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live well PA R T I A L LY O W N E D B Y P H Y S I C I A N S

Phyllis Griggs works to return to her active lifestyle after two spine surgeries at Carolina Pines Regional Medical Center in 2018.

Helping you on your path to wellness S P R I N G

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Back to Life

Former high school athletics director gets moving again, thanks to two spine surgeries

Carolina Pines joins LifePoint Health

| Questions about total hip replacement answered | Better bone health


Former high school athletics director gets moving again, thanks to two spine surgeries




A Rich History in Hartsville As we celebrate 20 years as Carolina Pines, we can’t imagine it any other way

Terence Hassler, MD, Chief of Staff at Carolina Pines


Total hip replacement surgery



WELL BEING Nutrition for bone health


Carolina Pines Regional Medical Center has a rich history of serving our community. When I joined the medical staff in 1993, we were known as Byerly Hospital and located in a small facility in downtown Hartsville. In a move that would have a significant, lasting impact on the community, the Hospital Board made the decision to sell the hospital to Health Management Associates (HMA). The Byerly Foundation was created from the sale, with the Hospital Board becoming the board for the Foundation. Twenty-four years later, it is difficult to imagine Hartsville without the progressive, community-building work of the Byerly Foundation. HMA also made a commitment to build a replacement facility for the hospital on a 31-acre campus that would allow for immediate growth of the hospital and the capacity for future expansion. On Jan. 1, 1999, the hospital was renamed Carolina Pines Regional Medical Center, just five months before moving into the current 210,000-square-foot facility. As we celebrate 20 years as Carolina Pines, I am reminded of the many ways we have expanded our care, including the many physicians and specialties we have added. You will read about two or three of those in this issue of Live Well . But I believe some important things have remained the same. Things like the abiding care and compassion of our staff, and the strong sense of neighbors caring for neighbors. You will read about that compassionate care in the story of Phyllis Griggs on page 4. These are exciting times in our history, and I look forward to seeing all the ways we will continue to grow and serve all of you. Sincerely, Terence Hassler, MD Chief of Staff

The materials in Live Well are not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment. For more information, visit our website at cprmc.com or call (843) 339-4563. Copyright © 2019 Carolina Pines Regional Medical Center.


Live Well  Spring 2019

According to the National Sleep Foundation, more than 18 million American adults have sleep apnea.

REST EASY Sleep Center accreditation recognizes our high quality care for sleep disorders Every night, millions of Americans lose sleep due to shift-work disorders, sleep apnea and other sleep problems. Carolina Pines Regional Medical Center’s Sleep Medicine Center provides current preventive, diagnostic and treatment options for a wide range of sleep disorders. Recently, the American Academy of Sleep Medicine (AASM) awarded AASM Accreditation to our Sleep Medicine Center. This accreditation recognizes that our multidisciplinary sleep care team and our new Sleep Lab provide the highest quality of care. Our sleep care team is headed by a physician who is board certified in sleep medicine. Our large, comfortable Sleep Lab has four private, homelike bedrooms, as well as a Technician Room with sophisticated monitoring and audio-visual equipment operated by sleep lab professionals. The Sleep Lab is now located in the hospital.

New on Staff We welcome these physicians to Carolina Pines Regional Medical Center

John T. Atkins, III, MD, FCCP Pulmonary Specialist Appointments may be made by calling (843) 878-1101

Jack Thomas Sproul, MD Orthopedic Surgeon Appointments may be made by calling (843) 383-3742

One of the methods of treating sleep apnea is to wear a continuous positive airway pressure device (CPAP), which is a mask that fits over the nose and/or mouth, and gently blows air into the airway to help keep it open during sleep.


Sweet dreams

If you’re having trouble getting a good night’s sleep, talk with your doctor about a referral to the Carolina Pines Sleep Medicine Center.

Committed to a Healthier Community Carolina Pines is part of LifePoint Health In November 2018, Carolina Pines Regional Medical Center became part of LifePoint Health, a community-based healthcare company dedicated to Making Communities Healthier®. LifePoint Health’s national care network includes 89 hospital campuses, more than 45 post-acute service providers and facilities, and more than 50 outpatient facilities across 30 states. In addition to Carolina Pines, LifePoint’s facilities in South Carolina include Providence Health and Providence Health Northeast, in Columbia, and KershawHealth, in Camden. LifePoint’s commitment to quality and patient safety is a way of life that informs every level of the organization. The LifePoint National Quality Program (NQP)—created in collaboration with Duke University Health System—ensures consistent, high standards of quality and patient safety across the company’s network of facilities and has become a leading example of quality and patient safety in the industry. In fact, the NQP received the prestigious John M. Eisenberg Award for Innovation in Patient Safety at the Local Level in 2017. This honor acknowledges the program’s major achievement in promoting and enhancing quality and patient safety.

cprmc.com  (843) 339-2100



Back to life Phyllis Griggs had two spine surgeries with Dr. Siddharth Badve in 2018.

Former high school athletics director gets moving again, thanks to two spine surgeries Hartsville resident Phyllis Griggs had been the longtime athletics director for Hartsville High School when she began to experience pain and numbness in her right leg. After talking about her symptoms with doctors from Carolina Pines Regional Medical Center who volunteered as team physicians, Phyllis was fairly sure that she was dealing with sciatica—a problem caused when vertebrae in the lower back press on a major nerve that runs from the spine to the leg. Phyllis went to see orthopedic spine surgeon Siddharth Badve, MD, to get a complete diagnosis. She was surprised when he found that her problems weren’t only in her lower back. “Ms. Griggs was a very active person who was finding it difficult to stand and walk,” Dr. Badve says. “Besides the shooting pain, heaviness and numbness in her legs, she also had balance issues. And she was experiencing tingling and numbness in her hand as well. It was a confusing picture.” Dr. Badve decided to scan Phyllis’ entire spine. The CT revealed that she had pinched nerves in her neck due to bone spurs, as well as herniated discs and bone spurs in her lower back. “I was at work, standing on the sideline, when I heard that Dr. Badve was more concerned about my neck than my back,” Phyllis says. FIRST THINGS FIRST Dr. Badve worked closely with Phyllis, taking a conservative approach to her


Live Well  Spring 2019

treatment. He began with a non-operative The clinical staff follows treatment of back and neck braces, as a spine protocol, and well as an epidural “to calm the nerve patients are monitored down,” he explains. so that if anything goes However, Phyllis continued to have wrong, a quick-response problems, and it became clear that team can address issues surgery was necessary. “Eventually immediately. compression of the nerve would cause “After patients are the blood supply to be cut off from the stabilized and their pain arm and leg,” Dr. Badve says. controlled, the rehab At that point, Phyllis had set a date team gets involved, for her retirement, and she wanted to getting them moving,” Dr. wait so she would have plenty of time to Badve continues. “We use recuperate. She and Dr. Badve scheduled a multimodal pain-control her first surgery after her retirement to strategy. This has allowed address the pinched nerve in her neck. us to reduce the use of “From a surgeon’s perspective, doing narcotic medications surgery on the neck takes priority, safetyby three-quarters. And wise,” Dr. Badve says, explaining that after surgery, most without timely treatment, the pinched patients don’t need pain nerve could lead to paralysis. meds after a week or That first spine surgery, completed in so—maybe just some September of 2018, improved Phyllis’ leg acetaminophen.” Physical therapy is an important part of Phyllis’ recovery from function and lessened the pain in her spine surgery. Here, she takes a break with Karah Wilson, middle back. But as she started moving ON THE MEND physical therapy assistant (left), and Dr. Badve (right). more, her lower back started bothering “The morning after the her again. By December, it was time for surgery I was up,” Phyllis campus. “I chose Carolina Pines because a second surgery. says. “The physical therapist came in and they meet my needs. My physical therapy Phyllis’ second surgery involved I walked with a walker.” She remained in will take longer because I waited so long correcting the herniated discs and the hospital for a few days, until the staff to have surgery, but the therapists are inserting a metal rod to prevent the deemed her ready to return home. “After working with me, giving my muscles vertebrae from rubbing against one a while, I didn’t need the walker, and they special attention. I know I couldn’t do this another or compressing the sciatic nerve. took me up and down steps to make sure by myself.” I could get in and out of my house.” “She is doing so well. Phyllis is a real SPECIAL CARE AFTER SURGERY “The nursing staff was very caring and Phyllis was impressed with her inpatient very patient,” Phyllis says. “They made me go-getter,” Dr. Badve says. care. “My respect for Dr. Badve grew feel like I was the most important person tremendously. Immediately after surgery, they were taking care of. I got to know I went straight into the ICU [Intensive Care them pretty well. I could tell it wasn’t Is it your back? Unit], where the nurses are trained for this just a job to them—they had so much If you have unexplained pain, numbness and they monitor every detail,” she says. compassion.” or tingling in your legs or arms, Dr. Badve explains that spine surgery Phyllis is home now and continuing the problem could be in your spine. patients are sent to the ICU for the first her physical therapy with the Carolina To make an appointment with an orthopedist, call (843) 383-3742. 24 hours after surgery as a precaution. Pines outpatient rehabilitation facility on


THE RIGHT APPROACH “Good planning is half the battle won,” says Siddharth Badve, MD, a fellowship-trained orthopedic spine surgeon at Carolina Pines Regional Medical Center. He and his colleagues have a team-based approach to spine surgery to ensure that patients—especially those age 60 or older— have a thorough pre-operative evaluation and surgical plan. “We always check on any existing medications and do a complete cardiological evaluation before surgery,” Dr. Badve says. During spine surgery, the emphasis on safety continues. The team uses industry best practices and technology to increase patient safety and improve outcomes, including:

A  less invasive approach. Keeping the incision size to a minimum reduces blood loss and results in less pain and quicker recovery.

M  iniature cameras and microscopes. These state-of-the-art tools

allow surgeons to work through small incisions and better see internal structures, such as nerves, spurs and discs. A  cell saver. This machine diverts a patient’s blood, filters it and immediately returns it to the body to eliminate the need for blood transfusions.  Intraoperative neurophysiological monitoring. A machine sends an electric current to the extremities to check the nerve pathways. “If there is a signal disruption, we can adjust immediately during surgery,” Dr. Badve says.

cprmc.com  (843) 339-2100





Joint Decisions Answers to your questions about total hip replacement Total hip replacement is surgery to replace a worn out or damaged hip joint with an artificial joint. Unlike knee replacement, total hip replacement surgery can be approached from different angles — from the back (posterior), the side (lateral anterior) or from the front (direct anterior approach). Carolina Pines orthopedic surgeon Jack Sproul, MD, answers questions about the direct anterior approach, a minimally invasive surgical technique that he is bringing to Hartsville. WHY DO YOU PREFER THIS APPROACH? During surgery, the anterior approach allows us to go between muscles to access the hip joint. In the United States, most surgeons have been using the posterior approach, which means you have to split the gluteus maximus muscle, and in the long term, the muscle might not work properly. Also, with the posterior approach, there is a higher rate of dislocation — the new ball joint coming out of its socket. After surgery, patients have more restrictions on their sleep position and how far they can move their knee, among other things. IS THIS A NEW APPROACH? The anterior approach has been in use for a while, but with a special table that holds the femur at a certain angle. Unfortunately, this does not allow surgeons to compare the length of the repaired leg with that of the unaffected leg. By doing the anterior approach without the special table, I can gauge leg length during surgery and assess the joint through its full range of motion. In Europe, they have performed about 10,000 procedures this way, so it has a well-established track record.


Live Well  Spring 2019

HOW DOES THE DIRECT ANTERIOR APPROACH BENEFIT PATIENTS? With this approach, overall recovery is faster. We follow a protocol known as Enhanced Recovery after Surgery and Anesthesia, which shows that by getting patients up and around more quickly, they do better. And this is much easier when the gluteus muscle isn’t damaged. Now, I am pretty conservative, so I still have patients use a walker for three to four weeks, but the difference is dramatic: Most patients are fully recovered two to three weeks faster, they don’t have as many movement restrictions, and they have the lowest dislocation rate. Only about 5 to 10 percent of these patients require inpatient rehabilitation. The vast majority of patients can go home after a few days and manage rehab on an outpatient basis. This technique is changing the face of how we’re doing total hip replacement.

Jack Sproul, MD, is an orthopedic surgeon at Hartsville Orthopaedic and Sports Medicine. For an appointment, call (843) 383-3742.


Understand your options. If you’re considering total hip replacement surgery, you need to know the risks, benefits and options. Dr. Sproul schedules his patients for pre-operative education sessions and gives them plenty of time to ask questions.


Nutrition for


A Carolina Pines dietitian can help you plan a diet that is good for your whole body. Call (843) 339-4530.

Bone Health

These three key nutrients are good to the bone By Kimberly Alton, RD, CSSD, LD


Did you know that almost half of Americans over age 18 suffers from some type of bone or joint condition? This includes arthritis, back and neck pain, osteoporosis, and traumatic injuries. Nobody wants to live in pain or break bones. A healthy diet helps your body build or maintain healthy bones. Make sure your eating plan includes these three key nutrients: 1. CALCIUM. Most people’s bones start thinning in their mid-30s. That’s surprisingly young, but all adults can take steps to lose less calcium from their bones and even make them stronger. When we don’t get enough calcium from our diet, our body takes it from our bones. It is important to get enough calcium daily. Women ages 18 to 50 and men ages 18 to 70 need 1,000 milligrams of calcium daily (about two servings of calcium-rich foods). Women over age 50 and men over age 70 need to bump it up to 1,200 milligrams daily (two to three servings of calcium-rich foods). 2. VITAMIN D. Without vitamin D, our bodies cannot absorb calcium. That’s why milk is fortified with vitamin D. In general, we need 400 to 600 international units (IU) of vitamin D daily. If you have your vitamin D level checked and it is low, your provider might recommend a dietary supplement containing a higher dose of vitamin D. 3. MAGNESIUM. This mineral plays an important role in how your body regulates calcium and vitamin D. Magnesium is found in many foods. However, even moderate alcohol consumption or use of proton pump inhibitors, such as Prilosec, Nexium or Prevacid, could cause you to lose magnesium. In this case, your provider might recommend a magnesium supplement.

Drinking milk isn’t the only way to build strong bones. These foods are rich in key nutrients that support bone health.


Kimberly Alton, RD, CSSD, LD, is director of Food and Nutrition Services at Carolina Pines.


Calcium Canned sardines or salmon with bones Dairy (milk, cheese, yogurt) Dark green vegetables (collards, spinach, turnip greens) Fortified foods (juices, cereal, soy milk) Seeds and almonds Tofu Vitamin D

Egg yolks Fatty fish (salmon, sardines, mackerel) Fortified foods (dairy, cereal)

Magnesium Avocados Green vegetables (collards, okra, kale) Legumes Nuts and seeds (sesame, chia) Whole grains

Strength Training Exercise builds up your bones, too You already know that regular exercise helps you maintain a healthy weight and is good for your heart. Did you know it can help you build stronger bones, too? Weight-bearing activities are best for your bones. These include walking, dancing and lifting weights, as well as sports that involve running or jumping. Try to get 150 minutes of moderate-intensity activity each week. When planning your exercise, think about doing both weight-bearing and muscle-building activities. After all, strong muscles are needed to hold those bones up. Combining healthy eating and exercise is just what the dietitian ordered to improve your bone health.

cprmc.com  (843) 339-2100





1304 W. Bobo Newsom Hwy. Hartsville, SC 29550

(843) 339-2100

Find us online! carolinapinesrmc carolina.pines Carolina Pines cprmc.com



Please be our guest each month! Each class meets in the Education Classroom directly before the cafeteria. Senior Scene Senior citizens always get the best of the good life with this free program. First Thursday of the month 10–11 a.m.

Lunch and Learn* Enjoy an informative talk with a different physician each month over lunch. Third Thursday of the month 12–1 p.m.

Living Well with Diabetes Beneficial and educational support group for people living with diabetes. Second Thursday of the month 6 p.m.

Childbirth Preparation Class* Free for expectant mothers and their labor partner. First Saturday of the month 9 a.m.–4 p.m. NEW





Live Well  Spring 2019

Ostomy Support Group Our Inpatient Wound Care Nurse Karen Butler, BSN, RN, WCC, OMS, is certified as an ostomy management specialist and leads our new support group for ostomy patients and their caregivers. Fourth Tuesday of the month 7–8 p.m. Contact Karen Butler, (843) 339-4259 or karen.butler@cprmc.com *Please RSVP for Lunch and Learn and Childbirth Preparation Class at (843) 339-4563.

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Live Well Spring 2019  

Live Well Spring 2019