R.oRg HealtH LiViNg - Tanner Health System
Transcription
R.oRg HealtH LiViNg - Tanner Health System
A PUBLICATION OF TANNER HEALTH SYSTEM • www.tanner.org • Summer 2013 Healthy Living Back on His Feet: New Vitality after PAD treatment PAGE 10 da Vinci Robot System: Surgical Artistry Comes to Tanner PAGE 14 less pain, all gain: back in step with knee replacement PAGE 6 contents Cover: Up and At ’Em 10 Craig DaBoin is back on his feet after treatment for peripheral artery disease. Features: 6 P ain-Less Knee Replacement Ron Glore once delayed knee surgery. Now he encourages others to take the step. 14 S urgical Artistry The da Vinci robotic surgery system makes surgery more precise, less invasive. 16 M agnolia Ball The annual fundraiser nets almost $500,000 for the new inpatient rehabilitation facility. 18 Tanner Presents Inpatient Rehab Our new inpatient rehabilitation facility helps patients return to independent living. Departments: 3 Health News You Can Use 19 Thank You for Your Support! 23 Classes & Events 23 Awards & Accolades Healthy Living a publication of Tanner Health System Loy M. Howard President and CEO Denise L. Taylor Senior Vice President and Chief Community Health Strategy and Brand Officer Debbie Hollenstein Vice President of Marketing and Planning Kelly Meigs Director of Marketing Healthy Living Editor Tony Montcalm Contributor Ronda Faries Contributor Mary busby Tanner Medical Foundation Contributor 2 I Healthy Living Tanner Medical Center/ Carrollton 705 Dixie Street Carrollton, GA 30117 770.836.9666 Deborah Matthews, RN Administrator Tanner Medical Center/ Villa Rica 601 Dallas Highway Villa Rica, GA 30180 770.456.3000 Taylor Powers Administrator Higgins General Hospital 200 Allen Memorial Drive Bremen, GA 30110 770.824.2000 Michael Alexander Administrator Willowbrooke at Tanner 20 Herrell Road Villa Rica, GA 30180 770.836.9551 Wayne Senfeld, EdS, LPC Administrator • www.tanner.org Grateful for Good Health Most of us are luckier than we know. There are probably a hundred things a day that we take for granted — that our cars started in the morning, that we arrived safely at our destinations, that we could walk to our desks. Some of us are not as fortunate. For almost two decades, Ron Glore lived with a knee that ached every day, making it hard for him to work at his Tallapoosa garage and tend to his cattle. Fortunately, the No. 1 orthopedic program in Georgia was just down the road at Tanner Ortho and Spine Center. On page 6, read how world-class orthopedic care has changed Mr. Glore’s life. For a different reason, Craig DaBoin of Villa Rica struggled to do everyday tasks. As one of approximately 12 million Americans who suffer from peripheral artery disease, or PAD, Mr. DaBoin had blocked arteries in his legs that made it hard to even get to his mailbox. We share his story on page 10. When recovering from an illness or injury requires more time and treatment, a new option for care is in development in Carrollton. At Tanner Medical Center/ Carrollton, we are building a new, 20-bed comprehensive inpatient rehabilitation facility, and you can learn more about it on page 18. We hope this issue of Healthy Living finds you well, and wish you much health and happiness in the months to come. Sincerely, Loy M. Howard President and CEO Tanner Health System Tanner Medical Center, Inc. Board of Directors Daniel Jackson, Chairman Steve Adams Larry Boggs Jerry Clayton Mary Covington Loy M. Howard Stephen Kahler, MD Jeffrey Lindsey, DMD Robert B. Pitts, MD Nita Price Timothy Warren Gelon Wasdin Ex-Officio Members Ben Camp, MD, Chief of Staff Brad White, MD, Vice Chief of Staff Tanner Medical Foundation, Inc. Board of Directors Susan Fleck, Chair Steve Adams Wanda Calhoun Lynn Clarke Guyton Cochran G. Woodfin (Woody) Cole Mary Covington Randall Eaves Clarence Finleyson John Grillo Loy M. Howard Barbara Kauffman Laura Larson, MD Trent North Fred O’Neal Randy Pierce, MD Randall Redding Laura Richards Thomas T. Richards Richard Smith Robert (Bobby) Stewart Bob Stone Tim Warren Gelon Wasdin Valerie Wilhelm Dana Wynn Emeritus Angie Barker Health News You Can Use Crowds Jump at Chance to See Tanner’s New ED, Surgical Services Expansion More than 1,800 people thronged the new emergency department and expanded surgical services unit at Tanner Medical Center/Carrollton during a special open house on Jan. 26. The new emergency department opened in February and is now serving patients. Visitors began arriving as much as 30 minutes before the open house began, and many stayed after displays and tours began to wrap up, trying to take in as much of the new expansion as possible. Tanner staff offered tours of the hospital’s new 40-bed emergency department, including the unit’s four new trauma rooms and on-unit diagnostic imaging facilities. Visitors toured several of the hospital’s new surgical suites as well, including the new 900-square-foot hybrid surgical suite. A number of community partners also were on hand, including the Carrollton Police Department, City of Carrollton Fire Department, West Georgia Ambulance, the Carroll County Sheriff’s Office, AirEvac Lifeteam and others. The open house was delayed about five months when a fire suppression line in the new emergency department ruptured in August, just days before the open house was originally scheduled. The ruptured line spilled more than 12,000 gallons of water into the new space, leaving water standing 2 inches deep in places. Extensive repairs were necessary over about 35,000 square feet of space, including replacing flooring, cabinets, doors, patient beds and drywall. More than 1,800 people jumped at the opportunity to be among the first to tour the new emergency department and surgical services expansion at Tanner Medical Center/Carrollton during an open house in January. On display was the new minimally invasive robotic surgery system now available at Tanner, which you can read more about on page 14 of this issue of Healthy Living. Tanner/East Alabama Now Open Residents in Randolph and Cleburne counties in east Alabama have a new destination for high-quality medical care with Tanner/East Alabama, now open in Wedowee. Tanner/East Alabama is the new home of Tanner Primary Care of Wedowee — formerly the Wedowee Clinic — offering preventive medicine, sick visits and walk-in care for every member of the family. In the future, specialty services Tanner/East Alabama, now open in Wedowee, offers residents in Randolph and Cleburne counties in east Alabama a new destination for high-quality medical care. Tanner/East Alabama 1030 South Main St. Wedowee, AL 36278 256.357.2188. will begin rotating through the facility as well, providing access to cardiac specialists, oncologists, surgeons and others, close to home. Tanner/East Alabama is the first of what will be a multiphase build-out. And the 26,000-square-foot, two-story medical office building offers plenty of room to grow as Tanner continues to add physicians and services in the region. For more information on the services provided by Tanner Primary Care of Wedowee, with preventive and wellness care for the whole family, visit www.primarycarewedowee.org Tanner • Summer 2013 I 3 Health News You Can Use Cancer Survivors Turn Out for Tanner’s Celebration of Life Carl Hammerschlag, MD, a physician and author, gave a presentation on the mind-body-spirit connection at Tanner’s second annual Community Health Summit. Get Healthy, Live Well Tanner’s second annual Community Health Summit, “Creating Healthier Communities,” was held at Tanner Medical Center/Carrollton in May. The summit featured a presentation by Carl Hammerschlag, MD, a Yale-trained psychiatrist who has worked for over 20 years to advance a unique mind-bodyspirit approach to medicine, publishing several books on the subject. The Community Health Summit was the first event held as part of Tanner’s new “Get Healthy, Live Well” collaborative, which is funded by a $1.2 million community transformation grant from the Centers for Disease Control and Prevention. Tanner was one of only eight hospitals in the country — and the only hospital in the Southeast — to apply for and receive the award. Developed to address problems created by chronic disease and their underlying risk factors, funds from the grant are being used to develop community task forces for tobaccofree living; healthy food access; youth wellness; faith-based wellness; business and industry wellness; breastfeeding; healthier child care centers; healthy and active families; healthy and safe communities; childhood obesity; healthcare professionals; and diabetes. For more information about Get Healthy, Live Well — including how to participate in one of the task forces listed above — visit www.GetHealthyLiveWell.org. 4 I Healthy Living • www.tanner.org About 130 cancer survivors, guests and volunteers gathered at Tanner Health System and Tanner Cancer Care’s fourth annual Celebration of Life at Tanner Medical Center/Carrollton. They enjoyed hors d’oeuvres and an inspiring presentation that took them to the peaks of the world’s Seven Summits, the highest peaks on each of the seven continents, including Mount Vinson in Antarctica. Special guest speaker Sean Swarner, a two-time cancer survivor and the first cancer survivor to scale the Seven Summits, provided a special presentation chronicling his adventures, especially his ascent up Mount Everest. Swarner’s presentation included video taken from a camera mounted to his helmet as he hiked up Everest, the tallest mountain in the world. The video captured a vast field of blinding white snow and Swarner’s gasping breaths as he trudged on. Diagnosed at age 13 with Hodgkin’s lymphoma, Swarner was given three months to live. However, after 10 months of intense chemotherapy, Swarner overcame the disease. At 16, a routine follow-up exam showed a cancerous mass roughly the size of a golf ball inside his chest wall. After chemotherapy and radiation, he overcame that, too, though the treatments left him with only one functioning lung. Swarner said surviving both bouts of cancer was statistically “equivalent to winning the lottery four times in a row — with the same numbers.” He showed a video of a silk flag he carried with him to the summit of Everest, covered in the names of people who had been affected by cancer, including survivors, their friends and families, and Swarner’s brother, who provided ongoing support during his ordeal. “People who had been touched by cancer carried me to the top.” Sean Swarner, who survived two bouts of cancer in his teens, spoke at Tanner’s fourth annual Celebration of Life, which honors cancer survivors from throughout the region. Swarner is the only cancer survivor to climb the “Seven Summits” — the highest peaks on all seven continents, including Mount Everest in Asia. A Promise to Keep The Tanner Cancer Care Promise: 3 Days from Diagnosis to Treatment Options is Tanner Cancer Care’s commitment to helping you fight one of the biggest challenges in battling cancer: fear. By moving quickly and working cohesively, the Tanner Cancer Care team is ready to get you on board with treatment options and a plan to beat cancer within three days of receiving a physician’s referral. Learn more about Tanner Cancer Care’s innovative approach — including surgical, radiologic and medicinal approaches, as well as the coordination of a patient navigator, full-time dietitian services, support groups and more — online at www.TannerCancerCare.org. Health News You Can Use Two from Tanner Honored as Hospital Heroes Each year, the Georgia Hospital Association (GHA) honors 10 healthcare professionals for contributions they’ve made to their communities. This year, Nancy Pollard, Ed.D., patient advocate in the intensive care unit at Tanner Medical Center/ Carrollton, and Wayne Senfeld, MA, Ed.S., LPC, senior vice president for business development and behavioral health for Tanner Health System, have been chosen as 2012 Hospital Heroes. A Calling to Serve Pollard adopted her daughter Michelle, who was born with Down syndrome, in 1982 when Michelle was 12. Through the years, seizures or medication interactions often would bring the pair to the hospital’s emergency department and later, to the ICU. During those visits, Pollard marveled at the dedication of the doctors and nurses working to save her child. The ICU at Tanner Medical Center/Carrollton became the Pollards’ second home. Sadly, Michelle died in 2007, but Pollard, a former nun who has a doctorate in education, stayed on as a patient advocate for the 12-bed ICU. When loved ones need someone to listen, to pray with, to help them through the difficult hours, or to answer their questions, Pollard is a constant and empathetic presence. “We focus on caring for the patient, and Nancy focuses on caring for the families,” says Nancy Harris, CCRN, nurse manager of the ICU. “Our patient satisfaction scores are consistently in the 99th or 100th percentile. There’s no doubt Nancy is a huge part of that.” “Nancy Pollard has found her calling,” says GHA President Joe Parker. “The kindhearted manner in which she guides patients and their loved ones through difficult processes makes a profound difference in patient care. She is an ideal recipient of this award.” Tanner’s Nancy Pollard, Ed.D., and Wayne Senfeld, MA, Ed.S., LPC, have been hailed by the Georgia Hospital Association as 2012 “Hospital Heroes” for their dedication to improving the well-being of their communities. An Advocate for Behavioral Health Since joining Tanner’s behavioral health program in 1999, Wayne Senfeld has been an indefatigable advocate for accessible mental health services. Now Senfeld has taken his advocacy to a larger audience, testifying before state lawmakers on the problems in Georgia’s mental health system. “People who need behavioral health services are all around us,” Senfeld says. “Isn’t it better that they receive the help they need to live a healthy life? It makes the entire community a safer and better place.” Senfeld and Tanner shared a vision for a freestanding, state-of-the-art, inpatient mental health facility. As director and, later, administrator of Tanner’s behavioral health services, he recruited a dedicated team of mental health professionals — psychiatrists, therapists and counselors — and developed comprehensive inpatient and outpatient programs. Senfeld also has worked to change outdated laws governing reimbursement for mental health services. In 2009, Senfeld’s work opened the door for Willowbrooke at Tanner, a 52-bed behavioral health hospital in Villa Rica that also provides outpatient treatment including partial hospitalization for adults, children and adolescents in Carrollton, Villa Rica and Cartersville. “As state resources for behavioral health services shrink, Willowbrooke at Tanner has helped fill the gap, making a difference for thousands of patients,” said GHA’s Parker. “Without Wayne Senfeld’s devotion and perseverance, this facility would probably not exist. Without question, he is a deserving recipient of this award.” Become Someone’s Hero Tanner Health System is one of the largest employers in the region, with about 2,600 employees in west Georgia and east Alabama. Interested in joining Tanner’s team? Visit www.TannerJobs.org. Tanner • Summer 2013 I 5 PainKnee “ I don’t think my pain level ever got over a three. It’s a testament to Tanner’s success. — Patient Ron Glore ” 6 I Healthy Living • www.tanner.org -Less Replacement A Tallapoosa man takes a leap of faith and finds a better quality of life by Ronda Faries After successful knee replacement surgery, Ron Glore of Tallapoosa now recommends the procedure he once tried to delay. “If you need it, get it done,” he says, “because it’s worth it.” It wasn’t easy for 66-year-old Ron Glore to decide on a knee replacement. But his bum knee was putting a serious crimp in his ability to farm and take care of his cattle — a longtime hobby — as well as run his business, Ron Glore’s Garage in downtown Tallapoosa. “My left knee was just worn out. I pushed it hard and went as far as I could,” says Glore, adding that his orthopedic surgeon, Greg Slappey, MD, a board-certified orthopedic surgeon with Carrollton Orthopaedic Clinic, probably hadn’t seen a knee a whole lot worse than his. “I got my money’s worth out of my old knee, but I was in quite a bit of pain. I couldn’t walk like I wanted to walk or get out and do what I wanted to do. I could do things for a short span or short burst, but that was it. Then I had to sit down and rest.” For at least 20 years, doctors had been suggesting a left knee replacement for Glore. But he put it off as long as possible because of a painful memory. “I had my knee operated on when I was about 21,” he recalls. “You talk about pain — this was nothing in comparison. Down here [at Tanner Medical Center/Carrollton], I don’t think my pain level got over a three. It’s a testament to Tanner’s success. Operations have come a long way.” Several friends wanted Glore to travel to Columbus, Ga., for knee replacement, but Dr. Slappey’s credentials convinced Glore he could have successful surgery closer to home: at Tanner Ortho and Spine Center at Tanner Medical Center/ Carrollton. Carrollton Orthopaedic Clinic is the exclusive provider of orthopedic services for the Tanner Ortho and Spine Center at Tanner Medical Center/Carrollton, Tanner Medical Center/Villa Rica and Higgins General Hospital in Bremen. “We’re very proud of the honors and awards this partnership has garnered both for Carrollton Orthopaedic Clinic and Tanner,” says Dr. Slappey. “In fact, Tanner Medical Center/Carrollton has been ranked No. 1 in Georgia for overall orthopedic services from 2010 through 2013, in the top 10 percent in the nation for joint replacement for 2012 and the top 10 in Georgia for joint replacement for four years in a row [2009-2012] by Healthgrades.” Though Glore was pleased to schedule his procedure close to home, he remained apprehensive about knee replacement until he attended Tanner’s Joint Academy, a comprehensive educational program (Continued on page 8) Tanner • Summer 2013 I7 Tanner Joint Academy The Joint Academy at Tanner Ortho and Spine Center is a comprehensive educational program that prepares orthopedic patients for surgery, giving them knowledge and skills that will make their recovery go as smoothly as possible. Topics covered during Tanner Joint Academy classes include: What to discuss with the surgeon What to expect at the pre-op visit What to bring to the hospital What to do the day before surgery What to do the morning of surgery What will happen during pre-op What will happen during surgery What will happen in the post-anesthesia care unit (PACU) What will happen once in the room How pain will be managed How to prevent complications What occupational and physical therapy will be required (Continued from page 7) • • • • • • • • • • • • Leaders in Orthopedic Diagnosis, Treatment and Surgery Carrollton Orthopaedic Clinic, with offices in Carrollton, Villa Rica and Bremen, is the exclusive orthopedic services provider for Tanner Health System at the Tanner Ortho and Spine Center. The clinic’s surgeons work in coordination with Tanner’s medical and allied health professionals, combining advanced medical technology with medical skill and expertise to deliver the best in orthopedic care. A Range of Services Tanner Ortho and Spine Center addresses a wide range of orthopedic conditions, proving to patients and their families that they don’t have to leave their community to access the best in medical care. The major procedures performed by orthopedic surgeons at Tanner include: Joint replacement Sports medicine Spine surgery Hand and shoulder surgery Foot and ankle surgery • • • • • For more information about Tanner Ortho and Spine Center and the Tanner Joint Academy, visit www.TannerOrtho.org. To learn more about Tanner’s orthopedic awards and honors and to see how Tanner’s quality and patient safety measures up locally and nationally, visit www.TannerQuality.org. 8 I Healthy Living • www.tanner.org Greg Slappey, MD, right, board-certified orthopedic surgeon with Carrollton Orthopaedic Clinic, checks up on Ron Glore’s post-surgery progress. Glore initially feared undergoing a knee replacement. Now he is encouraging others to consider this solution, which reduces pain and increases mobility. that prepares patients for surgery and provides them with the knowledge and skills to make their recovery go as smoothly as possible. “We urge all our joint replacement patients to participate in Joint Academy classes, which are taught by knowledgeable orthopedic staff,” says Dr. Slappey. “With more information about what to expect before, during and after their surgery — including pain management, discharge options and physical therapy — patients have more realistic expectations and often enjoy a more rapid, safe and successful return to the activities they love.” That was exactly the “takeaway” Glore got from the class, and he enjoyed meeting other people who would be having knee replacements. He also found the new surgical services department and operating rooms at Tanner Medical Center/Carrollton were just what he needed — close to home. Only a few days after surgery, Glore was already doing physical therapy at home with the help of home health professionals, who gave him exercises and a continuous passive motion (CPM) machine to use. “I have a positive attitude that I’m going to go through therapy and get this knee working right,” says Glore. “My leg’s already straightening out further than it has in 20 years.” Glore recently spoke with a woman who once planned a knee replacement, then fearfully decided not to have the surgery. “I told her, ‘Don’t let that stop you. If you need it, get it done because it’s worth it,’” Glore says. “It’s not like knee surgery is pain-free; but compared to what I’ve been through and what I thought it would be like, it’s pain-less. I feel pretty good about it. My outlook on life is already better.” Tanner Welcomes New Physicians Cory Butzon, MD, a board-certified pediatrician, has joined Tanner Family Healthcare of Franklin, a Tanner Medical Group practice. Dr. Butzon earned his medical degree from the Medical College of Georgia in Augusta, Ga., and completed his residency in pediatrics at the Medical College of Georgia Children’s Medical Center. Before pursuing his medical degree, Dr. Butzon served as a science teacher at Spalding High School in Griffin, Ga. John Pearson, MD, a board-certified urologist, has joined West Georgia Urology and the medical staff of Tanner Health System. Dr. Pearson earned his medical degree from Northwestern Medical School in Chicago. He completed a surgical internship, and completed a fellowship in cancer research and urology at the University of California, San Francisco. He also served as a lieutenant commander at Naval Hospital Jacksonville in Jacksonville, Fla. Nicole Haynes, MD, board-certified in family practice, has joined Tanner Family Healthcare of Franklin, a Tanner Medical Group practice. Dr. Haynes earned her medical degree in family practice at the Morehouse School of Medicine in Atlanta and completed her internship and residency at Memorial Hospital Family Practice in Savannah, Ga. She was previously on the staff at Tanner Immediate Care in Villa Rica and served as the District 4 director for the Georgia Department of Community Health. James Prempeh, MD, an internist, has joined Tanner Intensive Medical Services, a Tanner Medical Group practice providing inpatient care at Tanner’s facilities. He earned his medical degree from the Wake Forest University School of Medicine, and completed his internship and residency in internal medicine at Indiana University Medical Center. He also completed a fellowship in heart failure at the University of California-San Francisco. Ki-Hon Lin, MD, a board-certified orthopedic surgeon, has joined the patient care team at Carrollton Orthopaedic Clinic and the medical staff for Tanner Ortho and Spine Center. Dr. Lin earned his medical degree from the Baylor College of Medicine in Houston and completed his residency in orthopedic surgery at New England Medical Center in Boston. Dr. Lin also completed a fellowship in spine surgery at New England Baptist Hospital in Boston. He has a special interest in outpatient, minimally invasive spinal procedures. Brett Stanger, MD, has joined West Georgia Anesthesiology Associates, a Tanner Medical Group practice, with a clinical subspecialty in cardiothoracic medicine. He earned his medical degree from the Medical College of Georgia in Augusta, Ga., and completed his internship and anesthesiology residency at Wake Forest University Baptist Medical Center in Winston-Salem, NC, where he also completed a fellowship and served as an instructor in the department of anesthesiology. Hans Miller, MD, board-certified in anesthesiology and pain management, has joined Tanner Pain Management Center. Dr. Miller earned his medical degree from the Mercer University School of Medicine in Macon, Ga., and completed his internship in family practice, obstetrics and gynecology at Riverside Regional Medical Center in Newport News, Va., and his residency in anesthesiology at Ohio State University Medical Center in Columbus, Ohio, where he also completed a fellowship in pain management. Dr. Miller also holds a master’s degree in business administration/finance from Georgia State University in Atlanta. Need a doctor? To find a physician, visit www.tanner.org and click “Find A Doctor” or call 770.214.CARE (2273). Tanner • Summer 2013 I9 Up ’EM and At the vascular Craig DaBoin found t down care he needed righ ca the road in Villa Ri Craig DaBoin was active all his life until peripheral artery disease (PAD) slowed him down. Blocked arteries in one of his legs made it difficult for DaBoin to walk even short distances. But after receiving minimally invasive endovascular surgery at Tanner Medical Center/Villa Rica, DaBoin is back on his feet — and smiling. 10 I Healthy Living • www.tanner.org It’s only a few hundred feet from the front door to the mailbox of Craig DaBoin’s home on the outskirts of Villa Rica. Still, the distance was too much for DaBoin. “I couldn’t walk from my house to go get the mail without having to come back in and sit down,” DaBoin says. “My legs would be aching for the next two hours. I would get in the car, drive up to the mailbox and turn around and drive back, just to go that distance.” The problem: Blocked arteries in his legs prevented his leg muscles from receiving enough oxygen-rich blood to function properly. DaBoin was familiar with the condition — both of his parents had vascular disease — but he was unable to do much about it until a faulty pacemaker sent him to Tanner Medical Center/Villa Rica just before Christmas in 2012. There, when the patient care team had trouble even detecting a pulse in his leg, it was obvious he had a vascular problem. Unfortunately, the resources were not yet available to provide the intervention DaBoin needed, and he had to be transferred to a hospital in Atlanta for treatment. “ I couldn’t walk from my house to go get the mail without having to come back in and sit down. — Craig DaBoin, Villa Rica ” But by early January 2013, cardiologists and vascular surgeons were performing procedures of just the type DaBoin needed in Tanner Medical Center/Carrollton’s new endovascular lab. And that is where — after the hospital in Atlanta “did nothing for me” — that DaBoin finally received treatment and relief for his blocked artery. A Dangerous Condition Peripheral artery disease, or PAD, leads to blocked arteries in the arms and legs. As many as 12 million Americans live with PAD, including as much as 20 percent of the population older than age 60, according to the Centers for Disease Control and Prevention. Untreated, PAD can lead to a number of complications. Without adequate blood flow, wounds on the affected leg and foot Tanner • Summer 2013 I 11 Craig DaBoin and his “fin farm”: the former auto dealership finance professional shows off his collection of vintage model cars. can take a long time to heal. The tissue can begin to die due to a lack of oxygen, a condition called gangrene. The presence of PAD may indicate other blockages in the vascular system as well, especially around the heart or leading to the brain, which means an elevated risk for heart attack and stroke. “That’s one of our biggest concerns with PAD,” says Mujeeb Jan, MD, a cardiologist with Tanner Heart & Vascular Specialists who was involved in DaBoin’s care. “Atherosclerosis, the condition that causes narrowed arteries, results when arteries grow narrow due to the accumulation of plaque on the arteries’ walls. If too little blood — or no blood at all — can get past the blockage, that means all the tissues downstream of the blockage can be deprived of the oxygen the blood is carrying. Those tissues can be muscles in the arms or legs, or it can be a vital organ like the heart or brain.” Risk factors for PAD include a history of smoking, high blood pressure, diabetes and elevated cholesterol levels. Age also is a risk factor, as the majority of people with PAD are older than age 60. People with PAD may experience pain in one or both legs when engaged in activity that goes away with rest — for instance, pain from walking that subsides when the individual sits down for a while. Pain also can occur in the buttock, calf, 12 I Healthy Living • www.tanner.org thigh or hip. A leg or arm with a blocked artery also may exhibit hair loss, smooth and shiny skin, skin that is cool to the touch (especially if accompanied by pain while walking), a decreased or absent pulse in the feet, ulcers or sores that don’t heal, and cold or numb toes. “Screening for PAD is relatively easy,” says Dr. Jan. “One of the best methods is the ankle brachial index, or ABI.” During an ABI screening, a clinician takes a blood pressure reading in the arm, then another at the ankle. If one reading is considerably lower than the other, that could indicate a reduced blood flow in the leg — or arm — and the presence of PAD. In DaBoin’s case, the pulse in his leg was imperceptible, and a Doppler ultrasound had to be used to detect that there was any blood flow at all. Exceptional Care, Close to Home The new endovascular lab at Tanner Medical Center/Villa Rica brought access to nonsurgical, minimally invasive heart and vascular services closer to residents in northern Carroll County, as well as residents in Douglas and Paulding counties. “During an endovascular procedure such as those performed in the new lab, a physician threads a thin tube, called a DaBoin was impressed to learn that his hometown hospital was able to provide the personalized care that larger hospitals in Atlanta did not offer. catheter, into a patient’s arteries,” says Shazib Khawaja, MD, a boardcertified interventional cardiologist and endovascular specialist with Tanner Heart & Vascular Specialists and medical operations leader for cardiovascular services for Tanner Health System. “The catheter can be navigated through the patient’s blood vessels to help find narrow points and blockages that can be preventing blood flow. Tanner offers these services at Tanner Heart and Vascular Center in Carrollton as well, where we also can perform cardiac angioplasty and stenting.” Dr. Khawaja used the new endovascular lab at Tanner Medical Center/Villa Rica to perform a vascular intervention in one of DaBoin’s legs. After the intervention — which involved using a stent to help ensure adequate blood flow to his leg — DaBoin spent a few hours recovering at the hospital and was on his way home, just a short trip away. DaBoin was impressed to learn that his hometown hospital was able to provide the personalized care that larger hospitals in Atlanta did not offer. “The facility in Villa Rica is brand new, it’s state of the art, everybody was 100 percent nice and accommodating, and I couldn’t be happier — especially considering that I don’t have to go all the way to Atlanta for a procedure,” says DaBoin. “I wasn’t shuffled into a corridor where I had to wait for three hours before anybody realized that I was there. Every single aspect of my experience with Tanner has been absolutely positive.” Tanner Health System has expanded its heart and vascular program in Villa Rica, adding providers to the patient care team at Tanner Heart & Vascular Specialists and Tanner Vascular Surgery and opening a new Tanner Vascular Surgery location in Villa Rica. The vascular intervention at Tanner Medical Center/Villa Rica helped provide relief to one leg. The other still has significant blockages that may require surgery to fix. Nonetheless, whatever the course of treatment, DaBoin intends to have it done at Tanner Medical Center/ Villa Rica. “Right now, I’m not 100 percent, but I’m getting there,” says DaBoin. “We’ve got one leg down and one leg to go.” Saving Hearts, Changing Lives Tanner Health System offers an advanced, comprehensive approach to cardiac care, with a wide variety of services available in west Georgia and east Alabama to help people live long and active lives. In addition to comprehensive general and invasive cardiac and vascular services — including coronary and endovascular angiography, angioplasty and stenting — Tanner’s range of services includes diagnosis and treatment for peripheral artery disease, electrocardiograms, echocardiograms, Holter and event monitoring, medical management of congestive heart failure, nuclear stress testing, tilt table testing, and more. Tanner also offers a wide range of cardiac electrophysiology services, including ablations, cardiac resynchronization therapy (CRT), device implantation and followup, electrophysiology testing, implantable cardioverter defibrillation (ICD) implantation, loop recorder implantation/extraction, pacemaker and defibrillator checks and reprogramming, and more. More information on Tanner’s cardiac services is just a click away. Visit www.tanner.org and click “Explore Our Services” for easy access to a wealth of heart information. Need a Heart Doc? Tanner Health System has a team of cardiac specialists serving communities throughout the region, including Carrollton, Villa Rica, Bremen and Woodland, Ala. To find a heart specialist near you, visit www.tanner.org and click “Find a Doctor” or call 770.214.CARE (2273). Tanner • Summer 2013 I 13 SURGical artistry New da Vinci robotic surgery system now available at Tanner Imagine that your surgeon can operate through smaller incisions, using tiny implements that allow maximum maneuverability. Imagine reduced discomfort and crystal clear magnified images that allow your surgeon to perform even the most complicated procedures. Imagine a faster recovery and reduced risk of infection. And imagine that your surgeon can perform your procedure from across the room. That is the technology now available at Tanner Medical Center/Carrollton with the introduction of the new da Vinci Si e HD minimally invasive robotic surgery system. Unlike the iconic C-3PO of “Star Wars,” the da Vinci system resembles a robotic octopus. With a highly qualified surgeon at the controls, the robotic surgery system can potentially be used for a wide variety of procedures — from gynecologic surgery to prostate removal, cancer surgery, gallbladder surgery, colorectal surgery and more. “With the addition of three new operating suites — including a state-ofthe-art hybrid operating suite — and an expanded short stay surgery unit, post-anesthesia care unit and more now open at Tanner Medical Center/Carrollton, the new robotic surgery system is another step in expanding access to exceptional surgical care in the region,” said Loy M. Howard, president and CEO of Tanner Health System. “When Improved visibility and maneuverability provide for more precise procedures and successful surgeries. A range of tiny implements can be affixed to the da Vinci Si e HD robotic surgery system at Tanner, which can be used for a variety of surgical procedures. 14 I Healthy Living • www.tanner.org considering providers for surgery, the option to have a procedure done robotically is something people are looking at very closely. Now, that will be an option available to the people who choose Tanner.” An Ever-expanding Option Once an experimental effort designed to make surgery more precise, robotic surgery has moved into the mainstream with more surgeons and patients opting for this approach to a growing variety of procedures. According to a 2009 report in the Journal of the American Medical Association (JAMA), the number of prostate surgeries performed using robotic instruments increased from 9 percent in 2003 to 43 percent by 2007. Robotic surgery also is being used to treat a wider variety of conditions, including bladder cancer, endometriosis, heavy uterine bleeding, kidney cancer and kidney disorders, throat cancer, uterine fibroids and more. “The ability to perform surgery by looking through a laparoscope has been available for some time, and has been what enables providers to offer minimally invasive surgeries,” said DeNene Cofield, CNOR, director of surgical services for Tanner Health System. “At Tanner, all of our operating suites are outfitted to accommodate minimally invasive surgery, which accounts for about 90 percent of the procedures we perform. This system offers advanced 3-D high definition visualization, with 10 times magnification and an immersive view of the operative field.” For the patient, that translates into more elaborate procedures, performed with greater precision. “The robotic surgery system gives us an advantage in two important ways: it provides a better range of dexterity and a better image than we can accomplish through other laparoscopic techniques, so patients can benefit from a higher likelihood of completing the procedure with a minimally invasive approach,” said Megan Grilliot, MD, a board-eligible obstetrics and gynecology specialist with West Georgia Obstetrics and Gynecology, who was the first provider at Tanner offering procedures with the new system. Dr. Grilliot received training in robotic surgery at the University of Alabama at Birmingham. Are You Thinking About Surgery? There’s a lot to take into consideration. How far is the surgery center from my home? How skilled is the surgeon at the procedure that I need? What is the hospital’s record on safety, quality and patient satisfaction? You can explore a wide range of information on the surgical services available through Tanner Health System by visiting www.tanner.org and choosing “Explore Our Services.” Looking for a physician? Click “Find a Doctor” at www.tanner.org or call 770.214.CARE (2273). Expanding Surgical Excellence The new minimally invasive robotic surgery system isn’t the only recent advancement in surgical care in the region. Tanner Medical Center/Carrollton recently expanded its surgical services unit, adding three new surgical suites featuring advanced, integrated technologies to enhance the level of care while expanding capacity, providing greater access for patients throughout the region. Multi-Purpose Operating Suite Among the new suites is a state-of-the-art hybrid operating suite, which can be used for endovascular procedures, traditional open surgery and minimally invasive procedures. That allows a patient who comes in for a diagnostic procedure to have an interventional procedure during the same visit if necessary. Enhanced Heart & Vascular Care The health system also added a new endovascular lab at Tanner Medical Center/ Villa Rica, offering expanded access to nonsurgical, minimally invasive heart and vascular services. The lab allows vascular surgeons to check for problems and provide interventions to help keep patients’ blood flowing properly through their veins. In addition, the lab permits Tanner’s team of cardiologists to perform advanced diagnostic procedures, such as angiography, that can help identify blocked arteries around the heart. When blockages are found, patients can receive cardiac interventions—such as angioplasty and stenting—at Tanner Heart and Vascular Center in Carrollton. The new da Vinci Si e HD robotic surgery system at Tanner Medical Center/Carrollton resembles an electric octopus and enables surgeons to provide even more advanced minimally invasive surgical procedures. Tanner • Summer 2013 I 15 2013 Magnolia 23rd Annual Magnolia Ball raises almost $500,000 H.D. and Annette Tyson were selected as honorary chairs for the 2013 Magnolia Ball in recognition of their long-standing commitment to Tanner Health System and dedication to the health and wellbeing of our community. If you would like to support a new, comprehensive inpatient rehabilitation facility at Tanner Medical Center/ Carrollton, please send your gift to Tanner Medical Foundation at P.O. Box 695, Carrollton, GA 30112. You also may call 770.812.GIFT (770-812-4438) or make a gift online at www.TannerMedicalFoundation.org. 16 I Healthy Living • www.tanner.org The 23rd annual Magnolia Ball, “Apodrasi se Santorini” (“Escape to Santorini”), was held on April 27 on the Carrollton estate of the Richards family. The community joined together to raise almost $500,000, which will benefit a new comprehensive inpatient rehabilitation facility at Tanner Medical Center/Carrollton. The facility will guide patients on their journey back from stroke, brain and spinal cord injuries, cardiac complications, multiple sclerosis and other conditions requiring them to re-learn how to perform everyday tasks. Close access to comprehensive rehabilitation services will make it easier for patient families to visit often and provide moral support, participate in the rehabilitation and help patients return to their normal lives. 2013 Magnolia Ball co-chairs, Cindy Denney and Jennifer Green, directed more than 200 volunteers who brought their dedication and talents to coordinating this event. Tanner Medical Foundation extends its deepest appreciation to the sponsors, volunteers, auction donors, reception hosts and Tanner team members who made the 23rd annual Magnolia Ball a success. Ball Tanner Medical Foundation and the 2013 Magnolia Ball committee would like to thank: Primary Sponsors Mr. Steve Adams Mr. Steve Adams’ Family and Friends Addison Smith Mechanical Contractors, Inc. Advantage Office Solutions / L. Mark Camp Mrs. Jackie Carden / JHC Outdoor Agency Community & Southern Bank Greenway Medical Technologies, Inc. Hospital Authority, City of Bremen, County of Haralson Robins & Morton Southwire Company Mr. and Mrs. Bob Stone Tanner Heart & Vascular Specialists Mr. and Mrs. H.D. Tyson, Sr. University of West Georgia Platinum Sponsors Bank of North Georgia Carrollton Greenbelt Dr. and Mrs. Anthony W. Colpini Dr. and Mrs. Ralph E. Fleck, Jr. Jim and Cheryl Gill Dr. Mark and Laurie Gustafson Dr. and Mrs. Charles N. Hubbard J. Smith Lanier & Company Metrobank Northwest Georgia Oncology Centers, P.C. Peoples Community National Bank Rob and Patti Pitts Dr. and Mrs. James C. Pope R. K. Redding Construction, Inc. Cornelia and Tom Richards Greg and Angie Slappey SMI Tisinger Vance, P. C. – Attorneys-at-Law United Community Bank Wells Fargo / John and Tammy Paulk Gold Sponsors Almon Funeral Home / Times-Georgian Dr. and Mrs. Brian Barden Barnes Van Lines Brandall Lovvorn Drugs / Turner Pharmacy Carroll County Nephrology, P. C. Carroll EMC Carrollton Emergency Physicians, P. C. Carrollton Surgical Group / Dr. Thomas Reeve III, Dr. David Griffin, Dr. Barry Harris, Dr. Jon Stanford Die-Tech Industries, Inc. Dixie Converting Corporation Fairfield Friends of Tanner Friends of Tanner Friends of the Hospital Georgia Power Company Georgia West Imaging, P.C. Dr. Elizabeth Gorey / Dr. and Mrs. John Pezold / Dr. and Mrs. Brad Gambrell From auctions to decorations to invitations, more than 200 volunteer committee members spend hundreds of hours making the annual Magnolia Ball a reality each year. Mr. and Mrs. Robert G. Harris, Jr. Heartstrings Dr. and Mrs. David G. Helton Mr. and Mrs. Loy M. Howard Annette and Dennis Jones West Georgia Electric Jones-Wynn Funeral Home and Sonny and Cecelia Brown Professional Park Medical Services, P.C. Dr. and Mrs. Jim Rash Mrs. Ruth Reeve Sewell Mill Southern Therapy Services, Inc. C. M. Tanner Grocery Co. Inc. Walker Cadillac Buick GMC, Inc. West Georgia Internal Medicine West Georgia Lung and Sleep Dr. Jeff Reid and Dr. Lindsey Roenigk WG Wireless - Verizon Wireless - Merritt and Charles Lane - Amy and Greg Lane Dr. and Mrs. Peter Worthy The 2013 Magnolia Ball Executive Committee celebrated an Escape to Santorini. Left to right: Nichole Pezold, Annette Jones, Jennifer Green, Jim Gill, Cindy Denney, Lori Ingram and Meghan Sullivan. Tanner • Summer 2013 I 17 Inpatient Rehab Promotes Independence An inpatient rehabilitation facility is a special hospital unit that provides ongoing care for patients who are stable after an illness or injury, but who have other medical conditions that prevent them from returning to independent living. These patients require restorative and rehabilitative therapy — along with interdisciplinary care planning, case management coordination, and patient and family education—that is best provided by an inpatient rehabilitation facility. “The first objective is for a person to be able to go home,” says Robert Naguszewski, MD, board-certified in neurology and internal medicine with Tanner Neurology and a member of the medical staff of Tanner Health System. “For patients who aren’t strong enough to go home after acute hospitalization due to compounding medical problems, inpatient rehabilitation is really crucial to strengthen them and restore as much of their function as possible.” In December 2012, Tanner Health System began work on the comprehensive, new inpatient Tanner Rehab Facility at Tanner Medical Center/ 18 I Healthy Living • www.tanner.org Carrollton, where physical therapists help patients improve physical mobility and function after an injury or surgery, occupational therapists help patients recover and maintain daily living and work skills such as putting on their shoes or climbing in and out of bed, and speech and language therapists help patients with communication and swallowing difficulties. The $1.3 million, 20-bed Tanner Rehab Facility was constructed from existing space within Tanner Medical Center/ Carrollton. It serves patients who have suffered strokes, spinal cord injuries, trauma and other neurologic issues, helping them re-learn how to perform everyday household tasks. It also will serve patients who have undergone orthopedic procedures, such as joint replacements, and who have underlying health issues that could impede their recovery, such as diabetes or rheumatoid arthritis. “The largest need in our region is among residents age 65 and older,” says Loy M. Howard, president and CEO of Tanner Health System. “According to the census, that segment of our population is projected to grow almost 20 percent by 2015. In addition, west Georgia is the most populated region in the state without convenient access to a comprehensive inpatient rehabilitation facility like the one we’ve developed in Carrollton.” The Tanner Rehab Facility boasts more than 13,000 square feet of converted space and features a new, 320-square-foot transitional living apartment, a 1,000-square-foot therapy/activity space and a more than 900-square-foot dining/day room. The transitional living apartment is constructed in the model of an efficiency apartment, with a kitchen, living space and standard-style bed, along with standard-style cabinets, washer and dryer, sofa and more. The homelike setting will enable patients, aided by occupational therapists, to transition back to a regular, non-hospital environment. Each of the 19 other rooms are private. In addition to stroke and certain orthopedic patients, individuals also may by Ronda Faries be referred for comprehensive inpatient rehabilitation directly from the office of a neurologist, orthopedist or primary care physician. The Tanner Rehab Facility will also serve younger patients recovering from physical trauma — such as caused by an automobile accident or a sports injury — as well as people who have endured a stroke that has left them somewhat incapacitated. Tanner Medical Center/Carrollton has been lauded as No. 1 in Georgia for overall orthopedic services by hospital ratings firm Healthgrades for the past four years. The Tanner Rehab Facility will serve as the “gold standard” to help ensure patients have the best possible outcome. “This type of care is very patientfocused, very individual,” says Dr. Naguszewski. “It puts the patient in the context of his or her own living environment. It can help someone who has undergone a shoulder replacement and who also has osteoarthritis learn how to use the stove, reach into cabinets and lift pots and pans again. It can help someone who has had a stroke re-learn how to feed and dress themselves. This is very high bar for health care. By having an inpatient rehabilitation facility at Tanner, patients who otherwise may have had to have their rehabilitation elsewhere will now be able to have intensive therapy in a hospital setting and have a better overall outcome.” “Our expectation for the Tanner Rehab Facility is that it will help get people back to self-reliance — and hopefully back to independent living — after they leave the hospital,” adds Howard. “For those who have lived independently all their lives and are now facing the prospect of more nursing care or assisted living, the comprehensive inpatient rehabilitation facility provides an opportunity to get back much of their independence.” For more information on Tanner’s comprehensive inpatient rehabilitation facility at Tanner Medical Center/ Carrollton, including details on the health system’s many other services, visit www.tanner.org and select “Explore Our Services.” Thank You for Your Support! Your generosity makes it possible for us to continue to deliver quality care to our community. The following pages list the donors of gifts received between MAY 1, 2012 and Jan. 31, 2013. We extend our apologies to Blake and Kearstin Alston for not recognizing their support of the Tanner Capital Improvement Fund in the last issue of Healthy Living. Please note the correction below. Capital Improvement In honor of: •Mr. and Mrs. Gary Aldridge Blake and Kearstin Alston •Mr. and Mrs. Bobby Coleman Blake and Kearstin Alston •Mr. and Mrs. Richard A. Duncan Blake and Kearstin Alston •Mr. and Mrs. Chad Houck Blake and Kearstin Alston •Mr. and Mrs. Dave Johnson Blake and Kearstin Alston •Mr. and Mrs. James S. Lanier Blake and Kearstin Alston •Mr. and Mrs. James P. Morgan Blake and Kearstin Alston •Mr. and Mrs. Rick Morrow Blake and Kearstin Alston •Mr. and Mrs. Scott Caldwell Blake and Kearstin Alston •Capt. and Mrs. Tassos Tsipolitis Blake and Kearstin Alston •Mr. and Mrs. Tom Wysoczynski Blake and Kearstin Alston CANCER ASSISTANCE Bikers Battling Breast Cancer Fund Bikers Battling Breast Cancer Carrollton Dawnbreakers Rotary Club members presented more than 1,000 children’s books to kick off the Tanner ReadER program, which makes books accessible to area children visiting a Tanner emergency department. Citizens of Georgia Power Carrollton Chapter Ms. Amy C. Cofer J. W. Contracting and Sales Rotary Club of Bremen, Inc. Dr. Joseph M. Jellicorse and Mrs. Martha A. Saunders Dr. and Mrs. Gary S. Fields Mr. and Mrs. Lee C. Sherseth West Georgia Podiatry Dr. Joan H. Zeller •Mr. Harold Blanchette Cook’s Jewelry Mr. and Mrs. Theron D. Jennings Mr. and Mrs. David A. Smith Cancer Patient Assistance Fund Cranford Painting Mrs. Amy Kent Ms. Joanna L. Smith Mr. and Mrs. Jim Cranford Mr. and Mrs. James W. Kesler Ms. Karen F. Smith Advantage Office Solutions Curves of Carrollton Mr. and Mrs. B. E. King Ms. Minnie Smith AirTran Airways/Southwest Mr. and Mrs. Don A. Custard Mrs. Amy A. Lane Mr. and Mrs. Randall T. Smith Mrs. Joyce A. Allen Danielle’s Zumba Fitness Mr. and Mrs. Merrill R. Law Mr. and Mrs. James A. Sneddon Almon Funeral Home & Chapel Ms. Anjanette S. Davis Ledbetter Construction Southeastern Hose, Inc. Carrollton Civic Womans Club Mr. and Mrs. Ron Almon Rev. and Mrs. Gerry M. Davis Mrs. Janice Marshall Southwire Company Mr. and Mrs. William I. Horton AMVETS Post 99 Mrs. Karen K. Deason Mr. and Mrs. Greg S. Martin Mrs. Alice B. Steed Dr. and Mrs. Ernest C. Anonymous Mr. and Mrs. James J. Denney Mr. and Mrs. Guy E. Mathis Mr. and Mrs. Roderick B. Sullivan Anonymous DFCS Region 4 Rick and Kathy Mathis SyncGlobal, LLC Anonymous Die-Tech Industries, Inc. Dr. Edith Maxwell Systems & Methods, Inc. Anonymous Draffin & Tucker, LLP Mr. and Mrs. Dan McBrayer Ms. Margaret H. Taylor Mr. and Mrs. Lealon Anderson Mrs. Janice K. Duff Mr. and Mrs. George A. McCall Ms. Danielle Thompson Mr. and Mrs. Randolph G. Ayers Mr. and Mrs. Trey Fleck Mr. and Mrs. Richard L. Mrs. Nancy J. Tunnell Mrs. Gina M. Brandenburg Mr. Bobby R. Gaines Bremen Middle School Ms. Yvonne Gentry Ms. Jane F. McManus Mr. and Mrs. Richard A. Walker Ms. Roberta L. Brown Georgia Power Foundation, Inc. Mr. and Mrs. David Mecklin, Jr. Walmart Bremen #856 Mr. and Mrs. Matthew M. Jones Mr. and Mrs. Randall K. Buchanan Mr. and Mrs. Robert D. Germany Ms. Glenda M. Meeks Walmart Carrollton #722 Wayne Davis Concrete Budget Paint & Body Works Grillo and Associates Ms. Laura R. Miller Walmart.com #7005 Mrs. Mary S. Busby Miss Hallie Haigood Mr. Terry A. Miller Wayne Davis Concrete Company C. Baker Homes, Inc. Mrs. Melanie Haigood Ms. Heather E. Mullins Ms. Norma Webb Dr. and Mrs. William T. Calhoun Tommy and Linda Haney Ms. Vicille W. Murphy Mr. and Mrs. John R. Wells Mr. and Mrs. Daniel P. Camp Mr. and Mrs. Jake H. Haslam Mr. and Mrs. Thomas Overton Mr. and Mrs. Kyle Williamson Carroll County Chapter #2663 Ms. Sara B. Hawkins Past & Present Mr. and Mrs. Frank Wynn Mr. and Mrs. Stuart A. Yahm of AARP, Inc. McConahy United Community Bank Highland Deli Paw Prints Grooming Ms. Melissa Carroll Mrs. Debbie L. Hollenstein R. K. Redding Construction, Inc. Carrollton Civic Womans Club Indulge Salon & Day Spa Ms. Ellen R. Ramos In memory of: Carrollton Office Equipment Mrs. Mary Anne Ives Ms. Jane Redwine •Chick and Virginia Almon Mrs. Jane Chambers J. Smith Lanier & Company Mr. Nathan Richards Associates, P.C. •Lt. Joseph “Joey” K. Boatright Mr. and Mrs. William I. Horton •Ms. Mikki Burns Ms. Lynn T. Clarke •Mrs. Delores P. Carter McClendon Mr. and Mrs. David E. Smith •Mr. Walter Cone Mr. and Mrs. Thomas C. Madison, Jr. •Mr. David Hooks Clint and Kelly Meigs •Ms. Vonda Jones Company •Mr. Allen Kaylor Dr. and Mrs. Frederick W. Martin •Mr. Robert H. Lashley Frank and Denise Taylor •Mr. Jack Lawson, Sr. Larry and Venita Steed •Mrs. Mary Lawson Almon Funeral Home & Chapel Larry and Venita Steed •Ed and Jane Newbern The Lion Golf Club Tanner • Summer 2013 I 19 Capital Improvement Mr. and Mrs. Darrell R. Jeter Tanner Medical Center/ Carrollton Auxiliary In memory of: •Mr. Bill Edwards Tanner Medical Center/ Carrollton Auxiliary •Mrs. Charlotte E. Hinesley Tanner Medical Center/ Carrollton Auxiliary •Mr. Gary J. Steed Gary and Deborah Matthews •Mr. Joe Whit Walker Mrs. Katherine R. Walker •Mrs. Naomi S. Walker Tanner Medical Center/ Carrollton Auxiliary In honor of: •Mrs. Deborah Matthews Georgia West Imaging, P.C. •Mr. Richard T. Sheriff Mr. and Mrs. Harvey D. Hendrix •Ms. Helen Stanley Members of Ephesus Baptist Church donated several handmade quilts to Willowbrooke at Tanner. •Mr. William H. Onken, III Dr. and Mrs. Ralph E. Fleck, Jr. •Mr. Albert Palladino Neighbors on Stonewall Drive and Amhurst Way Mr. and Mrs. Thomas Overton Mrs. Mary S. Busby Richards Family Office Ms. Catherine M. Saravia Mr. and Mrs. Roy Richards, Jr. •Mrs. Margaret M. Palladino Susan and Alex Roush •Mr. Charlie W. O’Neal Ms. Cindy Speigle Mrs. Sheila Lovvorn Edward Jones McIntyre Lumber Co. Mr. and Mrs. Frederick E. O’Neal Mount Prospect Baptist Church •Mrs. Ruth H. Reeve Tommy and Sally Sullivan •Mrs. Jan L. Robinson Mr. and Mrs. Kenneth L. Marlow Mrs. Louise Musselwhite Ms. Karen M. Nuckolls Ms. Kinni Peters Mrs. Mary S. Busby Mrs. Dorothy A. Roush Ms. Catherine M. Saravia Dr. and Mrs. J. J. Thomasson, Jr. . Mr. and Mrs. Lamar Robinson Ms. Pamela W. Richardson Mr. and Mrs. Billy Thomasson •Nariman D. Sethna Rollins Automotive •Ms. Sara Paschal Frank and Denise Taylor •Dr. T. E. Reeve, Jr. Mr. and Mrs. James W. Thurman, Jr. Tommy and Sally Sullivan •Poppie Joe Scott The Viva Foundation Dr. and Mrs. Beheruz N. Sethna •Mrs. Venita L. Steed Larry Steed Mr. and Mrs. David Ware Ms. Jessica A. Triplett •Mrs. Anne D. Sewell Ms. Lynn T. Clarke •Mr. J. R. Shead Ms. Thelma E. Shead Larry and Venita Steed •Mr. Charles F. Stein Mrs. Mary S. Busby Tommy and Sally Sullivan •Mr. and Mrs. Francis Sullivan Tommy and Sally Sullivan Mr. and Mrs. Robert V. Farese, Jr. G.G. and Hector Saravia Verdon Chapel Baptist Church Carrollton Emergency Gradick Communications, LLC Villa Rica First United Physicians, P.C. Indulge Salon & Day Spa Methodist Church Mrs. Babbie Mason Mr. and Mrs. Danny J. Waldrop Music Therapy Program Times-Georgian West Georgia Technical College Anonymous Plates on the Square Cancer Patient Mr. Tommy Whaley Mr. and Mrs. Randall Redding Mr. Brad Wilks Transportation Fund Gift-in-Kind: In honor of: Mr. Charles White •Mrs. Kitty Wilks Ms. Jane W. Baker Foundation Mr. Dil Barnett In honor of: •Mrs. Brenda Auger Mr. and Mrs. Denis C. Auger Ms. Jan Nelson •Mr. David Boyd Mr. and Mrs. Cleve Entrekin G.G. and Hector Saravia •Mr. Neal Uhlich Avid Design Dr. Karen A. Curtis Mr. and Mrs. Chris Donohoe •Mrs. Jan T. Uhlich Ms. Catherine M. Saravia •Ms. Jane W. Baker Mrs. Angie L. Cook Ms. Debbi D. Stringer and Staff Mr. and Mrs. Harvey D. Hendrix Mrs. Mary S. Busby Alex Roush Architects, Inc. Mr. and Mrs. Ron Berard Steps To Help Carrollton 1 West Nurses Emergency Department Fish and Turtle Habitat •Mr. Frank T. Thomasson, Jr. Anonymous Southern LP Gas, Inc. Mr. and Mrs. Harvey D. Hendrix •Tanner Medical Center/ Ms. Margaret H. Taylor Ms. Catherine M. Saravia •Mrs. Sarah D. Stephens Mrs. Annette E. Smith Ms. Cindy Speigle •Mrs. Lynn H. Teel Gift-in-Kind: •Mr. H. Parker Ward •Mr. Harrell White •Mrs. Dorothy J. Smith Ms. Lori Presnal •Mr. J.B. Stanley Anonymous •Ms. Beckey Gaskamp Mr. Glenn A. Bean and Mrs. Betty Gaskamp •Mrs. Betty Green Mammogram Assistance Fund Carroll EMC Carrollton High School Girls Softball Team Ms. Lynn Chapman Ms. Darlene Crawford Ms. Melissa S. Ebinger Ensight Marketing Solutions Mill Town Music Hall Mr. Harold Shedd Mill Town Music Hall Mobile Mammography Unit Mr. and Mrs. Randall Redding Georgia West Imaging, P.C. Nursing Education Fund Patient Care Products In honor of: Charter Bank Tanner Medical Center/ Prostate Cancer Fund Mr. and Mrs. James T. Gay Carrollton 4th Floor Nurses Ms. Elmira Eidson In honor of: Ensight Marketing Solutions •Dr. James W. Cullison OR & Emergency Department Renovation/ Ms. Michelle H. Ertzberger Georgia Power Company - Mr. Shane H. Ferguson Plant Wansley Expansion Fund Ms. Nancy Gamble Ms. Kathy B. King Mr. Gregory A. Adams Mr. Paul Campbell and Mr. Tommy Green Ms. Lorene Flanders •Mr. Tommy Green Ms. Christina R. Ginn Ms. Snowe Green Mr. Gordon G. Harvey Suzanne Davis Fund Advantage Office Solutions •Ms. Martha Hughes Mrs. Debbie M. Hilton In memory of: Dr. and Mrs. J. Richard Bland III Ms. Anna S. Irvin •Mr. Gary J. Steed Carroll County Nephrology, P. C. Jones Automotive Tanner Breast Health Staff Georgia Power Company Dr. and Mrs. Ralph E. Fleck, Jr. Mr. and Mrs. Rick C. Hayden Mrs. Cynthia S. Jones Judge and Mrs. Lamar Knight Mr. and Mrs. Bernie Kress Mr. and Mrs. Wayne Lipham Mrs. Karen T. Malone Master Caden Hughes •Kalindi Kaji Dr. and Mrs. Beheruz N. Sethna •Ms. Lois P. Martin Mrs. Donna L. Swafford •Ms. Nettie Steed Millirons Mrs. P. D. Miller, Sr. Mrs. Sandra T. Moore Larry and Venita Steed Mr. James M. Naughton and Mrs. Laura H. Richards 20 I Healthy Living • www.tanner.org Mr. Steve R. Adams Hospital Authority, City of Mrs. Lori D. Jones Ms. Susan L. Kaufman TANNER MEDICAL CENTER/ KHB II, Inc. CARROLLTON Bike Helmets Mrs. Runa Kimbrell Ledbetter’s Body & Frame Shop Lele Photography Mrs. Byron Lovvorn Grant: Greystone Power Foundation, Inc. Bremen, County of Haralson Dr. and Mrs. Denis M. Morin Dr. and Mrs. Joseph S. Palin Mr. and Mrs. Harry T. Preston West Georgia Ambulance Service In honor of: Dr. Ray E. Stedwell Betty and Roger Daniel Mr. and Mrs. John T. Wasdin Mr. and Mrs. Harry T. Preston Pediatrics Fund Gift-in-Kind: Chick-fil-A of Carrollton Heard County High School Senior Class, Senior Class Secretary Heather Nichol Tanner Heart & Vascular Center Fund Dr. Christopher B. Arant Dr. Onaje D. Greene Dr. William E. Rogers In memory of: •Mr. John W. Allen Dr. Onaje D. Greene •Ms. Nancy Avery Dr. William E. Rogers •Mr. W. T. Baker Dr. Onaje D. Greene •Mr. Tyler Barnes Dr. William E. Rogers •Mrs. Bonnie S. Barrow Dr. William E. Rogers •Ms. Mavis Beggs Dr. William E. Rogers •Mr. Kenneth A. Beish Dr. William E. Rogers •Ms. Laura Bergmark Dr. William E. Rogers •Mr. Larry Black Dr. Christopher B. Arant •Mr. Luther J. Blair, Sr. Dr. Onaje D. Greene •Ms. Sara J. Boyd Dr. Onaje D. Greene •Mrs. Hilda Bradley Dr. William E. Rogers •Mr. Donald R. Bryan, Jr. •Mr. Robert Hardin Dr. William E. Rogers •Mrs. Irene Wilma Harris Dr. William E. Rogers •Mr. Leo Michael Hart Dr. William E. Rogers Dr. Onaje D. Greene •Mr. Rayford Buchanan •Mr. William F. Hollis Dr. William E. Rogers •Mr. Charles C. Chesnut, Jr. Dr. William E. Rogers •Mr. Timothy Cohran Dr. Onaje D. Greene •Mr. Donald L. Cohen, Sr. Dr. William E. Rogers •Ms. Dorothy Compton Dr. William E. Rogers •Mr. Johnny Davis Dr. William E. Rogers •Mr. Bill Edwards Dr. William E. Rogers •Ms. Nancy Elder Dr. William E. Rogers •Mr. Willard Elder Dr. William E. Rogers •Mr. William Fincher Dr. William E. Rogers •Mr. Marion “M.T.” Fuller Dr. William E. Rogers •Ms. Ruth Fuller Dr. Christopher B. Arant •Mr. Robert Giddens Dr. Onaje D. Greene •Mr. Dwain Hammett Dr. William E. Rogers •Mr. Curtis Noles Dr. William E. Rogers •Mrs. Allie Norman Dr. Onaje D. Greene Dr. William E. Rogers •Mr. Homer Hulsey Dr. Christopher B. Arant •Mrs. Carolyn Kellett Dr. Christopher B. Arant •Mr. Dan P. Kirby Dr. Christopher B. Arant •Mr. Lewis Lawson Dr. William E. Rogers •Mrs. Sara Driver Dr. William E. Rogers •Mr. Edmund O’Malley •Ms. Bobbie Jean Levi Dr. William E. Rogers •Mr. Harvey Nelson, Sr. Dr. William E. Rogers Dr. Onaje D. Greene •Mrs. Ruby Dollar Dr. William E. Rogers •Mr. Arnold Ray Horton •Mr. Leonard Denney Dr. William E. Rogers •Ms. Barbara Nations Dr. Onaje D. Greene •Mr. Gene Parris Dr. Onaje D. Greene •Mr. Ben M. Perkins Mr. and Mrs. Tommy R. Warren •Mr. Ralph Ponder Dr. William E. Rogers •Ms. Dole Mae Presnal Dr. William E. Rogers •Ms. Allie J. Prince Dr. Onaje D. Greene Dr. William E. Rogers •Mrs. Annette Massa •Ms. Carolyn Putman Dr. William E. Rogers •Mr. William E. May Dr. William E. Rogers •Mrs. Helen McCrina Dr. William E. Rogers •Mrs. Alice McDonald Dr. Christopher B. Arant Dr. William E. Rogers •Ms. Gladys Raburn Dr. William E. Rogers •Ms. Peggy Rice Dr. Onaje D. Greene •Mr. Leonard Robinson Dr. William E. Rogers •Mrs. Nancy L. Harris Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Ms. Rebecca J. Jarrell Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Dr. Rajat Jhanjee Mrs. Mary G. Threadgill •Ms. Sarah N. Jones Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Dr. Shazib B. Khawaja Mrs. Mary G. Threadgill •Mr. Brandon H. Little Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Dr. William E. Rogers Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Dr. Ray E. Stedwell Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Dr. Lee Stringfellow Mrs. Mary G. Threadgill •Tanner Medical Center/ Carrollton, April 26, 2012 Heart Alert Team Dr. Bradley H. Edwards and •Ms. Susie M. McQurter •Mrs. Janie Samples Dr. J. Megan Grilliot Dr. William E. Rogers Dr. Onaje D. Greene •Tanner Medical Center/ •Mr. William Mitchell •Ms. Elmere Schleicher Dr. Onaje D. Greene Dr. Onaje D. Greene •Mr. Curtis R. Moore •Mr. Gregory R. Scott Dr. William E. Rogers •Mr. Middleton Morehead Dr. Christopher B. Arant •Mr. Lamar C. Morris Dr. William E. Rogers •Ms. Sandra Nalls Dr. Onaje D. Greene Dr. Onaje D. Greene Carrollton Emergency Department Staff Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Mr. Harry Shadrix Dr. William E. Rogers •Ms. Murl L. Smith Dr. William E. Rogers •Mr. David L. Stokely Dr. William E. Rogers •Ms. Bobbie Strobino Dr. Onaje D. Greene •Mr. Richard Swofford Dr. William E. Rogers •Mr. Elzie Teal Dr. Christopher B. Arant •Ms. Elizabeth Gail Underwood Dr. William E. Rogers •Mr. Eugene Von Kaenel Dr. William E. Rogers •Mr. Raymond C. White Dr. Onaje D. Greene •Mr. Lynn Williamson Dr. William E. Rogers •Ms. Sarah Winkles Dr. Onaje D. Greene •Ms. Mary Word Dr. Onaje D. Greene •Mrs. Annie Ruth Yarbrough Dr. William E. Rogers In honor of: •Ms. Mindy L. Anglin Dr. Bradley H. Edwards and . Dr. J. Megan Grilliot •Dr. Christopher B. Arant Dr. Bradley H. Edwards and Dr. J. Megan Grilliot W. Steve Worthy Maternity Center In memory of: •Ms. Emily W. Nisbet Ed and Inge Grant In honor of the birth of: •Miss Campbell Winn Butler Mr. and Mrs. Ben Butler •Miss Ashlyn Taylor Cates Dr. and Mrs. Taylor B. Cates •Master Edwin Donzal Joseph Folds Mr. and Mrs. Stacey Folds •Master Jentzen William Harris Mr. and Mrs. Danny Harris •Master Denver L. Horn, Jr. Ms. Pamela Horn •Miss Riley L. Hulsey Ms. Victoria L. Hulsey Mr. Larry H. Lepard •Miss Luna Belle Patton Mr. Hayden Patton •Miss Emery E. Swafford Mr. and Mrs. Randall K. Buchanan •Master Evan Banks Templeton Mr. and Mrs. Jason C. Templeton TANNER MEDICAL CENTER/ VILLA RICA Capital Improvement Tanner Medical Center/ Villa Rica Auxiliary •Dr. Benjamin J. Camp Dr. Bradley H. Edwards and Dr. J. Megan Grilliot •Ms. Erin B. Cothran Dr. Bradley H. Edwards and Heather Nichol delivers the first of more than 100 stuffed animals donated by the Heard County High School senior class for Tanner Medical Center/Carrollton pediatric patients to 3-year-old Jaden Pollard. Maternity Center In honor of the birth of: •Miss Myla Jaiden Norman Ms. Elma T. Harris Dr. J. Megan Grilliot •Miss Britlea Isabella West •Ms. Melissa A. Hammett Mr. and Mrs. Bradley West Dr. Bradley H. Edwards and Dr. J. Megan Grilliot Tanner • Summer 2013 I 21 HIGGINS GENERAL HOSPITAL Capital Improvement Higgins General Hospital Auxiliary Dr. and Mrs. Mark Campbell Carrollton Business & Professional Women Doug and Emily Cole WILLOWBROOKE AT TANNER African Drums Therapy In memory of: •Master Will Garrett Mr. and Mrs. Guyton Cochran Mr. and Mrs. Charles Conerly Mr. and Mrs. Trey Fleck Mr. and Mrs. Eric Lenaeus Dr. and Mrs. Timothy R. Paul Mr. and Mrs. Larry J. Cooley Mr. and Mrs. David Craddock Dr. and Mrs. George M. Dixon ECG Management Consultants, Inc. Mr. and Mrs. Vaughn E. Gaddis Mr. and Mrs. Barrie J. Metz Mr. and Mrs. Julian W. Muse Schwab Charitable Fund Ms. Kathryn Sweyer West Georgia Roofing II, Inc. Art Therapy Alpha Delta Kappa - Alpha Alpha Chapter #1 In memory of: The Nest •Mr. Donald Lee Adams Gift-in-Kind: •Mr. Hugh B. Ayers YPS Department Managers Mr. and Mrs. C. T. Williams Anonymous •Mrs. Bonnie S. Barrow TANNER HEALTH SYSTEM Activities Fund Coca-Cola Refreshments Capital Improvement Abbott Laboratories Employee Giving Campaign Dr. and Mrs. Richard A. Anderson Anonymous Dr. and Mrs. John F. Doyle •Ms. Eleanor Bunnell Mr. Larry J. Stuckert •Mr. Lewis Brent Davis Gary and Deborah Matthews •Mrs. Cheryl Edmonds Mr. Victor C. Edmonds •Mrs. Joan G. Herrin The Groovers and The Spiegels Anonymous Mr. and Mrs. James M. Barnes Mr. and Mrs. Hugh B. Bass Tanner Medical Foundation Director Kathy Mathis accepts a $1,000 donation for mammogram assistance from West Georgia Technical College (WGTC) Vice President of Institutional Advancement Dawn Cook and WGTC President Dr. Skip Sullivan. Mrs. Michelle S. Groover •Mr. Jerald T. Keene Northwest Exterminating Allison, Natalie & Tawny •Ms. Grace Keener In memory of: Mr. Michael Draper •Ms. Christine Adair Mr. Shawn Sexton Ms. Laura M. Brown •Mr. David A. Lewis Mr. and Mrs. David C. Jones •Mr. J. Stewart Martin Mr. and Mrs. Doyle R. Akins •Ms. Marilyn Saxon Mrs. Becky Ballenger Mr. and Mrs. Gary Farlow Mr. and Mrs. Chris Funderburk Mr. and Mrs. John T. Kirby Mr. and Mrs. Don Lanier Ms. Brenda K. Hammock Ms. Glenda Hammock •Mrs. Floy S. Akers Ms. Laura M. Brown Ms. Brenda K. Hammock Ms. Glenda Hammock •Ms. Stephanie Miller Pope Ms. Laura M. Brown Ms. Brenda K. Hammock Ms. Glenda Hammock •Mr. LeRoy Taylor Mr. and Mrs. Ed Rice Ms. Laura M. Brown Mrs. Betty and Niva Turner Ms. Brenda K. Hammock Ms. Glenda Hammock In honor of: •Mr. Chuck Adams The Tanner Medical Center/Villa Rica Volunteers donated two wheelchairs for Tanner patients. YPS Department Managers •Mrs. Vicki Adams YPS Department Managers •Dr. Anna Harris Haralson Bremen Retired Educators Association •Dr. and Mrs. Christopher Jewell Mr. and Mrs. Thomas Overton •Mr. and Mrs. Greg Shilling Raymond L. Abernathy family and Dale Howard Nursing Education Fund In honor of professional nurses who practice the art and science of caring Reach Out and Read Program Grant: Target Mr. and Mrs. Thomas Overton •Mr. Larry N. Steed Tabernacle Baptist Church •Dr. and Mrs. Lee Stringfellow Mr. and Mrs. Thomas Overton •Tanner Health System Employees Dr. and Mrs. Jeffrey Lindsey CME Program • www.tanner.org •Mrs. Debra S. Greene Calvary Baptist Church of Austell, Inc. Bill and Brenda Maddox •Mrs. Anna E. Herndon Mr. and Mrs. Tim A. Heidric Medtronic Southwire Company Anonymous Indigent Care Ms. Peggy J. Arledge Family of Bobby Means 22 I Healthy Living In memory of: Grant: Get Healthy West Georgia Program The Center Point Community Women of Worship donated activity bags for Tanner Medical Center/Carrollton pediatric patients. Roy Richards, Sr. Cancer Center Mr. and Mrs. William I. Horton In honor of: •Mr. John H. Crown Ms. Jacquelyn L. Flanders •Mrs. Gertrude Meyers Ms. Jacquelyn L. Flanders & Classes Events For a complete list of health education opportunities, visit www.tanner.org and click “Calendar.” New classes and events are added frequently, so check back often! Blood Drives Save a life. Give blood. Location: Tanner Medical Center/ Carrollton, Tanner Medical Center/ Villa Rica and Higgins General Hospital Cancer Breast Cancer Support Group Location: Tanner Breast Health in Carrollton Cost: Free Cancer Support Group Location: Horizon Bay 530 Northside Drive, Carrollton Cost: Free Look Good … Feel Better Location: Tanner Breast Health in Carrollton Cost: Free Cardiovascular Basic Life Support (BLS) Location: Tanner Medical Center/Carrollton Cost: $50 State of the Heart Educational Series Location: Tanner Medical Center/ Carrollton and Tanner Medical Center/Villa Rica Cost: Free Diabetes Diabetes Support Group Location: Tanner Medical Center/ Carrollton Cost: Free Maternity Prenatal, Newborn and Breastfeeding Classes Location: Tanner Medical Center/ Carrollton and Tanner Medical Center/Villa Rica Cost: Free Music Therapy Harmony for Healing Location: Tanner Medical Center/ Carrollton Cost: Free Safety Safe Sitter Location: Tanner Medical Center/ Carrollton and Tanner Medical Center/Villa Rica Cost: $30 Register Today! To take part in any of the classes or opportunities you see here, visit www.tanner.org or call 770.214.CARE (2273) to register. & Awards Accolades •Thomson Reuters, 15 Top Health Systems in the nation, Tanner Health System, 2012 •Georgia Trend’s Top Georgia Hospitals, Tanner Medical Center/Carrollton, Tanner Medical Center/Villa Rica and Higgins General Hospital, 2012 •Healthgrades’ Outstanding Patient Experience Award, for scoring in the top 5 percent of American hospitals for patient satisfaction, Tanner Medical Center/Carrollton and Tanner Medical Center/Villa Rica, 2011-2013 •Ranked No. 1 in Georgia for Overall Orthopedic Services by Heathgrades, Tanner Ortho and Spine Center at Tanner Medical Center/Carrollton, 2010-2013 •The Joint Commission’s Top Performers on Key Quality Measures, Tanner Medical Center/ Carrollton, Tanner Medical Center/Villa Rica, Higgins General Hospital, 2012 •Georgia Hospital Association (GHA) Core Measures Honor Roll, Chairman’s category, Tanner Medical Center/Carrollton, Tanner Medical Center/Villa Rica, Higgins General Hospital, 2012 •Vantage HealthStrong Top 100 Critical Access Hospitals, Higgins General Hospital, 2012, 2013 •“Most Improved” on the American Hospital Association and Hospitals & Health Networks Most Wired report, Tanner Health System, 2012 •HomeCare Elite Top 500 list of home health service providers, Tanner Home Health, 2012 •Georgia Hospital Association Hospital Heroes Award, Nancy Pollard, Ed.D., patient advocate at Tanner Medical Center/Carrollton, and Wayne Senfeld, Ed.S., LPC, administrator of Willowbrooke at Tanner, 2012 Quality Care, a Click Away How does Tanner compare to other hospitals? You can see for yourself at www.TannerQuality.org. Research how Tanner rates on a number of nationally recognized benchmarks for quality care and compare Tanner to other hospitals in the region. Tanner • Summer 2013 I 23 Tanner Medical Center 705 Dixie Street Carrollton, GA 30117 HEALTHY LIVING is published by Tanner Health System. The material in HEALTHY LIVING is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. To request permission to reprint any portion of this magazine, please call 770.836.9687. To give us a new address, let us know you are receiving more than one copy or if you would prefer not to receive HEALTHY LIVING, call 770.836.9687. 10249M Non-Profit Org U.S. POSTAGE PAID Tanner Medical Center