Sentara RMH Spring 2022 Magazine

SENTARA RMH Magazine

SPRING 2022

BACK

IN THE

HUNT

Spine Surgery Helps Sentara RMH Patient Regain Mobility

PLUS: A Vital Relationship: The Importance of a Primary Care Provider Hospital Volunteers: A Recipe for Success | Taking Time to Take Care of You

PRESIDENT’S LETTER

2022 SENTARA RMH BOARD Joseph Funkhouser II | Chair

Jerry Benson, PhD | Vice Chair Devon Anders Rita Bunch Arthur Dean II Morris Fendley, MD Paul Gaden C. Wayne Gates, MD Michael Gentry

SENTARA RMH ADMINISTRATORS

Douglas Moyer President

Donna Hahn, DNP, RN, NEA-BC Vice President, Chief Nursing Officer

Catherine Hughes, MBA, RD Vice President of Operations

Robert Garwood, MD Chief Medical Officer

SENTARA RMH MAGAZINE EDITORS

Alyssa Pacheco Debra Thompson CONTRIBUTORS

Luanne Austin Preston Knight Lisa Smith Jennifer L. Stover PHOTOGRAPHY

W

Persevering and Pressing Forward

ith warmer weather and brighter days soon upon us, I’d be remiss if I didn’t acknowledge the challenges our community has faced over the past few months.

First, I would like to take a moment to honor officers John Painter and Vashon “J.J.” Jefferson, who tragically lost their lives protecting our community during the horrific incident at Bridgewater College on Feb. 1. As we have grieved this loss, it has been truly inspiring to see our community come together to support one another, and the entire Sentara RMH team continues to extend our heartfelt sympathies to the Bridgewater College family. In remembrance of the officers’ service and sacrifice, Sentara RMH was proud to provide a grant matching community contributions in support of the John Painter and Vashon “J.J.” Jefferson Memorial Student Support Fund established by Bridgewater College.

In happier news, COVID case numbers and hospitalizations have been trending downward recently, while vaccination rates in our region have been rising.

Although we are not yet in the clear, we are on a positive trajectory and are hopeful that the spring and summer months ahead will bring some return to normalcy.

In light of our collective journey through the pandemic, it should go without saying that we owe a tremendous debt of gratitude to our Sentara RMH team members. In addition to dedicating countless hours and resources to pandemic-related needs over the past two years, our caregivers also have continued to provide exceptional care—beyond the scope of the pandemic—to our community. In this issue, you’ll read about two patients who recently received life-changing care at Sentara RMH. One of those patients, who had been experiencing excruciating back pain and was largely relying upon a wheelchair for mobility, was able to regain his freedom of movement and join his friends on a hunting trip, thanks to a revision lumbar laminectomy and discectomy performed at Sentara RMH Orthopedic Center in Harrisonburg.

In another piece, you’ll read about a heart failure patient who received an innovative device known as CardioMEMS, a wireless monitoring sensor implanted in the heart that measures pressure levels inside the heart and lungs. The technology, which allows for a more proactive approach to managing heart care, yields significant benefits—and better outcomes—for these patients.

We’ll also highlight the importance of having a good relationship with your primary care provider and discuss the invaluable role these caregivers play in health care today, managing patients’ ongoing health needs and helping them stay well and live more fulfilling lives over the long term.

Finally, I’d like to welcome a new team member to Sentara RMH. Earlier this month, Catherine Hughes joined the hospital as our new vice president of operations. Catherine brings 18 years of experience to the role, most recently holding the position of director of patient care services at Sentara Martha Jefferson Hospital in Charlottesville. We’re excited to have her on the Sentara RMH team, and we look forward to introducing her to our community in the weeks and months ahead.

Warmly,

Andrew Shurtleff Tommy Thompson DESIGN

Picante Creative

Doug Moyer President, Sentara RMH Medical Center

Contents SPRING 2022

19

A Vital Relationship The Importance of a Primary Care Provider

24

29

Back in the Hunt

Innovative Technology

Spine Surgery Helps Sentara RMH Patient Regain Mobility

Provides 'Safety Net' for Heart Failure Patients

Contents

SPRING 2022

14 D E P A R T M E N T S President’s Letter Inside front cover The Best Medicine

3

New & Noteworthy

4

Physician’s Perspective

6

9

On-Call Advice

Improve Health Every Day

14

Eat Well, Live Well Sentara Cares

33

11

17

Women's Health

33

Taking Time to Take Care of You

Health Matters

36

Health Insurance 101

La Salud Importa

37

Principios básicos del seguro de salud

Sentara in the Community

38

A Recipe for Success: Hospital volunteers bring ‘a little extra spice’ to the Sentara experience

17 Sentara Cares

Philanthropy

38

41

THE BEST MEDICINE

BY MICHAEL CORDELL

The Trials and Tribulations

T

of a Garden-Variety Gardener

he arrival of spring brings with it several certainties: warmer weather, more daylight, and—for many homeowners—yardwork. I’m a big fan of two of those three, and you don’t need to be a genius to figure out which one doesn’t make the cut, since it includes the word “work.”

I’ve never enjoyed yardwork, whether it’s weeding or pushing a wheelbarrow full of mulch. As a result, my yard generally looks as though I live next door to a wasteland, and is more likely to be featured in the latest issue of Toxic Waste Dump Monthly than in Better Homes and Gardens.

It’s not that I don’t make any effort: I just don’t make much of one. I’m always upfront about that with the plants I buy. On the drive home, I explain to them that they’re pretty much on their own. I’ll put them in the ground— I feel that’s the least I can do, and I always try to do the least—but after that, it’s every root and leaf for itself.

I also buy plants with description cards that include an image of a deer face with a red line drawn through it, which means the deer supposedly won’t eat those particular plants.

Unfortunately, deer aren’t well versed in the use of emojis, so they fail to realize they don’t find those plants tasty, and thus proceed to eat them. Every. Single. Time.

I’ve long recognized, however, that a lot of people do love gardening. Many find it to have meditative qualities. Plus, it’s a terrific source of exercise. We often equate exercise with weights and running shoes, but gardening can also be good for your health.

With that in mind, I’ve decided to make more of a concerted effort this spring and not rely solely on the theory of survival of the fittest—partly because I’ve learned the “fittest” plants are always the weeds.

That hardly seems fair, since the free plants should be the fragile ones, whereas purchased plants should be the ones that thrive. Apparently, though, I don’t understand gardening.

There are, however, some parts of yardwork I already enjoy.

For example, who doesn’t love using a leaf blower?

Walking around the yard, leaves flying and swirling in front of you at your command, it’s hard not to feel like Zephyr, the Greek god of wind. It’s like summoning the forces of nature with your finger. Give me a leaf blower and an expanse of leaves, and I’m set for hours, even if I’m just blowing the leaves up and down the street.

However, one important consideration when doing yardwork is the noise level.

My lawnmower sounds like a chainsaw convention, and some leaf blowers—especially the gas-powered ones— are louder than a garbage disposal with three spoons and a fork in it (don’t ask how I know that). With that in mind, be sure to read the article on yardwork hearing protection on page 11.

One of the article’s helpful suggestions, which I have followed for years, is to wear protective hearing devices. I have often worn earmuffs myself to block out the noise while out in the yard. Not to block out the noise from lawn equipment, mind you—although now I see the value in that—but rather so I can’t hear the neighbors call out to me, “Great day to be doing yardwork, isn’t it?” I’m not sure if they’re just being friendly or trying to give me a hint, but looking at my lawn, I can guess.

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new& noteworthy Sentara RMH Medical Center is pleased to welcome the following new providers into the hospital community.

To get connected with one of our providers, or for more information on any caregiver at Sentara RMH, please call 1-800-SENTARA. Whitney D. Adams, CNM OB/GYN Harrisonburg OBGYN 540-434-3831

Bryn Hoover, PA-C Emergency Medicine US Acute Care Solutions

Alexandra L. Rigo, MD Emergency Medicine US Acute Care Solutions

Tueme I. Balk, NP-C Cardiology Sentara Cardiology Specialists 540-689-7400

Elizabeth C. Kain, PA-C Orthopedic Surgery Sentara Orthopedic & Sports Medicine Specialists 540-689-5500

Tanya Rivera-Tyler, MD Emergency Medicine US Acute Care Solutions

Jessana M. Hendricks, PA-C General Surgery Sentara Breast Surgery Specialists 540-689-4800

Eva Kline, NP Family Medicine Sentara South Main Health Center 540-564-7300

James Styron, MD Psychiatry Sentara Behavioral Health Specialists 540-564-5100

Melissa K. Kollman, PA-C Family Medicine Sentara East Market Street Health Center 540-564-5666

To get connected with one of our providers, please call 1-800-SENTARA.

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SPRING 2022

Sentara RMH Medical Center Selected as a 2021 Health Quality Innovator of the Year Award program recognizes Sentara RMH’s dedication to improving health in Harrisonburg Sentara RMH Medical Center has been recognized as a Health Quality Innovator for 2021 in the Population Health category. The Health Quality Innovator Awards is an annual program created by Health Quality Innovators that recognizes and celebrates organizations using successful, evidence-based approaches to quality improvement.

Sentara RMH was selected for its Diabetes SelfManagement Education and Support (DSMES) program as the winner in the Population Health category, which recognizes organizations working to improve the health of patients and communities through prevention, treatment and improved access to care.

Sentara RMH enhanced its diabetes education program when data revealed a significant community

increase in uncontrolled diabetes and hypertension, due in large part to the COVID-19 pandemic, during which many patients have refrained from seeking healthcare services. In addition, the diabetes education program was adapted to better reach patients from different settings and cultures, and its focus shifted from hospital-based diabetes education to the DSMES program, which takes place in outpatient primary care settings. As a result of these efforts, the program improved quality of life, reduced mortality rate and decreased hospital admissions among its patients.

“We’re immensely proud to be recognized as a Health Quality Innovator of the Year,” says Doug Moyer, president of Sentara RMH. “This is truly a collaborative effort among an outstanding team of people working to improve the health of our community every day.”

2021 Year

Sentara RMH has a new mobile mammography van! This state-of-the-art

in Review

Sentara RMH Medical Center continues to spring into action when it comes to serving our community. In 2021, our caregivers: •

Provided care to 1,190 inpatients diagnosed with COVID

•

Provided 353 free mammograms

•

Accepted 236 patients into the Continuum Case Management program, which provides home visits and other services

•

Treated 57,664 patients in our Emergency Department

•

Provided care for 811 patients through our diabetes educators

•

Provided 1,057 free health screenings at the Rockingham County Fair

•

Provided free vision, dental and medical care for 443 patients at the Remote Area Medical Clinic, which Sentara RMH helped to organize, fund and staff

•

Launched “Walk with a Doc,” a community walking program with cardiologist Dr. Michael Scholfield

•

Launched the Heart Failure Clinic, treating 662 patients and helping drive down overall 30-day heart failure readmissions

•

Provided more than 4,000 COVID-19 vaccinations to the community

imaging center on wheels features upgraded equipment that provides enhanced image quality and improves radiologist workflow.

Additionally, this new vehicle is more thoughtfully designed and smaller in size, enabling easier travel to remote locations.

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PHYS ICIAN’S PERSPEC TIVE

COVID-19:

Where We Are, Where We Might Be Headed It’s safe to say that the COVID-19 pandemic has touched the lives of virtually everyone on Earth in one way or another. The consequences of the pandemic have stressed the U.S. healthcare system—including Sentara RMH Medical Center—over the past two years, and multiple surges have taxed hospital resources, as well as our nursing, physician, respiratory and support staff. Recently,

By Robert Garwood, MD increased patient volume caused by the omicron variant, combined Chief Medical Officer with increased staff illness due to community-acquired exposure, have added a whole new level of challenge to our emergency room, operating rooms and hospital staff. Even with declining COVID cases lately, our hospital remains full, and new strategies are being employed to continue delivering highquality medical care to our community. Through hard work, however, we continue to learn about this virus and refine mitigation strategies to prevent its spread, as well as develop therapeutic strategies to treat those infected.

Delta versus Omicron Both the delta and omicron variants of COVID-19 have led to significant illness, resulting in large numbers of people requiring hospitalization and increased daily COVID-related deaths. However, the two variants feature significant differences in how they have caused their respective misery.

While omicron is markedly more contagious than delta, it is generally thought to cause a milder infection, with a risk of hospitalization or intensive care unit admission about half that of delta. Those at greatest risk remain the elderly, the immunosuppressed and individuals with multiple medical issues. The incubation period for omicron is about two days, compared to four days for delta, resulting

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in a faster onset of symptoms. Unlike previous variants in which fever and cough were the predominant symptoms, omicron tends to present with a runny nose, headache, fatigue, sneezing and sore throat.

Given the faster incubation period of omicron, the course of infection between the two variants also differs. A delta infection appeared to peak in three days, with most people clearing the virus in six days.

An omicron infection, which may come with lesser viral loads, appears to peak in two days and clear in a similar time frame.

Vaccination and Treatments

As of mid-January 2022, more than 5.8 million Virginians had been fully vaccinated against COVID-19, with 24-25% of that group also having received a booster shot.

And while delta infections typically centered in the lungs—likely the reason for the severity of delta infections— omicron is largely an infection of the upper airways. Despite not being as virulent as delta, omicron has resulted in record hospitalizations and death totals that are comparable to delta, due to the sheer number of people infected—even though omicron is lethal in a smaller percentage of cases.

Interestingly, one study showed that although omicron infection seems to provide natural immunity against delta, a delta infection does not seem to provide protection against omicron. This fact all but ensured that omicron became the dominant strain.

First and foremost, full vaccination with a booster shot is the most effective way to prevent serious illness and hospitalization from COVID19, regardless of the variant. As of mid-January 2022, more than 5.8 million Virginians had been fully vaccinated against COVID-19, with 24-25% of that group also having received a booster shot. Among fully vaccinated individuals, 2.1% have gotten a breakthrough infection, 0.06% have required hospitalization, and only 0.02% have died. Notably, approximately 85-87% of hospitalized COVID-19 patients have been unvaccinated individuals.

Likewise, unvaccinated people develop COVID-19 infections 4.5 times more than those who are fully vaccinated, and about 2.1 times more than individuals with partial vaccinations. The risks are even more striking when compared to those who also have received a booster shot. Individuals who have received two vaccination shots and a booster have an 80% smaller chance of requiring hospitalization than those who are unvaccinated. Considering all the data, the bottom line is that vaccination with a booster shot is the single most effective way to prevent serious illness leading to hospitalization and death from COVID-19.

In addition to vaccination, several treatment options are available. Unfortunately, previously available monoclonal antibody treatments such as Regeneron have proven ineffective against omicron. However, a new monoclonal antibody treatment, Sotrovimab, is effective against omicron and is available to those individuals at the highest risk for progressing to serious infection. In addition, an antibody treatment known as Euvshield can be given as a preventive measure for immunosuppressed individuals (currently transplant and cancer patients) who cannot adequately respond to a vaccination. Finally, two antiviral medications, Paxlovid and Molnupiravir, have become available to treat infected individuals with a positive COVID-19 test, provided the treatment is given within five days of symptom onset.

Testing and Isolation Testing has long been thought to be an essential tool in the fight against COVID-19.

Particularly with the advent of new therapeutic sentara.com

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PHYS ICIA N ’ S PERSPEC T IV E

modalities, early detection of COVID is necessary to start treatment within the optimal therapeutic window. For omicron, faster replication speed and shorter incubation period result in a much narrower window in which to test for and identify an infection. As such, a rapid antigen test should be performed within two to four days after exposure or immediately upon onset of symptoms, when viral loads are likely high. If initially negative, the test should then be repeated 36 hours later to minimize the risk that the first test yielded a false negative result.

Polymerase chain reaction (PCR) tests are the other option in COVID testing. Although more accurate overall and more likely to pick up infections early, results from PCR tests can take longer to receive (up to two days in most cases) and can remain positive after a person is no longer infectious.

If one were to develop symptoms of a COVID infection, a reasonable testing strategy would be to quarantine for one to two days and take a rapid antigen test after allowing for the viral load to increase to detectable levels. If the first test is negative and symptoms persist, repeat the test in another one to two days. If still negative and symptomatic, consider getting a PCR test, or continue to isolate for five days and then wear a mask for an additional five days.

Upon a positive test result, five days of isolation, followed by five days of mask wearing and avoidance of unnecessary travel, are recommended.

The Future of COVID The question on everyone’s mind today is, “When is this all going to end?” By definition, a

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pandemic isn’t over until it’s over for everyone everywhere. So vigilance is required here in the United States, and efforts need to continue to vaccinate as many people around the world as possible, to help prevent the development of new variants. In fact, a new subvariant of omicron that spreads about 1.5 times faster than the original has been identified, but at this point does not appear to be evading the protective effects of vaccination or causing increased hospitalizations.

That said, there will likely be new variants seen in the future, resulting in three possible scenarios moving forward. The worst-case scenario would be the rise of a new variant that escapes the protection of both natural immunity and the vaccines and is resistant to current treatments.

This variant would likely spread through the population, as with past surges, and cause increased hospitalizations and deaths.

The second scenario would be a new variant that requires a variant-specific booster but is treatable with antivirals and monoclonal antibody treatments; however, given an extremely fast spread rate that causes surging case numbers, neither can be produced fast enough to prevent illness.

The final scenario, which is the best-case scenario, is that COVID-19 variants persist but, as with the flu, a baseline level of immunity will exist and can be augmented with yearly booster shots. In that case, many of those who do get sick will be able to receive effective treatment with monoclonal antibody and antiviral medications.

ON-CALL ADVICE

Blue Ridge Region physicians of Sentara Martha Jefferson Hospital and Sentara RMH Medical Center answer your health and wellness questions

Getting Control of

Your Cholesterol ‘Good’ vs. ‘bad’ cholesterol, and what you can do about it There’s a lot of information

out there about cholesterol these days—particularly when it comes to foods that can help control cholesterol levels. For instance, you may have heard experts’ recommendations to eat more oatmeal and nuts, but less sugar and red meat. While that’s good advice, do you know what your cholesterol numbers actually mean?

Let’s start with the basics.

Cholesterol, which the body uses for a number of different biological functions, is found in all the cells in your body.

Although the body typically produces all the cholesterol you need, you also take in cholesterol from the food you eat—and too much of the wrong type of cholesterol can lead to serious long-term health problems.

‘Good’ vs. ‘Bad’ Cholesterol There are two types of cholesterol: the “good” variety, known as high-density lipoprotein (HDL), and the “bad” variety, known as lowdensity lipoprotein (LDL).

Since HDL plays a valuable role in helping to flush LDL out of the body, higher values of HDL are considered healthier.

Following are some guidelines for desirable vs. at-risk HDL levels for men and women:

Desirable

At Risk

Men

60 or above

Less than 40

Women

60 or above

Less than 50

Source: https://www.mayoclinic.org/diseases-conditions/ high-blood-cholesterol/in-depth/hdl-cholesterol/ art-20046388

Too much LDL cholesterol, on the other hand, can build up in your blood vessels and increase your risk for heart disease and stroke. For that reason, lower values are considered desirable, with risk levels for various ranges outlined below (these numbers apply to both men and women): Optimal: Less than 100 Near optimal: 100-129 Borderline high: 130-159 High: 160-189 Very high: 190 or above Source: https://www.mayoclinic.org/diseasesconditions/high-blood-cholesterol/diagnosistreatment/drc-20350806

What Can You Do About Your Cholesterol Levels?

If your cholesterol numbers fall within the optimal range, keep up the good work! Those readings indicate that you’re living a healthy lifestyle.

If your cholesterol numbers are outside of the normal range, however, you’re at an elevated risk for heart problems

and should see a doctor to help manage your levels. Here are a few tips to help you manage your cholesterol: • Schedule an appointment with a primary care provider. If you don’t know your numbers, get your cholesterol checked via a very simple blood test. High cholesterol requires medical diagnosis and can be treated by medication. If you are diagnosed with high cholesterol and need additional medical attention, your primary care provider will connect you with a cardiologist, who will work with you to develop a comprehensive treatment plan.

• Exercise. Experts recommend exercising 30 minutes a day, 5 days a week.

• Lose weight. If you are overweight or obese, aim to lose at least 5 percent of your body fat.

• Quit smoking. If you currently smoke, research shows that quitting smoking increases HDL levels.

• Change what you eat. Avoid foods that raise cholesterol, such as fatty, fried, greasy food. Instead, add in more foods like fruits, vegetables, whole grains and beans to help control cholesterol. sentara.com

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ON- C ALL A DVICE

Blue Ridge Region physicians of Sentara Martha Jefferson Hospital and Sentara RMH Medical Center answer your health and wellness questions

What is shift work

sleep disorder?

Shift work sleep disorder (SWSD) often affects individuals whose work schedules don’t mesh with the normal circadian rhythm—our internal “body clock”—which helps to control wakefulness/ sleepiness, hormone levels, hunger and body temperature.

Characterized by excessive daytime sleepiness, insomnia, drowsiness and lack of refreshing sleep, SWSD has become more prevalent in recent years, since more Americans have been working nontraditional shift hours (e.g., evenings, nights, early mornings, and rotating or split shifts).

Common symptoms of SWSD include: • excessive sleepiness, both on and off the job • insomnia that prevents a person from getting adequate sleep • difficulty concentrating, paying attention or retrieving memories • low energy levels • sleep that isn’t refreshing • irritability or mood disturbances • trouble with relationships Symptoms of SWSD should not be taken lightly, since sleep

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deprivation can increase your risk of falling asleep at an unsafe time or place, and of making critical errors on the job. Over time, these impairments can take a negative toll on your physical and mental health. In addition, sleep deprivation can increase your cancer risk and negatively impact your heart health and digestive functions.

If your job requires you to work nontraditional hours, here are some tips for lifestyle changes you can make to help you manage SWSD: • •

•

Keep a consistent sleep schedule, including days both on and off the job.

Wear sunglasses when you leave work to help minimize sun exposure, which can help prevent your “daytime” clock from activating.

When possible, take naps.

• •

• •

Create a dark sleep environment.

Maintain a healthy diet, ensuring that you eat the right amounts of fruit and vegetables.

Limit caffeine intake several hours before bedtime.

Use a sound machine or wear earplugs to minimize sleep disruption.

To help improve sleep quality, remove as many sleep disruptions as possible. If you feel you could be experiencing negative impacts from SWSD, speak with your physician. Your doctor may prescribe sleep aids or over-thecounter medications to help you get enough rest. However, be sure to talk with your provider about possible side effects and review any drug interactions, and be sure never to take any medication without a physician’s approval.

IMPROVE HEALTH EVERY DAY

SPRING YARDWORK and Hearing Protection Spring has sprung, which means many of us are considering getting back out into our yards to clean up the remains of winter. But before you get started, did you know that some yardwork equipment— including many gas-powered tools, such as lawnmowers, leaf blowers and string trimmers—can put you at risk for hearing loss?

Be sure to take these steps to reduce your risk of noise-induced hearing loss: • Limit your exposure to loud equipment.

• Always wear hearing protection.

• Keep up maintenance on your machinery, as worn parts may increase noise levels.

• Consider using a quieter alternative when possible (e.g., a rake instead of a leaf blower).

Wearing hearing protection is recommended anytime you use loud equipment, since harm to your hearing can get increasingly worse with each repeated exposure. A wide variety of hearing-protection options exist, including earmuffs, earplugs and even Bluetooth-enabled noise-canceling headphones. Ultimately, the option you will use most often will be the best one for you. sentara.com

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I M PROVE HEA LTH EVE RY DAY

Before You Plan Your

Beach Vacation

The sun is starting to shine brighter this time of year, so before you start spending more time out in the sunshine, be sure to schedule your annual skin exam. Skin checks, which are an essential part of your health care, provide opportunities to evaluate any abnormal moles, growths and spots you may have.

While it’s important to schedule annual skin checks with your doctor, you also should monitor your skin regularly with self-examinations. According to the American Academy of Dermatology, nearly half of melanomas are self-detected. All you have to do is follow the “ABCDE” guidelines at right while examining your body in a mirror in a well-lit room:

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•

A is for asymmetry: One half of the spot is unlike the other half.

•

B is for border: The spot has an irregular, scalloped or poorly defined border.

•

C is for color: The spot has varying colors from one area to the next, such as shades of tan, brown, black or dark purple, or areas of white, red or blue.

•

D is for diameter: While melanomas are usually greater than 6 millimeters (about the size of a pencil eraser), they may be smaller when diagnosed.

•

E is for evolving: The spot looks different from others or exhibits changes in size, shape or color.

If something unusual appears, it’s essential to get it checked out for proper diagnosis and treatment as soon as possible. Early detection of skin cancer is the key to lesser treatment needs and successful outcomes.

Know the Facts About

ASTHMA

If you or a loved one suffers from asthma, here are answers to some of the most common questions about the condition:

Getting Ready for

SPRING ACTIVITIES Now that the weather is getting warmer, you may be itching to get out and do all the outdoor activities you haven’t been able to enjoy during the winter months. However, since you probably haven't done these activities for quite a while, it’s important to start slowly to avoid injuries. Here are some tips to help you stay healthy as you get back into your favorite outdoor activities: Start slowly: Overuse injuries are very common at the start of spring, so take time now to prepare your body before you overexert yourself.

Stretch and warm up before any physical activity: Take 5–10 minutes to elevate your heart rate and increase blood flow to your muscles.

Warmups can include lunges, jumping jacks or light jogging.

Stay hydrated: Although this is good advice anytime, it’s especially important when you’re engaging in physical activity. When dehydrated, your muscles and tendons are less flexible, which can increase your risk of muscle strain.

Listen to your body: If you feel any discomfort, stop the activity and assess why you may be feeling pain. If the pain doesn’t subside after using conservative measures like ice, heat and elevation, see your doctor.

What causes asthma?

In many cases, patients are born with asthma.

Often, children’s asthma improves after puberty, but it can return in later life. Some patients develop asthma during adulthood, perhaps due to an acute lung infection like pneumonia or bronchitis, or due to exposure to noxious chemicals. In some cases, however, asthma has no apparent cause.

What treatment options are available?

Asthma is treated with various inhaled medications, and treatment is based on the frequency of symptoms. If a patient is having symptoms at night or more than once a week, they are usually placed on a daily medicine to prevent and control asthma symptoms. For acute asthma symptoms, patients are normally instructed to use a rescue inhaler to help open their airways and allow them to relax. In addition, patients also may be placed on medications for allergies, postnasal drip and heartburn.

Are there ways to avoid or minimize attacks?

Using inhalers appropriately; minimizing exposure to triggers like smoke, dust and other allergens; and monitoring your symptoms are a few ways to minimize the frequency and severity of attacks. In addition, therapies may need to be escalated with changes of season, so it’s important to talk to your physician about preventive options. sentara.com

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EAT WELL , LIVE WELL

Eat More

FIBER!

By Leigh Steiniger, MS, RD, CDCES Sentara RMH Medical Center

We’ve all probably heard that fiber is good for us, but some of us may not fully understand why. While fiber is most well known for helping to relieve constipation, it actually features many other health benefits as well. So even if you don’t struggle with constipation, there are several other great reasons to increase your fiber intake. Unfortunately, only 5% of Americans regularly meet their recommended daily intake of fiber, since the typical American diet is high in processed foods and refined carbohydrates, which are all low in fiber. By choosing whole foods such as whole grains, fruits and vegetables, you should have no problem meeting your dietary needs.

What Foods Contain Fiber?

Fiber is found in plant-based, whole foods such as fruits, vegetables, nuts, seeds, whole grains and beans. There are two types of dietary fiber, both of which are important for digestion and overall health: Soluble fiber: This form, which dissolves in water and forms a gel, slows down the passage of food from the stomach to the intestines. Food sources include beans, oats, peas, barley, bananas, apples and psyllium (often found in fiber supplements).

Insoluble fiber: This form, which does not dissolve in water, adds bulk to

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Recommended Fiber Intake FEMALES

FIBER INTAKE

stools, promotes the daily the next week, and 19-30 years 28 grams movement of material so on, until your fiber goal 31-50 years 25 grams through the digestive is met.

51+ years 22 grams system, and is espeStay hydrated. Hydration MALES cially helpful in alis important for a lot of rea19-30 years 34 grams leviating constipation 31-50 years 31 grams sons, but it’s especially cruand regulating bowel 51+ years 28 grams cial for preventing constipamovements. Food tion.

Aim to have at least 64 Source: 2020-2025 Dietary Guidelines sources include wholefor Americans fluid ounces per day. grain products, nuts, beans, berries, corn, carrots Eat whole foods. Typiand cauliflower. cally, the more refined and processed a food For an extensive list of high-fiber foods, see this is, the less fiber it contains. For example, a resource from the 2020-2025 Dietary Guidelines for medium orange has 3.7 grams of fiber, comAmericans at https://www.dietaryguidelines.gov. pared with 0 grams of fiber in 4 fluid ounces of orange juice.

•

•

Why Should We Eat More Fiber?

Below are several good reasons to boost your fiber intake: Normalizes bowel movements: Fiber can be beneficial for both constipation and diarrhea by adding bulk to stools.

Promotes bowel health: A high-fiber diet can help prevent hemorrhoids, diverticulosis and colon cancer.

Fiber also serves as a “prebiotic,” acting as a food source for healthy bacteria in the digestive tract.

Supports heart health: Soluble fiber binds with cholesterol in the digestive tract, preventing absorption into the body. This, in turn, can lower LDL (bad) cholesterol levels and reduce the risk for heart disease.

Improves blood sugar: Soluble fiber, in particular, can help lower blood sugar after meals by slowing down the release of sugar from the digestive tract into the bloodstream.

Aids in weight management: A high-fiber meal or snack contributes to a feeling of fullness and increased satiety, which can lead to eating smaller volumes of food per meal and decreasing snacking between meals.

Tips for Increasing Dietary Fiber:

• Add it in slowly. Adding in more

fiber than your body is used to at one time can cause some unwanted side effects, such as cramping, bloating and constipation. Instead, try adding an extra 5 grams daily for a week, then adding another 5 grams

• Choose beans at least 2–3 times per week.

Beans are an excellent protein source and are high in fiber. So instead of meat, aim to have beans as your protein source several times per week.

• Read food labels. Try to choose grain

products like cereal, bread, pasta, crackers, etc., that contain 4 grams or more of dietary fiber per serving. Look for products that have “whole grain” listed as the first ingredient.

• Add in some seeds. Chia seeds and flax

seeds are especially high in fiber and can be sprinkled on top of foods for an added boost. One tablespoon of chia seeds contains 6 grams of fiber!

• Ask about fiber supplements.

It’s always best to start with whole foods first, as they contain other beneficial vitamins and minerals to support your health. However, if you find you’re unable to consume enough fiber from food, you can ask your healthcare professional about using a fiber supplement.

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EAT WELL, LIVE WELL

Here are some high-fiber recipes to get you started:

Overnight Oatmeal with Berries Ingredients 1/2 cup low-fat milk (or less for thicker oatmeal) 1/4 cup fat-free Greek yogurt 2 teaspoons honey 1/4 teaspoon cinnamon 1/4 teaspoon vanilla extract 1/2 cup uncooked rolled oats 1/4 cup frozen raspberries Directions 1. Combine milk, Greek yogurt, sugar, cinnamon and vanilla extract in a container or jar with a lid.

2. Add oats and mix well.

3. Gently fold in raspberries.

4. Cover and refrigerate 8 hours to overnight.

5. Enjoy cold, or heat as desired.

Nutrition Facts: 311 calories, 4 g total fat, 53 g carbohydrates, 9 g dietary fiber, 17 g protein

Quinoa and Black Bean Salad Ingredients 1/2 cup quinoa (dry) 1 1/2 cups water 1 1/2 tablespoons olive oil 3 teaspoons lime juice 1/4 teaspoon cumin 1/4 teaspoon coriander (ground, dried cilantro seeds) 2 tablespoons cilantro (chopped) 2 scallions (medium, minced) 1 can black beans (15.5-ounce can, rinsed and drained) 2 cups tomato (chopped) 1 red bell pepper (medium, chopped) 1 green bell pepper (medium, chopped) 2 green chiles (minced, to taste) black pepper (to taste) Directions 1. Rinse the quinoa in cold water. Boil water in a saucepan, then add the quinoa.

2. Return to boil, then simmer until the water is absorbed, 10-15 minutes.

3. Cool for 15 minutes. While quinoa is cooking, mix olive oil, lime juice, cumin, coriander, chopped cilantro and scallions in a small bowl, then set aside.

4. Combine chopped vegetables with the black beans in a large bowl, then set aside.

5. Once quinoa has cooled, combine all ingredients and mix well. Cover and refrigerate until ready to serve.

Serving size: 1 cup Nutrition Facts: 199 calories, 5 g total fat, 32 g carbohydrates, 9 g dietary fiber, 9 g protein Recipes sourced from the U.S. Department of Agriculture.

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Sentara Cares about advancing health equity and ensuring that all members of our community have access to the resources they need to live their healthiest and most fulfilling lives.

We’re guided by our understanding that our overall health is greatly influenced by where we’re born and where we live, learn, work, play, worship and age. In fact, these environmental factors account for nearly 80% of health outcomes, while direct health care accounts for only 20% (as seen in the “Social Determinants of Health” graphic at right).

Our purpose, then, calls us to address these issues on the ground every day where people live—not just when they’re under our care. Only then can we help to eliminate health disparities and promote equitable access to nutritious foods; education; safe and affordable housing; and stable, rewarding job opportunities.

We know such disparities can’t be solved solely in the exam room, and they can’t be solved solely

by Sentara. However, through our partnerships we continue to make both immediate impacts and lasting change for our community. continued

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SKILLED CAREERS INSPIRING TEAM MEMB E R S

Sentara Cares Focus Areas Keeping our communities safe Keeping our communities informed and assured Pivoting vital resources Addressing unprecedented food insecurity Accelerating affordable housing Serving our most vulnerable populations Building better careers and financial stability Fighting hunger every day Boosting behavioral health services Connecting partners to ensure more equitable service delivery Supporting the next generation of healthcare leaders

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We inspire, empower and support our community

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We know that the substantive initiatives we’re undertaking through Sentara Cares will take time to bear fruit. To ensure that we’re meeting not just long-term goals but also immediate needs, we’re proud to partner with an extensive network of organizations working to improve lives in a variety of ways every day.

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Sustaining Momentum

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Our ability to effect lasting change in our community hinges on our understanding that the direct care we provide addresses only a fraction of what we need in order to live our healthiest, most fulfilling lives. That’s why we actively partner with organizations and support initiatives to advance our communities holistically in a variety of areas to improve where we live, work, learn, play, worship and age.

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Addressing Root Factors

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Sentara Cares is about transforming the lives of our neighbors by focusing on the root factors that affect our health, beyond the clinical care we receive.

To truly live our mission to improve health every day, we must help to: • Fill the unprecedented need for behavioral health practitioners in the field and ensure greater access to behavioral health services for children, families and adults.

• Secure consistent, equitable access to nutritious food—every day and in times of emergency need.

• Support targeted training and development programs for higher-paying skilled careers.

• Develop more robust emergency and scattered housing solutions in our communities.

• Dismantle barriers to accessing health and human services in traditionally underserved populations.

In addition, we mustn’t lose sight of engaging organizations and supporting assets that strengthen the very fabric of our community, such as arts and cultural programs and recreational features that can unite us and foster a greater appreciation for the places we call home.

IN

Focus Areas

A Vital

Relationship

The Importance of a Primary Care Provider

Primary care providers (PCPs) play an invaluable role in health care today, managing patients’ ongoing, everyday health needs and helping them stay healthy over the long term. Your PCP also can serve as a great sounding board for any health issues you may be concerned about, whether physical, mental or emotional.

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t “Primary care is abou wellness specifically.”

- Dr. .Derby

Since PCPs have numerous opportunities to get to know their patients, it’s easier for them to watch out for changes that may indicate health concerns, according to Jennifer Derby, DO, a family medicine doctor at Sentara Timber Way Health Center in Broadway.

“Primary care is about wellness specifically,” Dr. Derby says. “It’s not just that you have a cold and need medicine, or you need to control your blood pressure— it’s all-encompassing health care, and it’s about how you live your life.”

Although many patients are referred to specialists for certain health problems, most specialists don’t have the same level of working relationship with patients that PCPs do, according to Jordan Hill, DO, who is also a family medicine doctor at Sentara Timber Way. “Patients frequently have more contact with PCPs than other providers,” Dr. Hill says, “so they often end up trusting us more.”

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Listening to the Patient Michelle Crotteau recently discovered the importance of having an understanding and empathetic primary care doctor. In summer 2020, she began to experience intense, unexplained ear pain. The 57-year-old, who lives with her son on a small farm near Broadway, was feeling desperate for relief.

After another doctor had ruled out an ear infection and she had tested negative for COVID-19, Crotteau found herself on the verge of tears in Dr. Derby’s office.

“Dr. Derby couldn’t see anything wrong with my ear,” remembers Crotteau. “I felt really embarrassed because I started to cry, and I asked her why she wasn’t saying anything. She said, ‘Because I’m listening.’”

Listening to Crotteau talk about her symptoms, Dr. Derby learned that the pain was occurring only on one side of the body.

That was the key piece of information Dr. Derby needed to make a diagnosis of Ramsay Hunt syndrome, a rare type of shingles that affects the facial nerve near one of the ears. Shingles is a viral nerve infection that occurs due to a recurrence of childhood chickenpox. Although most people with shingles develop a painful rash, Crotteau didn’t have one—which made the diagnosis more challenging.

Dr. Derby prescribed steroids and referred Crotteau to an eye doctor and an ear, nose and throat specialist, since shingles can spread to and damage other parts of the body. “It was a roller coaster of appointments,” Crotteau explains, “but Dr. Derby was right there guiding me and looking at my reports. I was so moved by her care and her personal attention to me. It was just amazing.”

Realizing her recovery would take some time, Crotteau made the decision to retire after 33 years of public school teaching.

Months went by before she felt better, but a visit to the ocean in January 2021 gave her a new goal: She wanted to learn to surf. The stress and steroids had taken their toll on her body, however, and she was out of shape.

Dr. Derby recommended the Sentara RMH Wellness Center in Harrisonburg, where staff gave Crotteau an exercise plan and the

encouragement to reach her goal. With the support of her family and friends, Crotteau lost 20 pounds working out and taking deep-water aerobics classes.

For her part, Dr. Derby said the main thing she did was listen to her patient. “My job is to give you the tools you need to be healthy, but you’re the one who has to do it,” she notes. “Michelle took my advice and ran with it. I got her plugged in where she needed to go, and she took it from there.”

Crotteau continued to work on her surfing at the Outer Banks. Then, in August, she took a lesson and felt elated when she was able to stand up on her board and make it to shore. “It was only for a second,” she says, “but it was the best second ever.” According to Crotteau, surfing was just what she needed after her illness.

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“It brought me back mentally, emotionally, physically, spiritually—everything. It really wouldn’t have been possible without Dr. Derby’s support.”

Today Crotteau is reconsidering her retirement from teaching, while still surfing and working out. “I really feel like I made an excellent recovery, and that was due to Dr. Derby’s early intervention. She took the time to listen, get to know me as a person and treat the whole me.”

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The success Crotteau had inspired Dr. Derby. “It’s almost like watching a bird take off,” remarks Dr. Derby. “She came in to show me how well she was doing. That’s why I went into medicine—to see people get better.”

Treating the Whole Person Diana Crowder was worried about her fourth-graders, and she wasn’t sure what to do about it. The 54-year-old New Market resident had recently taken time off from teaching while she

underwent surgery and chemotherapy for breast cancer. As she prepared to return to her classroom in Harrisonburg and meet a new group of students for the first time, her anxiety worsened.

How would the children react to a teacher with no hair, or wearing a skullcap? A wig wasn’t an option for Crowder, due to her sensitive skin.

Dr. Hill had an answer. The solution was fairly simple, but one Crowder hadn’t considered: She needed to go hat shopping.

4 Benefits

of Having a Primary Care Provider 1. Stay Healthier

“As primary care providers, we sp time trying to understand the whend more ole person."

Dr. .Hill

“I told him I was afraid that my appearance would make the children cry,” says Crowder. “Dr. Hill said I should find a really goofy, funny, kid-friendly hat— like a chicken hat. I thought that was genius. It was so much more fun to walk in with a fun hat, although I ended up going with a frog hat. All my anxiety was gone, thanks to Dr. Hill’s advice.”

Crowder says Dr. Hill still helps her with all kinds of issues, large and small, and that he’s someone she can talk to when she’s struggling with a decision.

“That’s why I brought it up to him—because he cares about everything I’m facing and any little worry on my mind,” says Crowder. “It’s amazing how much time he takes with me. He has a suggestion for just about any problem I may have, and he is a beautiful soul.”

The trust and relationship between a primary care provider and patient is key, according to Dr. Hill. “Patients know I have their best interests at heart and will take the time to explain things,” he says. “As primary care providers, we spend more time trying to understand the whole person. We get to know them as individuals and learn who they

are and what matters to them.”

Recently, Crowder was struggling to find time to exercise and still take care of her elderly mother. Dr. Hill helped her realize that she needed to get up earlier in the morning to fit her workout into her day. She also talks to him about her adult son, who has multiple sclerosis. “He knows all about my mom and the whole family,” she says.

Crowder also recently talked through her options for breast reconstruction with Dr. Hill. She understood the pros and cons after having met with a plastic surgeon, but she also wanted Dr. Hill’s opinion. “He asked me some questions and got me to realize that cosmetic surgery is a priority for me,” she says. “I feel comfortable talking to him.”

That level of comfort is key for Crowder. “It’s a relationship,” she says. “I’m actually a really shy person, so it can be hard for me to talk to people. I think being able to ask Dr. Hill questions about my son, the cancer or the anxieties of life is much more important to me than just having him regulating my thyroid disease or treat me for strep. Dr. Hill really, truly believes in caring for the whole patient.”

Studies show that people who regularly see a primary care provider (PCP) have a greater life expectancy. PCPs identify and treat health conditions through regular preventive screenings, and also can help you manage chronic health conditions like diabetes and high cholesterol.

2. Lower Your Costs Many preventive screenings are completely covered by insurance.

These screenings can catch health problems early on, which can make them easier to treat before they cause potentially costly complications.

3. Save Time In one annual visit to your PCP, you can get most of the preventive care you need, including immunizations and blood tests. While you’re there, you can also ask questions and get any needed referrals to specialists.

4. Develop a Relationship That’s Good for Your Health The better your doctor knows you, the easier it is to care for you. The more comfortable you feel with your doctor, the more likely you are to share health information and ask questions—and that, in turn, makes it easier for your doctor to provide the best possible care.

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BACK in the HUNT Spine Surgery Helps Sentara RMH Patient Regain Mobility

Last summer, Michael Delaney wanted to join his friends on a planned winter hunting trip, but he had a big problem: He couldn’t even walk. He had suffered with back problems for more than 20 years, and despite several surgeries, the pain persisted.

“I’d had my back issues for so long, I often just tried to ignore the pain,” he says.

In July 2021, however, his back pain grew worse—and was not something he could ignore any longer. Oral steroids provided no relief, and by the middle of August, Delaney had lost feeling in his legs and had to use a wheelchair to get around. He felt frightened by his new circumstances, and his wife, Wanda, worried that she would have to wheel him around for the rest of his life. Delaney owned a commercial cleaning and restoration business, and not being able to walk on his own made it impossible to be involved in the day-to-day operations.

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Fixing Problems Old and New In search of a solution, the Delaneys met with spine surgeon Thomas I. Krisztinicz, MD, of Sentara Back & Neck Specialists in the Sentara RMH Orthopedic Center in Harrisonburg. Dr. Krisztinicz, who had just moved to the area from Northern Virginia, reviewed Delaney’s imaging scans and performed a thorough exam. He diagnosed Delaney with foot drop, or difficulty lifting the front part of the foot, caused by degenerative arthritis, as well as scarring from a previous laminectomy and a more recent disc herniation. These physical issues were pinching nerves in Delaney’s spine, causing him to lose feeling and movement in his legs.

To correct the problem, Dr. Krisztinicz recommended a revision lumbar laminectomy and discectomy. Revision surgery, which is performed to correct problems from a previous surgery and fix any new issues, can be more challenging technically, so outcomes are less predictable. According to Dr. Krisztinicz, since these procedures can come with some uncertainty, patients and surgeons must weigh the potential costs and benefits. In this case,

About Spine Surgery When more conservative treatments like exercise, physical therapy and medications don’t provide relief for serious back issues, it may be time to consider surgery.

In addition to Dr. Krisztinicz’s expertise, patients have access to a team of specially trained nurses, therapists and technicians, all of whom work to provide seamless, compassionate care, and treatment that is tailored to each patient’s unique condition and goals. Procedures include: • Cervical discectomy and fusion •

Lumbar microdiscectomy

•

Cervical laminectomy

•

Lumbar fusion

Many procedures are carried out using minimally invasive techniques and computer-assisted navigation. These state-of-the-art methods allow many patients to return home the day of surgery.

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The Benefits of Physical Therapy for Your Back Physical therapists evaluate and treat people of all ages—from young athletes to older patients— experiencing musculoskeletal conditions affecting their ability to move and function. They also treat people with heart, lung and neuromuscular conditions that affect muscle function.

Just as every patient is different, every back injury is different—so every treatment plan will vary according to a patient’s specific needs. You may need physical therapy, also known as rehabilitation, following a back surgery or due to something as simple as a muscle strain from carrying groceries. No matter your issue, your physical therapist will develop a tailored program focused on your unique needs—whether you want to go on a hunting trip, run a marathon or just be able to walk around your neighborhood.

Physical therapy after back surgery may include: • Pain control and inflammation reduction • Muscle training to gain strength and stability • Exercises to help your body heal and prevent reinjury The licensed physical therapists at Sentara RMH have years of expertise in treating back problems, as well as many other types of injuries and illnesses.

Sentara Therapy Services has several convenient locations: Sentara RMH Orthopedic Center 2509 Pleasant Run Drive Harrisonburg, VA 22801 540-689-4999 Sentara Timber Way Health Center 13892 Timber Way Broadway, VA 22815 540-901-0800 Sentara East Market Street Health Center 1790-64B East Market St. Harrisonburg, VA 22801 540-564-5559 Bridgewater Health Center 100 Health Center Drive Bridgewater, VA 22812 540-828-7115 Elkton *New Location 14171 Spotswood Trail Elkton, VA 22827 540-713-4300

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“I could tell the difference pretty quickly,” Delaney recalls. After four weeks of physical therapy, he could walk about a thousand feet without taking a break, and after eight weeks, he could walk at least a mile without any issues.

Schwertz, who knew about Delaney’s upcoming hunting trip, used his expertise to keep progress moving forward.

The results of all that hard work were remarkable.

Back to Enjoying Life

however, with Delaney unable to walk, the decision to proceed with the surgery was a relatively easy one.

After meeting with Dr. Krisztinicz, the couple felt confident about the procedure.

“I liked talking to Dr. K. and was very comfortable with him,” says Delaney, 64. “Things with my back were pretty bad, but I felt like he could take care of the problem.”

In August, Dr. Krisztinicz removed scar tissue and disc fragments from Delaney’s spine, along with a herniated disc.

Working Hard to Get Back to Normal Following the procedure, Delaney spent three nights in the hospital, where he was able to move around with the help of a walker, and also began physical therapy. After leaving the hospital, he went through several months of outpatient physical therapy, two to three times a week, with Ryan Schwertz, DPT, at the Sentara RMH Orthopedic Center. Delaney worked tirelessly on his lower body and core strength to enable him to hike through hills and uneven terrain, hoping eventually to return to hunting.

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At the beginning of December, Delaney drove all the way to Nebraska to hunt quail and pheasant with his friends.

Despite all that time on the road, he didn’t experience any pain or numbness. Hiking out in the field with his friends and hunting dogs, he was appreciative of how far he had come. “I walked many miles during that trip, and I felt great,” he says. “There was a point before my surgery when I didn’t think I’d ever be able to do that again. Now I’m walking better than I have in more than five years.”

“This operation had an excellent outcome and a very gratifying neurologic recovery,” Dr. Krisztinicz notes. “Surgery is a team effort. The perioperative team, operating room nurses and staff were all extremely professional and kind. For me, the entire experience reaffirmed my decision to come here to this very special hospital.“ Delaney recently sold his business, and he and his wife now plan to retire to Mathews County. His new goal is to ski again next year, which he says wouldn’t have been possible without Dr. Krisztinicz. “Dr. K. is a very nice and caring person and is great at communicating,” Delaney says. “When I go back in for visits, he always takes the time to talk with me. I cannot say enough about the whole process. Things went as well as we could have hoped for.”

Sentara Back & Neck Specialists 2509 Pleasant Run Drive Harrisonburg, VA 22801 Located in the Sentara RMH Orthopedic Center, Sentara Back & Neck Specialists was established to provide patients with individualized, state-of-the-art care. The facility also includes: • Sentara Orthopedic & Sports Medicine Specialists • Advanced imaging, including MRI, CT, ultrasound and X-ray • Physical, occupational and speech therapy • A spacious, modern rehabilitation gym To make an appointment, call 540-689-4500.

Innovative

TECHNOLOGY

PROVIDES ‘SAFETY NET’ FOR HEART FAILURE PATIENTS Molly “Diane” Louderback is the ideal type of patient for a new device known as CardioMEMS, according to Matthew Cauchi, DO, a structural intervention cardiologist at Sentara RMH Medical Center and the recently opened Sentara RMH Heart Failure Clinic.

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After experiencing a heart attack, Louderback, of Stanley, underwent quadruple bypass surgery at Sentara RMH in December 2019. Following the procedure, her family was instructed to keep a close eye on her weight.

About a year later, they began to notice that not only was she gaining weight, but she also had shortness of breath, leg swelling and fluid retention.

“They admitted her to the hospital right away,” says her daughter, Kimberly Alger, of Rileyville.

Louderback, 76, was treated and released from Sentara RMH. However, as is true for many heart failure patients, her symptoms returned. On two subsequent occasions, she was hospitalized due to exacerbations in her condition. An exacerbation of heart failure is a sudden and prolonged worsening of a patient’s symptoms, such

as increased shortness of breath, weight gain, leg swelling, mental confusion and fatigue.

“Due to the brief time between developing symptoms and ending up in the hospital—less than 24 hours—there was no time for intervention,” says Dr. Cauchi.

Were it not for the CardioMEMS device, Louderback may have continued to experience a pattern of recurring symptoms and hospitalization. Since having the device implanted in June 2021, she hasn’t had another heart failure exacerbation.

The CardioMEMS Heart Failure System is a miniature, wireless monitoring sensor implanted in the heart that measures pressure inside the heart and lungs. This technology allows for a more proactive approach in managing a patient’s heart care, since pulmonary artery pressure can start to change weeks before patients begin to experience signs or symptoms of a declining condition.

Since Sentara RMH began offering CardioMEMS in summer 2021, all of the hospital’s patients who have received the implant have enjoyed great success with it.

“CardioMEMS helps caregivers monitor some of the more challenging heart failure cases,” says Dr. Cauchi. “Cardiologists view the device as a viable option to help keep their patients out of the hospital.”

How CardioMEMS Works

According to Dr. Cauchi, the implanting of the CardioMEMS device, which is about the size of a paper clip, is the easy part. Performed through a vein in the neck or leg, the procedure has very low risks—less than 1 percent, respectively—related to bleeding, infection, or damage to the heart muscle or the arteries that lead to the lungs.

“As a pretty low-risk procedure, CardioMEMS implantation has the potential for big benefits,” Dr. Cauchi remarks.

At home following the implant procedure, each day the patient lies on a special pillow for a few moments and, just by pressing a button, takes sensor readings and transmits the data to healthcare providers via a secure, online portal.

“It’s very easy,” says Alger. “My mother just lays on the pillow, and my dad hits a

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button on the handheld device.

The reading is complete in less than 20 seconds.”

The heart clinic staff monitors this data several times a week.

When changes are detected in a patient’s pulmonary artery pressure—before any symptoms begin—they can proactively adjust medications and explore other treatment options, helping to prevent exacerbations and hospitalizations.

For the CardioMEMS monitoring to be effective, patients need to send readings every day.

“The first 30-90 days are a learning period for us,” says Dr. Cauchi. “We learn the trends in patients’ numbers and at which point they tend to become symptomatic.”

“The more readings patients send, the more information we get, and the better we can take care of them,” Dr. Cauchi adds.

From Louderback’s data, Dr. Cauchi’s caregivers have twice been able to see concerning fluctuations in her readings. On both occasions, Louderback says she wasn’t experiencing any symptoms at all.

“So we started to intervene,” Dr. Cauchi says. “We doubled her fluid medicine and adjusted her blood pressure medication.

Then we saw her numbers improve.”

“CardioMEMS keeps Mom out of the hospital,” Alger says.

Who Qualifies for CardioMEMS?

Eligibility for the CardioMEMS implant is pretty simple.

“It’s for heart failure patients who have had an exacerbation requiring hospitalization within the past 12 months, and who have a certain heart failure classification,” Dr. Cauchi notes.

According to Dr. Cauchi, the heart failure classification system most widely used by cardiologists is the New York Heart Association (NYHA) system, which ranges from Class I to Class IV.

“Class I means no symptoms at all, and the patient is doing fine,” he explains. “Class IV means symptoms all the time with severe limitations.”

The CardioMEMS device is approved for individuals with lifestyle-limiting NYHA Class III symptoms.

Although such patients are generally comfortable at rest, their capacity for physical activity is limited. Even light activity causes fatigue, heart palpitations and/or shortness of breath.

Most insurance companies cover both the CardioMEMS procedure and associated care.

“Health insurers recognize that this kind of remote monitoring has significant benefits to heart failure patients,” Dr. Cauchi says. “Especially those with diastolic heart failure.”

In general, diastolic heart failure means the heart doesn’t relax properly before beats. This is distinct from systolic heart failure, in which the heart is weak and doesn’t contract properly during heartbeats.

While several heart therapies are available for systolic heart failure, few targeted therapies exist for diastolic heart failure. In fact, CardioMEMS is the only FDA-approved option and the only intervention and monitoring device that has been shown to have significant benefit for people with diastolic heart failure— which make up about half of all heart failure patients. sentara.com

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Ramping Up the New Technology

Since it takes time each week to monitor and care for CardioMEMS patients, Dr. Cauchi and the heart clinic staff have had to implement the program slowly.

“We need to make sure we’re doing it right and monitoring people effectively,” he says. “With our new heart failure clinic starting up in 2021, we wanted to start gradually and make sure we could accommodate an increase in volume, and that we had the staffing and resources to be able to perform implants.”

In 2021, the Sentara RMH Heart Failure Clinic implanted eight heart failure patients with the device, which was on par with expectations. Now, armed with a better understanding of the resources required to take care of implanted patients, Dr. Cauchi says the clinic plans to double the number of implants performed in 2022.

“Then we’ll reevaluate those patients to make sure they’re getting the attention and care they need, so we don’t overextend ourselves.”

Continuous Care

The CardioMEMS program provides a way for the staff at the Sentara RMH Heart Failure Clinic to be engaged with their patients on a continual basis.

“Instead of just saying, ‘Let’s follow up in three months—call us if you have a problem,’ we can intervene before patients get to the symptomatic stage,” Dr. Cauchi says. “By the time a patient notices symptoms, pressure measurements likely will have been elevated for two weeks already, and at that point

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we’ve missed the opportunity to prevent an exacerbation and/or hospitalization.”

When a patient’s CardioMEMS readings show cause for concern, caregivers at the Heart Failure Clinic act quickly to intervene. Before the patient is even alerted, the clinic nurse will have spoken with Dr. Cauchi or the patient’s primary cardiologist to get treatment recommendations. For instance, the doctor might request a set of labs or have the patient’s kidney function checked. Or, if the patient’s blood pressure is above a certain level, the doctor might increase medication dosage.

“As a result, adjusting the patient’s treatment requires only a brief phone call, rather than a whole visit,” Dr. Cauchi says.

During the call, the nurse will ask the patient questions to try to pinpoint what led to the changes in readings.

“Sometimes the cause is easy to trace,” Dr. Cauchi says.

“Perhaps they had a bunch of people over to watch football and went too heavy with the pretzels or other salty snacks, or they enjoyed a big holiday meal with family.”

The nurses also talk with patients to review good behavioral and dietary practices and reinforce the important precautions heart patients need to take

to stay healthy. According to Dr. Cauchi, being aware that their caregivers are watching over them, many patients are more likely to be mindful of their salt intake, what kind of foods they eat and how much fluid they drink.

“Knowing someone is looking out for them provides a sense of comfort for many patients,” he explains. “They know to expect a phone call from us and learn more about what they can do to keep themselves out of trouble. It’s like having a safety net of sorts.”

Having the CardioMEMS device and the care from the Sentara RMH Heart Failure Clinic staff has given Louderback and her family great peace of mind. Alger says the nurses at the clinic show a lot of care for her mother.

“Mom is precious to us,” says Alger. “The wonderful care she has received really does make us feel a lot better.”

WOMEN'S HEALTH

Taking Time to

TAKE CARE OF

You

Focus on self-care to improve your physical and mental health

For many women, taking care of themselves often has to come after tending to a long list of other priorities, including kids, a spouse, parents, home responsibilities, work obligations and others. o, how can you shed some of life’s unrealistic expectations and create a more balanced, less stressful lifestyle? While the idea might only sound possible in an ideal world, you can make it happen in the real world, with a bit of strategizing to prioritize some of your own needs.

That’s where the concept of “selfcare” comes in. The goal of self-care, a term that has gained prominence over the past few years, is to use intentional strategies to promote physical, mental and emotional health, explains Malinda Whitfield, APRN, family/psychiatric mental health nurse practitioner with Sentara

Behavioral Health Specialists in Harrisonburg.

“These strategies are necessary to build and maintain resiliency in dealing with everyday life stressors,” Whitfield says. “Depending on your situation, self-care steps could be as simple as being sure to get enough sleep or going outside more.

The key is to identify the stressors in your life and consciously make time to take a break from them.”

Beyond those smaller steps, however, women also need long-term self-care strategies to cope with stress and build resiliency, Whitfield says.

Since our physical health is intertwined with our mental health, nutrition and physical activity, selfcare should also play a role in these areas. sentara.com

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W OM E N'S HEA LT H

To help develop a plan, we asked Sentara RMH Medical Center and Sentara Martha Jefferson Hospital experts in these areas for tips. Based on their guidance, the common thread seems to be about finding balance, rather than going to extremes. Extremes with exercise, food choices or other areas of your life likely won’t yield sustainable results.

However, setting realistic goals and expectations can change habits and lead to better mental and physical health over the long run, making you more resilient when life gets hectic.

Healthy Nutrition

Busy women often skip meals, whether to save time or reduce their calorie intake. In either case, however, the practice usually backfires.

First, skipping meals can cause your body to go into starvation mode, retaining weight instead of shedding pounds, explains Patricia Tyndale, clinical dietitian at Sentara Martha Jefferson.

Second, skipping meals often causes people to become hungry and frustrated as the afternoon rolls on, leading them to overeat toward the end of the day.

“You are better served to eat meals throughout the day, along with healthy snacks, rather than go all day and then just eat one meal,” Tyndale says.

Another trouble spot for balanced nutrition involves popular fad diets like paleo, keto or intermittent fasting. Although you may lose weight at first on these diets, you will likely gain the weight back once you stop the restrictive eating, Tyndale adds.

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A more balanced diet that will make you feel healthier includes: • Smart snacks: Greek yogurt with almonds, cottage cheese with fruit, peanut butter on rice cakes, hard-boiled eggs, fruits and veggies.

• Better carbs: Fiber-rich, complex carbs such as whole grains, multigrain breads and oatmeal. Examples include quinoa, farrow, brown rice, sweet potatoes, and wholegrain or vegetable pasta.

• Healthy fats: Nuts, seeds, nut butter, avocados and olive oil.

• Lean protein: Chicken, turkey, lean cuts of beef, whitefleshed fish, Greek yogurt, tofu, nut butter, certain beans and lentils.

Protein sustains you, making you feel full longer. It also fuels your cells and builds bones, muscles, cartilage and skin.

Physical Activity

Exercise builds muscles, helps shed pounds, improves your mental state, and helps improve health conditions like diabetes and high blood pressure.

However, fitting exercise into a daily routine filled with time constraints and obligations can be challenging.

One way to help you prioritize your physical fitness is finding out what motivates you, explains Alli Kinney, a fitness instructor at the Sentara RMH Wellness Center.

“For some, the motivation may be to lose weight or improve a health condition,” Kinney says. “Others might want to be able to play with their grandchildren or walk their dog.”

Of course, be sure to talk to your healthcare provider if you want to start a routine and haven’t been exercising regularly.

Eventually, aim for 150 minutes per week of moderate-intensity exercise or 75 minutes per week of vigorous exercise. Strength training is also necessary to build muscle mass, which can improve your metabolism and bone health.

Here are some tips to help you prioritize your physical fitness: • Divide exercise into smaller chunks: Do 10 squats per hour for a few hours. Take a 15-minute walk during a work break. Lift weights during commercials.

•

Invest in home exercise equipment: If you can’t go

to a gym, consider buying equipment such as resistance bands, light weights, an exercise ball or a stationary bike/treadmill. Exercise videos also can be helpful.

• Save the date: Put exercise on your calendar to help make it daily priority.

• Make it social: Plan a walk or run with a friend. Find an exercise buddy to help keep yourself accountable.

“What’s important is finding things that work for you, so you can maintain your exercise routine over the long term,” says Heather Moneymaker, site manager, fitness, at the Sentara RMH Wellness Center. “Find the right balance. Of course, you can switch things up, too—but don’t berate yourself if you happen to get off track. What’s important is consistency over time.”

State of Mind

The top three stressors for women typically involve issues with family, finances and physical health, notes Whitfield.

“Trying to balance work life and family—especially during the pandemic—has had a significant impact on women’s health,” she notes.

With so many demands, setting priorities can be tough. Here are some tips to help you simplify your schedule: • Determine and prioritize the tasks that absolutely must get done.

• Manage expectations.

• Set realistic goals of what you can accomplish in a day.

•

Learn to say no and try not to overextend yourself.

• Get enough sleep, so you can think more clearly.

Immediate stress busters can include taking deep breaths, journaling, listening to music, reading, meditating or going to a movie.

Sometimes, life changes or circumstances can be too much to manage on your own, or even with the help of friends or family.

Please seek help from a counselor if you feel helpless or hopeless, can’t sleep, contemplate hurting yourself, or withdraw socially, Whitfield advises.

Keep Tabs on Your Physical Health

Seeing your primary care provider (PCP) is crucial to staying healthy and identifying potential problems or conditions early.

Unfortunately, when life gets busy and you feel fine, going to see the doctor can fall to the bottom of your priority list.

However, Kathy Phan, MD, a family medicine physician at Sentara Forest Lakes Family Medicine in Charlottesville, recommends making a yearly physical appointment with your PCP. “Your self-care needs to include setting aside time to check on your physical health,” Dr. Phan recommends. “We can monitor current medical conditions and make sure you don’t have any concerning changes to your health.”

Your PCP can: • Identify potentially harmful conditions before they become serious • Make sure your vaccines are up to date

•

Order blood work to check on cholesterol, any vitamin deficiencies, and blood cell counts that can indicate infection or cancer • Monitor your blood pressure • Review your family history, blood work and lifestyle to assess your risk for cancer and heart disease, the leading cause of death in the United States At the office visit, your PCP can order the appropriate cancer screening tools—such as a mammogram, colonoscopy or CT scan—and refer you to specialists for any chronic, unresolved medical conditions you may want to address.

Although virtual appointments have become more common over the past couple of years, do make sure to see your PCP in person as well.

“While virtual appointments can be useful, doctors like to see you face to face, too, so we can check your vitals and look at any areas of concern,” says Dr. Phan. “In-person visits also help doctors build relationships with patients. For me, that’s the best part of my job.”

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HEALTH MATTERS

Health Insurance 101 New to health insurance?

Need a refresher? Following are some terms and facts you should know.

Health insurance works by sharing the cost of health care between the insurer and the subscriber (policy owner). This cost sharing continues until the subscriber’s out-of-pocket maximum is met for the plan year.

After that threshold is reached, the insurer covers 100% of the subscriber’s medical costs. Costs applied toward the maximum reset every plan year.

What You’re Responsible for Paying Monthly premium: the amount the insurance

costs per month Deductible: the amount you pay out of pocket before insurance pays for anything Copays: set payments you make for medical services; copays continue after you have met your deductible Coinsurance: the percentage of your medical bills you pay after the deductible is met, but before you reach the out-of-pocket maximum Note: Your monthly premiums don’t count toward your out-of-pocket expenses, but all other costs do.

What’s Covered Covered services vary by plan. Typically, most plans cover inpatient and outpatient services, mental health services, and rehabilitation services.

However, the services must be medically necessary, as determined by the plan you purchase. It’s important to review your plan’s coverage limitations. Plans typically do not cover cosmetic services, experimental services, off-label medications or services not considered medically necessary by the plan guidelines.

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Insurance Types Where you can receive healthcare services depends on what type of insurance you purchase and whether your healthcare provider participates. See below for details.

Health maintenance organization (HMO): In this type of

plan, you can only see providers in your network. A referral from your primary physician is required for a specialist.

Preferred provider organization (PPO): PPOs are generally

larger networks of providers. You may be able to see both in-network and out-of-network providers, but outof-network services will cost more. You can purchase additional out-of-network coverage, but you will still incur higher costs when seeking care from a nonparticipating provider. You do not need a referral to see a specialist.

Point of Service (POS): In this type of plan, you can see both in-network and out-of-network providers. Out-of-network services will cost more. A referral from your primary provider is required for a specialist.

Medicaid is a government program in which costs are

shared by the state and federal government, with low costs or no cost to the subscriber. Medicaid programs also can be HMOs and require that the patient seek services at a participating provider or hospital. Providers and hospitals can choose not to provide Medicaid services, with an exception for services covered by the Emergency Medical Treatment and Labor Act (EMTALA), a federal law that requires anyone coming to any emergency department to be evaluated and stabilized, regardless of insurance status or ability to pay.

Medicare (traditional) is a government system of

healthcare insurance for people over 65 (or younger, with certain disabilities) that pays an average of 80% of healthcare costs. Subscribers can purchase a supplemental commercial plan to cover the 20% copay not covered by Medicare. For providers who accept Medicare, all services are considered in-network.

Medicare Replacement or Advantage Plan: These plans

feature both Medicare and commercial insurance benefits and requirements. They cover everything that traditional Medicare covers but also have additional benefits, such as dental and hearing coverage. Since the plans have commercial benefits, they follow commercial insurance requirements, including deductibles, copays and coinsurance. The plans can be HMO, PPO or Private Fee-For-Service (PFFS) and will require your provider to participate to be in-network. Out-of-network services will cost more, if allowed by the plan.

LA SALUD IMPORTA

Principios básicos del seguro de salud ¿Es nuevo en el seguro de salud? ¿Necesita un repaso? Los siguientes son algunos términos y datos que debe conocer.

El seguro de salud comparte el costo de la atención médica entre la aseguradora y el suscriptor (propietario de la póliza). Este costo continúa compartiéndose hasta que se cumpla el máximo de desembolso directo del suscriptor para el año del plan. Una vez alcanzado ese umbral, la aseguradora cubre el 100% de los costos médicos del suscriptor. Costos aplicados al restablecimiento del máximo cada año del plan.

Lo que usted es responsable de pagar Prima mensual: el monto del seguro por mes Deducible: el monto que paga de su bolsillo antes de

que el seguro pague por cualquier cosa Copagos: pagos fijos que usted hace por los servicios médicos; los copagos continúan aplicándose después de haber alcanzado el deducible Coseguro: el porcentaje de sus facturas médicas que paga después de que alcanza el deducible, pero antes de alcanzar el máximo de desembolso directo Nota: Las primas mensuales no se consideran para sus gastos de desembolso directo pero todos los demás costos sí.

Lo que está cubierto Los servicios cubiertos varían según el plan. Por lo general, la mayoría de los planes cubren servicios para pacientes hospitalizados y ambulatorios, servicios de salud mental y servicios de rehabilitación. Sin embargo, los servicios deben ser médicamente necesarios, según lo determine el plan que compre. Es importante revisar las limitaciones de cobertura del plan. Los planes, por lo general, no cubren servicios cosméticos, servicios experimentales, medicaciones no indicadas o servicios que no se consideran médicamente necesarios según las pautas del plan.

Tipos de seguro El lugar donde puede recibir servicios de atención médica depende del tipo de seguro que compre y de si su proveedor de atención médica participa. Para obtener más información, consulte la información a continuación.

Organización para el mantenimiento de la salud (HMO): en

este tipo de plan, solo puede consultar proveedores en su red. Se requiere una remisión de su médico primario para un especialista.

Organización de proveedores preferidos (PPO): las PPO

son generalmente redes más grandes de proveedores. Es posible que pueda consultar proveedores dentro y fuera de la red, pero los servicios fuera de la red costarán más.

Puede comprar cobertura adicional fuera de la red, pero aún incurrirá en costos más altos al recibir atención de un proveedor no participante. No necesita una remisión para consultar a un especialista.

Punto de servicio (POS): en este tipo de plan, puede con-

sultar tanto los proveedores dentro como fuera de la red.

Los servicios fuera de la red costarán más. Se requiere una remisión de su proveedor primario para consultar a un especialista.

Medicaid es un programa gubernamental en el que

los costos son compartidos por el gobierno estatal y federal, con bajos costos o sin costo para el suscriptor.

Los programas de Medicaid también pueden ser HMO y requieren que el paciente reciba servicios de un proveedor u hospital participante. Los proveedores y hospitales pueden optar por no prestar servicios de Medicaid, con una excepción para los servicios cubiertos por la Ley Laboral y de Tratamiento Médico de Emergencia (EMTALA), una ley federal que requiere que una persona que acuda a un departamento de emergencias sea evaluada y estabilizada, independientemente de la condición del seguro o la capacidad de pago.

Medicare (tradicional) es un sistema gubernamental de

seguro de salud para personas mayores de 65 años (o menos, con ciertas discapacidades) que paga un promedio del 80% de los costos de atención médica. Los suscriptores pueden comprar un plan comercial complementario para cubrir el copago del 20% no cubierto por Medicare. Para los proveedores que aceptan Medicare, todos los servicios se consideran dentro de la red.

Plan de reemplazo o Advantage de Medicare: estos

planes cuentan con beneficios y requisitos de Medicare y de seguro comercial. Cubren todo lo que cubre Medicare tradicional, pero también tienen beneficios adicionales, como cobertura dental y auditiva. Dado que los planes tienen beneficios comerciales, siguen los requisitos del seguro comercial, incluidos deducibles, copagos y coseguros. Los planes pueden ser HMO, PPO o privados de pago por servicio (PFFS) y requerirán que su proveedor participe para estar dentro de la red. Los servicios fuera de la red costarán más, si el plan lo permite. sentara.com

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SENTA R A IN THE COMMUNITY

A Recipe for

SUCCESS

Hospital volunteers bring ‘a little extra spice’ to the Sentara experience Frank Carter and Jill Garnett possess valu-

able qualities that help them put others at ease.

“I’m a people person,” Carter says.

“I enjoy people.”

And Garnett?

“I can talk with a brick wall,” she says. “I just thoroughly enjoy people. They’re fascinating.”

Carter and Garnett feel right at home in their respective roles as volunteers for Sentara RMH Medical Center and Sentara Martha Jefferson Hospital, projecting a sense of ease that tends to rub off on the people they interact with during their shifts. Carter, a Vietnam veteran who retired from a career at R.R. Donnelley, has been volunteering as a greeter at Sentara RMH’s Hahn Cancer Center for nine years. Garnett, a retired teacher and career specialist, has spent two years volunteering as a concierge at Sentara Martha Jefferson’s front desk.

Without the dedication of such selfless people, Sentara’s mission to provide the best health care possible would be much more challenging.

“Volunteers add passion and caring to the patient experience and the family experience, which directly supports our staff,” says Renee Dinwiddie, manager of Guest and Volunteer Services at Sentara Martha Jefferson. “Our volunteers really just add a little extra spice.

They don’t replace staff members—rather, they are like the extra topping on our service to patients and families that sets us apart.”

A Key Ingredient

According to Crystal Collins, team coordinator for Sentara RMH Volunteer Services, volunteers are stationed in about 15 different areas of the hospital, offering a wide range of helpful services.

Volunteers run the gift shop register. They accompany cancer patients to radiation or the Infusion Center, picking up lunch for them if necessary. They serve as greeters, wayfinders and

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shuttle drivers. And there are even a few furry four-legged volunteers who serve as therapy dogs.

“Volunteers are very important to the hospital,” Collins says. “We need people who are flexible and able to work a few hours a week, and community members of just about all ages are welcome to serve. Before the pandemic, in fact, we had volunteers who ranged from ages 15 to 94.”

Carter says he requested to be a greeter at the Hahn Cancer Center, having gone through chemotherapy there himself. According to Carter, he wanted to be able to give back to the people who provided him with such excellent care.

“I know how challenging chemo can be,” Carter says.

Having been in their shoes, Carter feels he knows when Cancer Center patients need someone to listen, and when the time is right to engage in conversation. What patients probably don’t realize, though, according to Carter, is that they’re doing as much good for him as he is for them.

“I enjoy my little spot,” Carter says of his seat at the front desk.

“They help me, and I help them.

I’m a Vietnam vet. I still struggle with post-traumatic stress disorder and anxiety. As long as I have

someone to talk to, to laugh with, to joke with, I’m OK. I get to make so many valuable connections with patients.”

Dinwiddie says that when someone expresses interest in volunteering, it’s essential for coordinators to find a “beautiful marriage” between the person’s skills and the hospital’s needs.

“Volunteering should be a bright spot in their day,” she says. “We have a lot of different opportunities all throughout the hospital, so we try to identify what each volunteer is seeking in his or her heart. They don’t do frivolous jobs—they really impact the hospital’s success.”

Dinwiddie notes, importantly, that no volunteers are put in harm’s way—an especially important consideration since the onset of the COVID-19 pandemic.

“The safety of our volunteers, just like that of our patients and staff, is a major priority,” she says. “If a volunteer is a little concerned about being in too public of a setting, we can put them as far away as possible.

Their comfort, confidence and environment are the main focus.

If any of those factors is off, the volunteer isn’t likely to stay.”

The Joys of Volunteering

According to Collins, Sentara RMH typically has about 200 active volunteers at any one time, though the number has dipped to about 60 recently as needs and policies have changed with the pandemic. Sentara Martha Jefferson relies on more than 50 volunteers each day to assist with operations and clinical unit needs, Dinwiddie notes. Remarkably, the longest-tenured volunteer at Sentara Martha Jefferson has been in service there for 61 years.

At Sentara RMH, when a prospective volunteer submits an application, Collins sets up an interview to review the volunteer’s expectations. Once all paperwork is returned, the volunteer receives a 90-minute orientation, followed by training in his or her specific volunteer area.

“After that, they are ready to volunteer on their own,” Collins says. “We do ask for a one-year commitment and that they volunteer one shift per week of three to four hours.”

The application process at Sentara Martha Jefferson follows sentara.com

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SE NTA R A IN THE COM MU N IT Y

a similar route. When a prospective volunteer files an application online, Dinwiddie strives to match the individual with available volunteer openings.

“I work hard to make sure I find the best possible match between the volunteer and his or her assigned area of work,” she says.

Before work begins, the volunteer receives an orientation, fills out some paperwork and connects with the appropriate department contact.

“Then they’re off and running,” Dinwiddie says.

Since she started volunteering as a concierge at Sentara Martha Jefferson’s front desk about six weeks before the pandemic started in 2020, Garnett has been going full speed in her volunteer role.

Although the timing of the pandemic may have been imperfect, Garnett’s volunteer assignment was a perfect fit for her.

“It was exactly what I wanted to do,” Garnett says. “My volunteer position has been a really good match for me.”

Prior to volunteering, Garnett was a high school marketing teacher and career specialist for

nearly 40 years. She enjoyed teaching customer service, never knowing how handy it would come in for her decades later.

“It fit in so well with my professional experience,” she explains.

For retirees who are considering volunteering— whether for a hospital or elsewhere—it’s important to draw on one’s past experience and find the right niche, she notes.

“The biggest skill I didn’t realize I would need at the front desk is simply being a problem solver,” Garnett adds. “I take so many calls, and everybody has a different question, request or

need. It makes you realize how little you actually know.”

In their volunteer positions, both Garnett and Carter have made countless connections with patients and their families over the years. Carter says that the bonds have grown so strong with some families that he has even attended funerals—evidence that the impact of his volunteer service reaches far behind the hospital walls.

Garnett sees a parallel between the hospitals’ inviting atmosphere and the warmth involved in the volunteering experience.

“The environment is absolutely beautiful,” she says. “Both hospitals are warm, welcoming and beautifully designed. And I hope, as volunteers, we’re able to extend that warmth to our patients and their families.”

Interested in volunteering?

Contact the appropriate person at your local Sentara hospital: Sentara Martha Jefferson Hospital: Renee Dinwiddie Manager, Guest and Volunteer Services rmwalker@sentara.com 434-654-7327

Sentara RMH Medical Center:

Crystal R. Collins Team Coordinator, Volunteer Services crcolli1@sentara.com 540-689-6413

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PHILANTHROPY

LISTEN

Up

White Rose Giving Circle Plays a Compassionate Role

When many people come together to

work toward a common purpose, a lot of good can come into the world.

For Sentara RMH Medical Center and its patients, the women of the White Rose Giving Circle bring a shared charitable spirit that is literally music to the ears of the local hospital community.

The initiatives that benefit from the Giving Circle span all facets of hospital operations, including the purchase of vital equipment, support for nursing scholarships and funding for efforts such as a unique music therapy program.

Providing such far-reaching assistance has long been the goal behind this collective of more

than 80 women, who share common traits of faithfulness and compassion.

Each woman in the Giving Circle gives at least $500 a year to maintain membership, knowing the benefits of a strength-in-numbers approach.

In 2022, the White Rose’s cumulative donation total will surpass $500,000 since its start in 2008.

“It is a unique opportunity to provide for the community, as well as build relationships within the community,” says Louise Hostetter, a White Rose member since 2013. “The philanthropic philosophy behind the group is so powerful.”

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PHI LA N THROPY

For Sherrill Glanzer, who oversees the Giving Circle as special gifts director for the RMH Foundation, this is precisely the impact on community care she envisioned when she organized the group nearly 15 years ago.

That initial Giving Circle included 11 members; by 2021, membership had grown to 87.

Though a couple of members today are Sentara employees, the Giving Circle is primarily composed of people from the community.

“Five hundred dollars isn’t small—it’s a wonderful gift,” says Glanzer. “But when you combine all those donations for the common good, they add up to make a big difference. It’s just amazing to see a group of women who care about the hospital and want to see that the workers and patients are in position for the best care. These are community women who want to make a difference.”

Hostetter is a prime example of the type of person who fits in with White Rose’s mission. Although she was previously familiar with Sentara RMH when she joined the Giving Circle at Glanzer’s invitation, due to her service on the RMH Foundation Board of Directors, Hostetter is not a medical professional. In fact, she is now retired from teaching English at Eastern Mennonite High School in Harrisonburg.

In other words, Hostetter doesn’t need to be in the medical field to help ensure that her local community hospital has the resources it needs to thrive. She just wants to help.

“In the Giving Circle, we come from a variety of professional backgrounds,” Hostetter says. “I was, and continue to be,

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intrigued with the resourcefulness of the women in the group.”

Crystal Collins, team coordinator for Sentara’s Volunteer Services, has seen—and heard— those resources make a big impact. She leads a music therapy program that received funds from the Giving Circle in 2021.

Through the program, harpist Daniel Over provides therapeutic music for patients to help heal their bodies, minds and spirits.

“Music has transformative power as a therapeutic enhancement to the healing process and the life-death transition,” Collins says.

To help sustain the program’s mission, she filled out a funding request for the Giving Circle to review, seeking a stipend to support Over’s services. She says the musician has received nothing but excellent reviews from patients and Sentara RMH staff, having played for acute, nonacute,

high-pain, cognitively impaired and actively dying patients.

Recently, Over’s schedule has been altered temporarily due to COVID-19 protocols.

“Music is played continuously, anywhere from 15 minutes to two full hours,” Collins says.

“The sounds calm the patient’s heart rate and help soothe any present anxieties. Our goal is to provide, at no charge to patients, the ‘breath of peace’ they need to see their visit or transition through.”

As part of her role overseeing the Giving Circle fund, Glanzer seeks funding requests from Sentara department leaders, and a selection committee of Giving Circle members picks the most compelling requests to present to the group at large for a vote. Group members consider factors such as how requests directly benefit patients, make the lives of healthcare workers easier or facilitate more efficient care.

P H I L A NT HROP Y

This decision-making process is a perfect opportunity for the women of the Giving Circle to see their charitable dollars have an impact in the real world.

“It’s not just giving money—we’re a big part of deciding where the funds are used,” Hostetter notes.

Glanzer adds, “It’s exciting to have them understand how their charitable investment enhances the margin of excellence when it comes to patient care.”

The time commitment for Giving Circle members is low, as the group only meets four times a year. In addition to overseeing the disbursement of funds, members speak with doctors and other Sentara personnel throughout the year to help better understand the hospital’s critical needs.

In the case of the music therapy program, Hostetter says it was money well given.

“It’s so important to have that option at a community hospital,” she says. “I think it’s great that we can help make such a wonderful program happen at Sentara RMH.” “I have personally experienced the effects of the music,” Collins adds. “On one occasion I escorted the harpist to a patient’s room. The patient was in bed, knees drawn up, arms crossed. Once the harpist began to play, the patient’s legs straightened, their arms uncrossed and their eyes closed, and they relaxed as the music played. The most rewarding part was observing the effects of the music with my own eyes and ears.”

White Rose handed out $45,000 in 2021 toward 13 different causes, including music therapy. During the pandemic, the group has been meeting via Zoom, but otherwise operates as normal to fulfill its mission and spread its charitable spirit.

“There are so many people in our community who continue to support the hospital and believe in our mission of bringing healing,” Glanzer says.

“These are faithful, compassionate women who continue to be a force through the pandemic.”

Anyone interested in joining the White Rose Giving Circle should contact Sherrill Glanzer at the RMH Foundation by calling 540-689-8542.

Plan for Your Life’s Journey Life is one long road trip, and no matter where you are, we can help you on your journey. We have tools and ideas to save you money, while providing for the people and causes most important to you— causes like the RMH Foundation. Your expression of philanthropy makes a difference to local patients and supports the RMH Foundation’s mission of elevating health care in our community.

No matter how far you are into your life’s journey, it is never too late to update your plan.

You decide on your destination based on your own values and priorities, and we can help you get there.

Good estate planning requires good information.

To receive our FREE Estate Planning Guide, scan the code to the right or visit https://sentara.giftlegacy.com w w w.S uppor tRMH.org

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FOUNDATION

friends

of the RMH Foundation

Gifts received from Sept. 1 to Dec. 31, 2021

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!

Totals represent cumulative amounts given in 2021.

President's Forum $100,000 and above Colonel and Mrs. Peter F. Dieck (4) Thomas D. and Jennifer L. Rea (7)

$25,000-$99,999 Anonymous (20) Lantz Construction Company (4) James and Frances Mason (2) Rebecca W. Morris (32) Eleanor Page Price (3) The Community Foundation of Harrisonburg and Rockingham Cty. (19)

$5,000-24,999 Dr. Donna Amenta (10) Devon C. and Teresa B. Anders (12) Bank of the James (6) Bob Wade Subaru (8) Books-A-Million, Valley Mall (2) Nancy R. Bradfield (13) Frances Ann Byers (2) Eddie R. and Catherine Coffey (24) Dick Myers Chrysler, Dodge, Jeep, Ram, Fiat (2) Everence Foundation, Inc. (13) Fidelity Charitable Gift Fund (14) John P. and Betty B. Fridley (2) Amelia and David Hall (11) Orden L. Harman (14) Elizabeth Harnsberger Trust (10) John R. and Mary Ann Heatwole (3) George W., II and Ann E. C. Homan (20) Dr. William I. and Lynda D. Lee (15) Jo Ann S. Liskey (9) Earle A. and Glenna B. MacKenzie (7) Travis and Kara Marshall (12) Estate of Virginia M. Martin (2) Pat Messner (34) Kathy Moran and Marcie Harris (12) Drs. David and Heather Morgan (5) Douglas J. and Lori B. Moyer (5) Calvin R. Nichols, Jr., Charitable Fund, a Donor Advised Fund of the U.S. Charitable Gift Trust (5) Charles V. Oster (25) Dennis and Mary Jane Rawley (4) Douglas M. and Vickie K. Rawley (5) Riner Rentals (3) Rockingham Insurance Company (4)

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SPRING 2022

RunSignUp (7) Select Aerospace Industries, Inc. (5) John H. and Faye T. Sellers (16) Sentara RMH Volunteer Auxiliary (40) Shenandoah Automotive Service Center (5) Helen W. Shickel (20) Mr. and Mrs. Mark Shickel and Ephesians 2 Fund of The Community Foundation of Harrisonburg and Rockingham Cty. (1) Shickel Corporation Colossians 3:17 Fund of The Community Foundation of Harrisonburg and Rockingham Cty. (1) Barbara B. Stoltzfus (23) William G. and Hope Shank Stoner (16) The U.S. Charitable Gift Trust (5) Lynn and Diane Trobaugh (14) Christina and Phillip Updike (8) Denise A. Whitman (18) Wayne and Joyce Wright (21)

William Leake Society $1,000-$4,999 Dr. Steven G. and Patricia A. Alvis (2) Adam Armstrong (1) David O. Banks (4) Larry and Kathy Barb Charitable Fund, a Donor Advised Fund of US Charitable Trust Fund (1) W. C. Bedall, Jr. (2) Auburn A. and Ruth D. Boyers (40) Steve and Chris Bradshaw (3) Matt and Marianne Branigan (8) Rosemary O. Brenner (11) Rita Bunch (2) Amy E. Burke (23) Dr. William F. and Susan Cale (8) Ruby J. Callahan (13) Thomas G. Camp, Jr. (3) William B. Carper, Sr. (40) Dr. Henry H. Chang (19) Sandra Clatterbuck (4) CommonWealth One Federal Credit Union (2) Community Foundation for a greater Richmond (3) Thomas F. Constable (22) Cory and Donielle Davies (14) Bettye C. Davis (6) Mensel and Linda Dean (32) Denton Family Charitable Foundation (4) Edward Jones Investments (6) Endless Horizons (1)

Rosemary and David Eyeler (2) Facebook Community Support Love Group (1) Farmers and Merchants Bank/ F & M Community Bank Fund of The Community Foundation of Harrisonburg and Rockingham Cty. (8) Fraternal Order of Eagles New Market Auxiliary #4264 (3) Dr. C. Wayne and Donna Gates (1) Tommy and Betsy Heatwole Glendye (9) Drs. William and Brooke Goodwin (7) Joshua P. Hale, a Donor Advised Fund of The U.S. Charitable Gift Trust (5) Eugene J. Harper, MD (3) Harrisonburg Family and Cosmetic Dentistry (1) Harrisonburg Professional Firefighters Foundation, Inc. (1) Richard and Julie Haushalter (22) Ollie Heatwole Trust (2) George and Cary Hevener (17) James and Connie Hillyard (6) Louise and Alden Hostetter (14) Kern L. and Chanda C. Houff (3) IDM Trucking, Inc. (16) Tedd H. and Lora W. Jett (32) Chuck and Dawn Kern (6) Jeffery B. Kesecker, DDS, PLC (3) Mary Louise Leake (13) Daniel R. Lynn and Rosemary P. Mitchell (3) Phyllis Martin (1) McDonald's and Boxley Family (8) Barry and Eileen McEneely (2) T. Carter, Jr. and Connie G. Melton (3) Milmont Greenhouses (1) Dr. and Mrs. Jason R. Moore (3) Richard R. J. Morin (16) Mulberry Hills Farm LLC (1) Robert A. and Janie M. Mullett (2) New Market Rotary Club (8) George and Ann Pace (3) Packaging Corporation of America (PCA) (2) Carolyn B. Pence and the Fred Bowman Pence Family (15) Janice L. Pence (10) Plecker Family Fund of The Community Foundation of Harrisonburg and Rockingham County (7) James B. Richardson, Jr. (13) Rockingham Cooperative (14) E. John, III and Carol H. Rosenberger (8) Janice F. and Rick Scaglione (22) Robert S. and Patricia M. Scott (3) Shenandoah Growers/Soli Organic (1)

Shenandoah Womens Healthcare PC (1) Steven Toyota (1) Mrs. Doris S. Stone (8) William E. and Heidi B. Strang (1) L. Gerald and Sharon M. Strite Family Fund of The Community Foundation of Harrisonburg and Rockingham Cty. (2) David O. and Elizabeth A. Swingle (12) Hobert G. Texiere Fund of The Community Foundation of Harrisonburg and Rockingham County (3) Richard H. Torovsky, Jr. (5) Dr. T. Keith and Terri Vest (6) Paul D. and Nancy Via (1) Mr. Jodie E. Wampler (36) Merv and Marlene Webb (39) Weiler Orthodontics (1) Dr. David H. and Janet T. Wendelken (9) Robert S. Wildman (6) Richard L. and Pamela B. Wilkins (34) Ray M. and Ann H. Wine (1)

1910 Cornerstone Club $100-$999 A-Able Plumbing, Inc. (1) Frank K. Abel (2) Mary L. Addy (4) Raed Alaziz (2) Jessica M. Anderson (1) Susan and Calvin Anderson (2) Robert and Beverly Armbruster (3) Eldon W. and Sandra P. Armstrong (2) Keith S. and Denise R. Atkins (3) Autobody Pro Shop, Inc. (1) Nola Jean Avey (1) Sandra G. Baker (1) Cynthia M. Banks (10) Edgar L. Barnard, Jr. (15) David A. and Karen L. Barnes (2) John G. Barr (5) Caitlin Batchelor, DDS, PC (3) Sam L. Batton (6) Samuel C. and Kathryn J. Beck (4) Amy Belknap (1) Joanne L. Bell (6) Ralph N. Bergdoll (5) Douglas L. Berry (1) William E. and Allene R. Blessing (8) Blue Ridge Insurance Service, Inc. (1) Browning Boggs (1) Debra H. and Dale L. Bontrager (1)

Fred and Susan Bosserman (2) James O. and Sylvia K. Bowman (3) Larry O. and Paula C. Bowman (3) Rodney A. and Patricia D. Branson (8) Judith K. Breeden (3) Bridgewater Childcare Center (1) Emmett H. and Leola C. Brooks (6) Larry E. Brown (8) Harold D. and Fay K. Brubaker (4) David and Teresa Bruce (6) Patricia A. Brunk (14) Ted and Cindy Bryan (1) Henry F. and Catherine S. Buhl (10) Mary E. Bunch (8) Martin J. and Elizabeth J. Bundrick (1) Bruce B. and Norma S. Burkholder (8) Christine W. Burner (14) Thomas K. and Cheryl A. Burns (1) Louise R. Burtner (9) Gregory G. and Pollyanna A. Bush (14) Thomas L., Jr. and Carroll P. Buskirk (4) Margaret T. Byers (9) Elizabeth J. Calabria (1) Reva Susan Veramessa (3) Gary V. and Lesa R. Calleo (12) Jay L. Campbell (3) A. Fontaine and Martha J. Canada (10) Dr. John Canter (2) Reverend Jeff Carr (1) Brenda D. Cave (10) Barbara Cavanaugh (1) R. Bradley and Mary Ellen Chewning (10) Paul R. and Becky A. Christophel (13) Lee E. Clapper, Sr. (9) Randy S. Clem (5) Betty D. Click (2) Janice K. Cobb (2) Comfort Inn and Suites (1) Bennie and Cathy Cupp (1) D. A. Davidson (1) Maria and Jeff Daly (1) Brian Davis (2) Irene Morris Davis (1) Gary W. and Teresa B. Day (3) Peter Dayton (1) Arthur Dean (1) Matt, Jenn, Cole and Evan Dean (1) John R. and Tina D. DeLapp (2) Betty A. Deleeuwerk (2) Shirley L. Dellinger (18) Terri Lynn Denton (2) Robert F. and Linda W. Dinsmore (5) Kristie Dorrance (2) Jim and Caroll Douglas (6) Betty Bryan Dove (17) Wanda Carroll Dove (1) Dove Development & Consulting (1) Eileen E. Dubberstein (1) Steven D. and Theresa A. Eiserman (2) Donald R. and Karen R. Embrey (2) B. Earl and Cheryl K. Eshbach (9) Phyllis C. Eskridge (7) Dr. James D. and Sheila D. Evans (2) Evergrowin' Greenhouses (1) Troy E. Fadeley (1) Michael Faraci (1) Anne G. Farmer (3) Farmers and Merchants Bank Crosskeys Road (1) Carol Ann Fields (3) Madge S. Fisher (14) Joseph Fitzgerald (1) Larry A. and Linda J. Fogle (14) Donald E. Forren (3) Sue Foster (1) Donald O. and Polly B. Fravel (1) Marie K. Frey (5) Tom Frost (1) Charles J. Frye (3) H. David and Rachel N. Frye (2) Daniel Fudala (1) Peter G. and Nancy J. Fundinger (4) Douglas and Lila Gardner (3) Norma J. Gardner (12) Mary Life Garrett (1) Garrison Family Denistry (1) Dr. Linford K. and Rebecca L. Gehman (2) Gregory W. and Margaret S. Geisert (7) Walter G. Gerner (7) Ronald W. and Velda J. Gilkeson (2) J. D. and Rebecca F. Glick (24)

Paige Webb Godoy (3) William H. and Naomi Lantz Good (1) Gopuff (1) Susan J. Gosney (5) Grand Home Furnishings of Harrisonburg (6) John F. and Joann Grubbs (1) Marilyn Guntner (1) Bonnie E. Guyer (1) Leila Haimani (1) Alma C. Hale-Cooper (2) James B. and Jean M. Hammond (6) Richard A. and Peggy L. Harkness (1) Louise and Jay Harris (1) Harrisonburg and Bridgewater 24/7 Fitness (1) Norma J. Heath (6) Harry E. and Mary Jane Hedlund (4) Evelyn S. Hedrick (11) John R. and Brenda J. Hedrick (1) Joyce Coryell Hedrick (2) Reverend Ann Reed Held (1) William E. 'Ike' Himelright (4) James H. and Lois Hinegardner (4) James R., II and Harriet Z. Hiner (2) James Hinkle (1) Sherrel J. Hissong (13) William R. and Barbara H. Hite (13) Glenn M. and Sandra K. Hodge (2) Tina B. Hodge (2) Tom and Gina Holden (4) Brent Holsinger and Laura Toni-Holsinger (2) Ann Ewing Homan (19) Gregory C. and Melinda R. Homan (5) Linda S. Hoover (3) Robert E. and Betty W. Hoover (21) Russell G. Jr. and Sharon Kay Horn (2) Robert P. and Eloise B. Hostetler (9) Ronald M. and Linda C. B. Hotinger (5) Genevieve W. Huffman (1) Lillian C. Huffman (6) Robert Z. and Judith Huffman (1) Dr. Rufus C. and Elaine W. Huffman (2) Thomas C. and Karen S. Huffman (4) David M. Hughes (11) Delores D. Hulvey (25) Ann Gerding Hurley (4) Buddy G. Hutchens (2) Yvonne Jarrels (1) Shelvy M. Jenkins (31) Ronald P. and Julianne Jilinski (14) Dr. Robert F. Jochen V.M.D. (6) J. Robert and Patricia C. Johnson (3) Sue Ludington Jones (5) David L. and Tammy J. Jordan (1) Joan E. Judd (2) Flora L. Kagey (14) Deborah A. Kees (7) Sharon J. Kisamore (1) Sharon S. and David R. Kisamore (2) K. Michael and Susan C. Kline (1) Alan L. and Patricia W. Knicely (16) Gene E. and Ann H. Knicely (2) Melonie Knicely (2) John H. Koontz (2) Sifet Korjenic (1) Dorothy Kreider (1) Joseph C. and Carol A. Kudless (9) Betty Kuykendall (1) Deanna D. Lam (11) Steve and Cindy Lamb (11) Arnold L. and Elaine H. Lambert (1) Don A. and Carole T. Landes (5) Nancy J. Lantz (1) David and Emily Larson (2) Mrs. Irvin C. Lee (1) Micheline and Rich Lehman (4) Donald L. Lemish (1) Barbara J. Lewis (2) Life Care Center of New Market (2) Carl G. and Arnesa F. Lind (20) Charles E. and Cynthia A. Litten (13) Matthew Little (1) Donal E. Loker (4) Nielsen Builders, Inc. (1) Ed Long, Jr. (2) Wayne L. Long (16) David M. and Gladys D. Longacre (10) Terry D. and Linda M. Looney (3) Teresa L. Louden (6) Wayne J. and Geraldine S. Lowe (3) Vunly Luangrarj (6)

David M. Lynch (6) Laura S. Mapp (28) David A. Mars (7) Kathleen W. Marshall (8) Erma Brubaker Martin (2) Julien J. and Kathi E. Mason (2) Philip H. Maxwell (34) Matthew C. McCoy (9) Cathy McCully (2) Brenda J. McCurdy (1) Steve F. and Martha J. McDonough (1) Betty M. McGahey (4) McGaheysville Ruritan Club (1) Joan C. McGlaughlin (12) Warren J. McKeen, Jr. (2) Donna F. Meadows (10) Michael and Sallie S. Meffert (2) Thomas L. and Barbara W. Melby Charitable Fund of The Community Foundation of Harrisonburg & Rockingham County (1) Marie Menard (3) Charles W. Michael (5) Christopher Milensky (1) Darryl E. and Jan S. Miller (1) Jan Miller (1) Janice K. Miller (8) John F., III and Judith A. Miller (4) Judy Miller (1) Kyle L. Miller (3) Linda Hoffmaster Miller (4) Nathan H. Miller (1) Pauline G. Miller (2) Thelma H. Miller (11) Sherry L. Mongold (10) Margie L. Moore (15) Deland F. and Phyllis S. Morris (1) John W. Morrow and Alaina J. Henry (2) Mossy Creek Presbyterian Church (1) Lana H. Moyers (1) John and Linda Myers (4) Tammy M. Myers (1) Foelke D. Nair (28) Thomas A. Nardi (1) John and Linda Neff Charitable Fund of The Community Foundation of Harrisonburg Rockingham County (5) Randolph G. and Beverley Z. Nelson (13) Margaret L. Neustadt (1) Darlene L. Newman (8) Dwight W. and Betsy W. Newman (2) Jeffrey M. and Sarah W. Newman (1) R. W. and Wyoma H. Orebaugh (2) Chris and Sarah Orem (3) Richard and Sue Orem (2) Lewis Parady (3) Arthur E. Parente and Diane L. Ellis-Parente (5) Jane Parker (6) Edward C. and Carol L. Parks (13) Peak View Elementary School (1) Thomas B. And Suk Nam Pender (2) Helen and David Penrod (2) Thomas A. and Daille G. Pettit (12) Stanley E. Jr. and Orissa M. Peyton (1) Robert E. and Ruby D. Phares (3) Barbara Phillips, Jeanie Bowman and Gloria Raynes (1) Charleen C. Pinnell (4) Mike and Tami Plaugher (1) Kim and Bill Poore (1) Patricia Poplar (2) Tom and Patty Powell (1) Pamela J. Powers (1) Edmund and Deborah Price (4) Butch Proctor (1) Bobby E. Prophet (22) John Radcliff (1) Edward L., Jr. and Patricia M. Rader (1) Calvin Wall Redekop (3) John and Cindy Reeves (2) Mary E. Reitz (2) Renaissance Charitable Foundation, Inc. (3) Chuck Rexrode (1) Eleanor S. Rexrode (21) Bev and Larry Rexrode (1) Janice Simmers Rhodes (2) Philip F. and Sheila F. Riley (11) Carter Riner (1) John and Jennifer Riner (1) Deborah Y. Ritchie (1) Frances E. Ritchie (23) Mary Roadcap (1)

Roger D. and Cathy Y. Roadcap (14) Robert E. and Patricia A. Roberts (2) Charles W. and Patsy C. Rodeffer (3) John Rogers (1) Louise V. Rohrer (2) Ralph S. Rohrer (1) Samuel J. and Julia D. Rohrer (11) Chris And Jennifer Runion (1) Amy L. Rush (3) S & R Auto Service, LLC (1) LeVerle H. Sappington (1) Pam Scott (2) Kathryn Scripture (18) Scottie's Building Services, LLC (1) Ralph L. and Ann W. Sebrell (11) Stephen S. and Diane I. Secord (1) Donald W. Seese (8) Jessica Septon (1) David W. Shaffer, Jr. (5) Frank B. and Shirley S. Shakespeare (12) Ronald L. Shanholtzer (6) Nelson W. and Martha S. Sheets (5) Detra S. Shell-Smith (10) Edward L. and Marsha M. Shenk (4) Harvey E. and Joan F. Shifflett (2) Alton K. and Helen W. Shipe (9) Harry L. Shoemaker (12) Goldie T. Showalter (11) Team Showalter (1) Paul F. and Wanda L. Showalter (6) Shyam P. and Rameshwari P. Shrestha (4) Gene Siciliano (1) Nelson and Linda Simmons (10) T. Edgar and Zizi C. Sipe (13) Pattye L. Sites (2) Marvin T. and Sarah A. Slabaugh (9) Delbert D. Slater (14) Glenn, Terri, Wes and Jake Smith (9) Ilene N. Smith (39) Jack E. and Mary Lynne Smith (2) John D. Smith (3) Terry and Joyce Smith (1) Lawrence E. and Carolyn D. Smoot (18) David E. and Marilyn S. Solomon (7) Barbara R. Somers (2) R. Allen Somers (2) Phyllis H. Sonner (4) Pamela Sponaugle (2) David and Angela Stalnaker (2) Craig Staub (1) David Lee and Grace Carolyn Steinberg (1) James E. and Kay B. Stilwell (2) John D. and Toni H. Stone (18) Gloria Stout (1) William L. and Louise K. Stover (10) Alfred L. Strawderman (6) Esther J. Strawderman (14) Richard L. and Joyce K. Strawderman (14) Stuarts Draft High School (1) Dennis R. and Cathy J. Stuter (13) Style Encore Harrisonburg (4) Frank M. Summers (3) The Surchek Family (2) Marian B. Suter (8) Debi Sutphin (1) Stephen C. Tate and Sarah Oddenino-Tate (1) Linda L. Taylor (13) Michael and Brandon Theimer (2) Kennneth Lee Thomas, Jr. and J. Faye Hoover-Thomas (9) Jacqueline G. Towers (32) Gilbert S. Trelawny (21) Gregory S. and Ann B. Trobaugh (11) Janette R. Tusing (6) United Way of South Hampton Roads (3) Donald L. and Ginger B. Usry (4) Carolyn S. Van Dyck (5) Susan Vasquez Lopez and Layla (1) William M. Jr., and Judy S. Vaughan (4) Frank H. and Tara M. Vetting (4) John A. Via (1) Nancy Hopkins Voorhees (14) Janice W. Wade (8) Jacqueline L. Walline (10) Wylie E. and Diane Walton (29) Dorothy K. Wampler (29) Rick and Joyce Wampler (22) David A. and Diane L. Warren (3) Water Works (1) Ervin L. and Helen F. Waters (1) Grace B. Watt (22)

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friends of the RMH Foundation Carol H. Way-Meyer (1) Lyn Simmons Weaver (2) Henry G., Jr. and Ferne M. Wenger (14) Linda B. West (3) Bobby O. Whitlow (1) Patricia T. Wichael (5) Jo Ann Widener (17) Mr. David and Dr. Karen Wigginton (4) Garland J. and Shelvy Williams (11) Kathleen M. Williar (6) Evelyn R. Wilson (2) Cindy and Phil Wishon (1) Gladys B. Wonderley (1) Keena Wood (1) Richard S. and Margaret M. Wurst (6) Richard L. and Jeanelle G. Yoder (27) LTC Charles D. Young (4) Robbie Jean Zirkle (14)

White Rose Giving Circle $500 Denton Family Charitable Foundation (4) Mary Louise Leake (13) Ruth Lorson (8) Jill McGlaughlin (5) Doris S. Stone (8) Sharon M. Strite (2)

Annual Support $25-$99 John W. Alger Jr. (1) Marlin P. and Margaret M. Alt (4) Barry C. and Mary C. Armstrong (1) Jean Anne Armstrong (14) Herbert M. and Betty M. Aylor (4) Susan J. Banks (1) Hope N. Barb (2) Melissa Barker (1) Thomas and Yvonne Barr (1) Dixie T. Bean (1) George W. Bell (1) Julie S. Bishop (1) Dr. Andrew B. Blay (2) Kenton Clemmer Bosserman (13) Otho A. Boyers (3) Douglas C. Bradley (2) William E. Bray, Jr. (5) Sally H. Brown (2) Raymond P. and Reba S. Brunk (2) John D. and Sharon C. Bucher (6) Steve C. and Marian B. Buckwalter (2) Betsy Bugg (1) Heidi Bunn (1) Cynthia C. Campbell (13) Akiko Carniglia (15) Cheryl Cassel (1) Michael R. and Dawn M. Claypoole (1) The Cleaver Family (1) James R. and Margaret E. Cline (3) Marilyn Coker (1) Elizabeth and W. Haley Cole (1) Shelby J. Combs (3) Harold Cook (10) Randall L. Craig (5) S. Edward, Jr. and Betsy D. Craun (1) Linda M. Crist (1) Gary P. and Kaye R. Crowther (1) Carroll L. and Dianna L. Cubbage (5) Wayne and Betty Cupp (3) Barbara E. Currence (6) Debra M. Daily (1) Erik R. and Sheila Sherman Dart (1) James D. and Doris W. DeLucas (2) L. D., Jr. and Patricia C. DeRamus (1) James DeStefani (1) Norman R. Downey Jr. (4) Chris, Cricket and Olivia Driver (1) Juanita A. Durrett (14) Andrew Eckstrom (1) Hobert and Jackie Edwards (1) Travis and Stephanie Emswiler (1) Fonda H. Erdman (1) John and Barbara Fast (2)

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SPRING 2022

Howard, Sr. and Shirlene Feldmeier (1) Denis E. Finnegan (1) Janice and Dennis Fitzgerald (1) Jo-Jean R. Foltz (5) Charles E. and Deborah A. French (4) Dorothy L. Fulk (5) Diane A. Gasper (7) Sarah Shipe Gibson (1) Jill A. Gillis (1) Girl Scouts of Virginia Skyline Council and Beth Raynes (2) Lynn R. Grigg (1) Trenna M. Haislop (2) Dale E. Harper (1) Kenneth P. and Loretta J. Harper (1) Harry E. and Brenda J. Hedrick (8) Nancy Hernandez (1) Robert L., Sr. and Connie S. Hofacker (14) Joanne C. Hoover (1) Edward C. and Charlotte K. Hopkins (3) Sarah Sachiko Hori (7) Dr. Jerome J. Hotchkiss, Jr. and Kimberly Haines (22) Howard Houghton (3) William J., Jr. and Catherine G. Hunter (13) Jean Hylton (1) Paul and Carol Ignosh (2) Gannon and Hilary Irons (1) Keith K. Jacob (3) Kevin W. and Cosette P. Johnson (1) Matthew S. and Cindy L. Jones (1) Paul E. and Shirley K. Judd (3) Phillip W. and Michele M. Judd (2) Deborah J. Juhasz (2) Hazel K. Karnes (1) Robert W. and Sarah P. Kelley (1) Kenneth W. and Beverly M. Keyser (1) Lorraine L. Kimble (4) Kat Knicely (1) Betty Jane Knighton (5) Steven D. and Alice M. Koogler (1) Robert T. and Helen L. Layton (4) Sandra L. Leap (3) Denise Lee (2) James L. Leeth (6) Matthew Little (1) William C., III and Beverly M Loomis (4) Paul R. and Susan M. Lottridge (1) Dr. Aamir Mahmood (1) Paul A. and Melissa H. Malabad (2) Thomas L. and Jeanne S. Martin (1) Roger L. and Juanita K. May (1) William G. and Nancy F. Mccann (2) Mable S. McCullough (2) Elmer W. and Violet J. Metzler (3) Brenda K. Michael (2) Jo Ann N. Milander (5) Adonica L. Miller (1) Charles E. and Bonnie S. Miller (7) Christine E. Miller (1) Lori Miller (2) Robert L., Jr. and Debra J. Miller (2) Thomas and Sylvia Miller (4) Dot Misner (1) Ray R. and Phyllis G. Mitchell (1) Louis and Kathryn Mole (3) Shannon Mongold (1) Cindy P. Montavon (3) J. Robert and Marjorie B. Moore (5) Jerry A. and Sandra H. Moore (1) Samuel P. and Beverly B. Moore (1) Michael A. and Julia A. Moretti (6) Dana S. Moyer (1) Epifania Nunez (9) George D. and Elizabeth A. Ojalehto (1) Lt. Col. Frank G. Padilla USAF (Ret.) (8) Craig and Sarah Parsons (1) Douglas and Linda Grace Piker (1) Rick Poland (1) Tanya and John Poole (1) Florence C. Raynal (1) Kathy A. Reichenbach-Stonesifer (3) Donald L. and Lydia S. Rhodes (1) Laura Elaine Rhodes (1) Robert Dale Roach (1) Beatrice R. Rolon (2) Judith D. Roop (14) Terry R. and Jennifer K. Sager (1) Nabil A. Samaha (2) Keith B. and Jennifer R. Sampson (3) William D. and Joan B. Sanger (2)

Kristi Sears (1) Angela May Selmon (1) Susie Shank (1) Melissa B. Shawger (1) Dr. Christopher N. and Norma M. Sheap (3) Jean M. Shenk (1) Teresa Shenk-Stuart (3) Cheryl Wynne Shifflett (10) Larry and Kay Shiflett (2) Shirley A. Shirron (21) Catherine T. Simmons (1) Dennis F. and Judy R. Simmons (4) Sandra S. Smiley (2) Samuel J. and Stanna Smith (2) Jo Snyder (1) Anil and Shaila Solanki (2) E. Jo Southard (1) Gary Stamper (1) Richard Stees (2) Nancy D. Stewart (2) Patricia Stimers (1) Edna W. Stoner (2) Elizabeth A. Stultz (1) Pamela Swartley (2) Dr. Fred W. and Nancy C. Swartz (14) Richard A. Thomas, Sr. (2) Paula Thompson (1) Rachel Diane Thurston (5) Tony and Susan Tomasello (6) David P. and Lela P. Trimble (2) Kathy Wade (1) Amy Wampole (7) Sandy Wampole (7) J. Webb and Carol H. Hypes (1) Dawn R. Whetzel (14) Homer and Janice Whetzel (5) Robert E. and Charlotte R. Wille (1) Anna B. Wimer (7) John and Jodie Wymer (3) Wilson R. and Peggy O. Wimer (1) James A. Wiseman (1) Steven D. Wood (2) Harold R. and Bonnie L. Yankey (1) Laurie and Peter Yates (13) Allen C. and Katherine C. Young (3) James D. and Mary A. Young (7) Roy E. Jr., and Carolyn M. Zirk (6)

William Blosser, Sr. Elaine Miller Carvell Ernest L., Jr. and Barbara B. Mongold Barbara S. Zirkle

Memorial Gifts

Diana, Daniel and Juanita Cline Frank M. Summers

Catherine Abel Frank K. Abel Ibrahim Altin Helen Altin Dr. Roddy Amenta Jeffrey J. and Linda B. Reisner Susan Moore Arey Margie L. Moore Janet Marie Armentrout Elmer L. and Lolene D. Armentrout Johnny and Carol Ann Manese Rockingham Cooperative

Jane M. Bowers Jane Parker Sally M. Bowman Larry O. and Paula C. Bowman Ira B. and Ethel G. Boyers Pamela Boyers Arbogast James S. Breeden, Sr. James S., Jr. and Shirley A. Breeden Connie K. Brown Larry E. Brown Melvin Browning Richard L. and Pamela B. Wilkins J. Allen Brubaker Erma Brubaker Martin Don W. Brunk Patricia A. Brunk George E. and Roseline W. Bryan Betty Bryan Dove John Marshall Burner Christine W. Burner Glenn, Terri, Wes and Jake Smith Dr. Donald M. Callahan Ruby J. Callahan Phyllis W. Carper William B. Carper, Sr. Sarah Virginia Poston Carroll Wanda Carroll Dove Loretta Clapper Lee E. Clapper, Sr. Edward. S. Clark Norma Clark Dean Suter Clatterbuck Sandra Clatterbuck Weldon W. Click Betty D. Click

Lloyd and Gladys Coakley Welby Joe and Sabrina Jo Coakley Jean B. Comer, My Mother Ida F. Comer Karen Constable Thomas F. Constable Clara Cooley Carolyn Long Dickenson William “Brooks” Corley, Jr. Patricia A. Corley Michelle Ilene Crites Ilene N. Smith

Jean Armentrout Russell G. Jr. and Sharon Kay Horn

Robert D’Angelo Martin J. and Elizabeth J. Bundrick

Amanda Armstrong Eldon W. and Sandra P. Armstrong

Fred R. Davino Frederick A. and Alice H. Davino

Patsy Lohr Baker Mildred F. Branner

Patricia Anne Dean Carroll J. and Delta M. Dean

Jennifer Barbour Miller Jim and Caroll Douglas

Sara Alyce Dean Matt, Jenn, Cole and Evan Dean

Sampson Barrow Elsie and Sampson Barrow

Deceased Family Members Orlando A. and Eloise E. Pinneri

Eugene Lyle Barrows Ronald M. and Linda C. B. Hotinger

Joan Allebaugh Devier Nancy C. Faulkner

Bettie Berg, mother and Thelma Holloway, mother-in-law Becky J. Conner

Owen Derrer Frances Derrer

Ruby Blaine Benjamin W. and Barbara B. Teter Lois Blosser Jessica Septon

Pat Dotson Anne M. Dellinger Mary Katherine Dellinger Dove Susan and Calvin Anderson Eldor, beloved Sentara RMH therapy dog Daniel R. Lynn and Rosemary P. Mitchell

Edward Embres Donald O. and Polly B. Fravel Smith’s Tax Service Clarence and Jane Ewing Ann Ewing Homan Leo Falconieri William B. and Margaret A. Zeh My Family Frances Sue Miller Ray Farmer Anne G. Farmer Arnold A. Fishback Halcie Fishback Hampton Walker Foley Mabel Anna Foley Kenneth Frantz and Steve Starick Loretta G. Frantz Austin and Willie Garber Beverly L. Garber Boyd and Ada Garber Anne G. Farmer Derwood and Ruby Garber Anne G. Farmer Dr. Harry M. Gardner Norma J. Gardner Jill Hedrick Garrison Butch Proctor Barbara Ann Gerner Walter G. Gerner Jean A. Gill Fraternal Order of Eagles New Market Auxiliary #4264 Janet Glendye Tommy and Betsy Heatwole Glendye Phyllis Jean Gocheour John Radcliff Manfred Goetz Ursula H. Watson Robert E. L. Good Henry F. and Catherine S. Buhl T. W. Good, Jr., and Richard Kunz James and Connie Hillyard Carroll F. Hall, Jr. Amelia and David Hall Barbara Ann Hansbrough James P. Hansbrough Harold C. and Brenda H. Marshall Colonel Don Harper Jay L. Campbell Larry F. and Brenda H. Hensley Darryl E. and Jan S. Miller Louise V. Rohrer Roger and Judy von Seldeneck LTC Charles D. Young Dr. Gary A. and Lulubelle A. Ziegler

Harold Hinegardner William R. and Barbara H. Hite

My Special Bother, Gary W. Lee Gayle L. Davis

Ima Mattalene Paugh Dove Development & Consulting

Jack Hinegardner William R. and Barbara H. Hite

Ruth and Granville Life Mary Life Garrett

David O. Pauley John R. and Tina D. DeLapp

Nancy S. Hinkle Robert H. Hinkle

Ann Payne Long Wayne L. Long

Ashley Middlekauff Payne Tommy and Betsy Heatwole Glendye

James F. Hoak Delores H. Hoak

John S. Long Teresa L. Louden

M. David Hoggan Melissa H. Groppel

Julia Long Orville L. and Betty H. Long

Hallie Bowman Pence Carolyn B. Pence and the Fred Bowman Pence Family

Mr and Mrs. Frank Holick Frank E. Holick

Paul M. Longacre Nancy R. Heisey

Ray and Margaret Holsinger Margaret A. Alexander

Karin E. Mars David A. Mars

Ellwood and Ernestine Hoover Anne G. Farmer

Ronald L. Marshall Sandra Kay Smith

Harold Hoover Anne G. Farmer

Betty MJ Martin Gary D. Martin, Sr.

James ‘Jay’ Owen Horn, Jr. Augusta County Commissioner of Revenue Office Tom and Patty Powell Derrick Tabor

Virginia M. Martin Family of Virginia M. Martin

Donald and Robert Horne Gloria Horne Spencer Wilson Hotinger Ronald M. and Linda C. B. Hotinger Jo Ann Hottinger Dannie Samuel Hottinger William and Wilda Houff Edmund and Deborah Price Donnie Shelton Huffman Donna E. Coffman Louise Huffman Orville L. and Betty H. Long Russell Edward “R.E.” Huffman, Jr. Lillian C. Huffman Robert W. Hurley Ann Gerding Hurley W. E. Jamison Polly A. Jamison Gene Jeffers Patricia Poplar Shentel Donald C. Jenkins Shelvy M. Jenkins Maynard Johnson Johnna Lee Johnson Janet Mae Jordan David L. and Tammy J. Jordan Gary A. Judd Charles O. and Jacqueline P. Flick Joseph Ray Kisamore Sharon J. Kisamore

Colonel Don Harper and others Charles S. and Lois E. Geil

Patricia Kite Jerry O. and Daisy D. Leake

Karen Gilbert Harper Robert J. and Marsha D. Gordon Parnassus U. M. Church A. C. Knott Sunday School Class Terry and Joyce Smith

Janet C. Kohen Andrew I. Kohen

F. H. and Vivian Harrison Steve and Chris Bradshaw Cathy Johnson Henry Judith K. Breeden Angela Hess Sandra A. Hess Gary L. Higgs Frances E. Ritchie Charles E. Hill Mark A. Shifflett and Rebecca R. Hill-Shifflett

Billy and Gregory Kuykendall Betty Kuykendall Howard Lambert Elsie H. Lambert Carolyn Jean Landes Patricia Landes Sayre Steve Landes Frances E. Ritchie Elizabeth ‘Libby’ Newman Lee Barbara Phillips, Jeanie Bowman and Gloria Raynes Irvin C. Lee Mrs. Irvin C. Lee

Dr. Robert M. McDonald Janice Simmers Rhodes Dallas E. Meadows Donna F. Meadows Joyce S. Michael Charles W. Michael Elizabeth Raines Michon Amelia and David Hall Kenneth M. Miller Nola Jean Avey Paulette Miller Robert E. and Mary E. Rhan Leah Golladay Minnich Ted and Cindy Bryan Carl and Toni Mishler Foelke D. Nair Cecil ‘CJ” Mongold, Jr. Rita Bunch Lewis Frank Moore Keith A. and Luanne K. Higgs Phyllis J. Morin and Brenda Morin Bazinet Richard R. J. Morin Sam Morris Betty D. Morris Victoria ‘Tori’ Morris, RN Rebecca S. Jessie Genevieve Moyers Lana H. Moyers Terri Mundy Terry and Shurline Burns Betty Lou Myers John L. and Faye A. Lokey Bobby L. Myers Fay B. Myers Sterling E. Nair Foelke D. Nair Jean Newman Denise Whitman Loyd B. Newman, Jr. Shirley S. Newman

Roger P. Pence Janice L. Pence Roger P. Pence and Hallie B. Pence Janice L. Pence Norman Pirkey Michael and Brandon Theimer Kimberly Harrison Prater Susan Diane Harrison Page P. and Ann S. Price Edmund and Deborah Price Robert Lee Pultz, Sr. Catherine D. Willingham Freda Redekop Calvin Wall Redekop Phoebe Jo Reamer Reed Keith S. and Denise R. Atkins Harold E. Reid Rita Reid Erwin Rempel and Anil Solanki James A. and Eileen M. Shenk Marvin B. Rexrode Eleanor S. Rexrode Elizabeth Neer Rhodes Mike and Tami Plaugher Linda Rinaca J. C., Jr. and Betty B. Foltz Linda B. West Sandra W. Riner Bennie and Cathy Cupp Louise and Jay Harris John R. and Brenda J. Hedrick Neil D. Marrin Oncken Family Kim and Bill Poore John and Jennifer Riner Ray M. and Ann H. Wine Mahlon N. Rissler Gloria Rissler Maurice F. Ritchie Frances E. Ritchie Phyllis Roberts Frances E. Ritchie Nancy Robinson Larry and Cathy Bodkins Polly Rogers Paige Webb Godoy Ronald W. Rohrbaugh Mary Ellen Rohrbaugh Mary K. Shipe Robert S. Roller, Brother Richard W. and Evah L. Roller Mark S. Roller, Dad Richard W. and Evah L. Roller

Lois M. Oster Charles V. Oster Our Mothers Colonel and Mrs. Peter F. Dieck Holly Padgett Kristie Dorrance Donna Faye Parady Lewis Parady Richard L. Parker Jane Parker

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friends of the RMH Foundation Michael Eugene Ruckman, Jr. Lawrence E. and Rebecca A. Adkins Jessica M. Anderson Michael C. and Kim Z. Brantley Thomas K. and Cheryl A. Burns Michael B. and Sharon L. Clark Lee and Bonnie S. Dellinger William J. and Nancy L. Duncan East Rockingham High School Athletic Department Bill and Tammy Errickson Michael Faraci Garrison Family Denistry Dr. Frank and Jean Gearing Norma J. Heath Tom and Gina Holden Ron and Jean Hylton Don A. and Carole T. Landes Jim and Peggy Laver Ed Long, Jr. Tim and Cristy Long Luray High School and Luray High School Athletic Department Gordon and Linda Magalis Pam Mason William K. McAllister, CFP CLU Steve F. and Martha J. McDonough Erin Mcguire Suzann L. Meyerhoeffer Mill Creek Church of the Brethren Bethany Class Nathan H. Miller Dick and Susanne Myers Tammy M. Myers Peak View Elementary School Victoria and Kyle Regetz Homer A., Jr. and Patricia S. Sacra Stephen S. and Diane I. Secord W. Keith and Jennifer J. Sheets Daniel K. and Linda W. Shreckhise Gene Siciliano Bart Siegel Craig Staub Stuarts Draft High School Paul D. and Nancy Via Mr. Jodie E. Wampler Cindy and Phil Wishon CJ, III and Mary Zilveti Rodney Sampson Clover Hill Volunteer Fire Company, Inc. Trudy Schlegel Ursula Schlegel Gilbert and Carolyne Schuckman Susan L. Schuckman Lyman and Rosemary Seese Donald W. Seese Marjorie and Ralph Self Rick and Pat Jackson Erik Carl Shifflett Rebecca S. Jessie Rodger Shifflett Neil W. Mowbray Kay P. Showalter Goldie T. Showalter Catherine S. Simmons Gayle E. and Hester S. Judy George Simmons Michael R. and Patsy E. Evans Jane Simmons Robert Lee and Patricia A. Taylor Arlie E. Smith Detra S. Shell-Smith Eugene R. Smith, II Linda G. Smith Charles ‘Bud’ Somers, III Barbara R. Somers Geoffrey Sonner Phyllis H. Sonner Carroll G. Spitzer Connie L. Spitzer John Sponaugle Pamela Sponaugle

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SPRING 2022

James O. Stepp Janet S. Stepp Mr. and Mrs. J. W. Stidley and Helen S. Smith Bonnie Lee Stidley Benny Stout Gloria Stout Ronald Wade Stover Terry D. and Linda M. Looney Elaine and Jay Strawderman Alfred L. Strawderman Wayne A. Strawderman Esther J. Strawderman Thelma Stroop Kenneth R. and Ruth A. Getz Andrew Surchek The Surchek Family R. Noland Suter Marian B. Suter Dr. G. G. Tanner Don A. and Carole T. Landes Team Sandy - “Didi” Leonie and Ray Riner Herbert Theimer Michael and Brandon Theimer Florence A. Trelawney Gilbert S. Trelawny Phil Ungar Tommy and Betsy Heatwole Glendye Paula Jane Van Ryan David O. Banks Dan C. Voorhees Nancy Hopkins Voorhees Ben F. Wade Janice W. Wade Phyllis Dove Wampler Garrett Rusmiselle and Becky Rusmiselle Holland Mr. Jodie E. Wampler Norris Elwood Weaver Lyn Simmons Weaver Joan Wenger Kathy Burke Dr. Frank and Jean Gearing Janet L. Wager Richard Whitman and Susy Lemish Donald L. Lemish Judy Goheens Wildman Cathy McCully Pam Scott Robert S. Wildman Everette and Elva Wilfong, Russell and Lena Rhodes Dr. Richard T. and Carolyn F. Wilfong Diane C. Williams Leonard J. Williams Ormrode Williams Barbara Lewis John ‘Yogi’ Wolfe, Jr. Jay L. Campbell Frances E. Wyant (Mother) Evelyn S. Hedrick Henry Leroy Yomans John W. Morrow and Alaina J. Henry My Mom, Jane Zigler Stover, RN, Grad from 1948 RMH School of Nursing Darryl E. and Jan S. Miller

Honor Gifts William E. Bowers William E. and Wilma T. Bowers Donna Breneman William H. and Naomi Lantz Good Ted and Cindy Bryan Darlene L. Newman

Jennifer Bryant, Sentara RMH Palliative Nurse Practitioner John and Linda Myers Warren and Virginia Burkholder Judith B. Espinoza Dr. Henry Chang Thomas E. and Jo Ann Holsinger Dr. Chang and Sentara RMH Covid Floor Donald L. and Ginger B. Usry Dorothy Ann Coakley Nelson and Linda Simmons

Our Families Mr. David and Dr. Karen Wigginton Jackie Pennybacker Sylvan E. and Kimberly A. Zook Dr. C. Rash and Art Strunk, FNP-C Betty M. McGahey Suheila Rasul Naz Mohamed Jane Richardson Dewey M. and Peggy S. Swicegood

Faye and Jeff Curl Donald L. and Ginger B. Usry

Paul Riner Cory Davies Sarah Orem

Terri Lynn Denton and Linda Denton Denton Family Charitable Foundation

Sandra W. Riner Allison and Ryan Gilbert

Jim and Betty Dovel Donald L. and Ginger B. Usry

Paul Riner and Steven Faught our Pink Angels Janet Wendelken

Ethel Everhart Bobby O. Whitlow

Barbara Ritchie Tommy and Betsy Heatwole Glendye Cathy Roadcap Donald L. and Ginger B. Usry

Steven Faught Cory Davies Sarah Orem Sara Gingerich Jeremy and Janelle Donaldson Shelley Good Tommy and Betsy Heatwole Glendye Gary Hampton, Physical Therapist, Sentara RMH Home Health Donald L. and Ginger B. Usry Linda Harper Tommy and Betsy Heatwole Glendye Leah Haworth Diane Trobaugh Naomi Heishman Wayne E. and Carolyn H. Miller Gloria Hinkle and Ken Schuler Keena Wood Wanda Hollen Terri Lynn Denton Sarah Horst and Hazel Horse Joyce Coryell Hedrick The Hospice Ladies Shirley F. Hupp Judy Hope Huffman Robert Z. and Judith Huffman Jenny Barbara W. Paulson Reverend Samuel P. Jones, Jr. Sue Ludington Jones Elizabeth Kaestner Janice K. Miller Kennedy Family Donald L. and Ginger B. Usry Shirley Knicely Sylvan E. and Kimberly A. Zook Dana Koelmel Brooke and Will Goodwin

Evah L. Roller, Wife Richard W. and Evah L. Roller Team Sandy Nancy J. Lantz Sentara RMH Hahn Cancer Center Robbie Jean Zirkle Sentara RMH Hahn Cancer Center Nurses and Staff Donald L. and Ginger B. Usry Sentara RMH Hahn Cancer Center, In gratitude for the loving care they extended to Larry Larry and Kathy Barb Sentara RMH 4 West Nurses Thomas E. and Jo Ann Holsinger Sentara RMH Covid Floor Nurses Donald L. and Ginger B. Usry Sentara RMH Emergency Room Thomas E. and Jo Ann Holsinger Sentara RMH Nursing Team Frank H. and Tara M. Vetting Betty Showalter Sylvan E. and Kimberly A. Zook In Honor and Appreciation for special Sentara RMH Team Members Hobert G. Texiere Betty E. Taylor, My Mother Linda L. Taylor Max Troyer William L. and Louise K. Stover Dr. Andrew Waligora Donald L. and Ginger B. Usry Wylie and Diane Walton Wylie E. and Diane Walton “Me” Carol Way-Meyer, Cancer Survivor!

Carol H. Way-Meyer

Ramona Leeth Kay S. Leeth

Carol Wenger Donald L. and Lydia S. Rhodes Sylvan E. and Kimberly A. Zook

Don and Nancy Lemish Birthdays Denise A. Whitman

Linda West Tommy and Betsy Heatwole Glendye

Marie Menard Dewey M. and Peggy S. Swicegood

Katie Wilkins Brenda W. Fawley

Bonnie Miller Terry D. and Linda M. Looney

Pam and Richard Wilkins Donald L. and Ginger B. Usry

Jean S. Minnich Robert B., Jr. and Jeanne S. Minnich

Dr. Mary Helen Witt Kennneth Lee Thomas, Jr. and J. Faye Hoover-Thomas

Mary Jo Mitchell Art Mitchell Wanda Moad Sylvan E. and Kimberly A. Zook Dr. Montgomery and Nurses, Sentara RMH Wound Center Bonnie Lee Stidley

Dr. Mary Helen Witt, Oncologist, Sentara Hahn Cancer Center Donald L. and Ginger B. Usry Dr. Yuriy Zhukov Kyle L. Miller

ABOUT IMPROVING HEALTH. EVERY DAY. FOR EVERYONE. Sentara is focused on living its mission — to improve health every day. In addition to providing exceptional care, Sentara partners with organizations to provide significant support to address the conditions in which people live, work and learn to advance the overall quality of life.

We are driven by one simple idea, Sentara cares about all the communities we serve.

Learn more at SentaraCares.com

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S E N TA R A OR T HOJOIN T CE N T E R ®

WE CAN’T SLOW DOWN TIME . . .

BUT WE CAN GET YOU BACK TO ENJOYING IT. Time flies, and the grandkids grow so fast. We can’t stop the clock, but we can make sure you’re enjoying every moment. At the Sentara OrthoJoint Center®, we look forward to getting you back to you.

SENTARA ORTHOJOINT CENTER® OFFERS PATIENTS: • A dedicated orthopedic patient navigator with you every step of the way.

• A dedicated orthopedic facility with onsite therapy and imaging • Private patient rooms in a state-of-the-art facility Call 540-689-5500 to schedule. For more information, visit SentaraOrthopedics.com.

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