, she said the instructors worked with her schedule, allowing her to work shifts on 3 Surgical on days she didn’t have class. “It’s been amazing, and now I’m going to the NA II program. After that, I plan to apply for some grants to finish my nursing degree,” Funk said. “Working for FirstHealth has been great. I don’t think I’ve ever loved working somewhere as much as a I love working here.” The newly launched CNA Academy is just one of the many ways FirstHealth is investing in its team. The initial funding was provided by The Foundation of FirstHealth from donations made by the community to Jacklynn Lesniak, support the development of nurses. DNP, M.S., R.N., NEA-BC

“

WE ARE COMMITTED TO MAINTAINING A VIBRANT, CARING AND SUPPORTIVE ENVIRONMENT, AND A PLACE WHERE PEOPLE HAVE THE OPPORTUNITY TO ADVANCE THEIR CAREERS.”

– Jacklynn Lesniak, DNP, M.S., R.N., NEA-BC

FIRSTFUTURES TO OFFER

Scholarships and More

Staffing challenges are always present in health care, and the pandemic exacerbated many issues across the country. By 2033, North Carolina is expected to face a shortage of nearly 12,500 registered nurses. At FirstHealth of the Carolinas, there is already a shortage of more than 500 nursing, clinical support staff and administrative support positions. Benefactors of the system and The Foundation of FirstHealth are committed to addressing the crisis, most recently with the creation of the FirstFutures Program. Designed to combat patient care staffing shortages, The Foundation will use FirstFutures to provide student aid and financial incentives through the area’s community colleges to educate and train the next generation of our care team. An additional facet of FirstFutures will be an academy designed as a partnership with local community colleges. “We hope to establish a pipeline of students who will select an educational pathway that can help FirstHealth achieve its core purpose – To Care for People,” said Kathy Stockham, president of The Foundation of FirstHealth. The FirstFutures Academy will identify and mentor high school students who are interested in a career at FirstHealth. Enrolling in the academy will open up scholarships for students and entry into the workforce following graduation. FirstFutures will also provide scholarships in nursing and allied health to encourage additional participation at local community colleges. “This is a multipronged approach because staffing shortages are a complex issue,” Stockham said. “The good news is we have a wonderful group of supporters who can help ensure that the future of FirstHealth’s care is just as good as what we have come to expect over the last quarter century.”

(800) 213-3284 • FirstHealth.org

TOP TIPS FOR A HEARTHEALTHY (AND TASTY!) THANKSGIVING

CLIP & SAVE

RECIPE: Fruity Wild Rice Stovetop Stuffing

hanksgiving is right around the corner – and so are the decadent meals, gooey desserts and delicious cocktails. Although the holidays are filled with not-so-healthy Jeniffer Peeples, fare, you can enjoy the festivities RDN, LDN without abandoning your hearthealthy goals. FirstHealth of the Carolinas can help. “The holidays don't need to derail your health efforts. The key is to spend a little time planning ahead,” explained Jeniffer Peeples, RDN, LDN, a cardiac rehab dietitian for FirstHealth. “By making a few simple modifications, you can keep your traditions, join in the holiday meals and avoid falling into unhealthy habits.” Consider these tips for a heart-healthy Thanksgiving.

Avoid Hunger It is common to “save up” calories for the big meal. But sitting down to a Thanksgiving feast when you are ravenous is a recipe for disaster. “When we are hungry, we are more likely to make poor choices and overeat,” said Peeples. “Try to schedule your celebration earlier in the day and eat small healthy meals beforehand to keep hunger in check.”

Savor Smartly For some, Thanksgiving is not quite the same without mashed potatoes or a piece of pumpkin pie. Thankfully, you can enjoy holiday favorites – if you do it wisely. “Instead of indulging in everything, pick one or two treats you really love and take the time to savor them,” advised Peeples. “Load the rest of your plate with healthier foods, like lean turkey, roasted vegetables and salad.”

Set Yourself Up for Success To ensure there is heart-healthy fare on the table, bring a dish (or two!) to gatherings. For example, substitue steamed veggies for green bean casserole. “When it comes to Thanksgiving, we often focus on the food. But don't forget to drink plenty of water and plan a walk after your meal,” said Peeples. “Remember, all our choices make a difference.”

Learn about the FirstHealth Cardiac Rehab Team at FirstHealth.org/CardiacRehab.

Fall 2023

Ingredients

Olive oil spray 1 medium yellow onion, finely diced 1 pear, cored and finely diced 1 apple, cored and finely diced 1 tbsp. Dijon mustard 1 tbsp. maple syrup 1 tbsp. fresh lemon juice 2 cups wild rice 1 cup brown basmati rice 1 quart low-sodium chicken or vegetable broth 2 cups water, plus 1 cup if needed 2/3 cup dried cranberries 1/2 tsp. freshly ground black pepper 2 tbsp. fresh parsley, minced 2 tbsp. fresh thyme, minced

Directions 1.

Heat a large pot over high heat for one minute. Spray with olive oil spray; heat for 30 seconds. Add onions and sauté for one to two minutes, stirring frequently. Add pears and apples and sauté for two to three more minutes. 2. Quickly whisk together mustard, syrup and lemon juice and pour over onions and fruit. Add wild rice and basmati rice. Sauté for two minutes, then pour in broth and water. Bring to a boil. 3. Add cranberries and black pepper. Boil for 10 minutes. If liquid level seems too low, add 1 more cup of water. 4. Reduce heat to low, cover and cook for 25 minutes, checking occasionally. Add parsley and thyme five minutes before done. Serve immediately.

FirstHealth in the Community FirstHealth celebrated National Cancer Survivors Day on June 13, 2023, with a Garden Tea Party in the healing gardens at the new cancer center.

The Fair Barn in Pinehurst was alive with the sounds of happy kids, moms, dads and grandparents on September 17, 2023, as “graduates” of the Clarke Neonatal Intensive Care Unit (NICU) at FirstHealth Moore Regional Hospital joined their former hospital caregivers for a safari-themed celebration and reunion.

The Foundation of FirstHealth held a donor recognition wall unveiling at the FirstHealth Cancer Center on July 13, 2023.

(800) 213-3284 • FirstHealth.org

New Providers Do you need help finding a primary care provider or medical specialist? If so, visit www.firsthealth.org/directory.

Behavioral Services Shelley Allison, PMHNP

FirstHealth Behavioral Services

Primary Care

Victor Farrah, D.O.

FirstHealth Primary Care & Cardiology – Troy

Cardiology

Sean Regner, M.D.

FirstHealth Cardiology – Pinehurst

Neurology

Mark Mandelbaum, M.D. Sandhills Neurologists – a FirstHealth Clinic

Family Medicine

Behavioral Services

FirstHealth Family Medicine – Vass

FirstHealth Behavioral Services

Jennifer Moore, FNP

Ashley Justice, PMHNP

Family Medicine

FirstHealth Family Medicine – Sanford

FirstHealth Family Medicine – Chatham

Kelli Baker Tillman, FNP

Cardiology

Rony Shammas, M.D.

FirstHealth Cardiology – Laurinburg

Roger Diaz, PA-C

Family Medicine Claire Repine, D.O.

FirstHealth Family Medicine – Chatham

Family Medicine

Orthopaedics

FirstHealth Family Medicine - Raeford

Pinehurst Surgical Clinic – Orthopaedics

Tracy Funk, PA-C

20 Fall 2023

Maxwell Brenner, DPM

Concierge Medicine

Orthopaedics

Katie Livrago, FNP

Matthew Beck, M.D.

FirstHealth Concierge Medicine

Pinehurst Surgical Clinic Orthopaedics

OB/GYN

Cardiology

Brittany Lowery, CNM

Benjamin Marengo, D.O.

Pinehurst Surgical Clinic – Women’s Care

FirstHealth Cardiology – Rockingham

Medical Oncology & Hematology

Psychology

Matthew Scarlotta, M.D.

Trey Tippens, PsyD

FirstHealth and Pinehurst Medical Clinic Medical Oncology & Hematology

FirstHealth Center for Well-being

Radiation Oncology

Pain Medicine

Patricia Hinrichs, FNP

Susanna Haley, PA-C

FirstHealth Radiation Oncology

FirstHealth Interventional Pain Medicine – Fayetteville

Internal Medicine Kim Finlay-Tozzi, D.O.

Internal Medicine

FirstHealth Internal Medicine - Sanford

Joseph Tozzi, M.D.

FirstHealth Internal Medicine - Sanford

Primary Care

Diana Riddley, M.D.

FirstHeatlh Primary Care - Hoke

ADDITIONAL NEW PROVIDERS ANESTHESIA – PROVIDENCE ANESTHESIA ASSOCIATES Nicholas Bastug, D.O. ANESTHESIA - FIRSTHEALTH ANESTHSIA Alyssa Cummings, CRNA Samantha Pickarts, CRNA Zachary Smith, CRNA

FIRSTHEALTH CONVENIENT CARE

FIRSTHEALTH HOSPITALISTS

Alyssa Ortega, PA-C William Paulette, PA-C Mark Lucas, PA-C Christy Erwin, FNP Theresa Nelson, FNP Renee Sutton, FNP

Riddhi Patel, M.D. Vicky Lambropoulos, PA-C Nicole Tilghman, FNP

EMERGENCY MEDICINE – SANDHILLS EMERGENCY PHYSICIANS

FIRSTHEALTH WOUND CARE Daria Hammond, DNP PERFUSION Cameron Klempay, CCP

Jayson F. Jaquish, PA-C Austin Flick, M.D. Joel Lange, M.D. Arian Papier, M.D. Alexis David, D.O. Tabitha Cameron, PA-C

(800) 213-3284 • FirstHealth.org

Appreciating All That FirstHealth Hospice Provides I want others to understand what I’ve seen as a patient at FirstHealth Hospice: They are about comfort and dignity, not death. Hospice simply helps with the end-of-life journey. It would be a great thing if people knew the weight that hospice care can take off family and friends by giving them the medical help that they need to take care of loved ones. Hospice also gives patients who are on their own a place where they know that they’ll be loved and be given a little peace of mind. These days are hard, but it makes things much easier and much better when they know that they can find a little comfort. This is a place that cares and has the love of God lifting the people that work here. They do a fine job – actually, an indescribable job – that is put before them. It is a job that takes courage, love and care.

Do you have a FirstHealth employee you would like to give KUDOS to, or would you like to share your patient experience? If so, visit FirstHealth.org/ CaretoShare and share your exceptional experience with us today.

Fall 2023

I thank God for the in-facility staff and field workers. My life has been easier because the hospice staff knows just what to say and how to act. They’re wonderful people. They are such loving and kind people who treat people with dignity and kindness. I credit the director for having the knowledge and wisdom to find staff who are willing to help others taking their last steps and to help families take a break. I am a patient myself and I have been treated like a queen. They have tried everything I’ve wanted and have succeeded in getting things I needed. I love them all. I wish people would drop the stigma about hospice, that it is only a place where people come to die. I have been here, and I am alive and well. Thank you, Rosie L. Drakeford

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