2014 NEA Health - Spring/Summer

ISSUE 14

Spring/Summer 2014

Brought to you by

NEABaptist.com

Hope, Technology & Expertise for Cancer Care in Northeast Arkansas

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NEA Health magazine benefits the programs of

NEA Baptist Charitable Foundation has a mission to raise funds to help support the programs that impact lives and meet needs in Northeast Arkansas.

It’s through the generous contributions of our donors that help us accomplish our mission.

If you would like more information on how you can support NEA Baptist Charitable Foundation, please call Robbie Johnson at (870) 9368479 or Kim Provost at (870) 934-5128. We would love to have you be a part of helping meet the needs of others in our community.

from the editor CANCER

6 letters that mean so much 6 letters that when put together, you don’t want to hear 6 letters that so many people know and have been impacted by The statistics are riveting: 1 in 3 people will get cancer.

I don’t understand it. I don’t want it. I want to beat it and make it go away.

The reality is, for now, we have to deal with it. Deal with it like Amy Reed and her NEA Baptist team of physicians and caregivers are as they fight her recently diagnosed breast cancer. Deal with it like Gary Peeler and his care team that extends to our affiliation with Vanderbilt Ingram Cancer Center. We share their stories to share their message. Early detection and prevention is key. We share their stories to highlight NEA Baptist focus on the most important 4 of those 6 letters:

Thanks to all of our advertisers!

PUBLICATION OFFICE

4800 E. Johnson, Jonesboro, AR 72401 NEABaptist.com Deaundra Waddell, Editor Director of Marketing Danial Reed, Marketing Coordinator Nicole Frakes, Art Direction and Design

NEA Health is published bi-annually for the purpose of conveying health-related information for the well-being of residents of Northeast Arkansas and Southeast Missouri. The information contained in NEA Health is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

Editorial, advertising and general business information can be obtained by phoning 870-9368000 or by writing in care of this publication to: PO Box 1960, Jonesboro, Arkansas 72403.

Copyright© 2014 NEA Baptist. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording and any information storage retrieval system, without written permission from NEA Baptist.

CARE The commitment of NEA Baptist and Baptist Memphis to build centers dedicated solely to cancer care is bold. Our technology is unrivaled. As physicians join our practice, the depth of care grows greater. Clinical research affords our patients with care they might not otherwise receive. The infusion suites overlooking the prayer garden allow room for patient’s family and/or caregivers to accompany them as they receive treatment in this healing environment.

I recall a brief conversation with our new radiation oncologist, Dr. Kevin Collins, where he shared his message to his patients with me. He said, in short, “I will never give up on you.” What a powerful message to share with a patient battling cancer.

Our entire team of physicians, nurses and colleagues shares this commitment. A commitment also shared by HopeCircle volunteers as they work with patients and their families to educate them and comfort them as they deal with cancer. I see this same commitment as the nurse navigator guides patients through a new way of living. I also see this commitment as the Fowler family donated generously to endow a patient assistance fund. I see this commitment to hope and health care throughout our new campus and our health system.

A commitment to hope that pushes through.

I hope you see our commitment as we share stories in this issue of NEA Health. We are proud of our new cancer center, hospital and clinic specialty offices. We are proud of our recently added physician practices in Newport and Brookland and other new physicians that are joining our team. But we are most proud of our focus–the quality care that we give you, our patient. We are indeed building health care around you!

Deaundra Waddell, Editor

On the cover: The scripture walk at the Fowler Family Center for Cancer Care NEABaptist.com

1 NEA HEALTH • Spring 2014

CONTENTS

2 Leading the Way

4 Prostate Cancer

6 Believe, Heal, Survive

- Darrell King, CEO NEA Baptist Clinic - Brad Parsons, CEO NEA Baptist Memorial Hospital

Leading

- John Allen, MD

- Breast Cancer Survivor’s Story

8 Mammogram

- David Parish, MD

10 Gynecologic Cancers

O

the Way

ver four years ago when NEA Clinic and Baptist Memorial Health Care of Memphis partnered to create NEA Baptist Health System, no one had an idea of what was to be. The partnership made sense, pairing the area’s largest multi-specialty clinic with the region’s largest health system.

- Christopher S. Bryant, MD

12 Life

Changing Technology

14 Cancer Clinical Research - Dawn Smith, BSN

17 Becoming a Survivor 20 Historic Gift Impacts

Cancer Patients

22 A Personal Approach - Melissa Dunn, RN

24 Diabetes Linked

to Heart Disease

27 Caring for our Community - NEA Baptist Charitable Foundation Updates

The vision of what was to come indeed became reality on January 12, 2014 as our hospital moved to our new medical campus with the clinic specialty offices moving over the following two weeks. The pride that was felt as our hospital, clinic and cancer center took on life as patients and their families, physicians, medical personnel and support staff began filling the halls was overwhelming.

Sounds of babies crying, prayers, laughter and instruction replaced the sounds of construction.

The growth of our health system has been tremendous. Our hospital grew 40% overnight. Our physician growth continues as new physicians and specialties continue to be added to our existing physician infrastructure. We are excited to have Dr. Rodney Clark, hospitalist, Dr. Freij Gobal, cardiologist, Dr. Dominique Butawan-Ali, obstetrics and gynecology, Dr. David Parish, breast imaging, Dr. Yulanda Harrison, family medicine, Dr. Ellen Lawrence, optometry, Dr. Paul Levy, cardiovascular and thoracic surgery, Dr. David Daniel, anesthesiology, Dr. Gordon Akin, internal medicine, Dr. Michael Blanchard, family medicine, Dr. Kevin Collins, radiation oncology, Dr. Sri Raju, sleep medicine, Dr. Leslye McGrath, family medicine, Dr. Roddy Lochala, family medicine, Dr. Matthew Jackson, family medicine, join our team. We are excited about other new NEA Baptist team members as well.

These new jobs bring our total system employment to over 1,800.

The new technology is amazing. We now have the latest and most advanced surgical equipment that allows our heart, orthopedic, bariatric and surgical

32 Health Care Hero 33 NEA Baptist Clinic

Physician List

2 NEA HEALTH • Spring 2014

It is a brand new hospital, full of professionals in all fields! It is easily navigated, and it has the best group of doctors there are!! ...this is the one (hospital) for me from now on!

Rolled my car on icy road yesterday. Went to the new ER. I have nothing but praise for triage, ER nurses & docs, registration staff, CT tech, everyone!!!

There were a lot of traumas, but they let us know what was going on, and they continued to meet our insignificant (in comparison) needs. The new facility is amazing!! Just like the staff!! Thank you.

On January 12, 2014 NEA Baptist Memorial Hospital relocated from our Stadium location to our new medical campus which includes NEA Baptist Clinic and Fowler Family Center for Cancer Care.

View highlights of our move and transition phase at NEABaptist.com

teams to bring even better care to northeast Arkansas. Our expansion into radiation oncology compliments our other cancer services that are continuing to grow and expand. Combine these advancements with a facility designed around patient care and you, indeed, see a new way of delivering health care.

But we aren’t stopping there. This summer we will implement our new electronic health record (EHR) Epic platform called Baptist OneCare. Our patients will benefit the most as communications between patients, physicians and caregivers is improved.

Combining our multi-specialty physician offices into a new medical campus truly allows for integrated health care. NEA Baptist’s goal in all of this is to provide our patients with a higher quality of care. When physicians and care teams are together with the facility and technology needed to care for patients---better outcomes are experienced.

While our building is complete, our commitment to delivering quality health care to our region continues.

Watch for updates as we progress.

We look forward to serving you.

Darrell King, CEO NEA Baptist Clinic

Brad Parsons, CEO NEA Baptist Memorial Hospital

3 NEA HEALTH • Spring 2014

Prostate Cancer

P

rostate cancer diagnoses in men are second only to skin cancer.

They are also the second leading cause of cancer deaths in men, behind lung cancer. The good news is that survival rates of prostate cancer are high when it is detected and treated early. Early detection requires education, as well as the proper screening.

Prostate Specific Antigen (PSA) is a protein produced only in the prostate.

It can be detected in a blood test and reflects the general health of the prostate. It can be elevated by prostate infections, prostate enlargement or prostate cancer.

A normal PSA level does not mean you can’t have prostate cancer.

Likewise, an elevated PSA does not mean you do have prostate cancer.

The Prostate Cancer screening is done by performing annual prostate exams and a PSA blood test. The latest American Urological Association guidelines released in May of 2013, consider the PSA screening to be an option for men between the ages of 40 and 69. The greatest benefit appears to be in men between the ages of 55 and 69. However, if you are African American or have a family history of prostate cancer, screening may be appropriate beginning at age 40. A few older males with a longer life expectancy may benefit from screening until age 79 or older. The decision to proceed with the PSA screening should weigh the risks and benefits of doing so and should be made after first discussing it with your doctor.

How common is prostate cancer and who is at the highest risk?

According to the Prostate Cancer Foundation, prostate cancer is the most common nonskin cancer in America, affecting 1 in 6 men. One new case occurs every 2.2 minutes and a man dies from prostate cancer every 17.5 minutes. In addition, a man is 35% more likely to be diagnosed with prostate cancer than a woman is to be diagnosed with breast cancer.

Higher risk factors include: • Age - as men grow older, they are more susceptible to developing prostate cancer. Only 1 in 10,000 under age 40 will be diagnosed, the rate shoots up to 1 in 38 for ages 40 to 59, and 1 in 14 for ages 60 to 69 • Family History • Race - African American men are at higher risk (56% more likely than Caucasian race to develop prostate cancer)

What can be done to help prevent and/or aid in the early detection of prostate cancer?

Because the symptoms of prostate cancer are similar to other diseases or conditions, men who experience a combination of these particular symptoms will undergo a full work up to eliminate any possible contributors to the symptoms.

Are there any symptoms or warning signs?

If the cancer is caught at its earliest stages, most men will not experience any symptoms. Some men, however, will experience symptoms such as frequent, hesitant, or burning urination, difficulty in having an erection, or pain or stiffness in the lower back, hips or upper thighs.

3

Most Common Cancers Among Men -Prostate cancer -Lung cancer -Colorectal cancer

Leading Causes of Cancer Death Among Men

Can prostate cancer be cured?

-Lung cancer

Because approximately 90% of all prostate cancers are detected in the local and regional stages, the cure rate for prostate cancer is very high.

-Prostate cancer

Save the Date:

John Allen, MD Urology NEA Baptist Clinic 870.932.8674

Free Prostate Cancer Screenings - September, a Hope Week event Men’s Health Luncheon - November 6, 2014

-Colorectal cancer -Liver cancer Source: U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2010 Incidence and Mortality Webbased Report. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and Prevention, and National Cancer Institute; 2013. Available at: http://www.cdc. gov/uscs.

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Dr. Nix is the only ophthalmologist offering bladeless zLASIK surgery in the region.

F. Joseph George, MD Thomas L. Nix, MD James D. Cullins, OD A. Ellen Lawrence, OD

870-936-8000 | NEABaptistClinic.com | 4802 E. Johnson, Jonesboro

Believe, Heal & Survive

I

t is what it is. This quote is on a bracelet that Amy Reed wears every day. The mantra, along with the word – believe-- has become a source of strength throughout her journey of discovering and fighting breast cancer. Amy realizes that she cannot change her diagnosis, but she can believe in her physicians, the technology, the medicine and the team that is backing her as she moves forward with life. This belief is what gives her hope.

“To know that Jonesboro has this amazing campus, we should all be very proud,” said Amy Reed, patient at NEA Baptist. “They have definitely made a difference in my life; I am truly blessed.

My hope is to share my story so that I can make a difference in someone else’s life.”

Even before the first sketch was drawn for the new cancer center, special consideration was given to patient care. This consideration resulted in a new way of delivering health care in Northeast Arkansas. The new, integrated model of health care combines the physicians of NEA Baptist Clinic with the service lines of NEA Baptist Memorial Hospital and the first of its kind, free standing cancer center all on one campus. The idea was that this integration of care would open the doors of communication between physicians and specialists, increase efficiencies and ultimately improve the level of care delivered to patients. Amy’s story is a true and touching testament of how patients benefit from the NEA Baptist team approach.

Amy realized the importance of annual wellness exams even before her diagnosis. In fact, since she began undergoing annual mammograms, she has never missed a year. So when she scheduled her appointment with Dr. Norbert Delacey, obstetrician gynecologist, she also made sure her mammogram was completed that day.

6 NEA HEALTH • Spring 2014

But this time what was routine for Amy, led her down a different path. After seeing her gynecologist and having a routine mammogram in the new Breast Imaging Center, Amy received a call from the Breast Imaging Center that said she would need to come back in for further testing. Working together with the Breast Imaging Center, Amy met with radiologists Dr. Jeff Mullen and Dr. David Parish and the nurse navigator, Emily Carpenter, as discussions began about further testing and treatment. The first step was a needle biopsy.

“I can truly say that being all on the same campus has made things easier and less stressful for me, my family and my friends. I would like to thank all of the staff at the NEA Baptist campus for believing in me and giving me hope,” said Reed.

On Monday morning, March 17, 2014, also her 24th wedding anniversary, Amy was standing with her husband when she received the call that changed her life forever, however, she never let it change her perspective. She had breast cancer. Although she was in shock, she reverted back to her mantra – it is what it is—and she believed in the treatment options she had right here in Jonesboro, at NEA Baptist.

We’ll handle all of your financial needs so that you have more time for the things in life that matter most.

Upon her diagnosis, Amy was referred to Dr. David Phillips, general surgeon and Dr. Scott Dorroh, oncologist, both at NEA Baptist.

They worked with NEA Baptist Clinic physicsian Dr. Tomasz Majewski, a plastic and reconstructive surgeon, to develop a plan of options for Amy and her treatment/recovery.

Every patient is different and every diagnosis is different. The team—from Women’s Health to the Breast Imaging Center to Surgery to Oncology and even Plastic and Reconstructive Surgery – works together to develop a plan and treatment options that are right for you. They care. As the physicians prepare the course of treatment, they often expand the team approach by consulting peers at Baptist Cancer Center and Vanderbilt-Ingram Cancer Center to share ideas about the best way to help you.

Amy Reed had options. She chose to stay at home in Jonesboro; she chose to believe in her team of physicians, nurses, techs and the technology available to aid in her treatment. “To believe in him (God), to believe in my doctors, nurses and all my caregivers. I truly believe in the NEA Baptist campus. As I continue my journey on this path of life, I continue to stay positive just like the ones who are taking care of me.”

American Cancer Society Guidelines for Prevention Achieve and maintain a healthy weight • Be as lean as possible throughout life • Avoid excess weight gain at all ages Adopt a physically active lifestyle • Limit sedentary behavior such as sitting, watching tv, and lying down • 150 minutes of moderate to intense activity per week Consume a healthy diet, with an emphasis on plant food • Eat 2 1/2 cups of veggies and fruit daily • Limit processed meat If you drink alcoholic beverages, limit consumption

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Call 870-934-4091 or visit us at www.iberiabank.com

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• Drink no more than 1 drink per day for women and two for men 7 NEA HEALTH • Spring 2014

Mammograms T

he new Breast Imaging Center is dedicated to keeping women healthy and in the know. Routine care is vital for women to maintain their health, particularly as they age.

Routine care, such as mammograms, can help a woman be more in the know and able to make more informed decisions about her health care.

Dr. David Parish answers common questions about mammography below:

3D Mammography begins June 30th!

Tomosynthesis or 3D mammography is a revolutionary screening and diagnostic tool designed for early detection of breast cancer.

3D mammography gives the ability to view inside the breast layer by layer helping to see the fine details more clearly.

Advantages • Improved cancer detection • Reduced false positives • Better visualization • Less patient anxiety

8 NEA HEALTH • Spring 2014

When should I have my first mammogram?

The American Cancer Society suggests that all women should begin having yearly screening mammograms at age 40. The chance of having breast cancer increases in women age 40 and over.

Do I need a referral from my primary care or OBGYN physician? Do I need to make an appointment?

No referral is needed if you are not experiencing any breast related problems. However, at the NEA Baptist Breast Imaging Center, you will need to have a primary physician or OBGYN to follow up on your results. We recommend you work with your primary care or OBGYN physician to coordinate your care.

What happens during the mammogram? Is the mammogram painful?

Mammography provides a special x-ray of the breast tissue. During the exam, your breast will be under compression for approximately 45 seconds while a series of images are taken at various angles.

The full exam will take less than 15 minutes and the images are immediately viewed by the technologist in order to ensure the images are adequate. The images are then read by the radiologist.

Most women describe a mammogram as feeling “uncomfortable” or “pressure” on the breast. You may want to consider scheduling your mammogram the week after your menstrual cycle, when the breasts seem to be less tender. Our dedicated breast imaging specialists are all registered mammography technologists who are trained to provide you with the most comfortable positioning and a positive mammography experience.

What will you find or look for on a mammogram?

Mammography allows me to see internal structures of the breast.

I look for any suspicious areas within the breast tissue. These suspicious areas most commonly are new masses, microcalcifications and distortions. It is also important for me to compare any prior mammogram images you may have had to your current exam in order to detect any changes.

How long does it take to get the results?

Once your mammogram is read the results are immediately sent to your primary or ordering physician. We also follow up with every patient with a written letter explaining your screening results within 2-3 business days.

203,400

Breast Cancer Deaths Averted Since 1991

What is the next step if my mammogram is not normal?

If there is an area of concern on your screening mammogram, you will be contacted to schedule a diagnostic mammogram and possibly an ultrasound to further evaluate the area of concern. Sometimes there is an area that is suspicious, and a biopsy will be recommended.

I, as well as the nurse navigator, will consult with you and explain every step of the biopsy process. We feel it is important to provide our patients adequate information regarding their recommended plan of treatment. The nurse navigator is a resource for all of our patients. She will provide you with a direct number to reach her throughout the biopsy process. However, we are both available to answer any questions or address any concerns you may have.

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The nurse navigator is available to provide support to you from diagnosis through treatment. She is a resource to you, as well as a contact person. She is available to assist you by scheduling appointments, and coordinating them with one of our general surgeons and oncologists.

The Breast Imaging Center is located on the 1st floor at the clinic entrance of our new medical campus. Appointments can be made by calling 870-936-PINK.

David Parish, MD Breast Imaging Center NEA Baptist Clinic 870.936.PINK

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(Home or Office) 1817 Wood Springs RD 870-932-6502 512 Southwest DR 870-931-9838 Jonesboro, AR 72401 www.classiccleanersjonesboro.com 9 NEA HEALTH • Spring 2014

Gynecologic Cancers

C

ancer is a disease in which abnormal cells in the body divide and grow out of control. Gynecologic cancers occur when those abnormal cells originate from a woman’s reproductive organs. Each year in the United States, approximately 71,500 women are diagnosed with gynecologic cancers. Although the exact cause of cancer is not known, it is clear that certain changes in cells can cause cancer. These changes can be acquired from the environment or inherited from our family. Acquired changes that cause cancer are the most common. We all know and understand the increased risk of cancer from smoking, and most of us have heard of the increased risk of cancer caused by the human papillomavirus (HPV).

Uterine Cancer

Ovarian Cancer

Cervical Cancer

Vaginal Cancer

Vulvar Cancer

Gynecologic cancer is divided into five main types.

Each type has different signs, symptoms and risks that may increase your chance of getting each cancer.

postmenopausal women, however, ovarian cancer can occur in women of any age. Ovarian cancer is one of the gynecologic cancers that can be inherited (BRCA1 or BRCA2 gene).

Uterine cancer: Begins in the pear-shaped

Signs and symptoms of ovarian cancer are very vague and are commonly encountered in everyday life. These symptoms include abdominal bloating and pain, feeling full without having eaten very much, needing to urinate frequently, clothes fitting more tightly and fatigue. Other symptoms include abnormal vaginal bleeding, pelvic pain or pressure, back pain, nausea and vomiting, and a change in bowel or bladder habits. Things that may increase the risk of getting ovarian cancer include older age, family history of ovarian or breast cancer, personal history of breast or colon cancer, European background, endometriosis and infertility. Treatment by a gynecologic oncology specialist, optimal surgery and chemotherapy are critical to decrease the deaths from ovarian cancer. Treatment commonly includes surgery and chemotherapy.

organ in a woman’s pelvis where the baby grows (the womb) when a woman is pregnant. Uterine cancer is the most common gynecologic cancer with an estimated 52,630 women that will be diagnosed during 2014.

There are two main types of uterine cancer: endometrial cancer and sarcoma. Endometrial cancer most commonly occurs in postmenopausal women, however, endometrial cancer can occur in women as young as 35 years of age. Uterine cancer is one of the gynecologic cancers that can be inherited (Lynch Syndrome). Signs and symptoms of uterine cancer include abnormal vaginal bleeding, vaginal discharge, post-menopausal vaginal bleeding, pelvic pain or pressure, and change in bowel or bladder habits. Things that may increase the risk of getting uterine cancer include obesity, infertility, use of high-risk medications (tamoxifen in breast cancer patients), estrogen only hormone replacement therapy (not including women after hysterectomy), and personal or family history of breast or colon cancer. Early detection and treatment are critical to decrease deaths from uterine cancer. Treatment commonly includes surgery, chemotherapy and radiation therapy.

Ovarian cancer:

Begins in the ovaries, fallopian tube or the lining covering these organs (peritoneal lining). Ovarian cancer is the second most common gynecologic cancer and the most common gynecologic cancer related death in women. During 2014, of the 21,980 women estimated to be diagnosed with ovarian cancer, 14,270 deaths are expected from ovarian cancer. The majority of ovarian cancers occur in 10 NEA HEALTH • Spring 2014

Cervical cancer: Begins in the cervix which is

the opening to the uterus or womb. During 2014, an estimated 12,360 women will be diagnosed in the United States. Cervical cancer is among the leading causes of death worldwide. Cervical cancer can occur in woman of almost any age. This is why cervical cancer screening begins in women 21 years of age. Cervical cancer is a gynecologic cancer that can be prevented. Cervical cancer prevention is accomplished by having routine scheduled screening tests and pelvic examinations, evaluation for HPV infection, HPV vaccination, and treatment of precancerous lesions. Early cervical cancer may not cause any signs or symptoms. Signs and symptoms of cervical cancer include abnormal vaginal discharge, vaginal bleeding or vaginal odor.

Symptoms

Uterine Cancer

Ovarian Cancer

Cervical Cancer

Vaginal Cancer

Vulvar Cancer

Abnormal vaginal bleeding or discharge Pelvic pain or pressure Abdominal or back pain Bloating Change in bowel or bladder Itching or burning of the vulva Changes in vulva color or skin

Things that may increase the risk of developing cervical cancer include smoking, long term birth control use, multiple sexual partners and conditions that make it hard for the body to fight infections. Vaccination, screening and treatment of precancerous lesions are critical to decrease deaths from cervical cancer.

Treatment commonly includes surgery, chemotherapy and radiation therapy.

Vaginal cancer: Begins in the vagina, the hollow, tube-like

channel between the bottom of the uterus and the outside of the body (the birth canal). Vaginal cancer occurs most commonly in postmenopausal women, but may occur at any age.

Vaginal cancer can be prevented by having routine scheduled checkups and pelvic examinations, HPV vaccination and treatment of precancerous lesions. Signs and symptoms of vaginal cancer include abnormal vaginal bleeding, vaginal discharge, vaginal odor, pelvic pain or change in bowel or bladder habits. Things that may increase the risk of developing vaginal cancer include smoking, HPV infection, history of cervical pre-cancer or cancer, history of abnormal pap smears and conditions that make it hard for the body to fight infections. Early detection and treatment of pre-cancerous and early cancerous lesions are critical to decrease the deaths from vaginal cancer. Treatment commonly includes surgery, chemotherapy and radiation therapy.

Things that may increase the risk of developing vulvar cancer include smoking, HPV infection, history of vulvar or vaginal pre-cancer or cancer, history of vulvar conditions that cause chronic itching or burning (vulvar dystrophy) and conditions that make it hard for the body to fight infections. Early detection and treatment of pre-cancerous and early cancerous lesions are critical to decrease the deaths from vulvar cancer. Treatment commonly includes surgery, chemotherapy and radiation therapy.

Gynecologic cancers are treated by gynecologic oncologists, surgical oncologists, medical oncologists and radiation oncologists. Treatment by a specialist trained to manage gynecologic cancers markedly improves outcomes and survival.

NEA Baptist Clinic is proud to offer specialists and services specific to gynecologic cancer prevention, screening, detection and treatment.

Vulvar cancer: Begins in the vulva, the outer part of the female

organs that is made up of two folds called labia. Vulvar cancer most commonly occurs in postmenopausal women, but may occur at any age. Signs and symptoms of vulvar cancer include itching, burning or bleeding that does not go away with time or common topical treatments, changes to the color of the skin, development of sores, lumps or ulcers that do not heal or go away with time.

Christopher S. Bryant, MD Gynecologic Oncology NEA Baptist Fowler Family Center for Cancer Care 870.936.7000

References: Siegel R, Ma J, Zou Z, Jemal A. CA Cancer J Clin. 2014 Jan-Feb:64(1):9-29. doi: 10.3322/caac.21208. PMID: 24399786; Inside Knowledge: Get the Facts About Gynecologic Cancer. Available from http://www.cdc.gov/cancer/gynecologic/index.htm

11 NEA HEALTH • Spring 2014

Life Changing Technology

T

he story of the new technology at NEA Baptist Fowler Family Center for Cancer Care begins with the ending.

An ending that celebrates patients completing their radiation therapy.

This celebration is monumental, not only for the patient, but for NEA Baptist. With the opening of the 34,000 sq. ft. cancer center, NEA Baptist launched a new radiation oncology specialty. Dr. Kevin Collins, radiation oncologist, returns to Jonesboro to oversee this new program.

Patients undergoing treatment in radiation oncology benefit from the newly installed Varian TrueBeam linear accelerator.

The accelerator allows physicians to administer a larger dose of radiation to the cancerous tumor while avoiding radiation exposure to healthy tissues and organs. While the tumor is reduced in size, the area is targeted using pinpoint precision accuracy, accounting for even the smallest movement, such as a breath.

The new radiation oncology practice compliments the way NEA Baptist is able to provide cancer care to patients close to home.

Patients benefit from other new technology as physicians utilize a CT simulator that x-rays cancerous areas in order to develop a treatment plan. Paired with a new treatment planning system, physicians, nurses and staff members are able to rapidly diagnose and treat patients.

The entire cancer center focuses on the patient, pairing the latest in technology with patient care, all under one roof. No other facility in the region provides cancer treatment this close to home.

Additionally, the medical campus offers expanded services for cardiovascular care and surgical services. The hybrid operating room combines catherization lab technology with an operating room.

Physicians can easily transition between a non-invasive surgery into a more invasive surgery such as an open heart operation. Specially designed with equipment installed overhead, surgeons and their teams can move the patient around easily. “Our operating rooms are outfitted with integrated imaging capabilities so surgeons can see different views of what is happening real time.

They can also pull up previous studies, scans and images to deliver the best possible care for patients,� said Brad Parsons, hospital CEO and administrator.

photo Š by Michael Peck Photo

Learn more about the Hybrid OR

As you look through the surgical suites, you see the screens that are now an integrated part of the technology. What you don’t see is the anti microbial air filtration system—new technology installed by NEA Baptist that pulls clean air into the surgical suites instead of recirculating existing air.

Found also in the surgical area of the hospital is the latest in the DaVinci robotic surgical system that allows surgeons to provide even less invasive technology assisted surgeries. Beginning summer of 2014, NEA Baptist will be the first to offer single site surgery for procedures such as a hysterectomy. Another first in surgery recently occurred as cardiologists utilized an Impella device--a device that assists the heart in pumping blood throughout the body.

Patients with serious heart conditions benefit from the new non invasive surgery.

NEA Baptist still boasts the fastest CT Scanner in the region.

Whole body scans can be completed in less than 8 seconds, with a pediatric scan taking much less time allowing for faster treatment and less sedation. The entire campus is designed to place technology where it is needed and maximize the overall patient experience. The emergency department is next to the high tech scanners; dedicated elevators are placed near trauma rooms to allow quick transport for care; physician clinic offices are placed near outpatient diagnostic equipment needed for same day evaluations.

“We have a 3-Tesla MRI, we have 3D mammography – the next level in breast imaging technology, we have a 256-slice CT scanner and we have radiation oncology with a linear accelerator - and most of that is brand new technology, “ said Darrell King, CEO of NEA Baptist Clinic. “What that means is that patients now have the option to remain here in Northeast Arkansas for their care.”

The 3-Tesla MRI is twice as powerful as the health care industry’s high-standard MRI and 10-15 times more powerful than an open MRI. Even everyday patient care benefits from the latest technology. “The hospital is equipped with a wireless phone system that connects hospital bed consoles directly to a patient’s nurse,” said Brad Parsons.

“The patient is linked directly to his or her caregiver which allows for better and more efficient care.”

Technology and communication, with a focus on quality, all placed together on one new state-of-the-art medical campus exemplify NEA Baptist’s commitment to better patient care.

INSIGHT FOR

IMPROVING CARE Baptist OneCare Patients will soon be able to schedule their own appointments, order medication refills and send direct messages to their health care providers through Baptist OneCare, a new electronic health record. This new electronic health record revolutionizes the way we provide care with more convenience, improved patient care and safety. One record, created for each patient is accessible to the patient and to all health care personnel when needed.

Brain Power One of the most powerful new technologies found in the cancer center is not a piece of equipment, but rather the power of the human mind.

The knowledge and expertise of 50 people, half of those being physicians, combines to result in a high level of care and better outcomes for patients.

The newly formed tumor board meets regularly to study, consult and brainstorm treatment options.

13 NEA HEALTH • Spring 2014

Cancer Clinical Research

T

he NEA Baptist Clinic’s oncology practice is a private oncology practice that offers comprehensive patient care including research opportunities for most cancer types. The oncology department has been active in clinical trials for approximately 30 years.

Today, patients benefit from this environment that combines a caring staff with clinical research. The NEA Baptist Clinic oncology physicians conduct research in a broad area. Trials ranging from Phase I to Phase IV are conducted in collaboration with the National Cancer Institute, cooperative groups, pharmaceutical companies, Sarah Cannon Research Institute, Baptist Cancer Center in Memphis, Tennessee and now through our new affiliation with Vanderbilt-Ingram Cancer Center in Nashville, Tennessee.

When diagnosed with cancer, it is important to know what treatment options are available.

One of those options might be that of a clinical trial.

Cancer clinical trials open • Breast • Lung • Colon • Bladder • Prostate • Melanoma • Myelodysplastic syndrome • Acute myeloid leukemia • Chemotherapy-induced nausea and vomiting.

What is a clinical trial? Clinical trials are also known as research studies. A clinical trial is conducted with patients, usually to evaluate a new treatment. Each study is designed to answer scientific questions and to find new and better ways to help patients. They are the final step in a long process that began with research in a lab. During a trial, more information is gathered about a new treatment, the side effects, and how well it will work. The treatments now considered standard for patient care, were at one time clinical trials.

Cancer clinical trials answer questions about new ways to: • Treat cancer • Find and diagnose cancer • Prevent cancer • Manage symptoms of cancer or side effects from treatment Patients take part in clinical trials for a number of reasons. Some of the reasons include hope for themselves, access to medicine or treatment before it is available, or the knowledge they made a contribution to research. Regardless of the personal reasons, a clinical trial participant impacts the development of new treatments that may provide better care or a possible cure.

Clinical trials follow strict guidelines. There are phases of trials that evaluate safety and efficacy. Phase I studies work to find a 14 NEA HEALTH • Spring 2014

safe dose, how the treatment should be given, and how the treatment affects the human body. Phase II studies determine if a new treatment works on a certain cancer and to see how the new treatment affects the human body. Phase III studies compare the new treatment with the current standard treatment. And finally, Phase IV studies further access the long term safety and effectiveness of a new treatment.

In addition to phases of trials, each specific research protocol is reviewed and approved by the Food and Drug Administration and an Institutional Review Board to make sure they are conducted in an ethical manner.

Phase III trials have an additional group known as the Data Safety and Monitoring Committee that look at test results, monitor the safety of the research participant, and decide if the study can continue.

Before a patient enrolls in a clinical trial, a detailed description of the study as well as risks and benefits must be carefully explained.

Once the protocol is explained, the decision to participate is up to the patient. The physician and the research team will be available to help the patient with any questions or concerns. If a patient decides to enroll in a clinical trial, an informed consent must be signed. The informed consent is a critical part in ensuring patient safety.

Benefits of clinical trials include: • Health care provided by leading physicians • New drugs and interventions before commercially available • Close monitoring of the patients health and any side effects • More active role in the patients own health care • Opportunity to make a valuable contribution to cancer research However, the primary reason oncology patients participate in clinical trials is because it may benefit them and it will certainly benefit their children and grandchildren. And, it is important to know a difference has been made in the future of cancer care.

After a clinical trial, all information is collected and analyzed.

This information is reviewed for patient safety, drug safety and effectiveness. Data collected can lead to new drugs being approved by the FDA and it helps develop medications that are more effective and safer than any drugs before them.

Now that the clinical trial process has been reviewed, let’s focus on the Oncology Research Department at NEA Baptist Clinic (Fowler Family Center for Cancer Care). As stated earlier, this department and its physicians have been involved in clinical trials for approximately 30 years. Ronald Blachly, MD, Allen Nixon, MD, Carroll Scroggin, MD, Scott Dorroh, MD, Christopher S. Bryant, MD, and Kevin Collins, MD have been participating in clinical trials for a combined total of 110 years.

One of the aspects that separate oncology research from other clinical trials is that of cost. The oncology trials do not provide total patient care at no cost. Patient care that is considered to be routine care for cancer continues to be billed to the patient or third party payer. The trial sponsor usually pays for the cost of the treatment being studied, any study specific tests, or any extra required physician visits. If the study is utilizing a new drug, that drug will also be provided at no cost to the patient.

The Oncology Research Department also offers genetic testing in the areas of breast, colon, melanoma and ovarian cancer.

NEA Baptist Clinic opens between fifteen to twenty new trials a year.

Our goal is to open trials that will offer the best potential benefit to our patients. We currently have approximately 150 patients either in treatment or follow-up. As new and better treatments are discovered through clinical trials, the number of patients involved will continue to increase.

If a patient decides to participate in a clinical trial, they will work with a research team that includes your doctors and the clinical trial coordinators. This team will be in charge of his/her care during the trial and will often stay in contact with them after the trial ends.

The team in the Oncology Research Department consists of Ronald Blachly, MD, Allen Nixon, MD, Carroll Scroggin, MD, Scott Dorroh, MD, Christopher S. Bryant, MD, Kevin Collins, MD, Dawn Smith, BSN, Site Manager; Mary Dover, BSMT, CCRP (Certified Clinical Research Professional); and Lena Harrison, Research Coordinator. The oncology research team may be contacted at 870-936-7067.

As NEA Baptist Clinic explodes into the future, the Oncology Research Department becomes part of the Fowler Family Center for Cancer Care. Our area is known as the Dr. Hank Jordan Research Center. With this expansion, our affiliations with Baptist Healthcare and Vanderbilt-Ingram Cancer Center, and our strong

Past trials conducted in the Oncology Research Department include: • 1999-2002 Top enrollers in the country in a Phase I/II clinical trial.

In 2003, Ronald Blachly, MD and Carroll Scroggin, MD presented the study results at an Oncology Forum in Amsterdam • 2000-2005 Breast cancer study with overwhelmingly positive results, resulting in changes in the standard of care for women with adjuvant HER2 positive breast cancer • 2003-2007 First site in the country to enroll a patient in a clinical trial for metastatic breast cancer using a new oral drug that became standard of care for women with HER2 positive metastatic breast cancer • 2007-2008 First site in the country to enroll a patient in a clinical trial for ITP (Idiopathic Thrombocytopenic Purpura). This clinical trial allowed for an entirely new quality of life. The oral agent used in this study received FDA approval and became standard of care for patients with ITP • 2008-2009 Participated in a registry study looking for patients with a positive PNH (Paroxysmal Nocturnal Hemoglobinuria) clone. Closed with an enrollment of 52 patients.

• Since 2009, our clinical trial base has grown and become more patient specific rather than disease specific.

presence in the research community, the opportunities for our patients multiply. Our patients at the Fowler Family Center for Cancer Care have research opportunities that would normally require them to go elsewhere for their care. Now, these patients can continue to receive top of the line care and go home at the end of the day.

15 NEA HEALTH • Spring 2014

Becoming a Survivor

“N

ow wait. We’re a team here. We’re all together in this,” replied Dr. Carroll Scroggin in response to Gary’s statement that “The scary thing about cancer is the unpredictability of it.” Gary Peeler is a cancer patient and survivor at NEA Baptist. As he reflected back on his experiences with Dr. Scroggin, the one thing that stood out to him about NEA Baptist is the team approach.

Every patient is different and when it comes to cancer, no two cases are exactly the same. Patients needed more; they needed a place to go that would take care of all their cancer care needs in one location – equipped with skilled physicians and staff, the latest in technology and most importantly, the hope they need to fight. The result is the opening of the Fowler Family Center for Cancer Care on the new NEA Baptist medical campus. The doctors of NEA Baptist strive to wrap hope around patients, to ease that feeling of being alone through the emotional and physical journey of overcoming cancer.

Dr. Carroll Scroggin and Gary Peeler

The Fowler Family Center for Cancer Care incorporates circular elements into its architecture to symbolically represent the way patients are surrounded by compassionate physicians, nurturing nurses and supportive family during their care and treatment. The comprehensive center hosts radiation oncology, medical oncology (infusion area), physician offices, state-of-the-art technology, clinical research and the support and resources of HopeCircle, all under one roof.

“Everything being under one roof is one of the most incredible things,” Peeler said. “If you’re doing radiation, if you’re doing infusion treatments, you don’t want to go and be moved around. You just want to do what you’ve got to do and then you want to go home. It’s an incredible thing that you can now come here and have all of your appointments and treatments done here.”

Nurse Navigators Offer Assistance and Care Patients will benefit from the team approach at NEA Baptist, where the physicians have every resource they need available for the care of their patients. Each patient is assigned under the care of a nurse navigator who helps in the navigation of treatments, setting up appointments, questions, support and overall care. The navigator helps patients find their way in what can be an overwhelming amount of information and options.

“People are responding to our new medicines and living longer,” Dr. Scroggin said. “It’s becoming more like living with a chronic disease. Cancer may not be curable, but we have an effective treatment.”

Becoming a Survivor continued on page 18

D

17 NEA HEALTH • Spring 2014

Becoming a Survivor Ccontinued from page 16

The cancer center features some of the best technology in the area. The new state-of-the-art Varian TrueBeam Linear Accelerator located in the radiation oncology department delivers the most innovative radiation therapy available.

Along with the linear accelerator, the center hosts the Seimens CT Simulator, which provides an X-Ray of cancerous areas to aid in the development of a treatment plan.

The treatment options at the cancer center are further enhanced with the connection to Baptist Cancer Center in Memphis and the recent partnership with Vanderbilt-Ingram Cancer Center. This connection will give patients and physicians access to clinical trials, pharmaceuticals and research data not previously available that will advance treatments and practices. Physicians will also work closely with other oncology specialists to discuss treatment options, truly putting the team approach to work for the best outcome for the patient.

Comfort and Peace Aid in Cancer Survival Although the main focus in the cancer center is the care and survival of all of the patients, NEA Baptist strives to make anyone’s stay in the facility as comfortable and peaceful as possible.

“We spent months and months designing the cancer center. Most of the staff, nurses, front desk and administration all had input on patient flow. And every decision we made, we talked together,” Dr. Scroggin said. “All decisions were made to make it safe and comfortable with the patients in mind.”

photo © by Michael Peck Photo

One area that was especially designed for the patients is the infusion area. It includes four infusion pods with five infusion chairs in each pod. Research shows that the camaraderie between fellow patients aids in the treatment process and the hope for recovery. The pods allow patients to talk with other patients or to pull a curtain for privacy. There is also ample space for visitors, as many patients do not come alone.

“I know that these pods are set up for the patient, number one,” Peeler said. “But I also like the little extra steps they provide the caregivers. Now with the caregiver

r i tage e h a g n i u n i t Co n

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sitting there with you in the infusion pods, it starts a bond. If things go bad or you have a low moment, they’re there with you.”

The overall calming effect is mirrored throughout the entire center. A private healing garden is located outside the infusion area, with large windows allowing natural light to fill the space. The garden features scriptures throughout the walk way and a calm, serene environment for patients to reflect.

Patients Find Resources, Support in HopeCircle HopeCircle, located right off the lobby, is a program that provides patients and their families the opportunity to be surrounded by support groups, resources and information in a calming atmosphere, both mentally and figuratively.

“It is very important to have a warm, non-threatening environment where individuals and families are comfortable and feel welcomed,” said June Morse, program manager of HopeCircle. “…the area is designed to reflect the circling together of families, staff members, support groups, volunteers and patients. The spherical motion of the area is calming…we want everyone inside of the facility to have a place to come together.”

MEET OUR CANCER TEAM NEABAPTISTCLINIC.COM

Ronald Blachly, MD, FACP Hematology/Oncology

Not only does HopeCircle create a place of support and hope, it provides patients with educational resources, handmade items like afghans and hats (knitted by volunteers), as well as wigs.

“When you go through the entire building, the physicians, the technology, the infusion nurses, the lab, the researchers, when you put all of this together with the physical capabilities, our region is going to benefit from [the cancer center] because it’s incredible,” Peeler added.

Beautiful architecture, state-of-the-art technology, leading research and vast amounts of resources are part of the brand new, one-of-a-kind cancer center. The most remarkable feature of this new center is the compassionate care provided by experienced physicians, nurses and staff. Creating an environment of peace and hope for each patient as they help them in the fight against cancer, together as a team, is not just a priority at the Fowler Family Center for Cancer Care, but a way of life.

Christopher S. Bryant, MD Gynecologic Oncology

Kevin Collins, MD Radiation Oncology

Scott Dorroh, MD Hematology/Oncology

D. Allen Nixon, Jr., MD Hematology/Oncology

Carroll D. Scroggin, Jr., MD Hematology/Oncology photo © by Michael Peck Photo

19 NEA HEALTH • Spring 2014

Historic Gift Impacts Cancer Patients

I

n early December 2013, NEA Baptist announced that Wallace and Jama Fowler of Jonesboro made the largest donation in Baptist Memorial Health Care’s 101-year history. The gift made to the NEA Baptist Charitable Foundation is being used to create the Fowler Family Patient Assistance Endowment. This fund will expand and enhance support services for cancer patients and their families. In their honor, the NEA Baptist Cancer Center will be named the Fowler Family Center for Cancer Care.

“It is an honor to receive such a generous gift from the Fowler family for the new Cancer Center at NEA Baptist,” said Brad Parsons, CEO and Administrator of NEA Baptist Memorial Hospital. “The Fowlers have given to many great initiatives in our community and this is no different. This gift will help transform cancer care in northeast Arkansas for generations to come.”

Darrell King, CEO of NEA Baptist Clinic added, “The generosity of the Fowlers will allow our health system to expand the cancer care services we currently provide, and ensure that our patients in northeast Arkansas can get the care they deserve here at home.”

Mr. and Mrs. Fowler have been longtime supporters of Jonesboro projects, including the Arkansas State University Fowler Center for the Performing Arts. He was inducted into the Arkansas Business Hall of Fame in 2011. They have three sons and live in Jonesboro.

“We look forward to working with NEA Baptist and the cancer center to help provide additional support for patients and their families,” said Fowler.

Wallace and Jama Fowler at the NEA Baptist Medical Campus Ribbon Cutting and Dedication

NEA Baptist Medical Campus Ribbon Cutting

The NEA Baptist Charitable Foundation has been meeting the needs of people all over our region for more than a decade. Consisting of five programs, the foundation helps those in our community at no cost, regardless of where they receive their medical care. Founded by the physicians of what was then NEA Clinic as a way to give back to the community, the award winning foundation was originally started with one program, the Medicine Assistance Program (MAP).

MAP acts as a liaison between pharmaceutical companies and patients to help them get much needed prescription medications at no cost. There are now over 2200 people enrolled in the program with over $4.6 million dollars in medications given in 2013.

20 NEA HEALTH • Spring 2014

1 ORTHOPEDIC CARE

#

in Arkansas Top 5% in the Nation for Overall Orthopedic Services

Eddie Cooper, MD Aaron Wallace, MD Jason Brandt, MD Ron Schechter, MD Henry Stroope, MD 870-936-8000

2013 ratings provided by HealthGrades速, Inc. HealthGrades速 is the leading provider of comprehensive information about Health Care Providers and Hospitals.

A Personal Approach

C

ancer is a life changing diagnosis. Life suddenly revolves around tests and visits to surgeons, medical oncologists and radiation oncologists.

When a patient is diagnosed with cancer he or she can become overwhelmed. Undergoing various treatments and meeting with health care professionals from different specialties like radiology, pharmacy, and oncology, can be a lot to handle. Because of this, a new nursing sub-specialty developed—the nurse navigator. A nurse navigator offers medical guidance, acts as a support group, and walks patients and their families through the cancer treatment process.

Navigators who work with cancer patients already have nursing experience, but take navigation specific classes to become fully qualified.

Nurse Navigators are patient educators and advocates, care coordinators, system navigators, and community ambassadors on a mission to improve the cancer experience for each patient. The nurse navigator is a support system for the patient and his/her family at a critical time — after diagnosis and through treatment — and serves as a gateway to health care services.

The roles of a Nurse Navigator include: • Assist patients through the diagnostic evaluation • Educate and support each patient, empowering them to make informed treatment decisions • Provide a support system throughout the patient’s cancer treatment As a navigator, I meet with patients during their journey and assess for barriers to treatment. Barriers could range from financial issues to side effect management. By providing education, coordinating appointments, and assisting with transportation issues we are able to decrease anxiety in our patients.

My goal as navigator is to improve quality of life for patients and their families.

Knowing that I can guide a patient along their journey gives me satisfaction as a health care provider.

Melissa Dunn, RN NEA Baptist Fowler Family Center For Cancer Care 870.936.7000 22 NEA HEALTH • Spring 2014

Healthy Is

being in the know Our bodies change. And maybe just maybe Mom didn’t give us all the details.

Whether during your annual check-up or through other health services along the way, we’ll bring you up to speed.

NEA Baptist Clinic - Women’s Health provides services ranging from annual check-ups, procedures for incontinence, contraception to complete prenatal care.

Clinical trial opportunities are also available. Ask your physician or nurse about the latest studies. More information about our practice and your care can be found on our website - NEABaptistClinic.com

Mark C. Stripling, MD, Charles C. Dunn, MD Norbert Delacey, MD, Michael Hong, MD, Lorna Layton, MD Charles Cesare, Jr., MD, Dominique Butawan-Ali, MD

870-936-8000 • 4802 Johnson., Jonesboro NEABaptistClinic.com

Healthy Is

being there when you need us

Walk-in clinic, when you need a doctor, but not an emergency room.

No appointment necessary.

HILLTOP CLINIC

4901 E. Johnson Ave. • 870-934-3539 Mon - Thurs 9am - 6pm Fri 9am - 5pm, Sat 8am - 1pm Sun 8am - 12pm

WINDOVER CLINIC

1111 Windover Rd. • 870-935-9585 Mon - Fri 8am - 6pm Sat & Sun 8am - 12pm L AT E N I G H T

STADIUM CLINIC

3003 Apache Dr. • 870-931-8800 Mon - Thurs 9am - 6pm Fri 9am - 5pm Sat & Sun 10am - 3pm

PARAGOULD CLINIC

4700 W. Kingshighway • 870-240-8402 Mon - Fri 8am -5pm Sat 8am - 1pm, Sun 8am-12pm

NEABaptistClinic.com

1111 Windover Rd. 870-910-6040 Mon - Fri 6pm - 9pm

WOODSPRINGS CLINIC

2205 W. Parker L ATRd. E N• I870-910-0012 GHT Mon - Thurs 9am - 6pm Fri 9am - 5pm Sat 8am - 1pm, Sun 8pm - 12pm

DOC DOC++FINDER FINDER (6322) 870.936.NEAB (6322) 870.936.NEAB

2

out of 3 people with diabetes die from heart disease & stroke

It is the initiative of The American Diabetes Association and The American College of Cardiology to increase the awareness of the link between diabetes and heart disease.

Having diabetes means that you are more likely to have coronary artery disease, a heart attack, or a stroke. The good news is that you can take steps to prevent heart disease or reduce your chances of having a heart attack.

You can lower your risk of developing coronary artery disease by keeping the ABC’s of diabetes on target with wise food choices, physical activity, and medication. Losing weight can also help you manage your ABC’s as well as quitting smoking.

So, what are the ABC’s?

A B C

stands for A1C. This shows an average blood sugar over the previous 2-3 months. The goal for this number is below 7%. stands for blood pressure.

The recommendation for blood pressure from the ADA is below 130/80.

stands for cholesterol. Cholesterol is a waxy, fat-like substance that is in all body cells and blood. Your body makes all the cholesterol that you need. Foods that contain high levels of cholesterol make you more prone to developing plaque build up in the arteries. Keeping your cholesterol under control will help decrease the risk for coronary artery disease.

The closer your numbers are to your targets the better your chances of preventing heart disease and stroke. So, know your ABC’s and make the link!

Diabetes Support Group for anyone with diabetes

12-1pm, 3rd Thursday of the month guest speakers & “hot topics” light lunch Diabetes Education Room NEA Baptist Medical Campus RSVP 870-936-8020 25 NEA HEALTH • Spring 2014

Caring for Our Community NEA Baptist Charitable Foundation’s mission is to help change lives through its free programs and services in Northeast Arkansas. The Foundation, through your generous gifts, touches every community member and every corner of Northeast Arkansas.

Center for Healthy Children – An exercise and nutrition education program for children who struggle with weight problems.

HopeCircle – A community of hope, support and educational programs for families living with a catastrophic illness.

Medicine Assistance Program – This program helps patients get their prescriptions from pharmaceutical companies.

ShareHope – A support program for those whose lives are touched by the tragic death of a baby through pregnancy loss, stillbirth or in the first few months of life.

Wellness Works – A a FREE exercise and nutrition education program to help individuals cope with a chronic illness.

Come volunteer with us!

Memorials and Honorariums Welcome - PO Box 1960 • Jonesboro, AR 72403

870.934.5214 • NEABaptistFoundation.org

Building a Community of Hope

D

uring a recent visit to the Fowler Family Center for Cancer Care, I was privileged to witness a poignant event. In the lobby hangs a small gong; something which may seem out of place in a physician office. As I stood in the doorway of HopeCircle, I watched as a patient, accompanied by several of our radiation therapists, walked into the lobby, picked up the mallet and rang the gong. After the applause subsided and the celebratory hugs ended, the patient announced a cancer-free diagnosis. Powerful personal stories like this are regular reminders of the reality of a cancer diagnosis and the journey of treatment.

Through the five programs of NEA Baptist Charitable Foundation, the lives of thousands of people in our community are impacted.

From families who have lost babies, to equipping kids and teens with the knowledge to take ownership of their health, to helping patients obtain much needed maintenance medication, the needs of many in our region are met. This has only been possible through the donations given to NEA Baptist Charitable Foundation.

Last year, we kicked off our Building a Community of Hope Campaign. The goal of this, our first ever campaign, was to raise $3 million to increase the support services we provide patients and their families who are battling cancer. Through the money raised, an endowment is being created which will fund, in perpetuity, both a Cancer Patient Assistance Fund and the Cancer Navigator Program.

Cancer Patient Assistance Fund: A cancer diagnosis can place tremendous financial stress on a family. In addition to normal

Hope sees the invisible, feels the intangible and achieves the impossible.

day-to-day expenses, patients are dealing with costs for doctor visits, lab work and other specialty care. The economic burden of treatment and the associated anxiety can keep patients from being able to fully concentrate on their recovery. This fund provides assistance to families experiencing extreme hardship due to cancer treatment and provides partial, short-term assistance to aid eligible patients with the cost of lodging, transportation, utilities, as well as unexpected non-medical expenses.

Cancer Navigator Program: Patient navigation is a new resource that guides both the patient and the family through and around any challenges, provides assistance, and offers guidance throughout the treatment journey. Navigation services expedite the process to support timely delivery of quality cancer care and ensure that patients and their families are able to get to the right person at the right time.

Through the very generous gifts we have received so far, we have raised $7,240,000! This has allowed us to increase our goal to $10 million. Imagine the number of cancer patients whose lives will be impacted. We are so very thankful for those who have contributed to make this such a successful campaign. But it’s not over. We invite you to be a part of the healing process. A simple gift of as little as $20.00 will help provide gas for a patient and family traveling to and from Jonesboro for treatment. Sixty-eight percent of the patients receiving radiation therapy at the Fowler Family Center for Cancer Care drive over 30 miles one-way on a regular basis. Your gift will remove one less burden from an already challenging battle. A $100.00 gift will allow a radiation patient to spend one night in Jonesboro along with two meals – providing a respite from travel after a day of treatment.

If you are interested in making a gift, contact me at robbie. johnson@bmhcc.org or by calling 870-936-8479. No matter the size of your gift, we would love to have you join us as we build a community of hope for cancer patients and their families throughout our region.

We long for the day when cancer is eradicated and we no longer need the gong in our lobby. Until that day, won’t you join us as we generously give to those who are fiercely battling this formidable foe?

The gratitude expressed by the patients receiving these support services reminds us daily of the generosity of our donors.

Your generosity heals.

Robbie Johnson, Director of Development robbie.johnson@BMHCC.org NEA Baptist Charitable Foundation 27 NEA HEALTH • Spring 2014

Don’t have prescription coverage?

Maybe we can help!

PO Box 1089, Jonesboro, AR 72403 neabaptistfoundation.org

870-934-5400

N

ine years ago, NEA Baptist Charitable Foundation’s HopeCircle began Hope Week as a way to call attention to Hope and the impact it has on our daily lives. In dealing with families experiencing life changing illness, death and grief, it was observed that Hope made a difference, not necessarily in the outcome of a person’s life, but in the living of that journey.

Hope Week gives individuals, non-profits, schools, businesses and organizations an opportunity to celebrate the importance of Hope and to spread Hope through activities and events that signify Hope to them.

NEA Baptist Employees Ask About Your 15% Discount

• Scrubs • Jackets • Lab Coats • Stethoscopes Hours: M-F 9 am - 6 pm Sat. 10 am - 5 pm Dr. 2810 East Highland D Suite K, Jonesboro Behind Fuji Japanese Restaurant in the Highland Shopping Ctr.

870-275-7441

28 NEA HEALTH • Spring 2014

Hope Week Events: Teal Talk - Wednesday, September 24, 11:30 am - Southwest Church of Christ ShareHope Walk of Remembrance and Hope- Saturday, September 27, 9:00 amCraighead Forest Park Hoping for a Cure- Free Mammogram and Prostate screenings - time and location to be announced Month Long Events: Teal Toes - Cosmetologists painting toes “Teal” to raise Ovarian Cancer Awareness Dandelions will be sold in our clinics to raise funds and awareness for HopeCircle.

We hope you will consider participating in HopeWeek.

To become involved or host a HopeWeek event please contact June Morse at june. morse@neabc.com.

P

roviding patients and families with comfort, support and resources has been the goal of HopeCircle throughout its eleven year history.

Achieving this goal has become easier with the move to the new Fowler Family Center for Cancer Care.

While our services don’t depend on our surroundings, they are greatly enhanced by the beautiful, healing environment of the new HopeCircle Resource Center and the entire cancer center.

First time visitors to HopeCircle comment on the appearance and the feeling of the space. Families come in to relax and wait on patients, and patients come in to visit with staff and volunteers, sit and listen to music, or read a book from the lending library.

The expanded patient friendly infusion suites make it easier for our volunteers to provide snacks and comfort items for patients and their families. Families are grateful for the peaceful setting with ample space and views of the prayer garden.

The prayer garden and walk have already impacted many. Warm, sunny weather will make both even more inviting.

Our knitters and crocheters, who meet the 2nd and 4th Thursdays of each month, are coming earlier and staying longer. The inviting, circular layout of HopeCircle is condusive to visiting, laughing, sharing and creating.

Our bi-monthly Look Good, Feel Better sessions are thriving in their new meeting space. The privacy and lighting of our wig consultation room has alleviated awkward moments for newly diagnosed women.

One of our volunteers, a former patient commented: “What a blessing it is to come to this incredible facility for treatment or to volunteer. A healing place and a helpful heart magnify the blessings and encourage healing.”

At HopeCircle we are doubly blessed to be a part of this healing place that is filled with hope and powered by helpful hearts.

June Morse, HopeCircle Program Manager june.morse@neabc.com NEA Baptist Charitable Foundation A view of NEA Baptist Clinic from HopeCircle Resource Center.

29 NEA HEALTH • Spring 2014

T

here is a very special program offered through the NEA Baptist Charitable Foundation that no one wants to know about. I really don’t blame them. It’s called ShareHope Infant and Pregnancy Loss.

A short time later, I applied for the position of ShareHope Program Coordinator thinking I was going to help run the program. Little did I know the journey that I would be taken on.

Since that time, I have met with countless families (at the hospital and the clinic) who have lost babies during pregnancy, at birth and some within the first few months of life. I remember every

“When a spouse passes you are called a widow/widower. When someone loses a parent you become an orphan. When a parent loses a child there is no word for it, in any language, because the words to capture that much pain do not exist.” ~ Unknown Until the fall of 2011, I had never heard of it myself. I received a call from a friend of mine asking if I would participate in the “Walk of Remembrance and Hope” in memory of her babies that were lost to fetal demise. Without hesitation, I said yes. When I signed up to walk, I had no idea what I was getting in to. We met at Craighead Park and released balloons and walked the loop.

It ended up changing my life.

little face and the unspeakable grief brought to each family. I try my very best to answer questions, take pictures, offer information and do whatever I can to help them remember to breathe.

Sometimes, I fight through tears. Sometimes the tears don’t come until I get in my car to drive away. But, there is always a prayer that goes up.

Unfortunately, someone has to do it. I count it a humble privilege to share these moments with them. I can’t imagine what they are going through. Maybe in some way that’s why God brought me to this place.

I can see from the outside looking in. It is our mission to make sure we give them what they need at the worst moment of their lives. Our support group meets the third Thursday of every month. Moms, Dads, Grandmothers, Grandfathers, or any other family member or friend is welcome to come.

We try to provide tools and encouragement to those who seek it.

Sometimes it helps just to talk to others who have gone through the experience. One common thread is that there is no “normal” process. The pain and grief experience is different for every family.

FREE Wellness Program for patients with chronic illness including high blood pressure, diabetes, obesity and cancer.

If you know of someone who has lost a baby, have them contact Jill Crews, ShareHope Program Coordinator 870-936-8400.

12 week program with physician referral

870-336-1770 30 NEA HEALTH • Spring 2014

Jill Crews, Program Manager jill.crews@neabc.com ShareHope NEA Baptist Charitable Foundation

W

hen I was young, our teacher had us do a science experiment. He gave us three seeds. Each seed was to be planted in its own clear cup, watered weekly and placed in the same window sill. The only difference was the environment it was growing in.

One seed was planted in a balled up piece of paper, another within several cotton balls and the last one in rich soil. We watched and waited. After a week or so, the seeds began to produce a plant. The paper and the cotton ball plants grew first but then quickly turned limp. The one planted in soil took a little longer but grew into a strong, sturdy plant.

What was the difference? Why did one plant grow strong while the others didn’t last? This experiment also reminds me of Jesus’ parable of the sower in that each seed, depending upon where it landed, had a different outcome. This parable also shows us the significance of rich soil. The same is true for your child. In order for them to grow to their fullest potential, they also require rich soil. Living in a fast paced, on-the-go society, we have learned to live off of fast food and easy grab and go meals. We’ve learned that they fill you up but we’ve also seen a rise in obesity, illnesses and deaths related to poor nutritional habits. What you put in your mouth has a profound effect on your quality of life. Just as the plants grew in unhealthy environments, our bodies will also function on food lacking in nutrition but they don’t function at their best. Feeding your children nutrient-dense foods is just as important as teaching them manners and sending them to school.

Nutrient-dense foods are any foods that hold significant nutritional value for our bodies.

They are packed full of vitamins, mineral and important nutrients such as fat, carbohydrates and protein for our bodies to function properly. The obvious example would be fruits and vegetables. Others include whole grains such as brown rice, quinoa, 100% whole wheat bread and whole wheat pasta. Lean proteins such as fish, beans, chicken, turkey or lean cuts of beef are also vital for proper body function.

As a parent, you control of what your child eats, however, sometimes getting them to eat what is given to them can be a challenge all its own. Always serve at least one vegetable at meal time. You may want to allow the child to choose from a couple of vegetable options so that they feel empowered. If your child says they don’t like it, have them take at least a couple of bites and then offer that same food again to them in a couple of weeks. As human beings, we must try a food several times before we can truly decide whether or not we like it.

Provide fruits at snack time; again, allowing them to choose which fruits they would like to eat. When eating out is a necessity, replace fries with a fruit or vegetable and soda with water.

As you begin to establish new eating habits with your child, their taste buds will change and you will find that they enjoy the healthier options more.

Growing up is challenging. We owe it to our children to give them the best possible life we can. Proper nutrition is critical for brain, bone, muscle and heart development. Teaching your child to be mindful of the food they are placing in their mouth is yet another important lesson that we, as parents, must teach them.

If you need assistance with developing a healthy lifestyle for your family, NEA Baptist Charitable Foundation provides a program, free of charge, to the community. Center for Healthy Children and Center for Teens were designed to help overweight children and their families learn how to establish healthy life patterns. For more information, contact Jennifer Martinez at (870) 336-1760.

Jennifer Martinez, Program Manager jennifer.martinez@neabc.com Center For Healthy Children & Wellness Works NEA Baptist Charitable Foundation

Salmon Burgers & Sweet Potato Fries Serves 4

Sweet Potato Oven Fries 4 large sweet potatoes (yams) 1½ tbsp canola oil 1 tbsp lemon pepper seasoning

Salmon Burgers -

1 14.75-ounce can pink or red salmon 2 green onions, chopped ½ cup chopped red bell pepper 8 crackers, unsalted tops (saltine-like), crushed 2 tsp lemon juice Egg whites from 2 eggs, whisked 2 tbsp plain low-fat yogurt ¼ tsp ground black pepper Cooking spray 4 whole-wheat buns Bibb lettuce, 8 leaves 2 medium tomatoes, sliced

Directions: Preheat oven to 425° Wash and scrub sweet potatoes, slice into wedges, length-wise.

In a large bowl, toss potato wedges with canola oil and seasoning.

Spread on cookie sheet. Roast in the oven, turning occasionally, until tender and golden brown, about 30-40 minutes.

While sweet potatoes roast, prepare salmon burgers. Drain salmon; place in a medium mixing bowl and flake.

Fold in green onions and red pepper, crushed crackers, lemon juice, egg whites and yogurt. Shape into 4 patties. Coat large nonstick skillet lightly with cooking spray; heat.

Cook salmon burgers until golden brown, turn, and continue cooking until other side is golden brown. Serve burgers with sliced tomatoes and lettuce, and sweet potato oven fries.

31 NEA HEALTH • Spring 2014

P

atients and family members of patients often ask us if there is a way to recognize a hospital or clinic employee who touched their lives. Maybe it was a doctor who showed just the right amount of compassion. Or a nurse who went above and beyond. Even a food service or housekeeping colleague who lifted your spirits during a difficult time with a single smile.

The NEA Baptist Charitable Foundation has established a program to allow you to honor these everyday heroes with a tax deductible gift that supports the foundation. Health Care Heroes is a program that gives you the opportunity to honor a person who has had a significant impact on your health care experience. Any hospital or clinic employee is eligible. To honor your hero, simply fill out the attached form and place it in the envelope with your tax deductible gift.

In recognition, your recipient will receive a special pin designating them as a Health Care Hero. If you wish to receive a photo of your Hero’s recognition, simply give us your email address and we will send you a photo. You also have the option of directing your gift to a specific program within the foundation. Simply pick the program on the back of this form that you want to benefit from your gift.

About the NEA Baptist Charitable Foundation The NEA Baptist Charitable Foundation was started by the physicians of the NEA Baptist Clinic, one of the largest physician owned multispecialty groups in the Mid-South. The physicians started the foundation as a way to not only give back to their community, but also to help meet unmet needs. With the creation of the new NEA Baptist Health system, NEA Baptist Clinic and NEA Baptist Memorial Hospital, the NEA Baptist Charitable Foundation continues its legacy while being a part of this new partnership. The Foundation, through the generous gifts of our community, continues to touch the lives of people throughout Northeast Arkansas. We appreciate you choosing to honor your Health Care Hero by giving to the NEA Baptist Charitable Foundation.

NEA Baptist Charitable Foundation Giving Information My name is (Donor): Dr. Mr. Mrs. Ms._____________________________ (please include full name and title: Dr. Mr. Mrs Ms.)

Address:______________________________________________________ (street, city, state and zip code)

____________________________________________________________

Send acknowledgement of my gift to: Name: _______________________________________________________ (please include full name and title: Dr. Mr. Mrs Ms.)

NEA Baptist Facility:____________________________________________ Address: _____________________________________________________

Telephone:____________________________________________________

(street, city, state and zip code)

____________________________________________________________ E-mail address:_________________________________________________ My enclosed gift of q $25 q $50 q $100 q $250 q $500 qOther $____________________________________________________ Select one gift designation select one:

q In Memory of q In Honor of q General Donation Honoree Name: _______________________________________________ (please include full name and title: Dr. Mr. Mrs Ms.)

32 NEA HEALTH • Spring 2014

This person’s relationship to honoree: q Spouse q Mother q Father q Son q Daughter q Brother q Sister q Friend q Other____________________________________________________ I would like to receive information regarding the automatic contribution system to authorize a contribution from my checking account each month.

You can make a secure online donation by visiting www. neabaptistfoudnation.org

New Medical Campus • 4802 E. Johnson Hospital • 870-936-1000 Clinic • 870-936-8000 Cancer Center • 870-936-7000

DOC FINDER DOC+FINDER

(6322) 870.936.NEAB 870.936.NEAB (6322)

NEABaptistClinic.com Open 7 days a week No Appointment Necessary STADIUM 3003 Apache Dr. 870-931-8800

WINDOVER 1111 Windover 870-935-9585

HILLTOP 4901 E. Johnson 870-934-3539

WOODSPRINGS 2205 W. Parker Rd. 870-910-0012

PARAGOULD 4700 W. Kingshighway 870-240-8402

See NEABaptistClinic.com for hours

1111 Windover 870-910-6040 open late Mon - Fri

Family Medicine - Jonesboro Hilltop Clinic (870) 932-8222 Jeffery Barber, DO, MRO Ryan Brenza, DO Tim Shown, DO Melissa Yawn, MD, MRO

Stadium Clinic (870) 931-8800 Michael E. Crawley, MD Arnold E. Gilliam, MD Michael E. Tedder, MD

Windover Clinic (870) 935-5432 Michael Blanchard, MD J. Timothy Dow, MD Douglas L. Maglothin, MD Joe McGrath, MD James Murrey, MD

Woodsprings Clinic (870) 933-9250

Anesthesiology Medical Campus Reagan Baber, MD David Daniel, MD Larry L. Patrick, MD Oksana Redko, MD Stacy Richardson, DO Erick Schuermann, DO

Cardiology

Medical Campus, 870-936-8000

Freij Gobal, MD Matthew Haustein, MD Michael L. Isaacson, MD, FACC D.V. Patel, MD, FACC Suresh Patel, MD, FACP, FACC Eumar T. Tagupa, MD Robert D. Taylor, MD, FACP Anthony T. White, MD Margaret Cooper, APRN Jennifer Jarrett, APRN Brooke Pruitt, APRN

Cardiovascular & Thoracic Surgery Medical Campus, 870-936-8000 James A. Ameika, MD Paul Levy, MD Deborah Fairchild, APRN

Center for Cancer Care Medical Campus, 870-936-7000

Gynecologic Oncology

Christopher S. Bryant, MD

Hematology/Oncology

Ronald J. Blachly, MD, FACP Scott Dorroh, MD D. Allen Nixon, Jr., MD Carroll D. Scroggin, Jr., MD Stacia Gallion, APRN

Oncology Clinical Research Radiation Oncology Kevin Collins, MD

Clinical Research

Infectious Disease

Pain Management

Steven Stroud, MD

Mark Wendel, MD Melanie New, APRN

Medical Campus, 870-936-8000

Internal Medicine

Medical Campus, 870-936-8000

Gordon Akin, MD Ray H. Hall, Jr., MD, FACP Brannon Treece, MD Stephen O. Woodruff, MD, FACP Kristy Wilson, APRN Carla Nix, PA Aaryn Spurlock, APRN

Interventional Radiology Medical Campus, 870-936-8000 Mark Wendel, MD

Nephrology

Medical Campus , 870-936-8000 Michael G. Mackey, MD Adam B. Woodruff, MD Sara Culbreath, APRN

Dialysis Centers

3005 Middlefield, 870-934-5705 4909 E. Johnson, 870-336-3372

Neurology

Medical Campus, 870-936-8000 Bing Behrens, MD Kenneth Chan, DO William Long, MD, PhD

Neurosurgery Medical Campus, 870-936-8000

Robert Abraham, MD Rebecca Barrett-Tuck, MD Crystal Watson, PA

Obstetrics & Gynecology Medical Campus 870-936-8000

Dominique Butawan-Ali, MD Charles Cesare, Jr., MD Norbert Delacey, MD, FACOG Charles C. Dunn, MD, FACOG Michael Hong, MD, FACOG Lorna Layton, MD, FACOG Mark C. Stripling, MD, FACOG

Medical Campus, 870-936-8000

Pediatrics

1150 E. Matthews Suite 101 870-972-5437 Amy Bailey, MD Richard Reinhard, III, MD Justin Yancey,MD Amy Duch, APRN

Medical Campus, 870-936-8000 Brannon Treece, MD

Trumann - 305 W. Main 870-483-6131 Ronald Barnett, MD

Physical Therapy

Jonesboro - 1007 Windover 870-336-1530 Leif Lovins, PT Nikki Luster, PT Jeff Ramsey, PT Paragould - 4700 W. Kingshighway 870-240-8402 Christopher Enger, PT Duston S. Jones, PT Trumann - 305 W. Main 870-483-6131 Wayne Traylor, PT

Plastic & Reconstructive Surgery Medical Campus, 870-936-8000

W. Tomasz Majewski, MD, FACS Paula Arnold, RN, CLT, CMLSO/BLS Shea Wilson

Podiatry

Medical Campus, 870-936-8000 Chris Rowlett, DPM

Pulmonology

Medical Campus, 870-936-8000 Owen K. Criner, MD William Hubbard, MD Meredith Walker, MD Sam Hiser, APRN

Randy Carlton, MD W. Scott Hoke, MD Craig A. McDaniel, MD Nathan Turney, MD Troy A. Vines, MD

Critical Care Intensivist Owen K. Criner, MD William Hubbard, MD

Jeffery Barber, DO, MRO Ryan Brenza, DO Melissa Yawn, MD, MRO

Brookland Clinic (870) 932-1211

Dermatology

Ophthalmology

Johnathan J. Ledet, MD

Joseph George, MD Thomas Nix, MD

Rheumatology

Optometry

Beata Majewski, MD Leslie McCasland, MD

Sandra Stubblefield, MD Meghan Lyerly, MD Shane Lyerly, MD

Cherokee Village Clinic (870) 856-2862 Tommy Taylor, MD

Newport Clinic (870) 523-9337

Matthew P. Jackson, MD Roddy S. Lochala, DO Matthew Haustein, MD (Cardiology)

Osceola Clinic (870) 563-5888

Yulanda Harrison, MD Freij Gobal, MD (Cardiology) Adam Woodruff, MD (Nephrology) Jimmy Ballard, APRN

Paragould Clinic (870) 240-8402

Chris McGrath, MD Leslye McGrath, MD Freij Gobal, MD (Cardiology) William Long, MD, PhD (Neurology) Angie Jones, APRN

Trumann Clinic (870) 483-6131 Ronald Barnett, MD Ryan Brenza, DO Brannon Treece, MD Chris Rowlett, DPM (Podiatry) Michelle Montgomery, APRN

870-934-1006 Medical Campus, 870-936-8000

Medical Campus, 870-936-8000

Endocrinology

Medical Campus, 870-936-8000 Kevin D. Ganong, MD

Occupational Medicine

4901 E. Johnson 870-910-6024

Medical Campus, 870-936-8000

Medical Campus, 870-936-8000

Radiology Medical Campus, 870-936-8000 Cina Ali, MD Gregory Lewis, MD Jeffrey S. Mullen, MD David Parish, MD

Medical Campus, 870-936-8000

Diabetes Center

James Cullins, OD Ellen Lawrence, OD

Sleep Medicine

Amber Toombs, APRN

Orthopedic Surgery

Bing Behrens, MD William Long, MD, PhD

Jason Brandt, MD Edward Cooper, MD Ron Schechter, MD Henry Stroope, MD Aaron Wallace, MD Scott Griffith, PA

Center for Sleep Disorders

Medical Campus, 870-936-8000

Gastroenterology

Medical Campus, 870-936-8000 Michael D. Hightower, MD

General Surgery

Medical Campus , 870-936-8000 Russell D. Degges, MD K. Bruce Jones, MD David L Phillips, MD

Hospitalist Medical Campus Rodney Clark, Jr., MD Kara Cooper, MD Brock Harris, MD William Hubbard, MD Matt Quick, MD Robert B. White, MD, FACP

Medical Campus 870-936-8000

Otolaryngology (ENT)

Medical Campus, 870-936-8000

Medical Campus, 870-936-8000

1118 Windover, 870-336-4145 Srirangarajan Raju, MD

Urology

1150 E Matthews #203, 870-932-8674 John Allen, MD Michael Suminski, MD

Bryan Lansford, MD Heidi Cohn, APRN

Wellness Center

Hearing Center Amy Stein, AuD, CCCA

Wound Care

2617 Phillips, 870-932-1898 1111 Windover, 870-336-3211 James Fletcher, MD Stacy L. Wilbanks, MD Brandy Crump, APRN