Page 1



3D imaging at Breast Center New technology aids in early detection

Interventional Cardiology Oering an integrated approach to heart health Nonsurgical techniques can help chronic pain

Care Close to Home Haywood Regional pediatricians welcoming new patients

New Providers on Staff Lawson Hunley, DO Family Medicine These providers are employed by an affiliate of Haywood Regional Medical Center.

Ask a Doc QUESTION: Are heart attack symptoms different in men and women? ANSWER: While heart disease is the number one killer of both men and women, symptoms of heart attack can show up differently in men vs. women. While the most common heart attack symptom for both genders is chest pain or discomfort, women are more likely than men to experience some atypical symptoms, including shortness of breath, nausea/vomiting, back or jaw pain, fatigue, and problems sleeping. For more info on heart attack warning signs, visit Randall Towne, MD Interventional Cardiology

Darrell Douglas —Cardiac Rehab R Patient

Experts in


HEA ART I’m back to liv ving my active lifestyle.

QUESTION: My family has a history of heart disease. Am I doomed? ANSWER: Your family’s medical history plays a big role in your own risk of heart disease, but you are not doomed. You cannot counteract your genes, but you can fight to lower your risk in other areas by eating a healthy diet, maintaining regular physical activity and eliminating smoking and stress. If your family has a history of heart disease, talk about it with your primary care doctor and discuss ways you can combat your risk in other areas. If you need a primary care doctor, call 800.424.DOCS (3627) to get connected to one. David Peterson, MD Cardiology

A massive heart atta ack during a basketball game e left Darrell face first on the t ground. After quadruple bypass surgery y,, he turned to the experts at Haywood Regional e Medical Center for car c diac rehab that helped him m regain ack on the court. his health and get ba When our neigh hbors need expert heart care, they e oint turn to Haywood Regional. As a part of Duke LifeP ces Healthcare, we have a wealth of expertise and resour e to strengthen the alrready excellent quality of carre our hospital delivers. We’r e e not just experts in health h care. We’re experts in you ur heart.

8 800. 424.DOCS MyHaywoodRegiona

QUESTION: What is the difference in 3D mammography and the traditional mammogram? ANSWER: Several studies have found that 3D mammograms find more cancers than traditional mammograms and also reduce the number of false positives. Three-dimensional mammography creates a threedimensional picture of the breast using X-rays. Having regular mammograms can save your life, and 3D offers a higher chance of detection, especially in women with dense breast tissue. If you are age 40 or above, schedule your mammogram today by calling 828.452.8999. Allison Johnson, MD General Surgeon

Submit your general health questions at and your question may be answered in an upcoming issue.



HEALTHY HAPPENINGS Volume 2 · Issue 1 On the Cover:

Cardiologists with Haywood Regional Medical Center Randall Towne, MD, (clockwise from top left) Steven Gore, MD, David Peterson, MD, and Paul Albert, NP. Contributing Writers:

Shelby Cannon, Jessi Stone Copyright 2018, All Rights Reserved.

262 Leroy George Drive Clyde · North Carolina 28721 828.456.7311



From the CEO


pring is in the air and it’s an exciting time with new opportunities to make ourselves and our community healthier. Whether it’s resolving to eat healthier and work that 30-minute walk into our daily schedules, or finding a new volunteer effort to pour our energy into to help make others’ lives a little easier, the possibilities are endless. A new year can also bring a certain level of uncertainty about what lies ahead. But no matter what, here’s something that won’t change: our commitment to you. Throughout 2018, we will continue to provide you with the highest quality care possible, focusing on your safety as a patient and continuing to elevate the level of service we provide you and your loved ones. At Haywood Regional, we’re proud to be a vital part of this community and we’re more committed than ever to Making Communities Healthier. And we’re especially privileged that you choose to come to us for compassionate, quality care Rod Harkleroad, CEO that’s close to home. Please know that we are always here for you. May 2018 be your healthiest and most fulfilled year yet. Healthy wishes, Rod Harkleroad, RN, MMHC — Chief Executive Officer Haywood Regional Medical Center

3D Mammography Available at Haywood Regional

On the Cover:

Cardiology Services Expanded with Interventional Cardiology

4 5 10 12 14


Know Where to Go


Orthopedic Services Expanded Be Smart. Love Your Heart. Treatments Offered for Varicose Veins Pediatric Care Close to Home Nonsurgical Techniques Can Stop Chronic Pain



The orthopedic walk in clinic services: • • • • • • • •

Audrey Fortezzo, PA-C, and Delany Buchanan

Accident or Injury? Walk right in.


elany Buchanan, 14, is a yearround athlete at Waynesville Middle School. She plays basketball, softball and volleyball. She was gearing up for the end of her 2017-2018 basketball season and sustained an injury to her ankle close to time for playoffs. She was going up for a layup when her team mate had fallen ahead of her, and she stepped on her foot. At first, she thought it was just a sprained ankle, which is one


of the seven most common sports injuries according to Web MD. Her athletic trainer informed her about the orthopedic services available at Haywood Regional. Buchanan saw Audrey Fortezzo, boardcertified orthopedic physician assistant with Haywood Regional, the following day. Fortezzo ordered an x-ray and found Buchanan had fractured her lateral malleolus, which is part of her distal fibula (one of the two bones that support the


Hand and wrist injuries Shoulder, arm and elbow injuries Hip, leg and knee injuries Foot and ankle injuries Broken bones Sprains and strains Sports related injuries Injured ligaments and tendons

ankle joint). Buchanan commented, “I was in and out really fast, and everyone was so nice to me. They helped me a lot. It was convenient, I could get to school earlier and not get a delay.” She was ordered to wear a medical walking boot (used to protect the foot and ankle after an injury or surgery) for four weeks and two of which she had to use crutches. After Buchanan recovers from the fracture, she will begin physical therapy with Haywood Regional to strengthen her ankle fully so she will be ready to continue her athletic year. Her father, Joe Buchanan said the team was very thorough and fully focused on Delany’s care, which he said is not always the case at other facilities. “It is certainly nice to know that at Haywood Regional, we have a top-rated orthopedic group that we have had an experience with now that was awesome,” he said. “I hate that she hurt herself, but it’s nice to know this service is right here. We didn’t have to drive all over the place to receive top care. We love Audrey, but we do hope we don’t have to come again.” Fortezzo noted that not only has she seen many athletic type injuries, but also the typical injuries associated with slips, trips, and falls, and also work-related injuries. “I’m privileged to have been able to expand services available and allow people to not have to travel far to receive prompt quality care,” says Fortezzo. Haywood Regional’s orthopedic team consists of board-certified physicians Paul Cutting, MD, Gerald King, MD, and Benjamin Debelak, DO and physician assistants Kelly Klein, PA-C and Audrey Fortezzo, PA-C. Learn more by calling 800.424.DOCS (3627) or by visiting

disease. Fill your plate with fruits and vegetables, whole grains, low-fat dairy products, skinless poultry and fish, and nuts and legumes; and limit your intake of foods with saturated fat, trans fats, sodium, sugar and red meat. If you do choose to eat red meat, make sure you’re using the leanest cut you can find.

Stay physically active

Be Smart. Love Your Heart. You get one heart. Treat it smart with a heart-healthy mindset and lifestyle


our heart is one of the hardest working muscles you’ve got. It ticks around the clock to keep you alive and only gets a break when you’re relaxing or sleeping. With so much riding on this essential muscle, it’s important to treat it smart. According to the American Heart Association, one in four people die of heart disease every year. And it’s not playing favorites – heart disease is the number one killer of men and women. In fact, more women die of heart disease than from most cancers combined. At Haywood Regional, we care about your heart health. And with February

marking American Heart Month, there’s no better time to ensure that you’re doing everything you can to keep your heart healthy for the long run. Preventing heart disease means making smart choices today that can pay off for the rest of your life. Anyone – at any age – can benefit from these simple steps:

Eat a healthy diet Eating a diet of lower-calorie, nutrientrich foods can help you control your weight, cholesterol levels and blood pressure, which helps lower your risk of heart

Your activity level is actually your greatest potential risk factor. Low fitness levels come with double the risk of heart disease. The good news is that your heart benefits from every type of activity. Try to complete at least 150 minutes of moderate intensity exercise, 75 minutes of vigorous activity, or a combination of the two, every week. Most importantly, just keep moving!

Know your numbers A big part of staying on top of your heart health is being aware of your blood pressure and cholesterol levels and working to keep them at low-risk levels. Be sure to get your levels checked regularly and talk to your primary care doctor about your numbers and how to keep them in a healthy range. If you don’t have a primary care doctor, call 800.424.DOCS (3627) and we’ll get you connected to one. When you act early to stay on top of your heart health, you can help reduce your risk for heart disease and you’ll be in a better position to catch any potential issues and work together with your doctor to keep your heart healthy for the long run.

Quality Corner Haywood Regional is an accredited chest pain center During a heart attack, every minute matters. As part of our commitment to providing you the highest quality care possible when you need it most, Haywood Regional is an Accredited Chest Pain Center by the American College of Cardiology. As an Accredited Chest Pain Center, Haywood Regional is committed to a higher standard of care for emergency heart services and we’re dedicated to continually improving the expertise and care we provide for patients who are experiencing heart attack symptoms. Our teams – from early responders to our staff in cardiac rehabilitation – work together to provide a high level of care our patients can count on. Have greater peace of mind knowing that your closest hospital is prepared to provide fast treatment when chest pain strikes.



Randall Towne, MD, Interventional Cardiologist, Bert Putnam, and David Peterson, MD, Cardiologist.

Cardiology Services Expanded with Interventional Cardiology


ertha “Bert” Putnam, of Crabtree, began having sharp pains in the summer of 2017. Although at the time she didn’t realize it, Putnam was experiencing early signs of a heart attack including increased and decreased heart rates and shortness of breath. She made an appointment with her primary care provider, Nancy Freeman, MD. “I didn’t pay much attention to it (pain), but then when it started getting up into my jaw bone, then into my shoulder, I thought ‘I need to go see what’s going on’. You know, us women are the world’s worst, we just keep going and going. If you’re

Cardiovascular Services include: • Diagnostic and interventional heart catheterizations • Pacemakers • Echocardiography studies • Exercise and nuclear stress testing • Cardiac rehab • Venous, arterial and carotid studies • Vein clinic

having any odd symptoms, even if it doesn’t seem like your heart, you should have it checked out. Don’t just go about what you’ve read as those typical signs of heart attacks, there are other things that go along with it,” says Putnam. Freeman performed an electrocardiogram, or ‘EKG’, (a test to measure your hearts electrical activity) and found Putnam was experiencing dropped p-waves. Dropped p-waves are a sign a person may have a blocked valve or artery to the heart. Freeman referred Putnam to David Peterson, MD, Cardiologist with Haywood Regional. Peterson performed a nuclear

“From the time I was admitted to when I left, everything exceeded my expectations.” — Bertha Putnam 6


Meet the board-certified Cardiology Team

Steven Gore, MD Cardiology

Early Heart Attack Signs • • • • • • • • • •

Feeling of fullness Shortness of breath Nausea Pain that travels down one or both arms Jaw pain Back pain Fatigue Chest pressure, squeezing, discomfort Anxiety When in doubt, call 9-1-1. Survive, don’t drive. Learn more at *

stress test, which revealed the need to have a heart catheterization (a procedure used to diagnose and treat cardiovascular conditions*). The team of Peterson and Randall Towne, MD, Interventional Cardiology, performed the heart catheterization with the readiness of potentially needing a heart stent. (A stent is tiny wire mesh tube that props open an artery and is left there permanently. This holds the clogged artery open and allows blood to flow freely*). “Once we began Mrs. Putnam’s catheterization, we found a 75% blockage in her left anterior descending artery, which is a branch to the left of her coronary artery. From there we deployed the stent within the same procedure,” explains Towne. “We also now can perform a majority of these procedures from the wrist, aka radial approach, rather than the

traditional approach from the groin. This limits bleeding risks, shortens recovery times, and more.” Putnam said that the cardiology team discussed every detail with her and her family. She explains everyone was extremely nice and friendly and all her questions were answered thoroughly. Her procedure was three days before Christmas in 2017. She is now actively involved with cardiac rehab and also has follow-up visits with Peterson and Towne. Putnam proclaimed, “We’ve got some good doctors here. I’m very glad that they are here. Would I recommend those two doctors? You’re mighty right I would recommend them, and I also would recommend this hospital. From the time I was admitted to when I left, everything exceeded my expectations.” Haywood Regional offers an integrated approach to heart and vascular care that spans the spectrum from prevention and diagnostic care to the latest in surgical and interventional treatments and rehabilitation. The cardiac rehab team at Haywood Regional works collaboratively with your cardiologist to identify a personal recovery program, including nutritional counseling, progressive exercise to strengthen your heart, fitness programs, and adopting a healthier lifestyle. Through state-of-the-art technology and expert clinical care, Haywood Regional’s board-certified cardiologists and staff treat patients for a variety of conditions and disease affecting the cardiovascular system. To make an appointment with a Haywood cardiologist, call our Physician Referral Line at 800.424.DOCS (3627) or visit * HEALTHY HAPPENINGS

David Peterson, MD Cardiology

Randall Towne, MD Interventional Cardiology

Mark Kremers, MD Cardiology

Paul Albert, NP


Allison Johnson, MD, General Surgery.

3D Mammography Now Offered at Haywood Regional More options for early detection


arly detection is key when it comes to beating cancer. Haywood Regional is now armed with more state-of-the-art technology to diagnose breast cancer in the early stages. 3D mammography is now available at Haywood Regional. “We’re definitely on the forefront to be offering this technology. It’s still relatively new and I’m excited to be one of the first to use it,” said Allison Johnson, MD, general surgeon with Haywood Regional. “3D isn’t replacing the traditional 2D mammography, but to be able to offer it here for our Duke LifePoint hospital patients — including patients from Sylva and Franklin referred here — will be a great tool to have.” 3D technology has become the standard of care. With most 3D imaging, radiation


dose increases and compression is longer due to obtaining the normal 2D views first, then the 3D. With the newest technology of C-view software (the technology Haywood has), the standard two view images are obtained during the 3D imaging. This means the exam is designed to minimize the risk of patient motion, provide a more comfortable patient experience, reduce radiation, and reduce compression time. “It’s one thing to have 3D, but we are equally as excited to have the C-view technology. For many women, compression is difficult and uncomfortable. This will allow women to get 3D accuracy without having to be compressed longer,” says Johnson. “3D is also not for everybody. Traditional 2D is fairly accurate for women without dense breast tissue but is


incapable of seeing small details in women with dense tissue; therefore, 3D is recommended for those type patients.”

Genetic testing The Haywood Breast Center also offers genetic testing for women 18 and older to determine whether they are at higher risk for certain kinds of cancer. Patients fill out a family history form to alert the physician to any signs that suggest there could be a genetic link to cancer. “You watch a four-minute video, speak to a genetic counselor to review your family history, and then we draw your blood,” explains Johnson. “There are 28 genes we look at that are associated with common cancers and the results can take four to six weeks to come back.”

Allison Johnson, MD, General Surgery.

When do I need to get a mammogram? • According to the American Cancer Society Women ages 40 to 44 should have the choice to start annual breast cancer screening with mammograms (x-rays of the breast) if they wish to do so. Women age 45 to 54 should get mammograms every year. • If you have a family history of breast cancer or have a close relative that was diagnosed with cancer before the age of 50, you should start mammograms ten years before the age they were diagnosed. For example, if your mother was diagnosed with breast cancer at 42, you should get a mammogram at 32. • Haywood Regional will be offering mammograms during evening hours to increase access for women who work during the day. Please call the Haywood Breast Center at 828.452.8633 for further details or dates of offerings.

Importance of genetic testing A woman’s lifetime risk of developing breast and/or ovarian cancer is greatly increased if she inherits a harmful mutation. • Breast cancer: About 12 percent of women in the general population will develop breast cancer sometime during their lives. By contrast, according to the most recent estimates, 55 to 65 percent of women who inherit a harmful BRCA1 mutation and around 45 percent of women who inherit a harmful BRCA2 mutation will develop breast cancer by age 70. • Ovarian cancer: About 1.3 percent of women in the general population will develop ovarian cancer sometime during their lives. By contrast, according to the most recent estimates, 39 percent of women who inherit the BRCA1 mutation and 11 to 17 percent of women who inherit the BRCA2 mutation will develop ovarian cancer by age 70. *

“We’re definitely on the forefront to be offering this technology. It’s still relatively new and I’m excited to be one of the first to use it.” — Allison Johnson, medical director of the Haywood Breast Center

The genetic screening can advise if a patient has an increased chance of developing certain cancers, including breast, ovarian, colon, uterine, gastric, pancreatic, melanoma and prostate. Once the results are in, you and your physician can decide if there is a need for any additional screenings, medication needs, or even surgery that could reduce your risk of developing cancer. “We’ve had great success so far with the genetic testing,” says Johnson. “I’ve seen a patient in her 30s at higher risk for ovarian cancer. She’s not had children yet so she’s actively trying to decide whether she wants to have children before having a surgery or whether she wants to have her eggs harvested and frozen with surgery to decrease her risk of cancer.” These can seem like scary decisions to make at a young age, but making those decisions now can drastically reduce your risk of developing life-threatening cancer later in life. “We try to encourage women to get regular mammograms because they save lives,” says Johnson. “My mom is a breast cancer survivor — she had a routine screening the year before that was normal and the next year she had stage two cancer. If she had waited, they might not have caught it in time.” Many private insurance policies cover genetic testing, but to be sure, Johnson said the genetics lab won’t perform the test until they have confirmed with the insurance HEALTHY HAPPENINGS

company how much of the testing will be covered. There is also a patient assistance program to help decrease the cost for the uninsured.

You’re not alone If you are diagnosed with cancer, Haywood Regional has a staff of experts to help you every step of the way during your treatment. You can rest assured that a multidisciplinary team of medical professionals is working on your case and determining the best course of treatment for your specific needs. The team includes a radiologist to examine imaging, a nurse navigator to walk you through every step of treatment, a pathologist to interpret and diagnose changes caused by the disease, an oncologist if chemotherapy or radiation is needed, a surgeon, a nutritionist, a physical therapist and a palliative care nurse for those who receive a late stage diagnosis. “The multidisciplinary conference consists of basically anyone you could meet along your pathway of cancer treatment,” says Johnson. “We have everyone bring their expertise to the table and that allows us to personalize treatment for every patient.” 3D mammography now offered at Haywood Regional. For more information about 3D mammography, visit or call 828.452.8999 to schedule your mammogram today. 9

Symptoms of varicose veins include: • • • •

Leg pain and swelling Itchy or burning skin Leg cramps Neuropathy (numbness, weakness, and pain from nerve damage) • Restless Leg Syndrome • Blood clots • Open leg ulcers

Jackson Brown and Al Mina, MD, General Surgeon.

Vein Treatment How one local man got back on his feet and back to living life


blood clot in his right leg stemming from phenomena as a teenager was the start of debilitating leg problems for Jackson Brown, 36. He was diagnosed with deep vein thrombosis (occurs when a blood clot forms in one or more of the deep veins in your body, usually in your legs) and also Hughes syndrome, aka ‘sticky blood,’ at age 16.

Jackson worked his entire life, with no relief. He said that the only relief he had was when he was lying down at an elevated angle, which he had to do every two hours. He wore stockings to help with compression, but the pain, sores, and swelling in his leg eventually were too much to bear. In spring 2017, Jackson got connected with general surgeon Al Mina

Risk Factors for Venous Disease • Family history of varicose veins. • Gender — Women are more likely to develop venous disorders, especially women whom have had multiple pregnancies • Extended periods of standing or sitting • Age over 50 • Obesity and Inactivity • Smoking Source: Cleveland Clinic



at Haywood Regional. “For nearly 20 years every doctor I’ve ever seen had just told me ‘this is just something you have to deal with’ and within 30 minutes of seeing Dr. Mina, he had a resolution for me. Until the Vein Center, it was like I was walking around with a bag of concrete attached to my leg. Now I’m able to work again, and I’m not limited to living life on my back,” says Brown. Brown underwent two endovenous thermal ablation procedures. During those procedures, he had three deep veins closed off that were incapable of pumping blood back to the upper body. Endovenous thermal ablation is a newer technique that uses heat by way of IV to seal off incapable veins but also leaves them in place, which means minimal bleeding and bruising. “You go home the same day. It is done under local anesthesia and only takes roughly 15-30 minutes. You can resume normal activities within 1-2 days, but I’ve even seen some of my patients go back to work the same day” says Mina. Over 40 million Americans have venous insufficiency and occurs more frequently in people over age 50*. This condition occurs when the venous wall and/or valves in the leg veins are not working effectively. These inflammations can cause leg pain, swelling, varicose veins, heaviness, restlessness, cramps, skin discoloration, numbness, tingling, ulcers and sores, and blood clots. If left untreated, vein issues only worsen over time. “Varicose vein procedures are not just a cosmetic thing, often it is medically necessary and can help many people get back to living their life comfortably and without any more pain,” says Mina. To learn more about the Vein Center at Haywood Regional, you may call 828.452.VEIN (8346) or visit *Cleveland Clinic

Spring Forward with Healthy Eating Get the most out of what you’re eating and reduce food waste “You are what you eat.” We’ve all heard it, and many of us have jokingly used the common saying amongst one another. But there really is a kernel of truth there. Eating healthy can help us be healthy. It’s never too late to change your diet and begin focusing on making smart food choices, establishing healthy eating habits and ensuring that we are doing what we can to reduce food waste. Did you know that it’s estimated that an average 300 pounds of food per person is thrown away each year? This year’s theme from the Academy of Nutrition and Dietetics is “Go Further with Food” – a reminder for all of us to get the most out of what we eat while wasting the least. Here are a few simple ways you can help make your food go further.

Switch it up They say variety is the spice of life. It’s also a key building block of healthy eating. Different foods provide different nutrients. Incorporating a variety of foods from all of the food groups into your daily diet helps ensure that your body is getting the most nutrients possible. Healthy salads and well-balanced meals are a great way to keep variety at the center.

Be thoughtful Before you visit the grocery store, take inventory of your pantry, fridge and freezer. Check expiration dates and “best used by” dates to see what you need to consume first before buying more, and research healthy recipes that

use these items. Then, fill out your grocery list with what you really need for the week.

Prepare ahead Healthy eating is a lot easier than you might think, especially with a little preparation. Pick a morning or afternoon and prepare your healthy lunches for the week ahead. A few hours one afternoon can save you a lot of time throughout the week and keep you accountable to healthy eating habits.

Get creative Make your food work for you. Be creative and look for ways to repurpose leftovers into brand new meals. Turn those last couple of chicken breasts and leftover roasted vegetables into a cozy stew, or mix your leftover pasta with some fresh veggies for a pasta salad for lunch the next day. You’ll be stretching your food dollar without stretching your waistline!

Ask for advice Talk with a local nutritionist or dietitian about making your food go further. They’ll have some great ideas for healthy eating habits and choices that both fit your individual lifestyle and help cut down on food waste. If you’d like more information on how you can help your food go further, visit, or call 828.452.8092 to schedule an appointment with a Haywood Regional dietitian. *

Healthy Recipe Cozy Beef Stew • 4 lbs boneless sirloin steak (all visible fat discarded, cut into 1-inch cubes) • 4 cups baby red potatoes (halved) • 4 cups baby carrots • 2 medium onions (Chopped) • 2 cups chopped celery • 1 15-oz can no salt added tomato sauce • 1 10 oz pkg dried lima beans, sorted for stones and shriveled beans, rinsed and drained • 2 tbsp brown sugar • 1 tsp quick-cooking tapioca • 2 tsp pepper • 1 tsp celery salt • 1 tsp dried parsley (crumbled) • 1 tsp dried thyme (crumbled) • 1 cup water 1. In a large bowl, stir together all the ingredients. Divide the stew between two 1-gallon resealable plastic freezer bags. Place the bags flat in the freezer and freeze. 2. Thaw the bags overnight in the refrigerator. Pour the contents of the bags into a slow cooker. Pour in 1 cup water, stirring to combine. Cook, covered, on low for 4 to 6 hours, or until the vegetables are tender. Makes 12 servings. Nutrition Information Per serving size: 326 calories; 5.9 g fat (2.1 g sat fat); 35 g protein; 34 g carbohydrates; 10 g sugar; 75 mg cholesterol *Recipe from the American Heart Association’s Healthy For Good™ movement. Find more healthy recipes at

Join us on the 1st Saturday every month April – October at 10 am at the Lake Junaluska Kern Center. Walk with a Doc is a unique, physician-led walking program focused on encouraging physical activity among the community. Each walk is hosted by a physician speaking about a health topic of interest. Every walk is FREE and pre-registration is not required. Just show up! For more details on dates, topics, or physician leaders please visit



James Guerriere, MD and Anna Mooney, MD, Pediatricians.



Pediatric Care Close to Home W

hen it comes to the health of your kids, quality care is important. Haywood Regional knows that choosing your child’s pediatrician is an important decision, and we strive to make the process as easy as possible for parents. Haywood Regional pediatricians, James Guerriere, MD and Anna Mooney, MD, are both board-certified by the American Board of Pediatrics, and also hold Neonatal and Pediatric CPR certifications. In addition, they run the newborn nursery at Haywood Regional. “Our primary concern is the health and well-being of your child,” says Guerriere. “There is no pressure. The only ‘silly question’ is the one that you don’t ask. We encourage parents to ask questions and be active partners with the nurses and doctors concerning their child’s health.” Patients do not need an establishing care visit if they are transferring care, unless their child has a complex medical condition or history. “We are also happy to meet with you for prenatal consults before a baby is born to answer questions and let you meet the doctors,” says Mooney. “We are also happy to meet with you for prenatal consults before a baby is born to answer questions and let you meet the doctors.”

Meet the Docs Guerriere attended Clemson University for his undergraduate degree and the University of South Carolina for medical school. He completed his Pediatric Residency in Mobile, Alabama, at the University of South Alabama Children’s and Women’s Hospital “While attending school I fell in love

with the southern Appalachian Mountains. I spent nearly every summer weekend waterfall-hunting throughout western North Carolina. I grew up in a small town in Upstate New York. The feel of my hometown is very similar to Waynesville. I felt at home here almost instantly,” Guerriere states.

when she’s not caring for the children of others while at work. “I already had one child when I decided to go back to medical school. Pediatrics seemed like a natural fit for me,” Mooney explains. “I really enjoy working with children and their parents.”

Patient Story Services Include: • • • • • • • •

Newborn nursery coverage Antepartum visits Well child checks Immunizations Sports physicals Sick visits ADHD High school and middle school sports coverage with Haywood Sports Medicine

Guerriere and his wife Emily met during his residency, and they welcomed their first baby in March. “I’ve always enjoyed teaching and working with children. I’m still very much a child at heart, and I get to play with children daily, help families and watch them grow. It’s the best job ever!” exclaims Guerriere. Mooney grew up in Newberry, South Carolina. She graduated from the University of South Carolina with a degree in chemical engineering. She later returned to University of South Carolina and completed medical school. Mooney attended a pediatric residency program in Savannah, Georgia, at Memorial Health. She has two children who keep her busy

Brendalynn Farr of Waynesville, mother of a two-year-old, said she couldn’t be happier with the care she receives. She’s been taking her son to Dr. G since he was six-months-old. “I couldn’t recommend a more wonderful doctor,” she states. “He listens very well to all of my concerns and that was not the case for me when I went to a pediatrician before. They are very much a family to us and that makes all the difference.” When Farr’s son was 16 months old, he had to be hospitalized for six weeks and underwent surgery. Dr. Guerriere called every other day to check on him and answer any questions she had. He even came to see her son while he was hospitalized. “Especially coming from a special needs standpoint — my son had a lot of different medical needs and being able to see Dr. Guerriere every time makes it easier since he’s been with him since he was six months old,” says Farr. For more information about compassionate, quality care for your child, visit or call the Physician Referral Line at 800.424.DOCS (3627) to make an appointment with a Haywood Regional pediatrician.

“Our primary concern is the health and well-being of your child. There is no pressure. The only ‘silly question’ is the one that you don’t ask.” — James Guerriere, MD HEALTHY HAPPENINGS


Power to Heal Pain procedures can be life-changing for patients

Procedures and services • • • • • • • • • • • •

Epidural steroid injections Intercostal nerve blockers Trigger point injections Facet injections Brachial plexus injections Intrathecal infusion systems Hypogastric plexus injections Stellate ganglion blocks Peripheral nerve blocks Celiac plexus blocks Botox injections Outpatient chronic pain management


urgery and prescription medications are not the only methods for healing chronic pain. With opioid addictions rising at an unparalleled rate, Tonya Powers, a board certified anesthesiologist and interventional pain management specialist with Haywood Regional, brings extensive knowledge and a number of new procedures to help patients find long-term relief. Whether it’s chronic back pain, nerve pain or arthritic pain, Powers has a multitude of procedures to improve a patient’s quality of life. In many cases, patients can be diagnosed and receive treatment during the same appointment and return home the same day with outpatient procedures.

Conditions treated • • • • • • • • • • • • • • • • •

Cancer pain Work injuries Joint pain Scar pain Spinal stenosis Coccydynia Costochondritis Post-operative pain Phantom limb pain Craniofacial pain Chronic back pain Trigeminal neuralgia Peripheral neuropathy Myofascial pain syndromes Discogenic pain Reflex sympathetic dystrophy Spondylosis pain

“Some people respond better to certain treatments than others, which is why it’s more advantageous to have multiple modalities available,” she says. Treating nerve pain requires a different process than treating arthritic pain. Powers can use a number of injections or radio frequency treatments to relieve pain depending on what the source of the pain may be. “Arthritis causes pain in one spot while nerve pain produces pain all along the distribution line,” she explains. Powers can also help people suffering from a certain kind of headache — occipital neuralgia — caused by the compression of nerves at the base of the head and neck. Patients can also find relief from discomfort associated with a nerve being caught up in a scar, rib pain caused by a past surgery, inflammation of the tailbone or strain from carpal tunnel syndrome. Powers said it’s important for patients to know what their options are when it comes to treating pain. If you are experiencing chronic pain, please call Haywood Regional’s Physician Referral Line at 800.424.DOCS (3627).

“Some people respond better to certain treatments than others, which is why it’s more advantageous to have multiple modalities available.” — Tonya Powers, MD 14


Know Where to Go We hope you don’t need us… but we’re here for you if you do!



It is important to remember that the emergency room is for emergencies only. Emergency situations can be categorized as severe or painful conditions that – if not treated immediately – can result in loss of life or limb. So remember, in the event of a severe or life-threatening condition, call 911 or visit the nearest Emergency Room.

• The person’s condition seems life threatening or could get worse on the way to the hospital • Moving the person might cause further injury • You can’t get to the emergency department quickly. For minor illnesses or injuries that require advanced care, or at times when primary care is not available Urgent Care can offer relief.

WHEN TO CALL 911: If you think you or someone you know is having a heart attack or stroke, call 911 immediately. Do not drive to the hospital. By calling 911 at the first sign of symptoms, you buy yourself time. Plus, you give emergency medical personnel the opportunity to start care on-site and en route to the hospital.



Residential Customer

PRSRT STD U.S. Postage PAID Waynesville, NC Permit #19 ECRWSS

262 Leroy George Drive ¡ Clyde, NC 28721 828.456.7311 ¡

Upcoming events Parent Education Program

Your health has a new number 800.424.DOCS Find a doctor for every season in life This one number connects you to our team of general practitioners and specialists like cardiologists, OB/GYNs and orthopedic surgeons. With 24/7 access, our experts will help             physician referral consultant today. Making communities healthier


June 7-June 28: Preparation for Childbirth Preparation for childbirth helps you to be fully involved in the birth of your baby. Taught by certified childbirth educators, this class will prepare you, the expectant mother and your loved ones, with the facts about labor and delivery including both information and techniques to handle the labor process. Preparation for Childbirth is a four-week series, held on Thursdays from 7-9 p.m. To register, please call 828.452.8440. For more information on parent education classes, please visit June 12: Breastfeeding A-Z Taught by our Board Certified Lactation Consultants, this class provides information about the importance of breastfeeding to babies and their families. Techniques for latch-on and positioning are demonstrated to help you get started. Combining breastfeeding with pumping and returning to work or school is also introduced. Expectant mothers should attend this class one to three months before their due date with fathers, grandparents, and other support people. Breastfeeding A-Z is a one-time class from 7-9 p.m. To register please call 828.452.8440. July 19: Your Amazing Newborn Newborn babies have remarkable abilities. This class focuses on the physical appearance behaviors, and reflexes of your new baby. Daily care techniques will be demonstrated. Developmental stages of young babies will be discussed, including your important role as baby’s first teacher. Your Amazing Newborn is a one-time class from 7-9 p.m. To register please call 828.452.8440. For more information on parent education classes please visit

Other events May 31: Free Tired Leg/Varicose Vein Seminar Held at 5 p.m. at the Haywood Regional Vein Center. Interested community members are asked to register for this session by calling 828-452-VEIN (8346). Space limited – RSVP required.

June 2: Community Baby and Kids Fair Haywood Regional Medical Center cordially invites you to a Baby & Children’s Fair. If you’re pregnant, planning to become pregnant, or have children, don’t miss this event. Come meet with local obstetricians, nurse midwives, doulas, and pediatricians. Also, enjoy the numerous community vendors, pregnancy and baby health information, prenatal massage, prenatal yoga, children’s nutrition and recipes, giveaways including scholarship opportunities, baby photo contest, and children’s activities including face painting. This event will be held at Haywood Regional Health & Fitness Center from 10 a.m. – 1 p.m.

Healthy Happenings Spring 2018  

Haywood Regional Medical Center provides safe and compassionate healthcare for the residents of Haywood County and surrounding counties.

Healthy Happenings Spring 2018  

Haywood Regional Medical Center provides safe and compassionate healthcare for the residents of Haywood County and surrounding counties.