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AN INPATIENT OPTION for Hospice Patients SUMMER 2017


SOURCE

SUMMER 2017

In THIS ISSUE

Upcoming classes and events AUGUST HealthWorks Farmer’s Market Madison Hospital – Wednesday Huntsville Hospital – Thursday

On pins and needles............................................................................................ 5

16 Blood Drives at the Wellness Centers: Medical Mall, Jones Valley, Madison

Building a healthier Huntsville....................................................................... 6

19 Palliative Care Conference at Dowdle Center

Caring for our kids................................................................................................ 4

Growing strong...................................................................................................... 8

22 Free Bariatric Information Session at the Center for Surgical Weight Loss

News & Advancements ..................................................................................... 9

September

Heart study implants hope.............................................................................10 2017 Nurses of the year.................................................................................11 A second chapter in medicine.......................................................................12

HealthWorks Farmer’s Market Madison Hospital – Wednesday Huntsville Hospital – Thursday Childhood Cancer Awareness Month Ovarian Cancer Awareness Month 5 Blood Drive at the Heart Center

Advanced care for neurological patients ................................................14 A magic garden.....................................................................................................15 Out and about in our community................................................................16 Senior Horizons Happenings........................................................................20

5, 12, 19, 26 Free Bariatric Information Session at the Center for Surgical Weight Loss October HealthWorks Farmer’s Market Madison Hospital – Wednesday Huntsville Hospital – Thursday Breast Cancer Awareness Month

On the Cover: Hospice Family Care’s new inpatient facility is located on the campus of Redstone Village in south Huntsville. It is the first inpatient facility in Madison County and one of just a handful in Alabama.

3,10,17, 24 Free Bariatric Information Session at the Center for Surgical Weight Loss 18 Blood Drive at the Wellness Centers: Medical Mall, Jones Valley, Madison 21 Annual Liz Hurley Ribbon Run November 19 BMW Brunch benefiting the Caring House

All rights reserved. No material in this publication may be reproduced in any form without prior written permission from the publisher. Articles in this magazine are written by Huntsville Hospital professionals who strive to present reliable, up-to-date information, but no publication can replace the care and advice of medical professionals. Contact your physician when considering and choosing health care treatments. For more information on the editorial content of Source, please call Huntsville Hospital Public Relations at (256) 265-8317 or Huntsville Hospital Foundation at (256) 265-8077. Please contact us if you wish to have your name removed from the list to receive fundraising requests or other mailings supporting Huntsville Hospital Foundation in the future.

7,14,21,28 Free Bariatric Information Session at the Center for Surgical Weight Loss For a complete list of blood drives, health screenings, support groups and other community events, visit huntsvillehospital.org/events


Your Community Hospital In the last issue of Source I hesitated to predict what Congress might do regarding the repeal and replacement of ObamaCare. The Republican controlled Congress has tried to come up with a plan that is acceptable to all segments of the party, but as of early August, the nation’s health care law remains unchanged. The rub for some is the impact that repealing the current law will have on state Medicaid programs, which serve the indigent. In Alabama, the Medicaid program remains in a state of uncertainty following the recent announcement that the proposed model to use regional care organizations (RCO) would no longer move forward. There were many reasons for the decision but the primary factor was the changing environment in Washington that no longer points to RCOs as the best solution. David Spillers, CEO

Our Mission Provide high quality care and services that will improve the health of those we serve. Our Vision To be one of the best health systems in America and consistently strive to provide clinical and service excellence. Our Values Integrity, Excellence, Innovation, Accountability, Compassion and Safety

Huntsville Hospital has been very involved in helping to develop workable solutions for Medicaid over the past several years. We will continue to do so with the goal of improving the health of our citizens and helping to stabilize our Medicaid program. In Alabama, we have the some of the strictest Medicaid criteria in the nation, primarily covering children, pregnant mothers and disabled elderly. There are few adult males covered by Medicaid in our state. Unfortunately, we also have some of the lowest Medicaid reimbursement rates paid to physicians and hospitals in the nation. Regardless of your politics, the impact of some of the proposals being discussed in Washington would be disastrous for many people in Alabama and would probably cause some hospitals in the state to cease doing business. Physicians who are paid very little to treat Medicaid patients would simply choose to no longer do so. We realize that this is a very complex and emotional issue. What we are watching in Washington, however, is proof that politics cannot solve the problem. Partisanship and protecting the home front are inherent in the constant concern for re-election. What is the answer? That depends on who you ask. What is clear is that we need an approach that makes sense, one that brings a variety of people into the development of the solution. We used a process like this when our nation was tasked with closing and consolidating our military bases. The Base Realignment and Closure Commission was non-partisan, data driven, and was charged with recommending the plan to Congress for an up or down vote with no changes to the recommendation. The commission was tasked with finding a solution, not worrying about getting re-elected. It worked well. I happen to think that is an approach that should be considered for our nation’s health care system. What do you think?

Source | Summer 2017

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Huntsville Hospital Child Development Center Director Jan Crouch with some of her students. Open since 1967, the center was the first company-provided, on-site child care program in Alabama.

Caring for our kids Huntsville Hospital’s path was forever altered on May 25, 1961, when President John F. Kennedy announced his ambitious goal to land an American safely on the moon by the end of the decade. NASA turned to the year-old Marshall Space Flight Center on Redstone Arsenal to create the powerful rocket that would be needed to bring Kennedy’s dramatic vision to life. Scores of aerospace engineers and their families began moving south to join the Space Race. Huntsville Hospital also took off to keep pace with Huntsville’s 1960s population boom. The nursing staff swelled. A new five-story patient wing rose from the red clay along Madison Street. By 1967, the hospital had become one of the region’s largest employers. And because so many hospital employees had young children, then-Administrator 4 huntsvillehospital.org

Larry Rigsby decided to offer them an exciting new benefit: on-site child care. The Huntsville Hospital Child Development Center opened in July 1967 – 50 years ago – on Lowell Drive. It was the first corporate on-site child care facility in Alabama. The hospital spent $57,000 – equivalent to about $400,000 today – building the child care center, and the Junior Welfare League donated $2,100 to help furnish it. Minutes from hospital board meetings in 1967 show the child care center was opened to serve working families and to help attract new employees. Now tucked away on the edge of the Medical District, the Child Development Center is available to any Huntsville Hospital Health System employee or physician with children between six weeks and four years old. The facility looks and operates much like other child care centers across North Alabama, with one big

exception: it opens at 6:15 a.m. and doesn’t close until 8 p.m. That’s to accommodate parents who work the 7 a.m. to 7 p.m. hospital shift. “We’re an important part of the overall mission of the hospital,” said Jan Crouch, Child Development Center Director. “When our parents know that their children are happy and safe, they can go to work and focus entirely on taking great care of their patients.” Crouch, who goes by “Ms. Jan” at work, said the center stays full with average enrollment of about 120 children. To ensure a spot, parents need to get on a waiting list several months before their baby is born. “We’ve had women come by right after finding out they were pregnant,” laughed Crouch. “Sometimes we know before the father.”


Martha Pullen at home in her Huntsville sewing room. She credits Tennessee Valley Pain Consultants with helping her overcome intense back pain that made traveling difficult.

For more information, visit huntsvillehospital.org/pain-management To make an appointment, call (256) 265-7246. Common conditions treated Back & Neck Pain Sacroiliac (SI) Joint Pain Nerve Pain and Shingles Pain Sciatica Knee and Hip Pain Cancer Pain Shoulder Pain

On Pins and Needles Martha Pullen, a national leader in the heirloom sewing industry, knows the importance of pin point precision. That’s what led her to choose the anesthesiologists at Tennessee Valley Pain Consultants when she needed spinal injections for pain four years ago. A Huntsville resident, Pullen turned her passion for sewing into a multi-million dollar company, hosting a TV show on PBS, founding Sew Beautiful magazine and leading conventions locally and globally. Travel was a way of life for Pullen until 2013 when she began experiencing intense back and radiating leg pain. The pain prevented her from sitting for more than 30 minutes at a time. “I was afraid to drive or board a plane,” she said. “The pain was completely affecting my way of life and ability to travel for my business.” Pullen went to Tennessee Valley Pain Consultants at Huntsville Hospital for an evaluation. She saw anesthesiologist Ronald Collins, MD, who ordered an MRI

of her lumbar spine that revealed spinal stenosis. Spinal stenosis is a narrowing of the spinal canal; symptoms can include leg pain, numbness or weakness. Dr. Collins recommended a series of lumbar epidural steroid injections as well as physical therapy. Epidural steroid injections are a non-surgical treatment option for patients experiencing neck and back pain and are particularly beneficial for treating radiating pain. It was determined that Pullen was not a surgical candidate, which made injection therapy her pathway to pain relief. Dr. Collins pin pointed the area of the spine causing her pain using real-time fluoroscopic X-ray guidance and injected a steroid-anesthetic, bathing the painful nerve with soothing medication. “Patients suffering with back and neck pain like Pullen can find relief with nonsurgical interventions such as injection therapy,” Dr. Collins said. “Our goal is to treat patients with a minimally invasive approach.”

Pullen was able to return to business travel almost immediately after her first injection. She has continued traveling across the country and globe with a new focus – teaching entrepreneurship and resilience. “It was miraculous,” she said. “Literally, the next day I was able to get back on a plane and continue my business. One injection will relieve my pain completely for 3-4 months and sometimes up to one year.” Nearly 100 million people in the United States suffer from chronic pain – more than those living with diabetes, heart disease and cancer combined. Due to its subjective nature, pain is often difficult to measure but important to address. “Our goal, besides managing pain with medication when appropriate, is to treat the pain at its source,” said anesthesiologist Morris Scherlis, MD. “This often involves injections to precise pain generators and can markedly improve a patient’s quality of life.” Source | Summer 2017

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From affordable gym memberships to farmers’ markets offering locallygrown produce to campus bike racks, our wellness initiatives are making a daily difference in the lives of people across North Alabama.

a healthier Huntsville Huntsville Hospital knows that in order to build a healthier and more active community, you have to move beyond the walls of the hospital. Farm to (your) table Every Thursday morning from late April through mid-October, local farmers’ gather outside the hospital’s Plaza Resource Center (corner of Governors Drive and Madison Street) for the HealthWorks Farmers Market.

and other important nutrients, the U.S. Centers for Disease Control and Prevention says a fruit- and vegetablerich diet can reduce your risk of heart disease, stroke, diabetes, high blood pressure and certain cancers.

Madison Hospital recently started its own Wednesday morning farmers’ market.

Get fit for less

Depending on the month, you’ll find plump strawberries, heirloom tomatoes, sweet corn, vitamin-rich squash, juicy peaches and more—all grown on family farms in North Alabama. Fresh fruits and vegetables have myriad health benefits. Besides being excellent sources of fiber, vitamin C 6 huntsvillehospital.org

The hospital’s Wellness Center locations in downtown Huntsville, Jones Valley and Madison are making it more affordable to get in shape. Under a new family-friendly rate plan, existing Wellness Center members can add a spouse or a child up to age 26 for just $15 a month. A family membership for three or more people is $74.

Along with a wide array of fitness equipment, the Wellness Centers offer pools, indoor tracks, group classes, child care, athletic trainers, registered dietitians, therapists and exercise physiologists. Thanks to a reciprocal use agreement, members also get free access to wellness facilities operated by AthensLimestone Hospital, Decatur Morgan Hospital, Marshall Medical Center North and South, and Helen Keller Hospital. Research Park clinic A new Huntsville Hospital Corporate Wellness primary care clinic in Cummings Research Park is helping the city’s high-tech workforce stay healthy.


Located across from Bridge Street Town Centre, Employee Health Clinic at Research Park is led by David Huff, MD, a family physician with more than 30 years of experience.

while keeping their employees healthy, productive and on the job,� said Huntsville Hospital Corporate Wellness Nurse Manager Heather Whorton, RN.

Several local companies have partnered with the clinic. Their employees and dependents can use Dr. Huff as their regular primary care provider or just swing by when they have a sore throat, sinus infection or other illness.

Pedal power

Corporate Wellness also has a busy primary care clinic in the downtown Med Mall for employees of Huntsville Utilities and Madison County. “Our programs are reducing health care costs for our corporate partners

The City of Huntsville has an ambitious plan to build 160 miles of interconnected bicycle routes, bike lanes and greenways. By providing safe places to ride, municipal leaders hope to encourage more people to leave the car at home and pedal to work. Huntsville Hospital supports these initiatives and recently installed more bike racks around campus for our visitors, employees and physicians.

Bruce Weddendorf, vice president of Straight to Ale brewery and founder of the Huntsville Urban Bike Share program, designed and made one-ofa-kind green, logo bicycle racks for Hospital Hospital. Up in smoke Huntsville Hospital is doing its part to encourage patients, visitors and employees to kick the tobacco habit. We have a strict campus-wide no smoking policy and offer an eight-week smoking cessation program at our Center for Lung Health. Need help quitting? Call (256) 2657071 to sign up for our smoking cessation program.

Source | Summer 2017

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Dr. Linnea Larson-Williams chats with 10-year-old Ainsley Faith Nevitt on the Huntsville Hospital campus. Dr. Larson-Williams is the only pediatric endocrinologist in North Alabama treating children.

the pancreas can’t produce enough insulin to keep blood glucose levels normal. This type of diabetes is treated with lifestyle changes, oral medications and insulin. Dr. Larson-Williams will care for children with both Type 1 and Type 2 diabetes.

GROWing Strong Linnea Larson-Williams, MD, is coming home, and that’s a very good thing for North Alabama families raising children with diabetes.

“Having Dr. Larson-Williams nearby is going to be great for kids with diabetes in North Alabama,” Nevitt said. “And there are a lot of them.”

In August, Dr. Larson-Williams opened Huntsville Hospital Pediatric Endocrinology and Diabetes Clinic, the area’s only medical practice for children with Type 1 and Type 2 diabetes, abnormal thyroid or adrenal glands, and other endocrine system problems.

A Guntersville native who graduated from UAB School of Medicine and completed her residency training in Birmingham, Dr. Larson-Williams said she is thrilled to bring pediatric endocrinology to the Rocket City.

Her arrival means local children with diabetes will no longer have to travel 180 miles round trip to Birmingham or Nashville to see a pediatric endocrinologist. Melissa Nevitt’s 10-year-old daughter, Ainsley Faith, is one of those young patients. When the family moved to Huntsville last summer, they were disappointed by the absence of pediatric endocrinologists. They seriously considered driving back and forth to Mobile for care before finding a childhood diabetes specialist in Birmingham. 8 huntsvillehospital.org

“It’s going to be much more convenient for families,” she said. “People will no longer have to drive to UAB or Vanderbilt for quality care.” Type 1 diabetes is an autoimmune disease that causes the pancreas to stop producing insulin, a hormone that allows people to convert food into energy. It usually strikes suddenly in childhood or adolescence, and those who have it must take synthetic insulin through daily injections or infused through a pump. In Type 2 diabetes, the body does not use insulin properly – a condition known as insulin resistance. Over time,

The Juvenile Diabetes Research Foundation estimates 200,000 young people in the U.S. are living with Type 1 diabetes. Failure to properly manage the disease can lead to a slew of complications including kidney failure, blindness, nerve damages, heart attack and stroke. The daughter of a family physician from Marshall County, Dr. Larson-Williams completed a three-year pediatric endocrinology fellowship at UAB. She spent the past two years as an assistant professor of pediatrics at the Medical College of Georgia in Augusta. She is board certified in general pediatrics as well as pediatric endocrinology. “My husband and I have talked for a long time about coming back to North Alabama to raise our children, and we’re so grateful this opportunity came along,” said Dr. Larson Williams. “Because I grew up in the area, I already have a vested interest in the community and in the health of its children.”

Huntsville Hospital Pediatric Endocrinology & Diabetes Clinic is located at 401 Lowell Drive, Suite 5, Huntsville, AL 35801. Office hours are 8 a.m. to 4:30 p.m. Monday–Thursday and 8 a.m. to noon Fridays. To schedule an appointment, please call (256) 2653250.


Visit Med Mall for medical records If you were a patient at Huntsville Hospital, Huntsville Hospital for Women & Children or Madison Hospital and need a copy of your medical record, visit the new medical records kiosk at the Medical Mall, located at 1963 S. Memorial Pkwy, Monday – Friday from 8 a.m. to 4:30 p.m. It’s easy to find, and parking is free. Gift Shop sales support patient care The Huntsville Hospital Auxiliary recently donated $243,049 from gift shop sales and two annual fundraising sales to the Huntsville Hospital Foundation. Items being funded by the volunteer-led Auxiliary: portable ultrasound bladder scanners, new cribs and a kid-sized wheelchair for the Pediatric ER. Thank you Auxiliary! Way to go, Sandy! Huntsville Hospital’s own Sandy Cross, RN, was a national runner-up in Prevention magazine’s search for America’s Most Amazing Nurse. A patient navigator at Huntsville Hospital Breast Center, Cross was one of five finalists and was featured in the May issue of Prevention, winning the “fan favorite” poll.

Joshua Hewiett is the new president of Huntsville Hospital Heart Center, North Alabama’s largest cardiology practice. Hewiett succeeds Larry Johnston, who has retired. Hewiett will also be the hospital’s vice president of cardiovascular services. SPEAK on your iPhone Suicide is the second-leading cause of death for Alabama children between 10 and 14 years old. The new SPEAK (Suicide Prevention, Empowerment, Awareness and Knowledge) mobile app is designed to help users recognize the signs of suicide in friends and family, what they could do and direct them to community resources where they can get appropriate help. From your iPhone or Android, go to the App Store or Google Play Store and then search for “SPEAK North Alabama.” A small group from Leadership Huntsville’s L-30 class worked to bring the free app to fruition in support of the SPEAK campaign.

Get moving again. Non-Surgical Pain Relief (256) 265-Pain

Source | Summer 2017

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The Heart Center’s Dr. Jay Dinerman, principal investigator, and Samantha Lindsey, RN Research Clinical Coordinator are leading the FDAapproved implantable defibrillator clinical trial. The device fits under the skin near the patient’s rib cage.

Heart Study Implants hope Heart Center Research is seeking patients with decreased heart pumping function, diabetes and a history of heart attacks to participate in a worldwide clinical trial of a new implantable defibrillator device. The MADIT S-ICD study will evaluate whether a defibrillator implanted under the skin near a patient’s rib cage is effective at preventing sudden cardiac death in certain patients with a history of heart attacks, decreased heart pumping function and diabetes. MADIT stands for Multicenter Automatic Defibrillator Implantation Trial; S-ICD stands for Subcutaneous Implantable Cardioverter-Defibrillator. On June 9, Lynchburg, Tenn. resident Stephen Cray became just the second person in the world to receive the device as part of the new study. Cray, who has Type 2 diabetes and survived a heart attack in July 2016, said he signed up for the study because fear of a having another cardiac event was “making me sicker and sicker.” He had the defibrillator surgically implanted on his 70th birthday. “It’s really given me a different frame of mind,” Cray said about a week after the procedure. “I’m not thinking about and worrying about my heart as much.” 10 huntsvillehospital.org

Jay Dinerman, MD, a Heart Center electrophysiologist and the study’s principal investigator, performed the outpatient procedure at Huntsville Hospital. “Participating in research studies allows us to offer potentially beneficial treatments to our patients that are not otherwise available,” said Dr. Dinerman. “The knowledge gained not only helps those subjects enrolled in the study but also other patients who suffer from similar problems.” Underwritten by Boston Scientific, a medical device company, the defibrillator trial is open to patients with diabetes who have had a heart attack and whose heart pumping function is moderately decreased. Previous studies showed that implanted defibrillators can improve quality of life and decrease mortality for cardiac patients with severely diminished heart pumping. The device delivers an electric shock that can convert life threatening cardiac rhythms into normal heart rhythms. The current study is the first to track the success of defibrillators on heart patients with diabetes. Dr. Dinerman said 1,800 patients will be enrolled in the study worldwide at

approximately 100 clinical centers. Two-thirds of the patients will receive the defibrillator implant; the rest will get standard medical care. The two groups will be compared through the end of the study in early 2022. The defibrillator study is one of several exciting new happenings around Huntsville Hospital’s nationally recognized cardiovascular program. Huntsville Hospital Heart Center also recently opened a new location in Athens, welcomed cardiologist Chris Roth, MD, to its medical staff, and launched a national search to attract three more cardiologists to the area, including a heart failure specialist. “We’re working hard to meet the needs of the community,” said Heart Center President Josh Hewiett.

If you think you meet the criteria for the MADIT S-ICD trial and would like to learn more, please contact Heart Center Research at (256) 519-8472 or research@ theheartcenter.md.


2017 Nurses of the Year Registered nurses Brenda Styles, left, and Michele Engelhardt at Big Spring International Park. Engelhardt was named Huntsville Hospital’s 2017 Nurse of the Year, while Styles won the award for Madison Hospital.

Choosing our 2017 Nurses of the Year from among more than 3,000 registered nurses and licensed practical nurses was no easy task. But we think you’ll agree that Michele Engelhardt, RN, and Brenda Styles, RN, CNS, are deserving recipients. Engelhardt, a charge nurse in the outpatient Chemotherapy Infusion Center, was recently named Huntsville Hospital Nurse of the Year. Styles was named Madison Hospital’s inaugural Nurse of the Year for her many contributions as clinical nurse specialist. Here’s a little more on what makes them so special. Michele’s nursing story Michele calls her 37 years in nursing an “amazing journey.” She spent the early part of her career working in medicalsurgical, emergency and orthopedic units at hospitals in her native Kentucky. After her son Charles Pruitt took an engineering job in Huntsville, Michele decided to follow him south. She was drawn to oncology nursing while seeing her own mother go through treatment for melanoma. “I thought, ‘These nurses are just amazing, and here’s an area of nursing I know very little about,’” Michele said.

She took an RN job on Huntsville Hospital’s Oncology Unit in 2010 and felt immediately at home. Last year, Michele moved to the Chemotherapy Infusion Center in Blackwell Medical Tower as charge nurse.

It was James who encouraged her to go into nursing. She had dreamed of working at Huntsville Hospital as a child and got close, spending the summer of 1970 as a teenage volunteer candy striper.

“I’m so humbled to be named Nurse of the Year,” she said. “There are thousands of wonderful nurses at Huntsville Hospital who deserve this as much as I do. Being a nurse fills your heart and changes you for the better.

As their kids got older, James insisted that Brenda give nursing another shot. She enrolled in Calhoun Community College’s nursing school at age 34 and landed her first paying hospital job as a patient care aide in critical care.

“It’s a very, very special job, and I can’t imagine doing anything else.”

“I think James saw a gleam in my eye when we would talk about health care,” Brenda said. “Maybe he knew my gifts better than I did.”

Michele has managed to stay focused on her patients despite a difficult few months at home. Her husband was diagnosed with an aggressive form of brain cancer in January and is undergoing treatment. “Her positivity – even with her own husband facing a grim diagnosis – is contagious,” Michele’s co-workers wrote in nominating her for Nurse of the Year. “Michele’s incredible attitude is the glue which keeps our unit going.” Brenda’s nursing story Brenda is another example of amazing grace in the wake of personal tragedy. Her husband James Styles died of pancreatic cancer in July 2015.

Brenda found her niche as an RN in Huntsville Hospital’s Neuro Intensive Care Unit, eventually rising to charge nurse and then to director of the Neuro Spine-Neuro Surgery Unit. Along the way, she went back to school and earned both bachelor’s and master’s degrees in nursing from the University of Alabama in Huntsville. When Madison Hospital opened in 2012 Brenda transferred there as a clinical nurse specialist, serving as a mentor and educator for other nurses. “Looking back on my nursing career,” Brenda said, “the only regret I have is that I didn’t do it sooner.”

Source | Summer 2017

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Medical Director Dr. Robert Hash (wearing blue shirt) is the newest member of the Hospice Family Care team; fireplaces are among the special touches that make the new inpatient facility feel more like a home than a hospital. Visitors can pause for a quiet moment in the chapel with stained glass windows designed by Huntsville artist Ron Hogan.

A Second Chapter in Medicine As a neurosurgeon, Robert Hash, MD, spent more than a quarter century helping North Alabamians overcome spine, brain and lower back problems. As he embarks on the second chapter of his medical career, Dr. Hash will ease a different type of pain. Dr. Hash recently came out of retirement to serve as medical director for Hospice Family Care’s new inpatient facility, which is nearing completion in south Huntsville. Located on the campus of Redstone Village, an independent living retirement community, the facility is designed for people with terminal illnesses who need round-the-clock medical care but would rather spend their final days in a homelike setting surrounded by family than in a hospital room.

“Toward the end of life, many people have pain, shortness of breath and other symptoms that can’t be easily controlled at home,” said Dr. Hash. “At the inpatient facility, we’ll be better able to manage those symptoms and make things more comfortable for our patients and their families.” A cancer survivor, Dr. Hash had a busy neurosurgery practice in Huntsville from 1988 until retiring in 2014. But he didn’t remain on the sidelines for long. “I was 60 years old at the time – really too young to quit medicine,” he said. “I felt like the Lord was calling me to do something else.” With the support of his wife, Laura, and their daughters, Annalee and Mary Grace, Dr. Hash enrolled in a oneyear hospice and palliative care fellowship program at the University of Arkansas for Medical Sciences.

Each of the 15 private suites has sleeping accommodations for the patient and two family members. The 30,000-squarefoot facility also offers family living and work areas, patios During the week, he cared for terminally ill patients at John L. with views of the surrounding hills, and a non-denominational McClellan Memorial Veterans Hospital in Little Rock. On Friday chapel. nights, he hopped in the car and drove to Huntsville – a 14hour round trip – to spend the weekend with family. Dr. Hash Huntsville Hospital, Hospice Family Care, Redstone Village completed the fellowship program this summer. and Huntsville Hospital Foundation teamed up to bring the project to reality. It is the first inpatient hospice facility in “It’s been a hard road,” he said, “but I’m really excited Madison County and one of just a handful in Alabama. about working with Hospice Family Care. They’re a great organization full of amazing people.” 12 huntsvillehospital.org


THe INPATIENT UNit features

At the inpatient facility, we’ll be better able to manage those symptoms and make things more comfortable for our patients and their families.

32,000 square feet

15

NINE handmade, stained glass windows

custom pieces of art by local artist

As medical director, he will lead a team of hospice nurses, home health aides and social workers overseeing the care of patients at the new inpatient facility. Perhaps just as importantly, he will be a source of information and support for families facing the loss of a loved one.

Helen Vaughn.

located on a lush

“You’re really caring for the whole family,” said Dr. Hash. The inpatient hospice facility was made possible thanks to the generosity of Huntsville Hospital Foundation donors. If you would like to support the capital campaign, please contact the Foundation at (256) 265-8077.

private patient rooms

10-acre campus

in south Huntsville

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new jobs Created

Hospice Family Care staff offer four programs for families and their loved ones. Each program gives high quality compassionate care for people to enable living as fully as possible. The staff consists of health care professionals and trained volunteers who can help control symptoms, manage pain, and provide emotional and spiritual support expressly tailored to the patient’s needs and wishes. Routine Home Care Routine care can be provided in private homes, independent and assisted-living facilities, group homes, and skilled nursing facilities. This level of care includes scheduled and as-needed visits from the interdisciplinary team. Hospice provides the medications, equipment, and treatments related to a patient’s diagnosis. You will also have access to an on-call hospice nurse 24 hours a day. Respite Care Respite Care is up to five consecutive days of inpatient care provided in our inpatient unit or a contracted nursing facility. Respite Care is available to provide relief for your caregivers. Continuous Home Care Continuous Home Care is intensive hospice care that takes place in a patient’s home to achieve palliation and management of acute medical symptoms. This level of care is intended to be short-term and should be provided only during periods of crisis as necessary. General Inpatient Care General inpatient care is provided in our inpatient unit, in a contracted hospital or nursing facility. This level of care is intended for short term symptoms that cannot be managed at home and requires a higher level of treatment and monitoring. The necessity and length of stay for inpatient care is evaluated daily. Once symptoms have been managed, patients will return to a living situation that meets your needs. If returning to your previous location is no longer an option, our inpatient unit staff will work with you and your family to coordinate a plan that meets your needs. Source | Summer 2017

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Interventional Radiology

Primary Stroke Center

Tele-med NeuroStroke Network

Neuro Operating Room

Neuro Intensive Care

Neurosurgery

NeuroSciences Institute

Emergency Care

24/7

Neurology Specialized nursing care

Advance Care For more than half a century North Alabamians have trusted the team at Huntsville Hospital to deliver advanced neurological and neurosurgical care. Led by the region’s most experienced specialists, our program today combines the strength of neurosurgery, neurology, interventional radiology, specialty nursing, therapy and rehabilitation. Moving forward, our cooperative efforts will be known as Huntsville Hospital NeuroSciences Institute. Our approach will not change—we believe in comprehensive care, working together across disciplines, serving our patients 24-7. No other hospital or program in North Alabama delivers this around-the-clock commitment. Our medical team includes highly trained, board-certified physicians who collectively have more than 200 years of experience treating complex neurological and spine issues (see box). Caring for a neurological patient at Huntsville Hospital can involve many other medical specialists who play vital roles in delivering quality care to our patients, including emergency physicians, radiologists, hospitalists, pathologists and others. Huntsville Hospital has long been recognized nationally for the care provided to neurostroke patients. Healthgrades ranked the Huntsville Hospital’s spine surgery program in the Top Ten percent nationally for 2017 and our cranial neurosurgery program in the Top Five percent. Supporting the physician team at Huntsville Hospital is the region’s only Neuro Intensive Care Unit, staffed by nurses who only treat neuro patients. Three dedicated step-down nursing units enhance the care for patients who have had spine or brain surgery. In addition, dedicated operating room suites and staff give our patients the advantage of the most experienced team in the region. Delivering quality care is a priority for our program, and it has been confirmed by The Joint Commission’s consistent designation of Huntsville Hospital as a Primary Stroke Center, reflecting our commitment to following best medical practices.

Think of Huntsville Hospital NeuroSciences Institute as a team of providers of inpatient and outpatient services to assess, evaluate, diagnose and treat patients with neurological and spine conditions, including: – Herniated discs – Traumatic brain injury – Brain, spine and nerve tumors – Stroke – Epilepsy – Multiple sclerosis – Scoliosis and other degenerative spine conditions – Spinal injuries – Parkinson’s disease – Alzheimer’s disease – Weakness or numbness in the hands and feet – Lower back pain – Chronic headaches – Carpal tunnel syndrome

Physicians on the Huntsville Hospital Medical Staff who specialize in neurological care: Neurosurgeons Jason Banks, MD Derrick Cho, MD Rhett Murray, MD Joel Pickett, MD Cheng Tao, MD Holly Zywicke, MD Neurologists Anjaneyulu Alapati, MD Amit Arora, MD Aruna Arora, MD Jitesh Kar, MD Theodros Mengesha, MD Tejanand Mulpur, MD Rama Nadella, MD

Care for patients with possible strokes has also been enhanced with the development of the North Alabama Neuro-Stroke Network, a telemedicine program for community hospitals across the region. Appropriate care can be initiated more quickly or the patient may be transferred to Huntsville Hospital. Stroke patients at Huntsville Hospital are further supported by around-the-clock back up of the neurosurgeons from Spine & Neuro, should surgery be needed.

Physiatrists Hayley Campbell, MD Brent Newell, MD

Comprehensive services. Collaborative approach. Available around-the-clock. Huntsville Hospital NeuroSciences Institute is committed to quality neuro care for you and your family.

Pediatric neurology Kimberly Limbo, MD

14 huntsvillehospital.org

Interventional radiologist Dana Tomalty, MD


A magic Garden Robert Black was born with a green thumb. The Madison Hospital groundskeeper wakes well before dawn to keep the 25-acre campus looking manicured and pretty for patients, visitors and employees. Most people who see Robert toiling in the summer heat don’t know that his horticultural roots run much, much deeper. After a hard day’s work, Robert tends to his volunteer duties as founder, caretaker and chief protector of the North Alabama Japanese Garden in Monte Sano State Park. With its traditional tea ceremony house and “friendship bridge,” the mountaintop garden is one of the park’s most photographed spots. And it wouldn’t exist without Robert. The idea When his Azalea Land garden center went out of business in the late 1980s, Robert hauled all the unsold trees and shrubs to his home on Monte Sano.

Seeing the sad tangle of unwanted Japanese maples gave him the idea of creating a Japanese garden in the state park. He took his idea to the park superintendent in 1988; to his surprise, the man said yes. A Japanese Army officer working on Redstone Arsenal heard about the garden and offered to help. That was the spark. Before long, members of Huntsville’s Japanese community began showing up to move rocks and rake leaves. Many brought ideas for how to make the little garden on Monte Sano into something memorable. By 1991 Robert’s garden boasted an army of volunteers and corporate donors, an authentic Japanese tea ceremony house and a red friendship bridge spanning a mountain creek. Cancer scare Then Robert got cancer. Unable to tend to the garden regularly, it fell into disrepair. The tea house roof sprung a leak; the trails became rutted and overgrown.

North Alabama Japanese Garden founder Robert Black, at left, enjoys the peaceful views from the friendship bridge. Above, the view from inside the tea ceremony house. Members of UAH’s Japanese Club help plant trees along a garden trail.

When his health finally improved, Robert was determined to not only restore the garden to its former glory but to make it even better. Kozo Matsuda, a garden backer and retired Hitachi executive, convinced Toyota, Daikin and other Japanese companies in North Alabama to make significant donations to the restoration effort. Robert oversaw the improvements including a new outdoor stage, raked stone garden and handicap-accessible trails. The new and improved garden was dedicated in May. ‘Something spiritual’ Asked why he has spent the better part of 30 years creating a Japanese garden within a state park, Robert pauses. “I don’t know anything about Camaro engines, so I plant plants,” he said. “And there’s just something special about that place. It’s real quiet, real serene. There are deer living on the mountain that will sometimes watch me as I work. “I guess you could say that I feel like I’m doing something spiritual.” Source | Summer 2017

15


Out and About

in our community with the foundation

The 29th annual Huntsville Classic Dinner and Golf Tournament was a great two-day event that raised funds for the new Suicide Prevention, Empowerment, Awareness and Knowledge (SPEAK) program, an initiative led by Huntsville Hospital in partnership with area mental health organizations and all schools in Madison County. The event featured the Classic Dinner and Concert, featuring the Four Tops and Temptations; and a golf tournament at the Robert Trent Jones Golf Trail at Hampton Cove. The event raised a record $360,000 in net proceeds to support the SPEAK program.

Current and past Huntsville Classic chairmen donned their Classic shades and joined more than 4,000 guests at the dinner and concert held in the VBC Arena.

The Temptations wowed Classic Dinner guests with their energetic performance featuring classic oldies from the 60s and 70s.

Founding Sponsor Intergraph players included Jim Kaplan, Scott Moore, Larry Eakes and Tom Doran.

Randy Reynolds with Dynetics, Inc. was the winner of the Car Dealers Par 3 Shoot-Out and won a 2017 Honda from Jerry Damson Honda! Randy is pictured with his wife Jan.

Huntsville Classic Trustees Emeritus Nick Lioce and Frederick Lanier chaired the 29th annual event, which set a fundraising record for the event.

Joe and Health Care Authority Board member Kerry Fehrenbach, with Larry and Foundation Trustee Kim Lewis.

Dynetics, Inc. is funding the Halo Sleep Sack program for the fourth year. The program provides a sleep sack, designed to help prevent Sudden Infant Death Syndrome (SIDS), for every child born at Huntsville Hospital for Women & Children, as well as all Pediatric patients under the age of 6 months. Dynetics president Greg Lester presented a generous check to the Foundation’s Candy Burnett at the company’s Memorial Day celebration.

16 huntsvillehospital.org


FOUNDING SPONSOR

PRESENTING & PLATINUM SPONSORS

A special thanks to our 2017 Huntsville Classic sponsors! Alabama Cleaning Service Avectus | A Bolder Healthcare Company BlueCross BlueShield of Alabama MedCo Services | Uptain, Inc. Moon Construction Services, Inc. North Alabama Chemical SpectrumReach Venturi, Inc.

Bentley Automotive Group Century Automotive Group Hiley Automotive Group Jerry Damson Honda Acura Landers McLarty Chevy Dodge Chrysler Jeep Fiat Alfa Romeo & Subaru

Ray Pearman Lincoln Mercury, Inc. University Kia Woody Anderson Motor Company

Comprehensive Anesthesia Services

Alere North America, LLC Humana Baker, Donelson, Bearman, Caldwell INKANA Healthcare Development & Berkowitz, PC. J. Smith Lanier & Company The Broadway Group Jesse Stutts, Inc. CHB Mechanical, LLC K & M Paint Company, Inc. Clearview Cancer Institute Lanier Ford Colonial Printing The Lioce Group Deer Valley Farm Loring & Co. Fine Jewelers The ee Group M & D Mechanical Contractors, Inc. ERC, Inc. Medline Industries, Inc. Franklin Collection Services, Inc. Dr. Rony and Marti Najjar

Balch & Bingham, LLP Chapman Sisson Architects Commercial Flooring Services, Inc. Mr. and Mrs. Richard A. Holloway IronMountain Solutions, Inc. Mr. and Mrs. Aubrey E. Sapp, Jr. Specon Systems, Inc. Mr. William H. Stender, Jr. Mr. and Mrs. W. Grant Thomson Trav-Ad Signs

Alabama Chapter of HIMSS HealthSouth Rehabilitation Hospital of North Radiology of Huntsville, P.C. Alliance Cancer Care Alabama Dr. and Mrs. Richard Randall Anonymous The Heartspur Group Drs. Thomas and Ann Marie Reidy Drs. Amit and Aruna Arora Mr. and Mrs. Donald E. Hubler Renasant Bank Athens-Limestone Hospital Huntsville Cardiovascular Clinic Republic Services, Inc. Banks Industries, Inc. Huntsville Utilities Rheumatology Associates of North BB&T IBERIABANK Alabama, P.C. BBVA Compass Mr. and Mrs. Robert B. Ingram Mr. & Mrs. Philip Schmidt Dr. and Mrs. Leon W. Bell, III Jackson Center Seabrook Solutions, LLC Mr. and Mrs. John D. Blue Mr. and Mrs. George M. Jones, III ServisFirst Bank Mr. and Mrs. Joseph V. Caruso Kord Technologies Mr. and Mrs. Patrick Shane Slaten Cerner Corporation Mr. and Mrs. Jason D. Landers Dr. and Mrs. Jason T. Smith Sarah and Mike Chappell Lee Builders Dr. and Mrs. Richard Sneeringer Drs. Robert and Jeanmarie Chappell Lockheed Martin Corporation Snelling Professional Services Chem-Aqua, Inc. Dr. and Mrs. Edward Markushewski Dr. Sherrie Squyres and Mr. Claude Snoddy SupplyWorks Dr. and Mrs. Evan Cohen Mr. and Mrs. Robert Mayes Triad Properties Corporation COLSA Corporation Mr. and Mrs. Foster McDonald Mr. and Mrs. Charles G. Vaughn Fidelity Investments Medical Business Management Drs. Aparna and Murthy Vuppala First Commercial Bank MOVE Digital Warren Averett, LLC Fowler Auction & Real Estate North Alabama Glass Company G.L. Smith & Associates Wealth Management Mr. and Mrs. Jeff Wilson The Orthopaedic Center, P.C. Mr. and Mrs. Dean Griffin Mrs. Susan Ozment Mr. and Mrs. David B. Hargrove ProAssurance

Pathology Associates Progress Bank Qualis Corporation QuantiTech, Inc. Raytheon Systems Company Dr. and Mrs. Farin W. Smith Teledyne Brown Engineering Jean Wessel Templeton WHNT News 19 Willis Towers Watson

Chicken Salad Chick Mr. and Mrs. Barney Heyward Mr. and Mrs. William Donn Jennings LTG(ret) and Mrs. James M. Link Medical Data Systems Mr. and Mrs. Rodney Richardson Mr. and Mrs. Jeff Samz Pushpa and Val Sapra Foundation Science and Engineering Services, Inc Shaggy’s Burgers & Tacos | Ted’s BBQ. Thyssenkrupp Elevator Corporation

Avion Solutions, Inc. Project XYZ Raymond James Torch Technologies WaveLink

Athletic Club Alabama Buffalo Rock Culligan Water Huntsville Event Magazine Huntsville/Madison County Airport Authority Moe’s Original BBQ Nothing Bundt Cakes San & Greg’s Pizzeria Sam’s Club Supreme Beverage Company Taco Mama Taziki’s Mediterranean Cafe Tenders


Employees from Polaris made a generous donation to the Foundation in support of the Liz Hurley Breast Cancer Fund. Employees also volunteered at the Huntsville Classic Golf Tournament. The families of former patients Emma Kate Shannon and Lauren Bates teamed up to support the Melissa George Neonatal Memorial Fund, and the hospital’s Neonatal ICU, by hosting the 1st annual Playing For Preemies Golf Tournament. Pictured at the tournament are Emma Kate and her parents, Adam and Dru Shannon; and Lauren and her parents Kristin and Rusty Bates.

A big thank you and happy birthday to our newest Birthday Club member, Isabelle Shadinger! Isabelle celebrated her 6th birthday recently and requested donations to the Pediatric Unit in lieu of birthday gifts. Even our youngest understand the importance of giving!

The Swing Fore Children with Cancer Golf Tournament, hosted by Dr. Frank Crim and his dedicated committee, was held at The Ledges in June with proceeds benefiting the hospital’s Pediatric Oncology program. Pictured at the parent-child/grandparent-grandchild event are: top left: Brent, Bauer and Clay with their dad, Foundation Board chairman David Nast, bottom left Brian Hinson and his son Andrew, right: Dr. Crim and his grandchildren John Franklin Comer, Mackenzie Comer and Witt Crim. 18 huntsvillehospital.org

Huntsville Symphony Orchestra Guild debutantes visited Huntsville Hospital in May for their annual service project. The young women prepared gift bags with coloring books and crayons to be given to pediatric patients; and attended an informational session featuring business etiquette and health care careers led by a panel of hospital employees.


The Foundation’s young professionals Development Council hosted Claws for a Cause, which featured a crawfish boil, cornhole tournament, and live music by Liquid Caravan, on S.R. Butler Green at Campus 805. Proceeds from the event benefited the Neuro ICU in honor of Will Steward, who received lifesaving care there after suffering a traumatic brain injury in a June 2016 skateboarding accident. Above: Leslie Comer and Leslie Hendley; bottom left: Matt McLellan, Hannah Steward, Will Steward and Kyle Wegrzyn; bottom right: Rob Warren, Josh Martin, George Twitty and Troy Bedsole.

Members of the Foundation’s Millennium Society, and their guests, enjoyed a luncheon held in May with attorney Jenna Bedsole of Birmingham as the guest speaker. Thanks to these generous women, almost $100,000 was raised to fund the purchase of two ventilators for the Neonatal ICU, and support the new inpatient hospice capital campaign. Pictured at the luncheon are: far left: Dr. Aruna Arora with Foundation Trustee Cathy Scholl, top right: Linda Steakley, Betty Jane Gamble, Pam Mayes and Lisa Caprio, bottom right: Ann Upchurch, Sally Upchurch, Diane Wick and Helen Vaughn.

Source | Summer 2017

19


SAVE THE DATE

FOR MEMBERS OF

AUGUST

TASTY TUESDAY

15

Tasty Tuesday, 11:30 a.m. Trinity UMC Wesley Hall 607 Airport Road, 35802

30

Day Trip to Chattanooga, TN

SEPTEMBER 12 Lunch Bunch, 11 a.m. Four Leaves (Asian) 7044 University Drive, 35806 19

Retirement Lifestyle Expo, VBC South Hall Complimentary Health Screenings by Huntsville Hospital

22

Huntsville Botanical Garden Scarecrow Trail 10 a.m. – Noon

27

Fall Picnic, 11:30 a.m. – 1:30 p.m. Green Mountain Pavilion,35803

October 5

Madison Hospital Tour, 1:30 p.m. Meet in the lobby

10

Lunch Bunch, 11 a.m. Kona Grill (American), 435 Bridge Street, 35806

17

Tasty Tuesday, 11:30 a.m., Trinity UMC Wesley Hall 607 Airport Road, 35802

26

Dekalb County Day Trip

November 1 & 2 Huntsville Hospital Main Tour, 9 a.m. 7-10

Auxiliary Jewelry Sale, 24 hours/day Twickenham Walkway

14

Lunch Bunch, 11 a.m. Grille 29 (American), 445 Providence Main, 35806

Call (256) 265-7950 for reservations. Huntsville Hospital Senior Horizons 101 Sivley Road · Huntsville , AL 35801 www.huntsvillehospital.org/senior-horizons sharon.darty@hhsys.org 20 huntsvillehospital.org

SENIOR

Tuesday, August 15 It is What’s Inside That Counts: How 21st Century Imaging Benefits Diagnosis Rhonda Atchley, RT, Director of Imaging, Huntsville Hospital Rhonda will share how the field of Imaging has, over the past decade, transitioned from film (analog) to digital images and the benefits of digital imaging to radiologists, patients and the physicians who treat them. Included in the presentation are unusual images of cases that really happened, captured by radiologic technologists. Tuesday, October 17 Protect the Skin You’re In Heather Whorton, RN, Nurse Manager, HealthWorks and Corporate Wellness, Huntsville Hospital Melanoma, basal, and squamous cell skin cancers are the most common of all types of cancers. Learn the risk factors, signs and symptoms of all three types of skin cancers, along with the importance of early prevention and detection. Tasty Tuesdays are held quarterly at 11:30 a.m. at Trinity United Methodist Church, 607 Airport Road, 35802. The cost is $5 and includes a box lunch. Blood pressure checks are provided by retired nurses, prior to the meeting, at 11:00 a.m.

LOCAL OUTINGS Huntsville Museum of Art Audubon Exhibition August 1 (Tuesday) 10 – 11 a.m. Location: Huntsville Museum of Art, 300 Church Street, 35801 Cost: $7 Join Senior Horizons members as we enjoy a docent-led tour of prints from American artist John James Audubon. Audubon achieved worldwide fame in the 1840s with his large scale folio of prints, The Birds of North America. This exhibition, organized by the Huntsville Museum of Art, presents 24 beautifully framed original Audubon prints, lent from a major regional collection and in Huntsville for a limited time. Huntsville Botanical Garden Scarecrow Trail September 22 (Friday) 10 a.m. – 12 (noon) Location: Huntsville Botanical Garden, 4747 Bob Wallace Avenue, 35805 Cost: $10 (HBG members free) plus the cost of lunch Enjoy the first day of Autumn by strolling through the Scarecrow Trail at the Huntsville Botanical Garden. Themed displays each year top the last, with the community creating wonderful interpretations of scarecrows throughout the Garden. Senior Horizons members will meet at the Guest Center. Afterwards we will have lunch in the café.


HORIZONS Fall Picnic September 27 11:30 a.m. – 1:30 p.m. Cost: $10 Location: Green Mountain Pavilion, Madison Co. Nature Trail Celebrate a beautiful fall day with a picnic, fellowship and games. We will enjoy burgers and sides from Bubba’s Silver Spoon catering. Hospital Tours Huntsville Hospital is the second largest hospital in Alabama and is the flagship hospital for the nation’s third largest publicly-owned hospital system. Here’s your chance to learn first-hand about the nationally-recognized health care available in our own backyard through tours offered in October and November. Tour times range from 1 ½-2 hours. Please wear closed-toe shoes, comfortable for walking and standing. Madison Hospital Tour – October 5, 1:30 p.m. (meet in the lobby)

Huntsville Hospital (Main) Tour – November 1 & 2, 9:00 a.m. (meet in the Main lobby)

Day Trips Dekalb County, AL – Ft. Payne-Valley Head-Leesburg Date: Thursday, October 26 | Deadline: September 26 Cost: $65/person Enjoy a Fall color tour exploring the scenic mountains of NE Alabama. We will make stops in Ft Payne to see DeSoto Falls, Orbix Hot Glass and sample Granny Hester’s Sweet Potato Biscuits; enjoy lunch featuring southern favorites at Mountain Parkway Grill in Leesburg, a stop at Miracle Pottery in Mentone and more. The cost of the trip includes activities, transportation, lunch, bottled water and all gratuities Opryland – Shopping at Green Hills, Christmas Dinner & Show featuring Diamond Rio Date: December 14 | Deadline: November 1 Cost: $125 Treat yourself to a day of holiday shopping at the Mall at Green Hills including lunch at The Cheese Cake Factory. Later we will gather at the Gaylord Opryland Resort for a 7-course, French inspired dinner with Southern flair, followed by a holiday themed show featuring Grammy nominated and CMA awarding winning band, Diamond Rio and its unique blend of country and bluegrass music. Ticket price includes lunch at Cheese Cake Factory, the dinner and show, motorcoach transportation, bottled water and all gratuities.

All Senior Horizons trips and local outings are open only to its members. For information on becoming a member, or to learn more about trips and outings, call the Senior Horizons office at (256) 265-7950. Trips and activities fill quickly. Please make reservations early!

Four-Day Excursion Springtime in Kentucky Tour with Excursions Unlimited Dates: March 29-April 1, 2018 Cost: $839 (double) Deposit: $100 Final Payment Due: February 1, 2018 Trip Cancellation Insurance: $75 (to be paid by separate check at the time of deposit) Experience Spring in the “bluegrass state.” Highlights: Corvette Museum in Bowling Green, Churchill Downs, dinner on the Farm, the Creation Museum, the Ark Encounter, Dinner Cruise on the Ohio River, dinner show at the Derby Theatre, Stephen Foster’s “Old Kentucky Home” and more. Ticket price includes: tours and entertainment, nine meals, hotel accommodations, motorcoach transportation, refreshments on coach, taxes, and luggage service. Gratuities are extra.

Destination Travel

with Collette Vacations

Important Note: Prices include round trip air fare from Huntsville, air taxes and fees/surcharges and transfers. A $250 deposit is required to initiate the reservation process. Travelers have seven days to withdraw their reservation to receive a full refund. Prices are subject to increase prior to the time travelers make full payment. Cancellation insurance is available. Reservations are limited and available on a first come, first served basis. Spotlight on Tuscany – Tour # 816622 Dates: March 8-16, 2018 Deadline for Deposit: September 1, 2017 Cost: $3,249 (double) Final Payment Due: January 5, 2018 Highlights: Tuscany is rolling landscapes, savory wines, delicious food and stunning architecture. This trip includes Montecatini Terme, Florence, Lucca, Gothic Line, Siena, Wintery Tour, Pisa and San Gimignano Albuquerque Balloon Fiesta – Tour # 816633 Dates: October 4-9, 2018 Deadline for Deposit: April 25, 2018 Cost: $2,769 (double) Final Payment Due: August 3, 2018 Highlights: New Mexico is “the land of enchantment.” This trip includes Santa Fe, Santa Fe School of Cooking, Turquoise Trail, Balloon Fiesta, Old Town Albuquerque, National Museum of Nuclear Science & History, Indian Pueblo Cultural Center. Source | Summer 2017

21


Out and About WITH

senior Horizons

New Sew Healing volunteers Susan Jones, Burlene Childers and Roxy Alexander.

Dianne Cochran and Jennie Coe on the Tulip River Cruise through Holland and Belgium.

Earline Hammonds sews a Mended Heart pillow for a open heart surgery patient

Enjoying a spring morning at the Hays Nature Preserve

Lunch Bunch fiesta at Phil Sandoval’s 22 huntsvillehospital.org

Barry Fowler and Kay Lindsey at Cream City Creamery on the Crossville Trip

Phillip Mammana, Kitty Denny, Ann Hopkins and Phyllis Mammana at the Red Bay Dinner and Show

Catherine Stone, Florence Garman and Marian Hanson on the Red Bay Trip


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SOURCE 101 Sivley Road, Huntsville, AL 35801

Treatment

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Source - Summer 2017  
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