Issuu

WINTER 2025

Cancer Journey Leads to

Music

PLUS: Father-Daughter Duo | Legacy of Supportive Care

PRESIDENT’S

LETTER

Grateful for Many Blessings

A Doug Moyer President, Sentara RMH Medical Center

2024 SENTARA RMH BOARD Joseph Funkhouser II | Chair Jerry Benson, PhD | Vice Chair Devon Anders Arthur Dean II Morris Fendley, MD C. Wayne Gates, MD SENTARA RMH ADMINISTRATORS Douglas Moyer President

Gina Yost, MSN, RN, NEA-BC, CLSSBB Vice President, Chief Nursing Officer

Catherine Hughes, MBA, RD Vice President of Operations

Robert Garwood, MD Chief Medical Officer

SENTARA RMH MAGAZINE EDITOR Bob Grebe CONTRIBUTORS Lisa Smith Jennifer Stover Sarah Wichael PHOTOGRAPHY Andrew Shurtleff Tommy Thompson DESIGN Picante Creative

s the holiday season winds down and the new year begins, I find myself reflecting on the spirit of gratitude and the importance of family and friendship. It is a time when we gather with loved ones, share cherished traditions, and express our appreciation for the blessings in our lives. Our hospital has been a cornerstone of this community for generations. We are incredibly fortunate to have the privilege of caring for our patients and their families, and we are grateful for the countless individuals who have dedicated their lives to this mission. It is particularly heartwarming to see families who have carried on this legacy. Currently, we have more than 50 sets of parent and child(ren) team members at Sentara RMH Medical Center. Some of these families stretch across three generations at the hospital! One of the most unique among them is the father-daughter duo of neurologists, Dr. Karoly Varga and Dr. Zsofia Varga Hole, featured on page 19. Their bond and shared expertise provide exceptional care to our Sentara Neurology Specialists patients, exemplifying the power of family and the dedication of our healthcare professionals. The holiday season is also a time to celebrate the power of friendship. As you will read on page 14, Corrie Lynn Green discovered her breast cancer thanks to a night out with friends celebrating their 40th birthdays. By getting mammograms together, she was able to receive early intervention and treatment, underscoring the importance of preventive care and the support of loved ones. We are also incredibly grateful to the Showalter family and the entire community for their generous support of the Twila Showalter Supportive Care Clinic. The story on page 25 outlines the services that will be available at the clinic, which has been designed to carefully address patients’ physical, emotional, social, and practical needs. With the community’s continued financial backing, the clinic will assist patients along their cancer journey, from diagnosis and treatment to recovery. What a comfort it will be for families to know their loved one is receiving thoughtful, specialized treatment that respects them as a person, not just a patient. It will also extend services such as cancer prevention screenings, medication and travel support, personalized counseling, and comfort supplies. We have so much to be thankful for. As we look forward to the new year, let us pause and reflect on our compassion for each other and our shared gratitude. May 2025 be filled with health, happiness, and cherished moments with loved ones. With warm regards,

Doug Moyer

President, Sentara RMH Medical Center

CONTENTS WINTER 2025

Features 14

Leads to Music

Treating Patients as a Team

Cancer Discovery

Father-Daughter Duo

19 25

Supportive Care Clinic Healing the Person and Patient

CONTENTS

Departments 11

6 President’s Letter Inside front cover

3 Patients First 4 New & Noteworthy 6 Provider’s Perspective 9 Improve Health Every Day 23 Philanthropy

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BY SARAH WICHAEL

PATIENTS

FIRST

No One Wants a Smooshed Chicken

am a creature of habit, and I always shop at the same grocery store. There’s even a cashier I like. If I see him working, I’ll make a beeline for his register because he’s friendly and very efficient, getting folks through quickly. On a recent shopping trip, the store met all my needs: It wasn’t super busy, it had all the items on my list (all $200 of them), and the staff members I encountered were friendly. But at the end of the checkout process, things went mildly … sideways. My favorite clerk was so fast at checkout that he was ready for me to pay before I had even gotten all the bagged groceries back into my cart. So, I stopped loading to pay. Then, as I was fumbling with my wallet and getting the last of my groceries into the cart (including all the “awkward” items, like a gallon of milk, a pack of Gatorade and a hot rotisserie chicken I didn’t want smooshed), my cashier had already checked out and bagged up the next person in line (she had very few things) … and I was in everyone’s way. The experience left me with the feeling of being rushed out the door for the sake of the next customer — and concerns over a potentially smooshed chicken. Sigh.

Health care is a bit more complex than grocery shopping (I write that with a chuckle), and a hospital can certainly be a challenging environment to navigate. Emotions can run high as patients await test results, experience a longerthan-expected emergency room wait, or feel overwhelmed by confusing medical terms and diagnoses. Regardless, the customer experience should still be the priority. Was our team kind and compassionate? Were you able to get what you needed? Was the process smooth and efficient from start to finish? Our team at Sentara RMH Medical Center is always here to put you first. Whether in person or via telemedicine, we always want you to leave your appointment feeling cared for and valued — and we never want you to walk away feeling anxious about something like my anecdotal smooshed chicken. In fact, we hope you will let us know if we have not delivered the exceptional care you expect — and unconditionally deserve. So, was my unsettling experience at the grocery store a deal-breaker for me? Absolutely not. In fact, my family enjoyed that delicious chicken for dinner. I will be back next week, at the same time, with my list in hand.

sentara.com

new &

noteworthy Sentara RMH Medical Center is pleased to welcome the following new providers into the hospital community. Courtney Camille, PA Cardiothoracic Sentara Cardiothoracic Surgery Specialists (540) 689-5555

Emily Girard, PA Hospitalist Sentara Hospital Medicine Physicians (540) 689-1110

Anna Patterson, FNP Family Medicine Sentara Timber Way Health Center (540) 901-0800

Grant Chambers, MD Anesthesiology Sentara Anesthesiology Specialists (540) 689-1110

Kayde Guenthner, FNP Family Medicine Sentara East Rockingham Health Center (540) 713-4100

Laura Stade, PA Behavioral Health Sentara Behavioral Health Specialists (540) 564-5100

Amir Eslami, DO Cardiology (interventional) Sentara Cardiology Specialists (540) 689-7400

Shelia Higdon, FNP Family Medicine Sentara Mt. Jackson Health Center (540) 477-3185

Charity Trissel, FNP Family Medicine Sentara East Market Health Center (540) 564-5666

Kate Hoffmeyer, PA Family Medicine Sentara South Main Health Center (540) 564-7300

Mary Helen Witt, MD Oncology (medical) Sentara Hematology & Oncology Specialists (540) 689-7000

Zaheer Faizi, MD Surgery Sentara Surgery Specialists (540) 689-5800

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Esteban Jorge Figueroa, MD Gastroenterology (outpatient) Sentara Gastroenterology Specialists (540) 564-5800

Deonte (DJ) Hope, PA Pulmonary/CCU Sentara Pulmonary & Critical Care (540) 689-5600

Ankur Sah Swarnakar, MD Behavioral Health Sentara Behavioral Health Specialists (540) 564-5100

Sarah Frederick, FNP Family Medicine Sentara Integrative Medicine Physicians (540) 564-5400

Jessica Jaindl, FNP Family Medicine Sentara Mt. Jackson Health Center (540) 477-3185

To get connected with one of our providers, or for more information on any caregiver at Sentara RMH, please call 1-800-SENTARA.

Maofu Fu, MD Oncology (medical) Sentara Hematology & Oncology Specialists (540) 689-7000

Sarah Kashanian, MD Oncology (medical) Sentara Hematology & Oncology Specialists (540) 689-7000

New CommunityFunded Mammography Unit to Improve Patient Access to Care

hrough generous community support of the RMH Foundation, a new mammography machine was dedicated recently at Sentara RMH Funkhouser Women’s Center. With this new unit, the center now has four mammography systems, in addition to its mobile mammography van. The new system will improve access to care for patients, reduce wait times for screening, and help optimize staff workflow. In 2023, the Women’s Center performed 12,287 screening mammograms and 2,707 diagnostic mammograms. From those screenings, 72 patients were diagnosed with breast cancer. “The Funkhouser Women’s Center Imaging Department is dedicated to providing annual screening 3D mammography to all the women of our community in a timely fashion,” says Emily Turzanski, DO, a breast surgeon at the Women’s Center. “This additional 3D mammography suite gives us the opportunity to provide more mammograms and expand access to care.” Reducing wait times for diagnostic mammograms is particularly beneficial for patients. Any time a patient is asked to return for a rescreening to determine whether or not something “suspicious” in an initial mammography requires further action, the wait for a follow-up appointment can be quite stressful. The new mammography unit will allow many patients to receive rescreening appointments the same day or the next day.

“The fourth 3D mammogram suite will enable us to offer more women follow-up diagnostic imaging within one to two days of their original annual screening exam, when warranted,” Dr. Turzanski adds. “This is ideal, as we would prefer to move forward with diagnostic imaging as soon as possible for all our patients.” The total cost of the mammography unit and required renovations totaled more than $600,000. The lead gift for the project came from the Fred O. Funkhouser Charitable Foundation. Through a $420,000 gift, the Funkhouser family extended the legacy of support they have provided to this community — and without their gift, this project would not have been possible. The remaining funds were raised through two other efforts: • The community responded to a challenge grant with an additional $167,351.30 given. • Sentara’s Be an Angel for Breast Cancer representatives, Paul Riner and Steven Faught, advocated for this project throughout the month of October 2022, helping to raise an additional $25,136.18 through a peer-to-peer fundraising campaign. “The heart of this project is about improving access to lifesaving screenings and care,” says Cory Davies, executive director of the RMH Foundation. “Having same-day access to screening and diagnostic mammograms is truly exceptional and illustrates the life-changing impact that donations can have. On behalf of our patients who benefit, we are indelibly grateful for the Funkhouser family’s leadership support and the many other generous donors who made this possible.” For information on community impact or to support the RMH Foundation, visit supportrmh.org. sentara.com

PROVIDER’S

PERSPECTIVE

Better Sleep, Better Memory, Better Health Fouzia Siddiqui, FCPS, MD, FAAN

he idea that sleep is vital to our well-being is well established. But what, exactly, is sleep? Why is it so important? And how can we improve it? Sleep is the natural, easily reversible periodic state of many living things that is marked by the absence of wakefulness and the loss of consciousness of one’s surroundings. It is usually accompanied by a typical body posture (e.g., lying down with closed eyes), dreaming, and 6 |

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changes in brain activity and physiological functioning. And although our physical state may be quiet during sleep, our brains are very active, as several processes work to restore and recover various functions, helping to prepare the mind and body for the next day. The amount of sleep a person needs depends on various factors—particularly one’s age. While sleep needs vary significantly among individuals, below are general guidelines for different age groups:

Benefits of Good Sleep and Consequences of Poor Sleep Mental Health

A good night’s sleep restores whole-body function and helps us perform better, mentally and physically, throughout the day. Proper rest is critical for our brains to grow, reorganize, restructure, and make new neuronal connections— connections that help us learn new information, form new memories during sleep, and consolidate information learned

Age group

Recommended amount of sleep

4-12 months

12-16 hours per 24 hours, including naps

1-2 years

11-14 hours per 24 hours, including naps

3-5 years

10-13 hours per 24 hours, including naps

6-12 years

9-12 hours per 24 hours

13-18 years

8-10 hours per 24 hours

Adults

7 or more hours per night

during the day. As a result, a good night’s sleep can lead to better problem-solving and decision-making skills. Several studies also have proven the effects of good sleep on our mood, attention, focus, and ability to concentrate. Conversely, chronic lack of sleep can lead to mood disorders like anxiety, depression, irritability, and anger, as well as problems thinking clearly, forming memories, learning new materials, and functioning optimally during the daytime. In fact, getting five hours or less of sleep per night can have a dramatic negative impact on our ability to think quickly, make good decisions, and perform tasks accurately. Cardiovascular Health and Diabetes

Quality sleep is also good for the heart and cardiovascular system. Poor-quality sleep, on the other hand, predisposes us to hypertension, heart disease, heart failure, and cardiac rhythm abnormalities. Sleeping 7 hours or more a night also helps regulate blood sugar. Without enough sleep, the body’s resistance to insulin increases, leading to too much sugar in the bloodstream. Notably, adults who get less than 7 hours of sleep a night tend to be at increased risk for type 2 diabetes.

Memory issues During sleep, your brain forms connections that help you process and remember new information. A lack of sleep can negatively impact both short- and long-term memory. Mood changes Sleep deprivation can make you moody, emotional and quicktempered. Chronic sleep deprivation can affect your mood and lead to anxiety or depression, which may escalate. Weakened immunity Too little sleep weakens your immune system’s defenses against viruses like those that cause the common cold and flu. You’re more likely to get sick when you’re exposed to these germs. Risk for diabetes A lack of sleep affects your body’s release of insulin, a blood sugarlowering hormone. People who don’t get enough sleep have higher blood sugar levels and an increased risk for type 2 diabetes. Low sex drive People who don’t get enough sleep often have a lower libido. In men, this decreased sex drive may be due to a drop in testosterone levels.

Trouble with thinking and concentration Your concentration, creativity, and problemsolving skills aren’t up to par when you don’t get enough rest.

Accidents Being drowsy during the day can increase your risk for car accidents and injuries from other causes.

High blood pressure If you sleep less than five hours a night, your risk for high blood pressure increases.

Weight gain With sleep deprivation, the chemicals that signal to your brain that you are full are off balance. As a result, you’re more likely to overindulge, even when you’ve had enough to eat.

Risk of heart disease Sleep deprivation may lead to increased blood pressure and higher levels of chemicals linked to inflammation, both of which play roles in heart disease. Poor balance Lack of sleep can affect your balance and coordination, making you more prone to falls and other physical accidents.

Weight Management

Weight management also benefits from quality sleep, in addition to exercise, stress management, and healthy eating choices. During sleep, the body naturally produces more of the appetite suppressor leptin while reducing sentara.com

PROVIDER’S PERSPECTIVE

production of the appetite stimulant ghrelin. On nights of too little sleep, however, ghrelin production increases and leptin production decreases, leading to increased feelings of hunger. Resistance to Infections

A good night’s sleep can even help boost your immunity and prevent several types of infections, while sleep deprivation can actually reduce the effectiveness of the body’s immune system. Chronic sleep loss can make individuals more susceptible to common infections like colds and lead to a greater risk of immunodeficiency. Drowsy Driving

Another potential consequence of sleep deprivation is its effect on driving, including increased risk of crashes, due in part to delayed reaction times when applying brakes or changing lanes. Drivers who have had five or fewer hours of sleep in the past 24 hours are nearly twice as likely to crash.

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In fact, sleep deprivation can negatively impact driving to the same extent that alcohol affects a driver who is legally drunk. In 2017, drowsy driving was responsible for at least 91,000 crashes, 50,000 injuries, and 795 deaths in the United States. Diagnosing and Treating Sleep Disorders

Sleep disorders, which are quite common, can make it difficult to get enough quality sleep at night. Obstructive sleep apnea, a condition prevalent in adults, causes symptoms of snoring, choking, and gasping at night, as well as feeling tired or exhausted during the day. Insomnia involves difficulty falling asleep and staying asleep at night, as well as feeling tired during the day. Other sleep disorders include narcolepsy, restless legs syndrome, and circadian rhythm disorders. These conditions are generally diagnosed by a sleep doctor, who may conduct a sleep study (either in a sleep lab or at

home) to evaluate the patient’s sleep quality. For those diagnosed with a sleep disorder, the doctor may prescribe medication or, in the case of obstructive sleep apnea, a device to keep the airway open at night. These measures can help combat sleep disorders and ensure a good night’s rest for the patient on a regular basis. Setting Yourself Up for Good Sleep

To help you get more restorative slumber, just a few simple “sleep hygiene” measures may be able to help you correct any poor sleep habits you may have—even lifelong ones. Such measures include prioritizing sleep; creating a consistent and regular sleepwake schedule; ensuring a restful sleep environment; avoiding caffeine, nicotine, and alcohol before bedtime; and getting exercise during the day. Calm activities before bed like reading, meditating, praying, and taking a warm shower can also help set you up for a restful night. On the other hand, taking digital devices to bed and looking at screens at night can actually damage our sleep and circadian rhythms. Phones, tablets, computers, and other electronics that emit blue light can disrupt the body’s natural production of the sleep hormone melatonin, making it more difficult to fall asleep. Setting electronic devices aside— preferably out of the bedroom and for at least 30 minutes before bedtime—can make it easier to fall and stay asleep. Everyone needs good sleep to be at their best during the day and stay healthy over the long term, so be sure to take these few simple steps to help ensure that you wake up refreshed each morning.

IMPROVE HEALTH

EVERY DAY

Sentara Research Shows

Hypertension

Becoming Increasingly Common

recent study by Sentara Health researchers offers an in-depth analysis of high blood pressure (hypertension) trends in Sentara’s patient population, which spans Virginia and northeastern North Carolina. The research, which analyzes data from the region, will help Sentara create targeted local healthcare initiatives. “We are excited to turn our research into action that helps those who are most at risk,” says Jordan Asher, MD, executive vice president and chief clinical officer of Sentara, who was one of the study’s authors. “This study allows us to use an asset, our data, to impact our mission of improving health every day,” Dr. Asher continues. “Moreover, it gives us critical information on health disparities in those with hypertension, which allows us to tailor our approaches to impacting the health inequities we see in Black Americans.” Sentara researchers partnered with colleagues from the Yale School of Medicine for the paper, which was published in April 2024 in the Journal of the American Heart Association. Nationally, nearly half of all adults have hypertension. The condition, which disproportionately impacts Black communities, is a major cause of strokes, heart attacks and early deaths. According to the Sentara study’s findings, cases of high blood pressure increased by about 5% across all groups from 2010 to 2021. In addition, the study found that hypertension rates were 12-14% higher in non-Hispanic Black patients than in non-Hispanic white patients,

and about 7% higher in men than in women. The results reflected national trends. According to the Centers for Disease Control and Prevention, hypertension increased by about 4% nationally during a similar period, with hypertension rates 14% higher in Black patients than in white patients, and 11% higher in men than in women. Thanks to Sentara’s extensive healthcare network, nearly 1.4 million adults were included in the study, which includes a wide spectrum of clinicians. The research used appropriate safeguards to protect patient privacy. Tackling Health Disparities Sentara’s efforts to reduce health disparities include a recent partnership with Black faith-based communities to improve blood pressure control. In April 2024, researchers began recruiting participants from 10 Black churches in Hampton Roads, Va., to study the best way

to control high blood pressure. The $3.4 million study has a five-year timeline. High blood pressure is linked to social and economic conditions, including education level, housing and food availability, says John Brush, MD, Sentara’s chief research officer and the lead author of the paper on hypertension. Dr. Brush adds that it’s important for Sentara “to look at our own regional trends and disparities. The racial and socioeconomic makeup of our region is unique, and our approaches need to be uniquely tailored to our region.” Dr. Brush also notes that because the study’s findings were measured close to home, they are a “compelling call to action.” Sentara researchers are now analyzing associations between measures of social vulnerability and cardiovascular outcomes in patients with high blood pressure. Such measures include demographic and socioeconomic factors like poverty and crowded housing that negatively impact health. sentara.com

IMPROVE HEALTH EVERY DAY

Mammogram Screening Guidelines Updated

to Help Save More Lives Women should now begin getting mammograms at age 40, according to updated recommendations from the U.S. Preventive Services Task Force (USPSTF). Previous guidelines recommended that mammograms begin at age 50. Why were the guidelines updated?

The guidelines changed in part due to rising breast cancer rates among younger women and Black women. The latest data, which span 2015-2019, show a 2% increase in breast cancer diagnoses per year among women in their 40s. Screening starting at age 40 has the potential to save about 20% more lives from breast cancer among all women. Researchers believe the change will also save the lives of more Black women, who as a group have the highest death rate from breast cancer. “We will detect cancers early on, when they are more treatable and curable,” says Emily Ritchie, MD, a radiologist at the Sentara RMH Funkhouser Women’s Center. “That’s huge, and we’re catching them earlier in those women as well because younger women tend to have more aggressive cancers. Black women in particular have distinct risk factors and a mortality rate that is 40% higher. So, taking that into account, we also really want women to begin at age 40.” The updated recommendations call for more research to address health disparities across screenings and treatment experienced by Black, Hispanic, Latina, Asian, Pacific Islander, Native American, and Alaska Native women.

Who is included in the new guidelines?

The recommendations apply to cisgender women and other people assigned female at birth who are age 40

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and older. They include women at average risk of breast cancer, as well as those with a family history of breast cancer and those with dense breasts. The recommendation does not apply to people who: • Have a personal history of breast cancer • Are at very high risk of breast cancer due to certain genetic markers or a history of high-dose radiation therapy to their chest at a young age • Have had a lesion on previous biopsies These women should consult a healthcare professional for guidance about screenings.

Do the new guidelines change what will be covered by insurance?

No. Currently, most insurance companies are legally required to cover mammograms every year, starting at age 40, for women who want them.

Is there guidance for women with dense breasts?

Nearly half of all women have dense breasts, which increases their risk for breast cancer and means that mammograms may not work as well for them. Women are generally told that they have dense breasts after they’ve had a mammogram. The USPSTF also recommends conducting more research on whether and how additional screenings, such as breast ultrasound or MRI, might improve earlier detection of cancers in women with dense breasts. The Sentara RMH Funkhouser Women’s Center believes that dedication to clinical excellence in a warm, nurturing environment promotes healing for all women. The office is open Monday-Friday, 7 a.m.4:30 p.m., and select Saturday appointments are also available. To schedule your appointment, call 540-689-6800. Mammography appointments can also be made at www.sentara.com.

Make an appointment with your doctor. Going to the doctor isn’t just for when you feel bad—each year you should have a physical or wellness exam, which is typically covered by health insurance. Your care team will monitor your blood pressure, cholesterol, glucose, weight, prostate and testicular health, all of which are indicators of potentially serious health conditions. Proactively taking this step could prevent future health complications, pain, and even hospital stays.

Look for small ways to improve your health. Of course, being physically active, not smoking, eating a healthy diet, and maintaining a healthy weight are all important. But staying healthy is more complicated than checking items off a list. Identify a health aspect you could improve and then look for opportunities to take realistic steps in the right direction. For example, if your blood pressure is high, try making small daily improvements, such as taking the stairs instead of the elevator to get more exercise.

Talk to your doctor about prostate health. Even though prostate cancer is one of the most prevalent cancers affecting men in the U.S., the 5-year survival rate for most people with prostate cancer is nearly 100% when the condition is diagnosed in the local or regional stage. Although recommendations vary, screenings generally should start at around age 45 for those at average risk.

WAYS

Men Can Take Care of Their Health 5

Take mental health seriously. Even though men in the U.S. die by suicide at a rate four times higher than women, men are diagnosed with depression and mood disorders at much lower rates than women. Traditionally, men are less likely to seek help for mental health concerns for many reasons, including perceived societal stigma and fear of judgment.

IMPROVE HEALTH EVERY DAY

If you suspect that you may suffer from depression, learn more about the condition on the Anxiety & Depression Association of America website at adaa.org and speak with your healthcare provider. If you are in crisis, call or text 988 to reach the Suicide & Crisis Lifeline, which is available 24 hours a day, seven days a week. This service provides confidential support to anyone in suicidal crisis or emotional distress. Support is also available via live chat. Prioritize Your Health Connecting with your healthcare team at least once a year is an important step in prioritizing your health. New Sentara patients can schedule an appointment online with a new doctor, physician assistant or nurse practitioner. Returning patients can sign into MyChart to schedule an appointment with their care team.

4 Learn how to do a testicular

self-exam. According to the American Cancer Society, men with certain risk factors that increase the chance of developing testicular cancer should consider monthly self-exams and report any changes to their doctor right away. sentara.com

IMPROVE HEALTH EVERY DAY

Vaccinations to Protect Your Health in the Golden Years Since our immune systems weaken as we age, it’s important for adults age 50 and older to stay updated on essential vaccines to protect against preventable diseases and maintain optimal health. The following vaccinations are recommended for adults age 50 and up:

Flu

The flu vaccine is updated annually in order to be effective against the most common strains expected to be prevalent during a given flu season. Everyone 6 months and older should get an annual flu vaccine. Ideally, you should be vaccinated by the end of October each year to help ensure that you are protected when flu season starts, since it takes at least two weeks for a flu shot to be effective.

COVID-19

Much like the flu vaccine, the COVID-19 vaccine is updated every 6-12 months to address the latest prevalent strains. Whether or not you have received a COVID-19 vaccine previously, you should get periodic COVID-19 shots as they become available, to provide protection from variants currently in circulation.

Pneumococcal Conjugate (Pneumonia)

Although pneumococcal disease is common in young children, older adults are at greatest risk of serious illness and death from this infection of the lungs. Pneumococcal bacteria are the main cause of pneumonia in adults, and the vaccine is designed to protect against many variants of these types of infections. Adults 65 and older should receive the pneumococcal conjugate vaccine, if they have not already done so. Two shots given after age 65 should cover you for your lifetime.

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Respiratory Syncytial Virus (RSV)

While RSV typically causes coldlike symptoms, the virus is much more likely to become serious in older adults. Adults at highest risk for severe RSV infection include older adults, adults with chronic heart or lung disease, adults with weakened immune systems, adults with certain other underlying medical conditions, and adults living in nursing homes or long-term care facilities.

Shingles

If you’ve ever had chickenpox (even as a child), the virus that caused it still lives dormant (inactive) in your body. However, the virus can reactivate years later, causing a painful condition known as shingles. Impacting nerves, shingles causes uncomfortable burning, as well as a rash with blisters and itching. In addition, shingles can lead to a condition called postherpetic neuralgia that results in continued burning pain after the rash disappears.

Tetanus, Diphtheria, Pertussis

Vaccines used in the United States against diphtheria and tetanus sometimes also include protection against whooping cough or pertussis. The Centers for Disease Control and Prevention recommends diphtheria, tetanus, and whooping cough (pertussis) vaccination for everyone.

Check with Your Care Team

You may also need other vaccines, so be sure to check with your care team. Your recommendations will be based on your personal health, whether you received or missed them as a child, whether you’ve smoked in the past, whether you will be around children and infants, and other factors. Some vaccines carry a risk, so your care team will work with you to determine whether or not a particular vaccine is right for you. Schedule an appointment with a Sentara provider to update your vaccinations.

IMPROVE HEALTH EVERY DAY

A Practical Guide to Keeping Track of Vaccination

Records

Staying up to date on vaccinations and keeping accurate vaccination records are both crucial to protecting yourself and your loved ones from preventable diseases.

Why Keep Vaccination Records Updated?

Your vaccination history helps your healthcare team determine which vaccines you’ve received, when you received them, and whether you may need boosters or additional vaccinations. Vaccination records are also a critical component for entry into new communities, such as a new school for a child or a new job as an adult.

How to Maintain Vaccination Records

There are several different ways to keep track of your vaccination records. 1. Electronic medical records: Many healthcare providers now offer electronic records that are accessible through portals like Sentara MyChart. 2. Virginia Immunization Information System (VIIS): In 2022, a new vaccine-reporting mandate went into effect in Virginia that requires all healthcare providers who administer vaccines to participate in the VIIS, a free statewide registry system that combines immunization histories for persons of all ages. For records of vaccines received outside Virginia, contact the local health department in that area. The National Association of County and City Health Officials offers an online directory of health departments in the United States at naccho.org/membership/lhd-directory. 3. Paper copies: It may feel a bit “old school,” but keeping physical copies of vaccination records can be a good way to complement electronic records. Paper copies can be particularly useful for situations, such as school registrations, that require immediate proof.

Titer Testing

If a vaccination record is unavailable, a titer test can help provide the documentation a school or workplace may require. The titer blood test measures the amount of

antibodies in your blood, indicating your level of immunity to a given disease. These tests help determine: • If you need a booster vaccine • If a vaccine you received helped protect you against that specific disease • If you have had a recent or past infection

Booster Vaccines

For some vaccines, such as the one for measles, mumps and rubella (MMR), you may want to talk with your care team about taking a titer test and getting a booster shot, if needed. “Someone born before 1957 was likely infected with these illnesses during childhood. This means they are probably protected,” explains Melissa Farley, clinical manager for employee occupational health at Sentara. “But if they’re not sure about their history, or if they work in health care, are around infants who may not yet be vaccinated for MMR, or are in a community that has experienced an outbreak, it’s a good idea to get a titer test to check their level of immunity.” Whether through electronic medical records, physical copies or a combination of the two, having access to your vaccination history empowers you to make informed decisions about your health. Stay proactive by updating your records regularly — especially during significant events like school enrollment periods or community health alerts.

Need to Update Your Vaccinations?

Sentara Medical Group’s care team of doctors, physician assistants and nurse practitioners is ready to provide you with the highest level of personalized, quality care. We offer both primary care and pediatric locations to handle vaccination needs for the entire family. Schedule an appointment online at IWantSentaraMedicalGroup.com.

sentara.com

Serendipitous Mammogram

Leads to Musical Journey Music and the mountains have been a part of Corrie Lynn Green’s life from a young age. A cancer diagnosis at age 40 would lead her to rediscover the melodies of her childhood. Music in Her Veins

Corrie’s family used to host bluegrass jams at their Elkton, Va., home every Friday night when she was a teenager. Her mother and stepfather were musicians, and the evenings were filled with stories and songs of mountain life. Corrie watched but didn’t join in—she didn’t play music, and she didn’t think she could sing. “As a teen, I sort of hated it because it was bluegrass music, and that was not what I was into at all,” she says. Instead, she wrote grunge songs for her friends. “But even though I sort of rejected the bluegrass music, it was definitely a part of me and in me.”

Wine and a Cancer Diagnosis

Corrie eventually married, and she and her husband, Chris, had a daughter. They moved to Port Republic, Va., and she opened a massage therapy business.

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sentara.com

Then came a beautiful fall day in November 2017, when Corrie and a group of nine friends were celebrating at CrossKeys Vineyards in Mt. Crawford, Va. They had all turned 40 or were about to reach that milestone. One of them had booked the Sentara RMH mobile mammography van so they could all get their first mammograms together. “I hadn’t scheduled my mammogram, so it was the perfect motivation to have someone else say we should do this,” Corrie remembers. “I didn’t have a care in the world. I didn’t have any worries. I was super athletic at the time and really healthy. I think we all felt good about the fact that we were doing it. We were checking off the box.” At 8:30 the next morning, her phone rang. It was the hospital calling to say she needed to come in for an ultrasound right away. The ultrasound results led to a biopsy and a breast cancer diagnosis. While the cancer hadn’t spread to the lymph nodes, it was in nearby veins. Corrie needed a lumpectomy to remove the tumor and four lymph nodes, followed by 16 rounds of chemotherapy and 36 rounds of radiation. “They wanted to make sure that we did everything we could to stop it in its tracks,” she says. “Corrie had an aggressive form of breast cancer,” says nurse practitioner and Sentara RMH Funkhouser Women’s Center breast surgery specialist Victoria Krauss, MSN, FNP-C. “The medical team worked together to devise a tailored treatment plan that followed the latest research and evidence-based practice for treating Corrie’s specific type of breast cancer.” The surgery went smoothly, but chemotherapy was challenging, and Corrie had some reactions and infections. However, the atmosphere at the Sentara RMH infusion center buoyed her. “The chemotherapy unit was the heart because the nurses that work there were just so amazing, and they were so caring,” she says. Her fellow patients also inspired her. “You’re sitting side by side with all these other people going through the same thing,” she adds. “It’s a special bond. There is a lot of love and encouragement.”

Learning to Be Alive

Once she got past her initial grief from the cancer diagnosis, Corrie says she surrendered to the experience. “What you can learn is how to be alive in the moment, how to be alive while you’re getting 16 |

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“I make sure I tell my friends and family that I love them.” chemotherapy, how to check in with yourself and be grateful for every day and every little bit of sun that hits you in the face,” she explains. “I make sure I tell my friends and family that I love them. “Every moment since I’ve gotten past the treatment program has been a moment of pure joy and presence, and I have not made decisions based on fear since then. It’s only: What do you want to try? What do you want to do? What do you feel like failing at? What do you want to try to succeed at?” She takes daily medication to reduce the risk that the cancer might return. She still has worries, though. Sentara RMH offers free counseling for cancer patients, and that has helped her. “I still get scared, but I am able to deal with that and not have it linger over me and follow me around into my life,” Corrie says.

Returning to Her Roots

As Corrie moved forward, she returned to her musical roots and began writing songs. “I needed a place to put all that energy and all that angst, and I started to write like my life depended on it,” she remembers. She picked up the banjo and started playing and sharing her songs—a blend of folk, Americana, and bluegrass—with family and friends. They are stories of life in the mountains, healing, joy, heartbreak, and cancer.

“I sort of let myself rise up with these songs and also find a new pathway,” she explains. Corrie won a raffle for a recording session in Harrisonburg and eventually put those songs on YouTube. A friend who knew a music producer in Philadelphia heard the songs, and the producer got in touch to see if Corrie wanted to record some demos. “I was scared, and I didn’t think I was ready, but I said yes because that’s what I vowed to do with my life,” she says. Her debut album, “Blow Away,” was released in 2022. She’s played shows and festivals around the country and earned multiple songwriting awards, including one from the Tucson Folk Festival. Corrie recently released her third album in three years, “Time to Be Brave,” and she thinks it’s her life’s work. “I put my whole self into every project,” she says, “singing with total abandon in front of a crowd—even though I have stage fright—because what is there to be afraid of if you survived? There’s just nothing to be afraid of.”

Red Devil

One ballad Corrie hasn’t recorded but often plays at her shows is “Red Devil,” named for the chemotherapy drug she received. sentara.com

“I have such a positive outlook on everything, but putting the lyrics on paper is the therapy.”

She wrote a line or two of lyrics during each of her chemo treatments. “I have such a positive outlook on everything, but putting the lyrics on paper is the therapy,” she says. “I need to put the hard parts down, too, because it’s not all roses.” Below is an excerpt from “Red Devil”: I’m going to see the Red Devil And when he’s near me My wings will grow Spirit rising, the Devil fighting He will release me like falling snow Nurse practitioner Krauss remembers Corrie singing the song in the exam room. “She was telling me about this writing she had done, and she actually sang the song to me,” Krauss recalls. “She was still working on it, trying to finetune it. I was absolutely amazed that she could take her experience and put it into a song.” 18 |

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Advocating for Early Detection

Corrie visits the Sentara RMH survivorship clinic every six months for imaging and breast exams. “Our visits are more than just speaking about surveillance and her history,” says physician assistant Jessana Hendricks, PA-C. “We often sit for a few moments and catch up on life, including her music career, her family, and her current sources of stress. Her health is multifaceted, and so is my approach to her surveillance.” While Corrie did that first mammogram at the winery out of a sense of responsibility, she now uses her voice to advocate for early detection. She has been a spokesperson for the RMH Foundation, helping to raise funds for new mammography machines, and a spokesperson for the Relay for Life, a cancer charity walk. “If you can catch it early, you can escape an ending you don’t want,” Corrie says. “I was 40 years old, and I walked onto a van, and it saved my life.”

Neuro Duo Father and daughter neurologists team up to care for patients at Sentara RMH Medical Center

Two weeks into a throbbing headache and the onset of double vision, Mark McGranahan of Harrisonburg, Va., turned to his primary care provider at Sentara Integrative Medicine Physicians for some relief. Because McGranahan’s neck was so stiff, his doctor first prescribed muscle relaxants to settle the inflamed areas and, hopefully, give him some respite from the pain. The headaches persisted through the end of the week, though, and he was still experiencing double vision.

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“I began to see a little blurry,” remembers McGranahan, 47, a sales manager at Shenandoah Bicycle Company in Harrisonburg. “I got a brain MRI, and that’s when I found out I had a blood clot.” His primary care provider immediately sent him to the Sentara RMH Medical Center Emergency Department, where McGranahan met with neurohospitalist Karoly Varga, MD. As McGranahan’s care progressed at Sentara, Zsofia Varga Hole, MD—Dr. Varga’s daughter, who is also a neurologist with Sentara Neurology Specialists in Harrisonburg—joined the care team. McGranahan’s case was not the first time the two had worked together to care for a patient. “We have worked with patients where my dad initially meets them in the hospital, and then they follow up with me as an outpatient,” says Dr. Hole. “Or it can be the other way around, where a patient starts as

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an outpatient and then gets admitted to the hospital. It’s not uncommon for them to see me again and say, ‘Your dad took care of me in the hospital.’”

A Family Tradition

Growing up in Hungary, Dr. Varga veered from the path of becoming an engineer like his father. Instead, he paved the way for many family members to follow. Dr. Varga wanted a career where he could tangibly help people, and the idea of working in medicine piqued his interest. “I was the first in my family to choose to be a doctor,” says Dr. Varga, 70, who is now easing into retirement while still working part time at Sentara RMH. “Now I’ve started a tradition. Many of my nieces and nephews are doctors—in internal medicine, orthopedics, primary care, and urology—and my daughter is a neurologist.”

“It was then that I focused on neurology,” Dr. Varga explains. “I completed my residency in neurology and ultimately set up a private practice in West Virginia.”

Learning by Example

Dr. Hole, also born in Hungary, says her parents, both physicians, inspired her career choice. Her maternal grandfather was also a medical doctor. “I guess it runs in the blood,” adds Dr. Hole, who lives in McGaheysville, Va., with her husband, Sean, and their four children. “I always had it in the back of my mind, but I didn’t decide to pursue it until college, when I majored in biology on the premed track at Virginia Tech.” Upon graduating from Virginia Tech, Dr. Hole was accepted into the University of Virginia (UVA) School of Medicine. After receiving her medical degree, she completed her neurology residency and fellowship in electrodiagnostic medicine, also at UVA.

Eight Suitcases and a Dream

Dr. Varga and his wife, Maria, started their careers in Hungary. Dr. Varga, who was board-certified in internal medicine, also immersed himself in research. He defended his Ph.D. thesis in cardiovascular regulation by the central nervous system, which coincided with an opening for a fellowship at the National Institutes of Health (NIH) in Rockville, Md. “I moved here with my wife, two young daughters, and eight suitcases,” recalls Dr. Varga. “It was really a scary, exciting, and adventurous time.” Dr. Varga focused on research at the NIH in Rockville and at Virginia Commonwealth University in Richmond, Va., but deeply missed patient care. He and Maria concluded that, due to their daughters’ young ages, only one should get a medical license in the United States.

While visiting her parents in West Virginia, Dr. Hole took note of her dad’s work ethic. “He worked extremely hard and was very committed to his job,” says Dr. Hole. “He worked very long hours in his private practice as a hospital consultant and teaching neurology at West Virginia University School of Medicine. It was sometimes hard to see, but I could tell how much he loved his job and how rewarding it was to help others.” By the time Dr. Hole completed her medical training in neurology at UVA, her older sister Krisztina had earned a Ph.D. in early child development and joined the faculty at James Madison University. This contributed to Dr. Hole’s decision to apply for a position nearby at Sentara RMH. With their daughters in Virginia, the Vargas left West Virginia and joined the rest of their family in the Harrisonburg area. Dr. Hole began working for Sentara in 2015 as a neurologist, and Dr. Varga joined Sentara in 2016 as a neurohospitalist, following in his daughter’s footsteps.

Pooling Information

Almost a decade later, Drs. Varga and Hole combined their efforts to treat McGranahan, as they have with many other patients. Looking more closely at his MRI, Dr. Varga noted that in addition to the blood clot, McGranahan was losing cerebral spinal fluid. “There was very low pressure in his brain, causing all the symptoms,” Dr. Varga explains. While he was being treated at Sentara RMH, McGranahan appreciated Dr. Varga’s comforting bedside manner and the thoroughness with which he explained his condition. “Without all its fluid, the brain sags, and that was pulling on nerves,” McGranahan says. “A vein flattening caused the blood clot. My brain was putting pressure on the optic nerve, which is why I had double vision.” Both Drs. Varga and Hole shifted gears to expedite McGranahan’s paperwork and imaging and get him treated at Duke University Medical Center, which is one of just a few hospitals in the nation that treat this type of cranial cerebral spinal fluid leak. sentara.com

“I give Dr. Varga so much credit because he put the bits and pieces of information together and recognized what condition I was facing,” McGranahan explains. “He was thorough, attentive, and curious.” Drs. Varga and Hole say staying current with the latest techniques and specialty care is critical to their role as doctors. Because of their quick action, McGranahan was seen at Duke within a few weeks. “My doctor at Duke said sometimes people suffer for months and years before someone diagnoses the true problem,” McGranahan says. “He was impressed that I got into the program so fast, because of the hard work of my doctors at Sentara.”

Rocky Road to Recovery

Imaging and exams at Duke found that a calcified disk in McGranahan’s neck had punctured the dura, a protective sheath around the spine. This caused his cerebral spinal fluid leak. The first step, a blood patch to plug the hole, initially worked, but the symptoms returned a week later. He traveled back to Duke, where a neurosurgeon shaved the calcification down and wrapped the area to ensure a smooth surface. Unfortunately, though, his journey didn’t end there. A week after his surgery, while in bed recovering at home, he experienced excruciating pain and then 30 minutes of paralysis from the waist down. He returned to the emergency room at Sentara RMH. Again, Sentara neurologists and the emergency team coordinated with Duke for McGranahan to return for care. Once his condition finally stabilized at Duke, he was able to return home to Virginia to recover. 22 |

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“I would not be where I am today without Drs. Varga and Hole,” McGranahan notes. “So many departments at Sentara worked together to ensure I got the care I needed. You must often be your own advocate, but I felt like those who cared for me at Sentara took it upon themselves to put me in the best hands possible the whole way through.”

Compassionate Care

Now that his partial retirement is underway, Dr. Varga has time to pursue his hobbies: reading, listening to music, playing tennis and pickleball, doing yardwork, and working out at his home gym. He and his wife relish their time with their six grandchildren. “What makes a good doctor?” Dr. Varga asks. “We doctors all graduated from medical school and have proven we are book-smart. The difference is bedside manner, empathy, and how much you care about your patients. That is the hallmark of a good provider. “As a proud father,” he continues, “I can see all these features in my daughter.” When she’s not at work, Dr. Hole enjoys watching her kids play soccer and ride horses, among other family activities. She is grateful to carry on the family tradition of medicine. Although her kids are young, one of her daughters has already expressed an interest in medicine. Another is fascinated by the intricacies of the brain, even watching educational videos to learn more. “My dad has been a role model for me in many ways, including as a compassionate physician and a supportive parent,” Dr. Hole adds. “In getting to work side by side with him these past eight years, I have learned things from him that couldn’t be found in medical textbooks or journals.”

PHILANTHROPY

supportRMH.org

PHILANTHROPY

Fighting Cancer Together

n the morning of Saturday, of cancer, the list of my affected loved ones October 19, nearly 500 people gets much longer. I’m sure many of you gathered at Westover Park in can relate. Harrisonburg for the 22nd annual While it can seem overwhelming, there Race to Beat Breast Cancer. The event is is also reason for hope. Compared to the a tradition I cherish. People throughout previous five-year collective rates for both the community impacted by breast incidence and mortality from the leading cancer — patients, their loved ones and types of cancer, areas in the Shenandoah those who have lost a loved one — come Valley are showing signs of improvement, together each year to raise awareness and with fewer cases and lower death rates. funds for the RMH Foundation to help That’s a reflection of the impact that events Cory Davies, advance our community’s fight against like the Race to Beat Breast Cancer and Executive Director this dreaded disease. other charitable gifts can have. This year, five women in that crowd of 500 had a Indeed, over the past several years, donors have particularly striking story. In fact, I was so struck by it, I equipped our community with important tools to fight had to ask the person who told me the story to repeat it. cancer, such as a new linear accelerator, and expanded “Team Cinderella” — five sisters in their 50s Sentara RMH’s capacity to care for more people by and 60s all living in and around Virginia — has felt renovating the Hahn Cancer Center. Donors have the impact of breast cancer for generations. Their also provided direct assistance to patients through the grandmother passed away from breast cancer some 40 RMH Foundation’s Hope Fund, so that no patient years ago, their mother had survived the disease, and is left without the resources they might need. These now two of the sisters are each recovering from their interventions — and the donations that made them own battles. So, while spending the weekend together at possible — truly do a difference. Massanutten Resort, they chose to honor their journeys In the article on the next page, you’ll find even more and help other women like them by participating in reasons for hope. The Twila Showalter Supportive Care the race. Clinic, currently under development within the Hahn Such a tale is heartbreaking. A single diagnosis for Cancer Center, will be a place and a program through one person in a family can be devastating. But to be which the whole person is cared for — not just the impacted in such a profound way for three generations disease. The clinic promises to help people throughout is overwhelming. the Shenandoah Valley not just survive cancer, but thrive When you hear about a family so deeply affected, it in the face of it. underscores the statement that it’s hard to find someone As Team Cinderella member Joan Harrison says, who hasn’t in some way been touched by cancer. “We’re not just worried for ourselves, but we want to Personally, my aunt and cousin have both had multiple make sure our daughters and granddaughters have breast cancer diagnoses. And if you consider all kinds a healthier path forward, too.” Indeed, that’s exactly why the Twila Showalter Supportive Care Clinic is so important — to meet our community’s needs both today and in the years to come. There is still much work to be done to get the clinic up and running. But when it does open to patients, it will be nothing short of life-changing and lifesaving for generations to come. In gratitude,

Cory Davies Team Cinderella

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Executive Director

PHILANTHROPY

A Legacy of Giving The Showalter Family’s Commitment to Cancer Care and the New Supportive Care Clinic

For the past six years, the “Being able to honor her life Showalter family has honored the way we’ve been able to the memory of their beloved through fundraising has been wife and mother, Twila Showsuch an uplifting experience. alter, who passed away from We want to make her proud.” colon cancer in 2017. Each The new Twila Showalyear around her birthday, the ter Supportive Care Clinic family has donated to Sentara aims to bridge significant RMH Medical Center, where gaps in cancer care in the Twila received care. This anShenandoah Valley, where nual gesture has now grown the cancer mortality rate is into a significant pledge: a rehigher than the state average. markable $1 million commit“The Twila Showalter ment to establish the Twila Supportive Care Clinic Showalter Supportive Care will be a beacon of hope Clinic at the Sentara RMH for people fighting cancer Hahn Cancer Center. throughout our community,” This transformational gift says Cory Davies, executive arrives at a crucial time, as director of the RMH Founthe RMH Foundation works dation. “We are profoundly to address the growing needs grateful to the Showalter of local cancer patients. The family for the transformative Twila Showalter Showalter family’s dedication impact their kindness, comreflects not only their desire passion, and dedication will to honor Twila’s memory, but have on our community for also a commitment to helping years to come, and we look others through their cancer forward to joining with other journey. Larry Showalter, donors to bring this vision Twila’s husband, recalls the to fruition.” compassion shown by the Going beyond traditional staff at the Hahn Cancer treatment, the clinic will Center, describing them as address patients’ physical, “incredibly kind and commitemotional, social, and ted.” Now the family seeks practical needs — supporting to extend that same kindness them through every to other patients facing the stage, from diagnosis and burdens of cancer. treatment to recovery. “We are motivated by Twila’s memory of servThe clinic will also offer expanded services, such as ing others,” shares Brandy Painter, Twila’s daughter. cancer prevention screenings, medication and travel

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PHILANTHROPY

deeply. In the Shenandoah Valley, where a high cancer mortality rate underscores the need for integrated care, the clinic stands as a beacon of hope. Through the community’s compassionate contributions, the Twila Showalter Supportive Care Clinic will bring essential services to the assistance, individual counseling, and comfort resources, helping to ensure that every patient receives comprehensive care and is treated as an individual, not just a patient. “My mother was the definition of living life to the fullest before the diagnosis, during the cancer treatments, and close to the end of her life,” recalls Amber Sabbatini, Twila’s daughter. “The Twila Showalter Supportive Care Clinic will add life to the years of the patients who come to the clinic throughout all stages of their journey.” The Showalter family’s philanthropy has already resonated widely in the community, gaining support through initiatives like the Showalter Cancer Fund’s holiday basketball tournament and contributions from the Great Community Give event. This ongoing support showcases a community that is rallying together to bring meaningful change to cancer care. “It’s healing for us to give 26 |

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back,” Larry says. “It’s a way to take something that’s horrible and make it beautiful.” The case for this clinic is clear: Cancer remains a leading cause of death nationwide, and as treatments advance, more people live longer with cancer, often facing complex, long-term effects that impact their lives

community, uplifting patients and families alike. As the clinic moves from vision to reality, the RMH Foundation encourages others to join this cause. Donations to the Twila Showalter Supportive Care Clinic can help ensure that patients in the community receive the comprehensive care they deserve.

PHILANTHROPY

A Personal Connection to The establishment of the Twila Showalter Supportive Care Clinic is a community-driven effort. The RMH Foundation’s Leadership Council, co-chaired by Teresa and Devon Anders, is championing the clinic’s vision, working tirelessly to bring this resource to the community. The council’s commitment underscores a shared belief that no one should face cancer alone. Its members are actively engaged in fundraising, advocacy, and shaping the clinic’s mission to provide personalized, supportive care that meets the unique needs of local patients. One of the council’s members, Paul Riner, knows the toll cancer can take on a loved one and family. After a year-long fight with cancer, Paul’s mother, Sandra Wine Riner, died in 2014 at the age of 62. “If you’ve had a friend or family member go through cancer, you understand the incredible need for a supportive care clinic,” Paul says. “In other cases, you really need to explain to people the necessity of a supportive care clinic that caters as much to the treatment of the person as it does the treatment of the cancer. The two are very important not to separate.” Paul explains that before her passing, Sandy Riner expressed how thankful she was for the support she received at Sentara RMH Hahn Cancer Center. “The care she received locally allowed her to travel, spend time with friends and family, and truly enjoy that last year of her life,” Paul shares.

Supportive Care

In three years of fundraising for the RMH Foundation, Paul has raised more than $100,000 for cancer care. “The Twila Showalter Supportive Care Clinic will be a sanctuary of compassion and resilience,” says Cory Davies, executive director of the RMH Foundation. “For those facing cancer, this clinic will be a lifeline — a place where the journey is not walked alone, but is surrounded by care that sees and serves the whole person. It is deeply inspiring to witness how our community has come together, with leaders like Paul and our entire Leadership Council, and so many others sharing their hearts to make this vision a reality.” Paul says the Twila Showalter Supportive Care Clinic is immensely important to the community, and to him personally. “Our people — every one of them locally — need our help to get the best possible cancer care,” he explains. “This means care before, during, and after a cancer diagnosis. If you know someone who has beaten cancer, you know that the journey only begins when the bell is rung. “There is sometimes a lifetime of follow up, anxiety, loss of mobility, and impairment of immune responses that accompany beating cancer,” Paul continues. “These patients are also many times more likely to face a second or third cancer diagnosis. They deserve our best care, and this clinic at Sentara RMH Medical Center, launched by the RMH Foundation, will give them that.” To learn more or support the clinic, visit www.supportrmh.org/care. supportRMH.org

FOUNDATION

friends of the RMH Foundation

Gifts received from January 1 to September 30, 2024 Sentara RMH Medical Center is so grateful to have the support of generous community members. We express this gratitude and recognize the contributions our donors make through the President’s Forum, the William Leake Society, 1910 Cornerstone Club and the White Rose Giving Circle. These exclusive giving circles are our way to honor our most generous partners who show they care about having the best medical services available in our community. Finally, to recognize your loyalty over the years, we are placing the number of consecutive years you have supported the RMH Foundation next to your name. Thank you for your support!

President’s Forum $5,000-$250,000

Bank of the James (1) Frances A. Byers (32) Eddie R. and Catherine Coffey (38) Diane C. Davis (34) Harry F and Margaret M Flippo Foundation (34) Darrel E. and Debra L. Hartman (24) George W. and Ann E. C. Homan (21) Dr. Sophia S. Leung (2) James and Frances Mason (42) Pat Messner (42) Edgar L. and Char Miller (39) Douglas J. and Lori B. Moyer (6) Mark and Kendra Shickel (35) Helen W. Shickel (40) Larry W. Showalter (5) Karl and Barbara B. Stoltzfus (37) Hope S. and William G. Stoner (1) Judith Strickler (40) Robert Hopkins and Lorraine Warren Strickler (40) Melinda Swank (7) Sandy and Sherwin Tusing (42) Robert S. Wildman (7) Wayne and Joyce Wright (26) Gina F. Yost (23)

William Leake Society $1,000-$4,999

Marcus B. Almarode (1) Dr. Stephen G. and Patricia A. Alvis (36) Ruth Boyers (42) Bridgewater Ruritan Club (36) Cardinal Dental Specialists (2) Carefree Home Health & Companions (1) LuAnn L. Clark (42) CommonWealth One Federal Credit Union (17) Benjamin Craig and Dr. Nick Swartz (3) Daily News-Record (42) Cory R. and Dr. Donielle Davies (16) Christopher A. and Trina L. Ellis (4) Tami R. Eppard (17) Katie Fitzgerald (1) Sallie E. and Joseph K. Funkhouser (1)

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Gift and Thrift Shop, Inc. (1) John and Julia Gilje (27) Ronald W. and Velda J. Gilkeson (23) Donna Gochenour (8) Chasity H. Godshall (15) Drs. Brooke and William Goodwin (8) David C. and Amelia Hall (27) Harrisonburg Kiwanis Club, Inc. (42) Richard L. and Julie Haushalter (23) Dwight E. Houff (15) Catherine H. and David Hughes (2) Integrity Insurance Group (4) Janney Montgomery Scott LLC (1) Judith D. Jenkins (35) Rebecca S. Jessie (23) Katherine H. Knicely (15) Victoria A. and James D. Krauss (11) Lakeside Book Company (23) Terry A. and Judy LePera (37) William C. and Beverly M. Loomis (42) Robert J. Lynch (8) Beverly MacLeod (10) Rennie McAllister (5) Dr. John and Beverly McGowan (35) Sherry L. Mongold (14) Dr. Jason and Hilary Moore (7) Drs. David and Heather Morgan (18) Erin W. Myers (5) Roger S. Myers (37) New Market Rotary Club (9) Lawrence A. and Anna M. Newman (42) Rebecca M. Nicely (15) Nielsen Builders, Inc. (40) George D. and Elizabeth A. Ojalehto (2) Wilmer Olinger (14) Janice L. Pence (30) Thomas B. and Suk Nam Pender (4) Sheila Riley (42) RMH School of Nursing Alumni Association (42) Katherine M. and Dr. Derek Robinson (12) Janice F. and Rick Scaglione (27) Robert S. and Patricia M. Scott (26) Shenandoah University (11) Mary C. and James R. Sherman (11) Sabrina D. and Reed Shiflett (26) Patricia N. and Richard L. Shoemaker (8) Anita L. Smootz (32) Brandy Sollenberger (8) Michelle A. Swortzel (7) Diane E. and Lynn Trobaugh (16) Dr. Emily J. and Stephan Turzanski (1) Phillip and Christina Updike (40) Dr. T. Keith and Teresa P. Vest (39) Jodie E. Wampler (37)

Dwayne Weaver (1) West Rockingham Ruritan Club (40) Richard L. and Pamela B. Wilkins (40)

1910 Cornerstone Club $100-$999

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Honor Gifts Louise Burtner Brenda B. Hoops Dr. Matthew Cauchi Brock Field Carolyn L. Dickenson Dr. Cauchi, Dr. Rash, Staff and Rehab Duane and Joanna Swartley Dr. Punkaj K. Dua and Mega Grizzard Gladding Karen W. Grizzard Emergency Department Staff, Sentara RMH Laura S. Mapp Stephen Godshall MD Shirley F. Hupp Hahn Cancer Center, Sentara RMH Donna Corbin John S. Greenman Robert W. and Jeanne C. Taylor Richard L. and Pamela B. Wilkins Layla Harris Venus Harris Heart and Vascular Center, Sentara RMH R. Fleming and Sharon W. Jones Bsirat Nguse Dr. & Mrs. Don Hopson Jane S. and Willis M. Hopson

Dr. Gregory Jestaedt and Staff, Harrisonburg Family Practice Anne W. Nielsen Judy Jenkins Gary A. Kardos Priscilla W. Judd Judith D. Roop Jim and Vicki Krauss J. Michael and Dianne H. Burris Medical Center Team, Sentara RMH Jean Kon Lisa McDonald Nancy J. Pippin Leah Colladay Minnich Lawrence A. and Anna M. Newman Dr. Terry Overby Montie Armentrout Dr. Bob Sease Terri L. Denton Erick Spong Charlotte L. Stover Paul and Betty Swartz Robert B. and Jeanne S. Minnich Juanita Taylor and Denise Whitman Debra D. Thompson Laura Tuner Caroline S. Burrough Diane Trobaugh Laura G. Price Juantia Whitmire Crystl D. and William G. Whitmire

Memorial Gifts Phyllis P. Albers Richard F. Albers Charles Y. Allen Bernice Atkins Elizabeth Brosius Kenneth Martin Oak Grove Church of the Brethren Fellowship Class Misty Pettit Rockingham Cooperative Laura Stemper Joseph Wunder Lillian Almeda Baker Elizabeth W. Fulks Charles Bain John H. and Wilma E. Bain Lindsay Barber St. John Baptist Church Salem Rick Blackwell Richard L. and Becky H. Blackwell Kay and Chip Boyers Otho A. Boyers Joseph P. Brown Charlotte M. Brown Betty W. Browning Jeffrey D. and Faye B. Curl Don W. Brunk Patricia A. Brunk Ronnie Brunk Linda L. Taylor

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friends of the RMH Foundation

Terri Burkholder Heather Barnhart Joy and Wayne Beaman Robert F. and Joanne Burkholder Phyllis R. Campbell Susan M. Foster H. D. and Rachel N. Frye Charles W. and Judith W. Hartman S. Paul and Ruby H. Hedrick Nancy and Gary L. Hess William H. and Barbara C. Hutchens Allen R. Ketterman H. L. and Mildred Maiden Joanna R. and Thomas O. Masincup Phillip L. and Connie Miller Mt. Clinton United Methodist Church Nielsen Builders, Inc. John R. and Joyce M. Plymale Douglas M. and Vickie K. Rawley Charles and Juanita Rexrode Larry A. and Jo Ann W. Ritchie Sentara RMH Funkhouser Women’s Center Betty Stroud and Penelope Shifflett Sharon Showalter Carolyn St Clair William L. and Louise K. Stover Homer and Janice Whetzel

Teddy Hartman Darrel E. and Debra L. Hartman Dr. John T. Hearn Janice D. Hearn

Wolcott Rivers Gates John C. and Helen S. Jarrels Keezletown Ruritan Club, Inc. Herman A. and Charlotte H. Landes Russ C. Lawrence Alan and Linda Liskey H. L. and Mildred Maiden Arthur W. and Mary J. Mitchell Joe Taylor Ronald Miller Lilian Galantin Leah Golladay Minnich RN Henry B. and Dorice M. Graham Stanely L. Mitchell Schwab Charitable Fund Charles Moore Wayne and Beverly Stevens

Evelyn High Larry O. and Paula C. Bowman Brenda K. Miller

Sara Monger Gloria Harrison

Carroll Hinegardner Beverly D. and Carroll G. Hinegardner

Bobby Myers Fay B. Myers

Joyce Horst A. Kenneth and Mildred L. Ranck

Lois M Oster Charles V. Oster

Dr. Dan Burtner Louise R. Burtner

Olin and Lee Hosaflook Dewitte M. and Edna R. Hosaflook

Lewis S. Campbell Phyllis R. Campbell

Freda Smith Pence, Class of 1959 and Florence (Flo) Martin Mast Lillan B. Hilbert

Adeen V. Hottinger Lana H. Moyers

Mary Ann Cash Lyle P. and Faye K. Cash ProTrade Steel Company Ltd.

Jammie Hupp Shirley F. Hupp

Terri Burkholder and Jean Hylton Sallie E. and Joseph K. Funkhouser

Loretta Clapper Lee E. Clapper Eugene Coakley Nelson and Linda A. Simmons Joe Coakley Viva J. Coakley Russell and Mattie Comer Russell J. and Delores A. Comer Alma Conley Charles E. and Nancy B. Harold Dianna Showman Crider Ida F. Comer George and Connie Curro Russell A. Curro Donald and Violet Davis Linda A. Davis Paul Dinges Westwood Animal Hospital PLC

Jean Hylton Charles and Lucy P. Blair Mensel D. and Linda T. Dean Michael C. and Angela Gochenour James A. and Sue M. Haley Sonny and Myrna Henkel Virginia and Thomas Holden Marcia E. Lamphier Gladys Moss Donald R. and Nancy M. Myers George D. and Elizabeth A. Ojalehto Charles H. and Mary Scott Phillip C. and Cherrill Stone Hope S. and William G. Stoner Jim and Julie Swope Donald L. and Janet J. Thompson Richard L. and Pamela B. Wilkins O. Walton and Judith W. Wine Edward M. and Leanne W. Young Evelyn Furr Knicely Kaye Gaines Janet Kohen Andrew I. Kohen

Miriam Eichlin Richard Eichlin

Smt. Savita Kohli and Sh. Romesh Chander Kohli Can Karaoz Julie Lineberger

Dr. and Mrs. Morris Fendly’s Son, Jackson Hope S. and William G. Stoner

Mary Frances Koontz Joanne Garrett

Derwood and Ruby Garber Jane L. Garber

Jane and Fred Kruck S. E. and Bill Kruck

Dr. Harry M. Gardner Norma J. Gardner

Keith Allen Lawson, and Genevieve Coakley Ethel S. Smith

Dr. Joseph Gardner Marian B. Suter Dr Linford Gehman Lareth L. May Virginia Micaela Genzmer Covenant Alianza David Greene James F. and Mildred A. Bailey Christine W. Burner George W. and Sally M. Coffman

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Angela Felicio Nancy L. Felicio Anna B. Harner Roslyn Harry Amy Jackson Alicia Rambo Nanette B. Ritchie Thomas H. and Pamela B. Rockhold Melissa B. Shawger Glenn T. and Terri B. Smith Gregory S. and Ann B. Trobaugh Don W. Tussing Janet L. Wayland Michael E. and Connie E. Whetzel David M. and Kay H. Wilberger

WINTER 2025

Darla Craft LePera Terry A. and Judy LePera Elaine Liskey Friendship Sunday School Class Raymond Michael Karen A. and Thomas B. Betler Jack Colberg Violet Conley Larry and Roxanne Emswiler Robert B. and Lois A. Emswiler

Roger and Hallie Pence Janice L. Pence Jo Pettit Emmett H. and Leola C. Brooks Norman Pirkey and Herbert and Phyllis Theimer Michael and Brandon Theimer

Joseph Lee Smith Jr. and Raymond Michael Maynard A. Michael Marian B. Suter Joseph Lee Smith Jr. and Patsy Smith Lenora R. Fowler Lois B. Huffer Keezletown Ruritan Club, Inc. Russ C. Lawrence Alice Rullifson Kenneth L. Thomas Timothy A. Van Schaick Patsy Smith Gregory S. Rinaca Casey R. and Alice H. Ruliffson Thomas Smith Ruth Raines Smith, Thelma Fisher Bourne, Loretta Wilfond Simmers, Glenda Belcher Wilfong Lillan B. Hilbert Terry Spitzer Patricia A. Spitzer James O. Stepp Janet S. Stepp Benny C. Stout Gloria Stout Wayne A. Strawderman Esther J. Strawderman James and Nadean Strickler and Gregory Dinges Lisa K. Dinges Jane L. Stroupe Allen W. Stroupe Boyd Tally Joan E. Talley

Harley Propst S. Walton Propst

Dr. John Trabosh New Beginnings Church

Marie Puffenbarger Faye P Hiner

Frances Trammell Jacqueline Williams

Camilla Ann Rader Kenneth and Gay Fawley

Donna Walker Caitlin Daw

Debra E. Saylor Roger L. and Ann T. Saylor

Denise Whitman Sharon Menefee

Lyman and Rosemary Seese Lyman G. Seese

My Wife, Daughter, and Son Alfred L. Strawderman

Dick Seymour Lucy J. Seymour

Bety J. Wills Erin W. Myers

Galen Shank Susie A. Shank

Richard S. Wilson Alice L. Wilson

Glendon and Mildred Shank Mensel D. and Linda T. Dean

Frances Wyant Evelyn S. Hedrick

Gilbert and Carolyne Shuckman Susan L. Schuckman Loretta W. Simmers RN Nadine Simmers Joseph Lee Smith Jr. Terry L. and Connie Bodkin Owen R. and Judy M. Burkholder Ricky L. and Cheryl G. Chandler Carolyn A. Dean Everence Foundation, Inc. Tim and Cristy Long Dave and Cathy Z. Moyer Nielsen Builders, Inc. Gary W. and Karen E. Rankin Larry A. Royer Kenny and Denise Sager Larry and Susan Turner Ashby High School Social Committee William R. and Alicia D. Weaver Patricia Yarber

Warren Young Libby B Young Nathan Ziegel Christopher A. and Trina L. Ellis

We are incredibly grateful for the generosity of all our donors and strive to ensure the accuracy of our donor listings. Despite our diligent efforts, errors may occasionally occur. If you identify any discrepancies or missing information, please accept our sincere apologies and reach out to Karris Atkins at kxatkin3@sentara.com so we can make the necessary corrections. Thank you for your understanding, and we hope we can count on your continued support.

Sentara Sports Medicine

Supporting our local athletes Sentara sports medicine is proud to support our local athletes on the field, on the court and in our community. • We provide or partner with athletic trainers at high schools in Harrisonburg City, Rockingham and Augusta Counties • We provide team physicians at area high schools • We offer athletic healthcare services to JMU UREC student athletes • We are the medical directors for Bridgewater College and EMU athletics

Sentara Orthopedic & Sports Medicine Specialists 2509 Pleasant Run Drive Harrisonburg, VA 22801

Same and next day appointments available. To request an appointment, scan the QR code or call 540-689-5500.

Sentara RMH Medical Center 2010 Health Campus Drive Harrisonburg, Virginia 22801 Sentara.com Change service requested

Sentara RMH Hahn Cancer Center

Complete cancer care close to home Our compassionate, highly qualified team of experts will meet you where you are on your cancer journey. You won’t go through this alone. When you have questions, our experts will find answers. When you need help determining where to turn, our nurse navigators will be there to guide you.

Learn more about our services and our team at sentara.com/cancer-center.

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