Shoulder Replacement Brings New Life 4

Health Link
Health and Wellness Magazine of Randolph Hospital
Winter 2014
Stealthy
Lymphedema
Surprising Cancer
Survivors 8
Shoulder
Replacement
Brings New Life 4
Vintage en Vogue
Closing on Third
Straight Sell-Out 6
Randolph Hospital Insurance Navigators at Full Speed
for Open Enrollment Thanks to No-Cost Extension
By Josh Rasmussen n PR Coordinator
The Randolph Hospital insurance navigators
are not called navigators by accident. Moving
through the process of selecting an insurance
plan can be a difficult quest, but it’s made much
easier with the help of these trained, experienced
and overall-cheerful navigators. Right now is the
time to speak with them and it’s possible to do
thanks to a one-year, no-cost extension of the
original, one-year, $350,000 federal grant.
Already a month into the shortened, threemonth open enrollment period, which ends
February 15, 2015, makes finding an
insurance plan vital. Under
the Affordable Care Act,
anyone who did not
have coverage
in 2014 or a
healthcare
coverage
exemption
will pay a
penalty on his
or her 2015
taxes. Anyone
who doesn’t
have coverage by
the deadline in 2015
will pay a penalty on
his or her 2016 taxes,
but the penalty climbs
steeply and continues to do so
into 2016.
The penalty for an individual who went
without coverage or a coverage exemption
in 2014 will cost $95 or 1 percent of taxable
income. For a family of four, the penalty is $285
or 1 percent of taxable income. In 2015, those
numbers increase to $325 or 2 percent for an
individual and nearly $1,000 or 2 percent for the
family of four.
2
“We’ve all had background checks. We
give unbiased information and educate people
-- explain their options to them,” said Jo
Ellen Needham, Randolph Hospital Insurance
Exchange Navigator Supervisor. “But the first
thing we do is determine their eligibility based on
the federal poverty guidelines.”
Income and household size determine that
eligibility. Anyone claimed on a person’s taxes
counts toward the household. To qualify, an
individual needs to make a little more than
$11,000 and a household of four
would need to make a little
more than $23,000.
“Our job with
the federal grant
is to facilitate
enrollment,”
Needham
said. “We’re
here to
educate
and assist
people if
they need
assistance
doing it
themselves.”
Last year, the
navigators helped
people throughout
Randolph County enroll in
plans that met their needs and for which
they qualified, and more than 3,800 people in
Randolph County enrolled through HealthCare.gov,
with more than 1,100 coming from Asheboro.
The insurance navigators are located at
Randolph Hospital at 364 White Oak Street, in
Asheboro. To reach a navigator by phone, call (336)
633-7800.
www.randolphhospital.org
@RandolphHosp
All Marketplace plans and many other plans include preventive care at no
out-of-pocket cost. Free preventive services help to put the focus on wellness,
early detection and prevention instead of treatments and cures.
All services are covered regardless of whether you have met your deductible, however, they must be
done in-network to avoid co-pays. Important! Prior to service, make certain your service/screening
is being coded correctly as a free preventive service.
Adult Preventive Care
n Breast Cancer Mammography screenings every 1 to 2
years for women over 40.
n Colorectal Cancer screening for adults over 50.
n Cholesterol screening for adults of certain ages.
n Diabetes (Type 2) screening for adults
with high blood pressure.
Children’s Preventive Care
n Autism screening for children at 18 and 24 months.
n Hearing screening for all newborns.
n Hypothyroidism screening for newborns.
n Vision screening for all children.
n Immunization vaccines for children from
birth to age 18.
*Bulleted items are just some of the services. For a full list, please refer to your selected plan.
Insurance Navigation at Randolph Hospital | 364 White Oak Street | Asheboro, NC 27312 | (336) 633-7800
RANDOLPH HOSPITAL WELCOMES
DR. PETER RAJTAR
Dr. Rajtar has traveled the world. He was born
in Poland, spent time in Australia, undergraduate
school in Vancouver, Canada and medical school in
Netherlands Antilles, but he’s most looking forward to
living and working in Asheboro.
“It’s beautiful here. The style and pace of life fits me.
I was taken by the town the minute I arrived. The
people are warm and generous,” said Dr. Rajtar. “It’s
a community that embraces the type of medicine I
practice. I like to create a partnership with my patients
and their families - a partnership based on trust and
communication. It’s my job to ensure that all my
patients, no matter their age, understand that I’m here
to keep them safe and healthy.”
Dr. Rajtar earned his medical degree from the University of Sint Eustatius School
of Medicine in Sint Eustatius, Netherlands Antilles. He completed his residency in
pediatrics at Mount Sinai Hospital in Chicago, IL.
He is a member of the American Academy of Pediatrics.
Dr. Rajtar joins Kathleen Riley, MD, Patricia Vinocur, MD and Meghan Hall,
PA-C, with Randolph Medical Associates - Pediatrics. To schedule an appointment
with Dr. Rajtar, call (336) 625-2467.
364 White Oak St., Asheboro, NC 27203•336-625-5151
www.randolphhospital.org
@RandolphHosp
www.randolphhospital.org
3
Relief
Serenity
Freedom
Balance
Peace
Shoulder Replacement Returns
Daily Activities, Pain-Free life
to Valdez-Cruz
By Josh Rasmussen n PR Coordinator
A
thletes, race car drivers, extreme sports junkies
and thrill-seekers all run across reasons to be in
pain on a regular basis. Collisions, crashes and
humbling wipeouts can send even the most finely-tuned
and capable of bodies into surgeries to help relieve pain,
but for many people, severe pain can come, seemingly,
from nowhere and creep into daily life.
This was the case for Asheboro resident Wanda
Valdez-Cruz, who turned to Drs. Jeffrey Yaste and Shakeel
Durrani, of Randolph Orthopedics and Sports Medicine,
for a shoulder replacement after chronic arthritis had
conspired with time to put her in more and more pain
while performing routine, every-day tasks.
“It started with pain in movement -- things like
stretching my arm out to put on a jacket,” she said, “and
turning a corner while driving. It got to the point where it
was hurting so badly that I asked an orthopedist about it.”
Valdez-Cruz said Dr. Durrani told her the shoulder
had so much arthritis that the only solution was to have it
replaced.
“At that point,” she said, “it was either live with the
pain, or go ahead and have the surgery.”
She said making the decision to get the surgery took
about four or five months and a big factor in her decision
was not wanting to live with pain medications all the time.
Valdez-Cruz went into surgery in early June and said
she could tell a difference immediately.
“I knew the next day the pain was different,” she
4
said. “I knew it was from the surgery and not from inside
the shoulder. It took about two weeks for the main
surgical pain to go away,” a normal time frame with no
complications, according to Dr. Yaste.
Valdez-Cruz went into rehab as soon as possible and
said she was committed to returning to her life, stronger
than ever. According to Yaste, recovering from a shoulder
replacement takes a good six months and six months later,
she says her shoulder feels excellent.
“I’m driving. I go to the grocery store now. I’m able to
vacuum -- things I couldn’t do before,” she said.
In addition to the regained ability to perform several,
every-day tasks, Valdez-Cruz has returned to yoga, bending,
twisting, balancing and contorting in ways that were
unthinkable leading up to the replacement surgery. She
began physical therapy at Randolph Orthopedics and Sports
Medicine two weeks after the surgery with a commitment to
press on and work hard. Her determination put her back in
the yoga studio six weeks after leaving the operating room.
“I’m better now than I was before,” she said. “I can
move better. It does not hurt and I have mobility I did not
have before.”
After knee and hip replacements, shoulder
replacements are the third most-commonly performed
replacement surgery. To learn more about shoulder
replacements, call Randolph Orthopedics and
Sports Medicine at (336) 626-2688 or visit www.
randolphorthopedics.com.
www.randolphhospital.org
@RandolphHosp
“At that point,
it was either live
with the pain,
or go ahead
and have the
surgery.”
- Wanda
Valdez-Cruz
Wanda Valdez-Cruz holds a
yoga pose at Santosha Yoga
in downtown Asheboro six
months after Drs. Jeffrey
Yaste and Shakeel Durrani of
Randolph Orthopedics and
Sports Medicine performed a
shoulder replacement on her.
Josh Rasmussen/PR Coordinator
@RandolphHosp
www.randolphhospital.org
5
Walk
This
Way!
2015
Vintage en
Vogue Models
6
www.randolphhospital.org
@RandolphHosp
Unique Fashion Show
Calls on Community Members
to Debut One-of-a-Kind Outfits
By Josh Rasmussen
PR Coordinator
In fashion, some things
change. Some things stay the same, but
sometimes, putting the two together
is the answer. A select assortment
of community members, friends,
neighbors, co-workers and the like
have assembled, shopped and practiced
their modeling skills to help drive this
concept home at the 2015 Vintage en
Vogue fashion show, January 29, from
6-8 p.m. at Klaussner Furniture in
Asheboro.
Tickets for this annual
fundraiser for the Randolph Hospital
Community Health Foundation are
dwindling quickly and once they’re
gone, they’re gone. A standard ticket
is $40 and VIP tickets, which include a
private, on-site cocktail party prior to
the show, are sold out.
@RandolphHosp
This hit show is in its third year
and perpetuates a fantastically-unique
format, pairing models, of which there
are 22, with stylists who shop for the
clothes, design the outfits and put
their models together. Each model
will debut three outfits -- daywear,
eveningwear and resort wear, but
there’s a catch. Each model may
include only one item of clothing
from his or her closet per outfit. The
rest must come from local thrift or
consignment stores.
Brandon McKenzie, one of the
models, confessed his wife and stylist
handled the shopping for him.
Discussing the preparations, he
laughed and said, “My wife pretty
much says, this is what you’re wearing,
and I say OK.”
McKenzie was allowed to at
least try on his outfits, but said he’ll
probably have to bulk up a little bit to
www.randolphhospital.org
make them fit. The word is a sport coat
might be going over-the-shoulder.
“I’m excited,” he said. “I think it’s
going to be great. It’s definitely a whole
new realm for me.”
It’s a new realm for most of the
willing participants and that only
adds to the fun in what has become a
perennial unveiling of new talent, wild
cheers and an unmistakably-good time
for those in attendance. McKenzie said
he hopes to see many familiar faces
among those in attendance, believing
a strong turnout of family and friends
will help boost confidence, help him let
loose and have fun.
To learn more about the
Randolph Hospital Community
Health Foundation, visit the website
at randolphhospital.org/foundation
or contact Linda Schumacher at
(336) 633-7755 or lschumacher@
randolphhospital.org.
7
Life With
Lymphedema
Exploring In, Outs
of Emerging Field
By Josh Rasmussen n PR Coordinator
A cancer diagnosis can be life-changing. The
treatment is exhausting and takes its toll, but
surviving cancer also requires endurance and
often it brings about unique challenges. One such
challenge is Lymphedema and Randolph Hospital
Outpatient Rehabilitation Services has taken
notice and action, instituting a new Lymphedema
program.
Lymphedema is a condition that usually
results from the removal of lymph nodes, which
is not uncommon during mastectomies, or
damage to lymph nodes, which is common during
radiation treatments. Lymph nodes are necessary
for draining fluid from the extremities and
without them, fluid can accumulate to the point
that it becomes very uncomfortable, may actually
increase the size of an arm or leg and may result
in secondary complications including infection.
8
Lymphedema management is a relatively
new field only now starting to move toward
mainstream research. Asheboro’s Katherine
Shields had lymph nodes surgically removed
during her cancer treatment and she recently
spent some time with Randolph Hospital’s Amy
Contogiannis, a board-certified occupational
therapist trained in Lymphedema management
and anchor of Randolph Hospital Outpatient
Rehabilitation Services’ new program.
“I started having some swelling in my lower
arm,” Shields said, “then I noticed it in my hand.
My arm just throbbed like a toothache. I came
to physical therapy and they showed me some
exercises, but nothing as intense and in-depth as
the Lymphedema program. Amy is very good.
She’s very good and I think they’re fortunate
to have her.”
www.randolphhospital.org
@RandolphHosp
At first, Shields said, Lymphedema
wasn’t presented as a possibility. She
was initially treated for cellulitis, a
common skin infection consistent with
the redness she was experiencing in her
hand. Lymphedema is not always easy to
identify, especially early on, which is the
best time to begin management.
“There are symptoms,” Contogiannis
said, “but they’re more sensation
symptoms -- heaviness, discomfort and
decreased mobility.”
Lymphedema is a chronic condition,
but it is manageable and can generally be
managed with little effort if detected early.
“You do have to make a lifestyle
change, but you can get it to a point
where it’s not going to be bothersome.
As a general rule, if you catch, treat and
manage it early, your prognosis is better
long-term.”
Lymphedema can present as late as
several years after damage to the lymph
nodes or immediately upon removal,
which makes identifying it even more
tricky.
Once identified, the treatment is
simple, but somewhat unique. The idea
is to clear out space for the fluid to drain,
then retrain the lymph vessels to route
it there. This is accomplished through a
series of carefully-scripted, light massages,
a lot of which can be done at home.
This is nothting more than a gentle
touch on the arm, followed by a slight
@RandolphHosp
Photos by Josh Rasmussen/PR Coordinator
Katherine Shields, right, works with board-certified occupational therapist
Amy Contogiannis, who’s trained in Lymphedema management, to learn proper
techniques for rerouting fluid so it can drain from her arm.
twisting, but with proper technique and
diligent practice, it can move built-up fluid
up and out of the arm to where properlyfunctioning lymph nodes would naturally
move it.
Compression sleeves are also
common and work to manage
Lymphedema in a similar manner, helping
keep excess fluid from accumulating in
the arm.
Randolph Cancer Center offers a free
screening through its STAR Program®
(Survivorship Training and Rehabilitation)
www.randolphhospital.org
to try and catch Lymphedema in survivors
before it progresses to a later stage.
“The earliest stages might not be
apparent to a patient, but they might be
apparent to us,” said Kevin Cunningham,
a speech-language pathologist with
Randolph Hospital Outpatient
Rehabilitation Services.
The free screenings are the fourth
Wednesday of every month at 3 p.m. and
available to anyone who has had a cancer
diagnosis. To register for a free screening,
call (336) 328-4068.
9
Fruits, Vegetables
A Quick Recipe
Arugula and Pear Salad
With Toasted Walnuts
4 servings
Time: 12 mins
Ingredients:
1 tablespoon minced shallots
2 tablespoons extra-virgin
olive oil
2 teaspoons white wine vinegar
1/4 teaspoon salt
1/4 teaspoon Dijon mustard
1/8 teaspoon freshly ground
black pepper
6 cups baby arugula leaves
2 Bosc pears, thinly sliced
1/4 cup chopped
walnuts, toasted
Preparation:
Combine first 6 ingredients in a large
bowl; stir with a whisk. Add arugula
and pears to bowl; toss to coat. Place
about 1 1/2 cups salad on each of 4
plates; sprinkle each serving with 1
tablespoon walnuts.
Nutrition Information
per serving:
Amount per serving
Calories: 168
Fat: 12.5g
Saturated fat: 1.5g
Monounsaturated fat: 5.7g
Polyunsaturated fat: 4.6g
Protein: 2.5g
Carbohydrate: 15.1g
Fiber: 3g
Cholesterol: 0.0mg
Sodium: 164mg
Calcium: 106mg
10
By Nancy Bean, RD, LDN
Most of us know we need
more fruits and vegetables, but
we might not know how many
or fun, easy ways to incorporate
them into our diets.
Fruits and vegetables should
make up the majority of our diets
for three important reasons.
Fruits and vegetables are
key sources of nutrients under
consumed in the United States -vitamins A, C and K, potassium,
fiber and magnesium.
Second, fruits and vegetables
are associated with reduced risk
of many chronic diseases and
cancer. Finally, they are relatively
low in calories and can promote
weight loss when replacing higher
calorie foods.
Recommendations offered by
the USDA are choosing fruits and
vegetables for snacks and filling
half a plate with them at every
meal. Based on USDA guidelines
the daily recommended vegetable
intake for women 19-50 years old
is 2 1/2 cups.
Women more than 51 years
old should eat 2 cups a day.
Men 19-50 years old need 3
cups and men older than 51
should eat 2 1/2 cups. The daily
recommended fruit intake for
women 19-30 years old is 2 cups,
women older than 31 is 1 1/2
cups and men older than 19 need
2 cups.
Here are a few tasty ways
to boost your daily fruit and
vegetable intake:
Stir chopped fruits or
www.randolphhospital.org
Diet Fact
Fruits and Vegetables
Fruits and vegetables
should make up the majority
of our diets.
Fruits and vegetables
are key sources of nutrients
under consumed in the
United States -- vitamins A,
C and K, potassium, fiber
and magnesium.
vegetables into cold rice and mix
in salad dressing for a great side
dish.
A tangy oil and vinegar
dressing works well with added
vegetables and a sweeter poppy
seed dressing goes nicely with
fruits.
Add some pizzazz to your
morning oatmeal by including a
handful of frozen blueberries or
raspberries.
Add vegetables, such as
tomatoes, cucumbers, onions,
lettuce, peppers, or mashed
avocado, to a meat or cheese
sandwich.
Add extra frozen vegetables
when making canned soup and
choose lower sodium soups.
Instead of a big dish of ice
cream topped with fruit, have a
bowl of fruit topped with a small
scoop of low fat ice cream or
frozen yogurt.
For more information and
tips on healthy eating, visit
randolphhospital.org.
@RandolphHosp
The Randolph Hospital
Community Health
Foundation gave a $13,500
grant for 2014 to Mount Nebo
Pentecostal Holiness Church
to build a walking track
across from their building
in Ramseur.
Josh Rasmussen/PR Coordinator
The well
Yo u r C o m m u n i t y W e l l n e s s E v e n t s
Maternity Education Classes
Support Groups
Breastfeeding Class
This class is held the first Saturday of every even month
beginning in February from 10 a.m. - Noon. This class
covers the reasons to breastfeed, how to get started,
ways to prevent and handle problems and tips for
working mothers. This class will be conducted at the
Randolph Hospital Health Education Center, 200-A Foust
Street. Registration is required. For more information
and to register, call (336) 328-4030.
Aphasia Program
This program is for people who have communication
problems because of a stroke or brain injury. For more
information and to register, call
(336) 625-5151 ext. 5109.
Maternity Suites Tours
This tour is held the third Monday of each month
from 5:30 to 6:30 p.m. Learn about the wide range of
maternity services offered at Randolph Hospital and
speak with the expert staff on what to expect during
your stay. This tour meets in the Randolph Hospital
Visitor Center. Registration is required. For more
information and to register, call (336) 328-4030.
Childbirth Classes (Basic)
This class is held on the second Monday of every month
from 5:30 to 9:30 p.m. Expectant parents gain valuable
information about childbirth and pregnancy. Classes
cover when to come to the hospital, stages of labor,
tests performed on the baby, basic newborn care and
taking care of yourself after childbirth. This class will be
conducted at the Randolph Hospital Health Education
Center, 200-A Foust Street. Registration is required. For
more information and to register, call (336) 328-4030.
@RandolphHosp
Caregivers Support Group
This group meets the third Thursday of each month
(adjusted date for December) from 6:30 - 8:15 p.m. at
the Home Health of Randolph Hospital building at 341
N. Fayetteville Street. For more information, contact
Helen at (336) 629 8896 ext. 5284.
Look Good … Feel Better: For Women
Surviving Cancer
This makeover is appropriate for women who may
be experiencing skin, facial or nail changes because
of cancer treatment. These take place every second
Monday from 10:00 a.m. - noon. For more information,
call 1-800-227-2345.
Wellness Events
Why Does My Shoulder Hurt?
Tuesday, February 24, 2015
6:30 - 7:30 p.m.
Randolph Hospital
(364 White Oak St., Asheboro)
Come listen to Drs. Jeffrey Yaste and Shakeel Durrani
discuss shoulder pain and ways to relieve it both
surgically and non-surgically. To register, call (336)
633-7788 or visit www.randolphhospital.org and click
the events tab.
www.randolphhospital.org
Save Your Hips and Knees
Tuesday, March 24, 2015
6:30 - 7:30 p.m.
Randolph Hospital
(364 White Oak St., Asheboro)
Join Drs. Jeffrey Yaste and Shakeel Durrani as they
explore hip and knee pain and talk about options for
relief. To register, call (336) 633-7788 or visit www.
randolphhospital.org and click the events tab.
Troy/Montgomery Foot Screening
Tuesday, March 24, 2015
1 - 3 p.m.
Troy/Montgomery Senior Center
(200 Park Road, Troy)
Let our experts help you correct foot pain and
recommend footwear to make sure it doesn’t return
To register, call (336) 633-7788 or visit www.
randolphhospital.org and click the events tab.
Correction
The name in the cutline of this photo, which
appeared in the Fall 2014 issue of Health Link,
was incorrect. The woman pictured is Martha
Saunders.
11
Randolph Hospital
346 White Oak Street
Asheboro, NC 27203
Health Link is published
quarterly as a
community service for
the friends and patrons
of Randolph Hospital.
For more information
about this publication,
call (336) 629-8885
or write to 364 White
Oak St. PO. Box 1048,
Asheboro, NC 27203
Samuel D. Cranford, Jr.
Chairman, Board of
Directors
Michael D. Liniger
Chief of Staff
Steven E. Eblin
CEO
April Thornton
Sr. Director of Public
Relations & Outreach
Josh Rasmussen
Public Relations
Coordinator, Editor
Contributing Writers
Nancy Bean, RD, LDN
Cover Photo
Josh Rasmussen
Wanda Valdez-Cruz
holds a yoga pose six
months after Drs. Jeffrey
Yaste and Shakeel
Durrani of Randolph
Orthopedics and Sports
Medicine performed a
shoulder replacement
on her.
Your privacy matters
to us. To remove
from our Health Link
mailing list, cut out
your mailing label
and send it to Public
Relations at the
address above.
@RandolphHosp
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Donations and Contributions
August 2014 - November 2014 - Donations made to the Randolph Hospital Community Health Foundation
TypeHonoreeDonor
MemorialJohn Robert TuggleRandolph Hospital
Memorial Frances “Tom” Dennis Sheffield
Randolph Hospital
Memorial Frances Hughes Trochan
Randolph Hospital
MemorialJack EllisRonald and Teresa Pugh
MemorialMarilyn Kellogg VonderchekRandolph Hospital
Memorial
Keith Crisco
Larry and Janice Simpson
Memorial Archie Smith, Sr.
Larry and Janice Simpson
Memorial Ed GavinDoris Osborne
MemorialKenny Beddingfield Doris Osborne
MemorialBuster LeonardCooper and April Thornton
MemorialVelma Hill McManusRandolph Hospital
Memorial
Elizabeth Louise Morris
Randolph Hospital
MemorialLarry TorrenceRandolph Hospital
Memorial
Doris Lee Burch
Cooper and April Thornton
MemorialDorothy KelloggRandolph Hospital
Main (336) 625-5151 n Health Education/Registration (336) 633-7788 n Patient Room Information (336) 625-5151
Home Health of Randolph Hospital (336) 629-8896 or 800-428-8896 n Human Resources (336) 629-8857
Carelink (336) 629-8890 n Insurance Navigators at Randolph Hospital (336) 633-7800 n Public Relations (336) 629-8885
Randolph Hospital Community Health Foundation (336) 633-7755 n Volunteers (336) 629-8886