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SPECIAL HEART AND VASCULAR EDITION
healthQuest
W I N T E R 2 0 15
BACK
From
the Brink
Local Coach Survives
Life-Threatening Emergency PAGE 8
president’s message
H
Matters of the Heart
eart disease is the leading cause of death in our country and accounts for nearly one
of every four deaths. Men and women are both affected, and more than 700,000 Americans will
suffer a heart attack in 2015 alone. While these numbers may seem staggering for our nation, we
can’t forget that our community isn’t exempt from being a part of the equation. This is not something we can ignore. It’s likely you know someone who has suffered from a cardiac event or is at
risk for developing heart disease, or maybe you have experienced an event yourself. It’s important
we remain aware of the risks that are present and work to keep ourselves and our loved ones educated, too. At Sentara RMH, our mission is to improve health every day. As just one way to deliver on our
mission, we are dedicating this special Heart Month issue of HealthQuest to all things heart and vascular.
Prevention is always good medicine, and understanding your risk for heart disease
is an important first step in maintaining your health. Inside this issue you can read about
the Sentara RMH Heart Check program (page 20), which provides a risk assessment, as
well as health coaching, to help you avoid heart disease.
When facing a medical emergency such as stroke or heart attack, quick action is
imperative for ensuring the best possible outcome. On page 8 you will read how, at the
start of the 2014 football season, longtime Turner Ashby coach Charlie Newman survived a serious medical emergency, thanks to the quick thinking and skilled intervention
of local EMS providers, the Sentara RMH Emergency Department, and our cardiothoracic surgeon and his team. And on page 19 you will read how Sentara RMH is able to
provide some of the best care in the country for heart attack patients due, once again, to
skilled EMS providers working closely with our Emergency Department and Heart and
Vascular Center.
Jim Krauss
President,
Finally, we can all make a significant difference in our own personal health and
Sentara RMH Medical Center
reduce our cardiac risk by adopting healthier lifestyle habits. Including more MediterraCorporate Vice President,
nean meal options (page 33) is just one example of how we can make small changes that
Sentara Healthcare
add up to a big difference for our health.
At Sentara RMH, providing cardiac care has always been one of our top priorities.
Thanks to the hard work of our medical staff and the dedicated teamwork that takes place day in and day
out, we continue to grow and evolve our heart care services, as we provide minimally invasive surgical options
for patients and introduce new technologies previously not available in our community.
No matter where you are in your health journey, I want to thank you, from the bottom of my heart, for
trusting Sentara RMH with your healthcare needs. The members of this community are what make us tick,
and we sincerely value your confidence and continued support.
Sincerely,
Jim Krauss
President, Sentara RMH Medical Center
contents
WINTER 2015
14
8
features
3
Sentara RMH
Achieves Magnet
Recognition
8
Back From the Brink
Local Coach Survives LifeThreatening Emergency
14
Not Just a Man’s
Disease
Women and Heart Disease
15
Heart Disease
in Hiding
Microvascular Angina
in Women
17
Heart Attack?
Time is Muscle
17
26
Mended Hearts
Support and Education
for Heart Patients
30
All Heart
Minimally Invasive
Heart Surgery
19
Superior Heart Care
Sentara RMH
“Goes Platinum”
26
healthQuest
A health lifestyle publication by Sentara RMH Medical Center
2010 Health Campus Drive, Harrisonburg, VA 22801
Sentara.com
A D M I N I S T R AT I O N
President | Jim Krauss
20
Senior Vice President, Sentara RMH Medical Center;
President, Sentara RMH Medical Group | John A. McGowan, MD
Senior Vice President, Clinical Effectiveness | Dale Carroll, MD, MPH
Chief Financial Officer, Sentara Blue Ridge Region | J. Michael Burris
departments
IFC President’s Letter
4 Ask the Doctor
Enlarged Heart, Effects of
Smoking on the Heart and
Blood Vessels
6 Physician’s Perspective
Treating Atrial Fibrillation
20 For Your Health
Improve Your Heart IQ
With Heart Check
21 Sobre Su Salud
Senior Vice President, Operations | Richard Haushalter
Vice President, Acute Care Services;
Chief Nurse Executive | Donna Hahn
37 Medical Staff Update
Vice President, Business Development,
Sentara Blue Ridge Region | Ronald J. Cottrell
Sentara RMH Welcomes
New Healthcare Professionals
Vice President, Human Resources,
Sentara Blue Ridge Region | Mark Zimmerman
40 RMH Foundation
Funding Compassionate Care
Vice President, Information Services | Michael J. Rozmus
42 Friends of the RMH
Foundation
Gifts Received
June 1–Nov. 23, 2014
BOARD OF DIRECTORS
Ann E. C. Homan, Chair | Howard P. Kern, President and COO,
Sentara, Vice Chair | Alden L. Hostetter, MD, Secretary |
Devon C. Anders | A. Jerry Benson, PhD |
David L. Bernd, CEO, Sentara | Joseph D. Funkhouser II |
Terry M. Gilliland, MD, Senior Vice President and CMO, Sentara |
James E. Hartman
52 Jim Bishop
Amazing Love Never Quits
Executive Editor | Michael J. Cordell
Mejore el CI de su corazón
con Heart Check
Managing Editor | Neil Mowbray
Design and Production | Picante Creative
Photographers | Luca E. DiCecco, Tommy Thompson
22 Telestroke Technology
Contributing Designer | Marc Borzelleca
Diagnosing Stroke
From a Distance
CONTRIBUTING WRITERS
Luanne Austin | Jim Bishop | Karen Doss Bowman |
Christina Kunkle | Lisa V. Mahenthiran |
Neil Mowbray | Robert VerNooy, MD
28 Living with Synergy
Follow Your Heart
to a Path With Purpose
33 Nutrition
Mediterranean Diet
for (Heart) Health
22
© Copyright 2015 by Sentara RMH Medical Center. No part of this publication
may be reproduced or transmitted in any form or by any means without written
permission from Sentara RMH Medical Center. Articles in this publication are
written by professional journalists who strive to present reliable, up-to-date
health information. However, personal decisions regarding health, finance,
exercise and other matters should be made only after consultation with the
reader’s physician or professional adviser. All editorial rights reserved. Opinions
expressed herein are not necessarily those of Sentara RMH Medical Center.
Models are used for illustrative purposes only.
Please email comments or questions to
[email protected] or call 540-564-7205.
6
Sentara RMH Achieves Magnet®
Recognition for Nursing Excellence
Rare Recognition Signifies Top-Notch Experience
For Patients And Families
S
entara RMH Medical Center has achieved the Magnet Recognition
Program® designation from the American Nurses Credentialing Center
(ANCC). Magnet® designation is granted to approximately 7 percent of
U.S. hospitals and recognizes sustained excellence in nursing care.
“This designation validates our superior quality of nursing and the positive
impact it has on our patients and their families,” says Donna Hahn, chief nurse
executive for Sentara RMH. “For members of our community, this means they can
feel confident that when they come to Sentara RMH they will receive the best
possible care available.”
A Magnet hospital is one that has met the specific standards set forth by ANCC.
These standards define the highest quality of nursing practice and patient care.
“When we began our Journey to Magnet Excellence® in 2010, I am not sure
any of us understood how the process would help transform the culture and the
continued improvements that we now see as part of what we do here everyday,”
says Hahn.
Research shows there are clear benefits to patients and their families who
receive care at Magnet facilities, including confidence in caregivers and positive outcomes. The designation is awarded for four years, during which time the
ANCC monitors facilities to ensure high standards of care remain intact.
“We are so proud of our team and their continued commitment to provide
high quality, patient-centered care to our community,” says Hahn.
A conference room full of nurses, clinicians
and administrators erupts in cheers and
confetti Dec. 19, 2014, as Sentara RMH
staff are informed that the hospital has
achieved Magnet® recognition for nursing
excellence.
Sentara.com
3
ask the doctor healthQuest
Q:
What causes
an enlarged
heart?
Is it life-threatening?
Can it be treated?
D
iagnosis of an
enlarged heart is usually made on a chest
X-ray when the left and right
sides of the heart are farther
apart than normal. Such an
enlargement is typically due
to one of the condition’s three
main causes:
William Lee, M.D.
1. The patient has a normalsized heart, but fluid has
collected around the heart (pericardial effusion).
2. The patient has a very thickened heart muscle
(left ventricular hypertrophy).
3. The patient has one or more dilated heart chambers, which is usually
due to heart failure.
Fluid collection
A VERY THICKENED HEART MUSCLE
around the heart
IS USUALLY CAUSED BY EITHER HIGH could be the result of
an infection—most
BLOOD PRESSURE OR A RARE
a viral infecPARTICULAR HEREDITARY CONDITION.” often
tion—although the
spread of cancer, trauma or other causes are also possible. Treatment for this condition involves treating
the cause of the fluid buildup.
A very thickened heart muscle is usually caused
by either high blood pressure or a rare particular hereditary condition. In the case of high blood pressure,
aggressive treatment is of utmost importance. Should
the patient have the rare hereditary condition, a
cardiologist should be consulted and involved in the
patient’s care.
A dilated heart due to heart failure can have
numerous causes, including hardening of the arteries
4
healthQuest | Winter 2015
leading to heart attacks; high blood pressure; or a
cardiomyopathy (disease of the heart tissue), which
can be caused by viruses, alcohol abuse, certain drugs
including chemotherapy, or genetic factors. Inflammation in the heart can also cause an enlarged heart,
as can birth defects, heart valve troubles and even
metabolic issues such as thyroid disease. Treatment
involves identifying and focusing on a patient’s
specific problem.
All patients with an enlarged heart should
avoid smoking, limit the amount of salt in their diet,
exercise regularly, and avoid excessive use of caffeine
or alcohol. They should also monitor their blood
pressure and see their physician regularly.
Depending on the root problem, certain cases
of enlarged heart can be treated and even reversed.
Some episodes can be life-threatening, but there are
excellent medications for treating congestive heart
failure, high blood pressure and coronary artery
disease.
William Lee, M.D., is a cardiologist on staff with
Harrisonburg Medical Associates. He joined the
Sentara RMH medical staff in 1980.
What effects does
smoking have
on the heart and
blood vessels?
T
he link between
smoking and cancer is well known,
but cancer is just one of
smoking’s many dangers.
Smoking is one of the
most harmful things a
person can do to the body,
causing damage to nearly
Gregory Montgomery, M.D.
every organ. According to
the National Institutes of
Health, smoking is responsible for one out of every
five deaths in the United States and is the leading
cause of preventable deaths.
The chemicals in tobacco smoke directly affect
the blood cells, heart tissues and arteries. Carbon
monoxide, for example, reduces the amount of oxygen the red blood cells can carry, forcing the heart
to work harder to meet the body’s oxygen needs.
Carbon monoxide also can increase the buildup of
plaque inside the arteries, which over time can lead
to atherosclerosis, or hardening of the arteries. The
result may be a heart attack; stroke; or peripheral
artery disease (PAD), a lower-leg condition that can
make walking painful.
Nicotine, a highly addictive chemical in tobacco,
constricts the blood vessels and increases blood
pressure and heart rate, forcing the heart to work
harder. Nicotine can also contribute to atherosclerosis. Cadmium, another chemical in tobacco smoke,
can damage the inner lining of the arteries. And the
benzene and formaldehyde produced by smoking
can lead to leukemia, or cancer of the blood, as well
as other forms of cancer.
Hydrogen cyanide, a fast-acting chemical in
tobacco that interferes with the body’s ability to use
oxygen, causes considerable damage to the heart and
blood vessels, as well as the brain. Because both the
heart and brain require a great amount of oxygen for
normal functioning, hydrogen cyanide is particularly
harmful to both organs.
In addition to its negative effects on the body’s
organs, smoking lowers the blood level of HDL
(“good cholesterol”) and raises the blood levels of
LDL (“bad cholesterol”) and triglycerides (fat). Over
time, low HDL, high LDL and high triglycerides
can lead to plaque buildup in the
arteries, increasing the risk of heart
attack, stroke and PAD.
Smoking’s harmful effects
THE CHEMICALS IN TOBACCO
aren’t limited to heavy smokers,
moreover, and there’s no such thing
SMOKE DIRECTLY AFFECT
as a safe level of tobacco use. Even
THE BLOOD CELLS, HEART
people who smoke once or twice a
TISSUES AND ARTERIES.”
day, or only occasionally, cause damage to their heart, blood vessels and
other organs.
If you’re having trouble quitting smoking, be sure
to speak with your healthcare provider about ways to
kick the tobacco habit.
Gregory Montgomery, M.D., is a vascular sur-
geon on staff with Valley Vascular Associates in
Harrisonburg. He joined the Sentara RMH medical
staff in 1985. ■
Want to Kick the Smoking Habit?
Get Off Your Butt: Smokeless for Life
In six group sessions, learn about nicotine addiction,
identify smoking triggers, create a plan for quitting and
develop healthy alternatives to using tobacco. This is a free
class, taught by Erica Rollins, a tobacco treatment specialist
with Sentara RMH Community Health.
• Meets Mondays and Wednesdays beginning April 6, 7-8 p.m.
• Cecil F. Gilkerson Community Activities Center,
305 S. Dogwood Drive, Harrisonburg
• For more information, call 540-433-4421. To register,
call 1-800-SENTARA (736-8272).
Sentara.com
5
physician’s perspective
Treating AFib:
Restoring the
Heart’s Natural
Rhythm
Atrial fibrillation, also known
as AFib or AF, is an irregular cardiac rhythm
caused by unorganized electrical activity in the
atria, the upper chambers of the heart. Currently more than 2.4 million people in the United
States have AFib, the most commonly diagnosed heart rhythm problem. Factors that can
increase the risk of developing AFib include obesity, untreated sleep apnea, uncontrolled
high blood pressure, overactive thyroid disease, excessive intake of alcohol or other
stimulants, chronic heart or lung disease, recent serious illness or surgery, and aging.
6
healthQuest | Winter 2015
I
n a normal heart rhythm, the atria beat in
coordination with the ventricles, the lower
heart chambers responsible for most of the
heart’s pumping action. During an AFib
episode, however, the atrial muscle quivers in a very
fast and disorganized manner, rather than contracting in sync with the ventricles. This can lead to a
variety of symptoms, ranging in seriousness from the
minimal to the disabling, depending largely on how
fast and irregularly the atrial impulses are causing the
ventricles to contract. If the lower chambers are activated too quickly or too irregularly, the patient may
experience unpleasant palpitations, chest discomfort,
lightheadedness, shortness of breath, fatigue, or even
partial or complete fainting.
In addition, AFib is linked to an increased risk
of stroke, which can occur if a blood
clot forms in the atria due to sluggish
blood flow during an AFib episode.
Risk factors associated with increased
chance of stroke with AFib include
congestive heart failure, high blood
pressure, age greater than 65 (the risk
is even higher in patients older than
75), diabetes, history of a prior stroke,
existing vascular disease and female
gender. With the presence of one or
more of these predictors, an anticoagulant or “blood-thinner” medication
should be considered to help decrease
the risk of stroke. Otherwise, at most
a daily aspirin—and perhaps no stroke prevention
treatment at all—may be indicated.
The good news is that doctors today have more
options to help people with AFib, and those options
are safer and more effective than at any time in the
past. In many patients, AFib may come and go transiently, but the condition can also persist, sometimes
requiring medicines or the administration of an
electrical shock under sedation to restore the heart’s
normal rhythm. In some cases, AFib may become
chronic or permanent, calling for further treatment.
For those requiring longer-term treatment, physicians employ two main strategies. One approach,
making use of medications to control the heart
rhythm during an AFib episode, is often considered
for those with mild symptoms. While these medications do help some patients, they can be associated
with significant risks and side effects and may not be
very effective over the long term.
The other strategy, commonly used with patients
who have frequent AFib symptoms and have not
been helped by medication, is to attempt to maintain
normal heart rhythm over a longer time frame through
a well-established catheter-based surgical treatment
known as ablation. While ablation does carry some
rare risks, the procedure and its associated technology
continue to evolve, leading to improvements in the
technique’s safety and effectiveness. Clinical studies
have shown that AFib ablation has a
better success rate than medicine-based
treatment, decreasing or eliminating
symptoms and improving quality of
life for the majority of patients.
The Sentara RMH Heart and
Vascular Center offers safe, effective cardiac ablation procedures to
correct atrial fibrillation and other
heart rhythm problems. If you think
you may have heart rhythm problems,
be sure to talk to your healthcare
provider. ■
■ Robert VerNooy, M.D., an electrophysiologist on the cardiology staff of Harrisonburg
Medical Associates, joined the Sentara RMH medical
team in 2010.
Sentara.com
7
Back From
the Brink
Local High School Coach Survives
Life-Threatening Medical Emergency
|
By Luanne Austin
Before Sept. 12, 2014, Charlie Newman, the longtime head football coach at Turner Ashby
High School in Bridgewater, had never heard of an aortic dissection. By the time that day
was over, however, the condition, in which a tear occurs in the major artery transporting
blood out of the heart, would forever change his outlook on life. Fortunately for Newman,
a confluence of quick thinking, top-notch healthcare services and more than a bit of good
fortune would help him pull through this often fatal emergency.
Charlie Newman
Sentara.com
9
Coach Charlie
Newman
doing what
he loves most.
10
N
ewman was coaching during the second
quarter of a Friday night football game at
Turner Ashby, when he felt a flutter, then a
sharp pain, in the left side of his chest. Suddenly dizzy,
he made his way over to the sideline bench and sat
down, in obvious distress.
“I thought I was having a heart attack,” recalls
Newman, 55.
Heather Fincham, Turner Ashby’s athletic trainer,
noticed Newman’s behavior and rushed to his side to
evaluate his condition. She asked him about his pain
but, strangely, couldn’t detect any pulse.
“Then his face started drooping, so I thought it
might be a stroke,” says Fincham. “He had chest pain
but was showing stroke symptoms. I didn’t know what
it was—just that it was bad. I knew we had to get him
out of there quickly.”
Fortunately for Newman, the Bridgewater Rescue
Squad happened to be parked at the end of the field,
as part of safety precautions taken during all Turner
Ashby home football games. Fincham called them over
to assist.
By this time Newman’s wife, Robyn, had come
down from the bleachers to see what was happening.
After her husband was loaded into the ambulance, she
climbed in, along with two EMTs and a medic who
healthQuest | Winter 2015
had been watching the game. And before leaving the
parking lot, the ambulance crew met up with another
medic and an EMT-Enhanced who were on call. Newman had a strong response team taking care of him.
For his part, Newman doesn’t remember much
about the ambulance ride, but he does recall that Robyn
was holding his hand.
“She said over and over, ‘Stay with us, babe, stay with
us. We’re almost there,’” Newman says. “At one point she
said, ‘Look at me,’ but I couldn’t see her. All I saw was
white, and I thought, ‘This is that white light you see
before you die.’”
Even remembering this moment brings tears to
Newman’s eyes.
“I thought about my kids and … ‘oh, gosh, this is
really serious,’” he adds. “I didn’t know what was wrong.
I hoped that I would wake up.”
“Then I heard Robyn say, ‘We’re here at the ER.’”
Ready and Waiting
During Newman’s ambulance ride, the Sentara RMH
Emergency Department (ED) had been alerted that a
presumed stroke patient was coming in, which sets a protocol in motion to treat the patient as quickly as possible.
“When I saw he was a young, athletic guy, it didn’t
make sense that he would have an ischemic stroke,” says
“I thought I was having a heart attack.”
Christina Johnson, M.D., the ED physician who attended to Newman. “Then I asked if he was having any
chest pains.”
Although he was very sick, Newman replied with
a definite “Yes.”
“His case didn’t add up,” Dr. Johnson says. The
chest pains and low blood pressure were not signs
of stroke. Suspecting an aortic dissection, she added
a chest CT scan to the brain CT order. And due to
the seriousness of Newman’s condition, Dr. Johnson
accompanied him to the scanning room and saw the
problem right away as the image appeared on the
technician’s screen.
“I could see the dissection—it was so big,” she
recalls. “As soon as I saw that I thought, ‘We’ve got to
get him to the operating room.’”
In the past, Sentara RMH typically would have
transferred a case like Newman’s to a Level I trauma
center, so Dr. Johnson promptly called for a medevac
helicopter. But neurohospitalist Daniel Chehebar,
D.O., intervened; he knew the hospital’s new cardiothoracic surgeon, Jerome McDonald, M.D., had the
expertise to operate on Newman. Dr. Chehebar consulted with Dr. McDonald, who—in another stroke of
luck for Newman—was already at the hospital.
“That,” says Dr. Johnson, “was the best-case scenario—to save time.”
Time of the Essence
After hearing a brief explanation of Newman’s
condition, Dr. McDonald rushed to the ED, where
he checked the patient and updated Robyn, now
accompanied by her two adult children, on Charlie’s condition. By that time, the medevac helicopter
had arrived to take Newman to another facility. Dr.
McDonald told Robyn the time had come to make a
decision regarding her husband’s treatment.
“He told me that time was of the essence,” says
Robyn. “He said, ‘I know aortas, I have seen this before,
I have worked on aortic dissections before.’”
The Newmans agreed that Dr. McDonald should
perform the surgery at Sentara RMH.
State-of-the-Art Surgery
Dr. McDonald describes an aortic dissection as “like
wet plywood.” In such a case, the walls of the aorta
come off in layers, and the blood travels between those
layers. When he first examined Newman, the patient
had no blood flow to his head and neck, he could not
move his left side, he was blind, and his blood pressure
was dangerously low.
“He was profoundly sick when he arrived,” Dr.
McDonald notes. “He was dying.”
In fact, Dr. McDonald wasn’t sure Newman would
live long enough to get the surgery started.
Meet Dr. Jerome McDonald
Jerome McDonald, M.D., cardiothoracic surgeon at Sentara RMH
since late 2013, is very familiar with aortic dissections. Before
coming to Harrisonburg, he worked for six years with Stockton
Cardiothoracic Surgical Medical Group and was medical director
of the Surgical ICU and Post-Cardiac Surgical Ward at St. Joseph’s
Medical Center, both facilities in Stockton, California.
While serving in the U.S. Army, Dr. McDonald was chief of
cardiothoracic surgery at Madigan Army Medical Center from
2004 to 2007 and chief of surgery for the 47th Combat Support
Hospital from 2003 to 2004.
He graduated from the University of Pennsylvania School of
Medicine, completed his internship and residency at Madigan
Army Medical Center, and completed his cardiothoracic surgery
fellowship at Washington University’s Barnes-Jewish Hospital.
Since 2004, Dr. McDonald also has served as assistant professor at Uniformed Services University of the Health Sciences
in Washington, District of Columbia. He also is a fellow of the
American College of Surgeons.
Sentara.com
11
leaving the high school, were, “Who won the game?”
“When he asked about the game, we knew mentally he was OK,” Robyn says. “Then he asked about
the tailgating we had planned to do at the JMU game
that day. We all started crying.”
Charlie and
Robyn at home
12
With the decision made to treat Newman at
Sentara RMH, the surgery team quickly moved to
cool his body to 64.4 degrees Fahrenheit, which
decreases metabolic activity, heart rate and oxygen
consumption, and then drained his blood. According to Dr. McDonald, the brain can tolerate this state
for up to 60 minutes, while the body can endure it
for longer. Fortunately, thanks to his surgeon’s skilled
technique, Newman’s procedure took only 19 minutes,
during which Dr. McDonald cut out a section of the
ascending aorta and replaced it with a polymer-based
Dacron tube.
Following the procedure, warming Newman’s
body took about an hour—twice as long as the presurgery cool-down period.
“When a patient has bad blood flow to the brain,
it’s in their best interest to keep them cool for a while
after surgery and warm them up gradually,” Dr. McDonald says. “We left Charlie a little cold afterward
because it improves the neurological outcome.”
At 6 a.m. on Saturday the doctor and his staff
went home, as did Newman’s wife and children. When
Robyn called the nurses’ desk at 8 a.m., she found out
her husband had already opened his eyes.
“So we went in,” she says with a smile, “and he was
still alive.”
To Robyn’s amazement, Charlie’s first words to
her, with no memory of what had transpired since
healthQuest | Winter 2015
“Phenomenal” Treatment
Newman’s family members weren’t the only ones surprised at how well Charlie’s brain was functioning. Dr.
Chehebar plied Newman with a variety of questions
designed to detect subtle problems but found no major
issues of concern.
“He’s in great shape,” says Dr. Chehebar, attributing a large part of Newman’s neurologic recovery to his
high level of fitness. “He eats well and exercises, so he
has a better chance of bouncing back.”
Dr. McDonald is also pleased with Newman’s
recovery.
“He was much sicker than most aortic dissections
I’ve seen,” Dr. McDonald notes. “He was blind and
unable to move half his body, and there was hardly any
blood pressure. Clearly he was in a world of trouble.”
The day after Newman’s surgery, nurses at Sentara
RMH got him out of bed to stand, and then he began
walking. Each day during his recovery he walked
farther up and down the hospital hallways.
When Dr. Johnson visited Newman a few days
after the emergency, she found him “sitting up in
bed with his laptop, watching the football game he’d
missed,” she says.
Robyn calls the treatment her husband received
during his week at Sentara RMH “phenomenal.”
“The nurses, Dr. McDonald, his assistant … all
showed so much compassion and caring,” she adds.
Friends thronged to visit Newman at the hospital,
but the coach needed to rest, so the staff put a procedure in place whereby the family gave an access code to
only a limited number of visitors.
“I felt bad I couldn’t see everyone, even people I’m
close to,” Newman says.
A New Perspective on Life
Newman was released home on a Friday, one week
after the aortic dissection. But he didn’t stay there long.
That same day he went to Turner Ashby High School,
where his football team was boarding the bus to their
next game.
“I wanted the kids to know I was OK,” he says.
During his recovery period, he and Robyn would
walk the perimeter of their 3/4-acre yard. Then he began doing laps, telling Robyn he wanted to do it on his
own (although she admits to watching him through
the window, to ensure his safety). Then he started
walking across the large field in back of their house.
Now Newman walks for about 50 minutes a day,
four days per week, and has three sessions of cardiac
rehab a week at the Sentara RMH Heart and Vascular
Center.
“I feel stronger every day,” he says.
In November, Newman went back to coaching
at Turner Ashby part time. Heather Fincham, glad
to see her co-worker back on the job, remarked on all
the things that came together in his favor during the
emergency.
“If it was going to happen, it was the right time
and place to happen,” Fincham notes. “I was there, the
rescue squad was there. Everything was lined up for
him to live.”
Newman does not take his survival for granted.
He has joined aorticwarriors.com, a website for
survivors of aortic dissection, and he now has a deeper
appreciation for life and the people around him. And
since his surgery, he has received many letters and cards
from people telling him how he has touched their lives.
“Now I know I’ve left a mark on people,” Newman says. “If I had passed on, I wouldn’t have known.”
After Charlie’s
surgery, the
Newman family
sent this card
to the hospital.
AORTA
What is Aortic Dissection?
The aorta is the largest blood vessel in the body. It
carries oxygenated blood out of the heart, and the
vessels that branch off the aorta carry blood to all
parts of the body.
An aortic dissection occurs when the inner layer
of the aorta tears, allowing blood to flow between
the inner and outer layers. This causes the layers to
dissect, or separate—a serious condition that typically results in decreased blood flow to the organs.
If the outer wall of the aorta ruptures, the result is
often death.
Aortic dissection is fairly uncommon, occurring
most often in men between ages 50 and 70. Known
risk factors include age; uncontrolled high blood
pressure; atherosclerosis (“hardening of the arteries”); a pre-existing aneurysm or weakened spot in
the aorta; and, rarely, receiving a blunt, powerful
blow to the chest. Certain connective tissue and
inflammatory disorders also may increase a person’s
risk. In many cases, the exact cause is unknown.
Typical symptoms include sudden, intense pain
in the chest or upper back; shortness of breath; loss
of consciousness; and stroke-like symptoms such as
weakness or paralysis of one side of the body, loss of
vision, or difficulty speaking.
A person experiencing any of these symptoms
should call 911 immediately. Early diagnosis and
treatment of aortic dissection increase a person’s
chance of surviving.
Sentara.com
13
Not Just a
‘Man’s Disease’
Sentara RMH Caregivers Work to Highlight the
Heavy Toll Heart Disease Takes on Women
C
BY KAREN DOSS BOWMAN
ontrary to popular perception, men
aren’t the only ones who should be concerned with developing heart disease. In
fact, since 1984, more women than men
in the United States have died from
heart disease, according to the American Heart Association (AHA).
“Heart disease is really prevalent among women,
making it a major public health issue,” says Brad
Rash, M.D., a cardiologist with Harrisonburg Medical Associates and the Sentara RMH medical staff
who specializes in women’s heart health. “We need
to promote education and awareness, so that women
know the signs of and risk factors for heart disease.”
Despite its widespread impact on women’s health,
heart disease continues to be one of the most underrepresented, undertreated and misdiagnosed medical
conditions for women, according to the AHA. One
reason for the disconnect may be that heart disease
often presents itself differently in women than in men.
While many women do experience the “classic” symptoms of heart disease—chest pressure, pain radiating
to the left arm, shortness of breath, lightheadedness—
many others experience only less obvious symptoms,
including back pain, jaw pain, nausea and fatigue.
“Sometimes women simply feel like something’s
wrong, but they can’t put their finger on it,” says Dr.
Rash. “We don’t know all the reasons why some
women experience different symptoms than men do,
but women in general need to have a better understanding of the signs of heart disease—that’s key to
saving more lives.”
Dr. Rash notes that women who seek medical care
for heart attack symptoms may undergo testing that
shows no blockages in their main coronary arteries.
14
healthQuest | Winter 2015
But even with clear main coronary arteries, blockages may
still exist in the smaller arteries. When these smaller vessels become diseased, they often don’t allow for adequate
blood flow to the heart—particularly during times of
exertion. To detect and diagnose this potentially
dangerous condition, known as microvascular
dysfunction, the Sentara RMH Heart and
Vascular Center offers coronary reactivity
testing in its catheterization lab.
“This condition was something the
medical community had very little understanding of until recent advances over the past
decade,” Dr. Rash notes. “We called it ‘cardiac
syndrome X’ because we had no clue what was causing it,
but now we’re much more familiar with how that disease
process works, and we’re more effective at detecting and
treating the problem.”
Startling Statistics About
Heart Disease in Women
•
Heart disease accounts for one-third of
deaths among women during a given year.
•
More women die of heart disease annually
than from all types of cancer combined.
•
Heart disease kills eight times more women
than breast cancer yearly.
•
43 million U.S. women currently have some
form of heart disease.
•
90 percent of U.S. women have one or more
of the risk factors for heart disease.
(Source: American Heart Association, “Go Red for Women” website)
WHEN IN DOUBT, CALL 911
According to the American Heart Association’s
“Go Red for Women” website, women who are
experiencing symptoms of a heart attack are
less likely to call 911 for themselves than for
someone else. If you’re experiencing these
symptoms—even if you’re uncertain or if the
symptoms are not severe—call 911 immediately. Dismissing the symptoms could delay
lifesaving treatment.
Heart Disease
in Hiding
BY KAREN DOSS BOWMAN
Microvascular Angina Affects
More Women Than Men
M
ore than a decade ago, Janice Monger of Port
Republic began experiencing chest pain and
shortness of breath while walking. Her family
doctor ordered stress testing and heart catheterization, but those tests revealed no blockages in the coronary
arteries, failing to yield a clear treatment plan for Monger. And
while she managed her condition with medications for several
years, her symptoms continued to come and go.
“It got to the point where I couldn’t even walk out in my
yard and back to my house without experiencing severe chest
pain,” says Monger, 64. “The pain would start in my back
and move into my chest, and I couldn’t breathe.”
In January 2013, cardiologist Brad Rash,
M.D., diagnosed Monger with microvascular
angina, a condition that affects the microscopic
blood vessels within the heart muscle. These smaller vessels are quite different from
the larger coronary arteries, which lie over top of the heart itself and are often responsible for heart attacks, Dr. Rash explains. When these microscopic vessels don’t
dilate properly, blood flow to the heart is inhibited.
“Janice was continuing to complain of chest pain that would become worse with
exertion and get better with rest,” Dr. Rash recalls. “That’s typical of angina.”
Women are more likely than men to have microvascular angina, though
researchers still don’t understand why. Over the past decade, however, the medical
community has gained a greater understanding of this condition, and researchers
currently are engaged in studies to find better ways to diagnose and treat it, accordSentara.com
15
Take Care of
Your Heart Health
Your primary care doctor or cardiologist can evaluate your risk factors and
customize a plan of care to help you
manage those risks. Here are some
steps you can take now:
Stop smoking. If you smoke, quitting
can be difficult. Ask your doctor about
the many smoking-cessation options
that can help you kick the habit.
ing to Dr. Rash. Though some stress tests and other diagnostics may
detect the abnormality, many patients are diagnosed with microvascular
angina only after other possible conditions are ruled out.
For patients like Monger, Dr. Rash says the treatment plan generally focuses on managing symptoms and modifying risk factors such as
high blood pressure and cholesterol.
“Women with microvascular angina tend to have more heart attacks and strokes than women who do not have this condition,” Dr.
Rash explains. “It’s important to diagnose this condition, because those
patients need to be treated aggressively. They can still have chest pain,
even when a cardiac catheterization shows normal-appearing coronary
arteries. So if their symptoms continue, despite the absence of blockages
in the coronary arteries, consideration should be given for a diagnosis
of—and treatment for—microvascular disease.”
Know Your Risks
The risk factors for heart disease, which
are the same for women and men, include:
•
•
•
•
•
•
•
High cholesterol
High blood pressure
Smoking
A family history of heart disease
Diabetes
Obesity
A sedentary lifestyle
Specific to women:
• History of pre-eclampsia
• History of gestational diabetes
• Early menopause
16
healthQuest | Winter 2015
Reduce stress. Find positive ways to
manage your stress, including meditation, reading a favorite book, taking a
walk or visiting a friend.
Get plenty of exercise. The American Heart Association recommends a
half-hour of moderate aerobic activity
at least five days a week, along with
moderate- to high-intensity musclestrengthening exercises two days
per week.
Eat healthy. Doctors often recommend a Mediterranean-style diet,
which emphasizes fruits, vegetables,
whole grains, nuts and legumes, and
olive oil—while limiting meats and
sweets.
The Women’s Heart Program
at Sentara RMH
The Women’s Heart Program, directed by
cardiologist Brad Rash, M.D., emphasizes the
importance of early diagnosis and treatment of heart disease in women. The program offers screening appointments that
include an EKG (electrocardiogram), a complete
review of medical history and a physical exam.
Indications for a consultation include:
• Concern about risk factors and desire for a
closer evaluation
•
Symptoms that are of concern, despite negative
diagnostic tests
•
Multiple risk factors, including nontraditional risk factors
such as pre-eclampsia, gestational diabetes or connective
tissue disease
Physician referral is not necessary. To schedule an appointment, call Harrisonburg Medical Associates at 540-434-0559 or
800-296-0559.
With Heart Attack,
Time is Muscle
It’s an established fact that coronary heart disease is the No. 1 killer of men and
women in the United States. But much of the disability and mortality associated
with heart disease could be limited if people having heart attacks would seek
medical help sooner, according to interventional cardiologist Stewart Pollock,
M.D., of Harrisonburg Medical Associates.
“The longer you wait, the more heart tissue dies,” he says.
Like all parts of the body, the heart needs an uninterrupted supply of blood
to provide oxygen to its cells and tissues through the coronary arteries, Dr. Pollock
explains. But people with coronary artery disease have a waxy substance inside
their coronary arteries called plaque, which builds up over time and hardens. If an
accumulation of plaque happens to rupture, a blood clot can form at the rupture
site, blocking the artery.
B Y N E I L M O W B R AY
Sentara.com
17
“The longer you wait,
the more heart tissue dies”
“With a heart attack the coronary artery is
closed,” Dr. Pollock says. “A blood clot forms on
the plaque, and blood flow is diminished or lost
beyond that point. So the heart muscle—the cells
and tissue—that depends on the oxygen from that
blood flow is no longer receiving the oxygen, and
the tissue starts to die.”
Not all the oxygen-deprived heart cells die
at once. Dr. Pollock describes a “wave of infarction”—tissue death from lack of oxygen—that
starts with the cells deep inside the heart and
works its way outward.
“The heart cells begin to die very quickly,”
he continues, “within the first 15 to 20 minutes
18
healthQuest | Winter 2015
after onset of chest pain. People experience the
chest pain or other symptoms because the cells
are dying. The death of those cells progresses for
about 12 hours.”
Persons having a heart attack may experience “classic” symptoms, including pain or
pressure under the breast bone that may radiate
down the left arm or into the neck, jaw or
back; sweating; and shortness of breath. Some
patients—particularly women—may have less
obvious symptoms, such as feeling unusually
tired, especially for several days, or feeling dizzy,
lightheaded or nauseated.
So how do you know if what you’re experiencing is a heart attack?
“Often you don’t know for sure,” Dr. Pollock says. “It’s often difficult even for physicians
to know, which is why we have to run multiple
tests on some patients.”
And that’s exactly why reacting quickly to
heart symptoms is so crucial. During a heart
attack, time is, in a very real sense, proportional
to loss of heart muscle.
“By the time the patient gets to the
hospital, he or she is going to have some heart
damage, but it may still be quite minimal if
the patient responds quickly to his or her heart
symptoms and seeks medical attention immediately,” Dr. Pollock explains.
Once caregivers have determined that a
patient is indeed having a heart attack, an interventional cardiologist can open the blocked coronary artery with balloon and stent procedures
in the Sentara RMH cardiac catheterization lab.
The goal of treatment is to restore blood flow to
the heart tissue and limit the infarct, the area of
heart cells that are dying from lack of oxygen.
“The take-home message is: if you think
you’re having a heart attack, call 911 immediately, and then, as an added measure, take one
adult dose of aspirin,” adds Dr. Pollock. “Those
simple steps will help you maximize your chance
for a good outcome.”
Superior Heart Care
Sentara RMH Medical Center “Goes Platinum”
for Second Consecutive Year
For the second year in a row, Sentara RMH has received the American College
of Cardiology’s ACTION Registry®—GWTG™ (Get With the Guidelines) Platinum
Award for providing superior care to heart attack patients.
I
n evaluating Sentara RMH for award consideration, the ACTION Registry looks at the treatment
of all patients who were seen for heart attack
in the previous year at the hospital, says Linwood
Williams, cardiac operations manager for the Sentara
RMH Heart and Vascular Center. The Platinum Award
is the highest level of award granted by the registry.
“The registry looks at the patient’s entire stay
at the hospital—how long the patient was here,
whether the proper medications were given before
and after discharge, and whether the patient received
appropriate education to help him or her remain
well,” says Williams.
One of the most important measures the registry
considers is door-to-balloon time. This refers to the
amount of time it takes to get a patient suffering a
STEMI, the most serious kind of heart attack, from
the ambulance; through the Emergency Department (ED); and into the catheterization lab, where
the blocked coronary artery is opened in a procedure
known as balloon angioplasty. The National College
of Cardiology and the American Heart Association
have set a goal of 90 minutes or less from door to
balloon. The Sentara RMH average door-to-balloon
time is 46 minutes, while the national average is 59.2
minutes, Williams says.
The Action Registry also looks at an institution’s
mortality rate after intervention—that is, the number
of heart attack patients who go on to die after having
their blocked coronary artery opened. The risk-adjusted 90th percentile for all U.S. hospitals is 3.37 percent,
whereas Sentara RMH’s rate is considerably better, at
0.98 percent.
Lifesaving Collaboration
Sentara RMH is able to accomplish these impressive
results because of a close collaboration among the
hospital’s ED and cardiac catheterization lab and the
area’s emergency medical service (EMS) providers.
“It would not be possible at all without those
three components working well together,” Williams says.
In 2009, Sentara RMH donated 16 portable
12-lead EKG (electrocardiogram) cardiac monitors
to local EMS squads that didn’t already have them,
to ensure that each area’s emergency vehicle was
equipped with this lifesaving device. An initial diagnostic tool that checks heart rhythm, the monitor can
help EMS providers determine if a patient is having a
heart attack. In such cases, the EMS squad alerts the
Sentara RMH ED staff.
“The EMS providers are an integral part of the
team because they make accurate assessments in
the field and transmit EKGs to the ED, so we can
alert the STEMI team to be on standby when the
patient arrives,” says Marcus Almarode, nurse director of the Sentara RMH ED. “Those 12-lead EKGs play
a huge role in this; they’re priceless when it comes
to saving lives.”
Helping People is the Point
ED Medical Director Robert Marble, M.D., notes that
the significance of being recognized by the ACTION
Registry isn’t in the honor of receiving the award.
“What’s important is that we’re being officially
recognized for the high level of care we provide our
heart patients,” he says.
“The bottom line,” adds Williams, “is that if
you’re having a heart attack—even a serious one
like a STEMI—and you come to Sentara RMH, you’re
going to receive care here that is as good as you
would get anywhere.”
Sentara.com
19
for your health
Are You Smart
About Your Heart?
Improve your heart IQ with Heart Check, a personalized, one-on-one screening and health coaching program designed to help you learn about your risk
of developing heart disease and what you can do about it.
What Makes Heart Check Different?
The Sentara RMH Heart Check program provides a unique
dual approach of personalized cardiovascular disease risk
assessments and meaningful health coaching. In addition to
gaining awareness about your personal risk factors for heart
disease, you will also be guided and encouraged to make
optimal health decisions for your future.
How Does Heart Check Work?
After scheduling your appointment, you’ll have some lab
work completed, and the results will be sent to the heart
health navigator, who is a cardiac nurse and integrative
health coach certified by Duke Integrative Medicine.
During your appointment, the heart health navigator will
help you identify your cardiovascular disease risks by using
standardized biomeasurements and a lifestyle assessment.
Other tests and advanced screenings may be suggested
based on your results. A copy of your risk profile, along
with your lab results, will be provided to you and can be
forwarded to your healthcare provider.
Taking Heart Check to the Next Level
A new addition to the Heart Check program is health
coaching, which is offered as an optional follow-up to your
Heart Check appointment. If you would like more help in
setting goals, staying motivated and maintaining healthy
lifestyle changes, health coaching is a good next step.
How Much Does Heart Check Cost?
Heart Check and all follow-up coaching appointments are
$50 each. ■
Schedule a Heart Check Today!
To schedule an appointment, call Sentara RMH Patient Scheduling at
540-689-6000. You will receive a brief assessment questionnaire and a
form for your blood work after registering.
Heart Check appointments are held at the Sentara RMH Funkhouser
Women’s Center. Appointments are available to both men and women.
20
healthQuest | Winter 2015
Why Should I Schedule a Heart
Check Appointment?
•
Cardiovascular disease is the leading cause of death in
American women and men.
•
Among both women and men, cardiovascular
disease causes more deaths than all forms of
cancer combined.
•
Women’s heart attack symptoms are different from
men’s. Often these symptoms are not recognized and
go undiagnosed.
•
For many men, the first sign of cardiovascular disease
is a heart attack.
•
Cardiovascular disease is the primary cause of
premature, permanent disability among the U.S.
workforce.
•
The estimated average amount of life lost due to a
heart attack is 14.2 years.
sobre su salud
¿Toma decisiones inteligentes
con respecto a su corazón?
Mejore el CI de su corazón con Heart Check, un programa personalizado de
detección personal y asesoría de salud para ayudarle a saber el riesgo que
corre de desarrollar enfermedades cardíacas y lo que puede hacer al respecto.
¿Qué es lo que hace a Heart Check diferente?
Llevando a Heart Check al siguiente nivel
El programa Sentara RMH Heart Check proporciona un
enfoque dual único de las evaluaciones personalizadas de
riesgos de enfermedades cardiovasculares y asesoramiento
de salud significativo. Además de estar más consciente de
sus factores de riesgo personales de desarrollar enfermedades cardíacas; también se le guiará y animará a tomar
decisiones de salud óptimas para su futuro.
Un nuevo complemento del programa Heart Check es
la asesoría de salud que se ofrece como un seguimiento
opcional a su cita de Heart Check. Si desea obtener más
ayuda para proponerse metas, estar motivado y mantener
cambios de estilo de vida saludables, el asesoramiento de
salud es el siguiente paso.
¿Cómo funciona el programa Heart Check?
Después de haber programado su cita, completará un análisis de laboratorio y los resultados se enviarán a el navegador
de salud cardíaca, que es un asistente cardíaco y un asesor
de salud integral certificado por Duke.
Durante su cita, el navegador de salud cardíaca le
ayudará a identificar sus riesgos de desarrollar una
enfermedad cardiovascular por medio de biomedidas
estandarizadas y una evaluación de su estilo de vida. Se
pueden recomendar otras pruebas y exámenes de detección
avanzados basado en sus resultados. Se le proporcionará
una copia de su perfil de riesgo, junto con sus resultados
de laboratorio lo que puede ser enviado a su proveedor de
atención médica.
¡Programe una cita para Heart Check hoy!
Cuando llame para programar su cita puede pedir un interprete si
lo necesita. Para programar, llame a programación de citas para
pacientes de Sentara RMH al 540-689-6000. Usted recibirá un
cuestionario de evaluación breve y un formulario para su análisis
de sangre después de la inscripción.
Las citas para Heart Check se llevan a cabo en el Sentara RMH
Funkhouser Women’s Center (Centro para mujeres Funkhouser de
Sentara RMH.) Las citas están disponibles para hombres y mujeres.
¿Qué precio tiene Heart Check?
Heart Check y todas las citas de seguimiento para asesoría
cuestan $50 cada una. ■
¿Por qué debo programar una
cita para Heart Check?
•
Las enfermedades cardiovasculares son la causa
principal de muerte en hombres y mujeres
estadounidenses.
•
Las enfermedades cardiovasculares causan más
muertes entre hombres y mujeres que todas las
formas de cáncer juntas.
•
Los síntomas de ataque al corazón de la mujer son
diferentes al de los hombres. Con frecuencia, estos
síntomas no son reconocidos y no son diagnosticados.
•
Para muchos hombres, el primer signo de enfermedad
cardiovascular es un ataque al corazón.
•
Las enfermedades cardiovasculares son la principal
causa de discapacidad prematura permanente entre la
fuerza laboral de los Estados Unidos.
•
El promedio estimado de años de vida perdidos debido
a un ataque al corazón es de 14.2 años.
Sentara.com
21
DIAGNOSIS
DISTANCE
FROM A
By
Luanne
Austin
Telestroke Technology Ensures Patients Receive Quick Treatment
When James Garrett’s left side
went numb in early November
2014, he suspected he was
having another stroke. Soon
he was on his way from his
home in Franklin, West
Virginia, to Sentara RMH.
Within moments of his arrival at
the hospital, Garrett was examined by a
neurologist—but this was different from
any exam he’d ever had before. The neurohospitalist, Daniel Chehebar, D.O., did his
assessment by way of stroke telemedicine,
also known as telestroke.
“It threw me a curve at first,” says
Garrett, 77, but he soon felt comfortable
talking with Dr. Chehebar through an
Internet connection.
Using telestroke, neurologists (physicians with advanced training in the nervous
system) remotely evaluate people who
have had strokes, then make diagnoses
and treatment recommendations to emergency medicine physicians on site with
the patients. The physicians communicate
using digital video cameras, microphones
and speakers, Internet telecommunications,
22
healthQuest | Winter 2015
Know the Signs and
Symptoms of Stroke
Sudden numbness or weakness
of the face, arm or leg
Sudden trouble seeing in one or
both eyes
Sudden trouble walking, dizziness,
or loss of balance or coordination
Sudden severe headache with no
known cause
Sudden confusion or trouble
understanding
Emergency Department
physician Dr. Nazir Adam,
left, and nurse Justin
Brenneis with the
telestroke unit.
With stroke, time is brain tissue!
If you think you may be having a
stroke, or if you think someone else
is, call 911 immediately.
Sentara.com
23
robotic telepresence, and other technology.
A prompt neurological evaluation means
patients can receive the “clot-busting drug” t-PA, or
tissue plasminogen activator, in time to reduce their
risk of disability and death resulting from stroke. The
target time for administering the drug is within one
hour of the stroke’s onset.
Available Around the Clock
In September 2014, after receiving telestroke training, the Sentara RMH neurologists and Emergency
Department (ED) staff were ready to do a dry run
using the new system for diagnosis. The telestroke
hardware includes a dedicated computer mounted on
a table with wheels, so it can be moved quickly and
easily to a patient’s exam room.
“The telestroke allows us to call a neurologist at
home from the computer here,” says Carlissa Lam,
RN, clinical nurse specialist. Each of the hospital’s
four neurologists has a dedicated computer at home
to use for this purpose.
Video cameras on the telestroke computers
allow the physician and patient to see each other,
and the physician can control the hospital camera’s
position from home to better examine the patient.
Microphones and speakers also allow them to talk
with each other.
The neurologist works with the ED physician
and nurses to assess the patient, looking for the
telltale signs of a stroke: slurred speech, drooping
face, and weakness in an arm or leg. The ED staff
acts as the neurologist’s hands.
At home, the neurologist receives the patient’s
lab results; checks the CT scan; and, if necessary,
places an order with the hospital pharmacy for t-PA.
“The idea is to get patients evaluated sooner to
see if they qualify for the clot-busting drug,” Lam
says. “Every minute we can save, we’re saving brain
cells. That’s our goal.”
Lower Your Stroke Risk
Eat plenty of fruits, vegetables and foods high in fiber, and avoid saturated fats.
Control your weight.
Get 30 minutes of physical activity most days of the week.
Don’t smoke.
Drink alcohol in moderation, if at all.
Have your blood pressure and cholesterol checked regularly.
Keep your blood sugar under control if you have diabetes.
24
healthQuest | Winter 2015
A Time-Saving Role in Modern Medicine
Dr. Chehebar first used the telestroke technology in September, late at night. Right from
home he performed an assessment, put in the
orders for the needed drugs, and communicated
with the ED physicians and pharmacy.
Then he went to the hospital.
“I still wanted to see the patient,” says
Dr. Chehebar. “It wasn’t necessary—more
just peace of mind for me. I hadn’t used the
telestroke system before.”
The telestroke diagnosis enabled the
patient to receive the clot-busting drug 20-25
minutes sooner than he would have without
the telestroke.
“It doesn’t seem like a long time, but 2 million neurons a minute die with a stroke,” adds
Dr. Chehebar, who lives 15-20 minutes from
Sentara RMH. “Stroke is such a time-sensitive
condition. Literally, every minute counts.”
For every 15 minutes of time saved before
administering the clot-busting drug, the
difference in improvements can be charted, says
Dr. Chehebar. So those 20-25 minutes saved
can have a big impact on a patient’s outcome.
Dr. Chehebar admits the telestroke
assessment is different from being physically
present with a patient.
“I can’t touch the patient to feel for the
tremor, for the little nuances you can evaluate,
and I couldn’t listen to his heart,” he says.
But telemedicine does have a certain place
in modern medical treatment, Dr. Chehebar
explains.
“With the NIH stroke scale and the welltrained ED docs and nurses on the other end,
we can decide with confidence to recommend
the t-PA,” he says.
Dr. Chehebar was pleased that Garrett
interacted so well with him by way of the
telestroke system. However, it turned out the
patient did not qualify for the clot-busting
drug. During his assessment, Dr. Chehebar
discovered Garrett was already on a strong regimen of blood-thinning drugs due to previous
heart attacks and stroke.
“The first line of treatment was not available, so I was able to talk over the telestroke
computer with the patient and his family
about what we were going to do,” recalls Dr.
Chehebar. “I was glad to be able to respond to
the patient’s situation quickly.”
Sentara RMH
Welcomes First
Neurohospitalist
F
or seven years, neurologist
Daniel Chehebar, D.O.,
was on call at the hospital’s
Emergency Department (ED)
every two to three weeks.
If a stroke patient arrived in
the ED, Dr. Chehebar would
drop everything to rush to the
hospital.
“When it happens, you
have to say to the patient in
your office, ‘Sorry, I’ve got to
go,’ and you schedule another
visit later,” he says.
This fall, Dr. Chehebar
Dr. Dan Chehebar
became Sentara RMH’s first
neurohospitalist, one of the
inpatient care specialists on staff at the hospital. He works every
other week—on call 24/7—which allows the other three neurologists in Harrisonburg to be on call less often, so they can spend
more time in their own offices.
A recent trend in health care, the neurohospitalist model offers
many advantages to physicians and patients. According to the
American Academy of Neurology website, neurohospitalists are
now present in both academic and community settings across the
United States.
Better for Patients
Having a neurohospitalist in the ED when a stroke patient arrives
ensures quicker diagnosis and treatment, which translates to
better survival and recovery rates. Particularly in stroke situations,
time is of the essence—the clot-busting drug t-PA is most effective when administered within one hour of the stroke’s onset.
Dr. Chehebar deals mainly with strokes and seizures, but in the
hospital, he says, “critically ill people in intensive care can be subject
to neurological problems, such as after a heart attack or renal damage. Patients may seem confused or mixed up, so the attending
physician may ask me to come figure out what’s going on.”
Dr. Chehebar believes it’s essential for him to spend adequate
time with patients.
“Neurology is different from, say, orthopedics, in the sense
that it may not have definite physical symptoms,” he explains. “If
someone falls down and comes into the office complaining of
pain, the orthopedist can do a focused physical exam; order an
X-ray; and often make a quick, accurate diagnosis.
“With neurology, however, with a condition like multiple
sclerosis, a patient may report fatigue, headaches and insomnia,
so there’s more to check for,” he says. “You have to listen and ask a
lot of questions. It takes a bit of digging.”
Sentara.com
25
Revived Mended
Hearts Chapter
Provides Support
and Education
for Heart Patients
and Caregivers
Hopeful Hearts
BY KAREN DOSS BOWMAN
For Dennis Ragan of New Market, the heart
attack he experienced in 1995 was truly a
wake-up call.
At the time, Ragan was overweight and a
smoker who rarely exercised, and he had a history of heart disease in his family. After having
double bypass surgery to treat his condition,
Ragan says he was “hungry” for information
about how to make healthier lifestyle choices.
Dennis and Stephanie Ragan have been actively
involved with Mended Hearts since the mid-1990s.
26
healthQuest | Winter 2015
“I wanted to learn everything—from what I could eat that
would be heart healthy and also taste good, to what kinds of
exercises would be most beneficial,” says Ragan, now 69.
Ragan and his wife, Stephanie, found support, encouragement and hope through Mended Hearts, a national and
community-based nonprofit organization with more than 300
chapters across the country. The group meets monthly to offer
education and emotional support to heart disease patients, as
well as their families and caregivers.
“We’re walking, talking examples of life after heart surgery
or a heart event,” shares Ragan, a charter member of the original Mended Hearts chapter that was active at Sentara RMH
from 1998 to 2010. “Life is still good.”
Today the Ragans are encouraging others living with heart
disease to join a new chapter of Mended Hearts that recently
began at Sentara RMH. The Harrisonburg group, a satellite of
the Winchester chapter, held its first meeting in October.
Peer-to-Peer Care
Mended Hearts is the nation’s oldest peer-to-peer
cardiac support group, providing heart disease patients and their loved ones a safe place to talk about
lifestyle changes and offering support to cope with
depression and achieve recovery.
Following his triple bypass surgery in April
2014, Tracy Baughman, 52, of Harrisonburg, sought
the support of other patients. Baughman, whose
blockages were discovered as the result of an abnormal electrocardiogram and stress test, knew his family history of heart attacks meant he was at higher
risk for heart disease. He attended the October
Mended Hearts meeting after seeing an ad in the
Daily News-Record.
“I wanted someone to talk to who had gone
through a similar situation,” Baughman says. “You
can talk about what you’re feeling and find out if
that’s normal, or learn from others how they dealt
with certain situations.”
Baughman was the first member to join the revived Mended Hearts group and is looking forward
to being involved with the local organization.
The Importance of Education
While emotional support is vital to healing, Mended
Hearts also educates heart disease patients about
their condition and how to stay healthy.
Cardiothoracic surgeon Jerome McDonald,
M.D., FACS, fully supports the newly revived
Mended Hearts chapter. The support group can help
“normalize the experience,” he says, particularly for
patients who are experiencing depression.
“Mended Hearts can really offer hope for
people facing distressing and overwhelming circumstances,” he adds.
Caring Visits
An important component of Mended Hearts is the
visiting program, staffed by local chapter members
who are trained and accredited by the national
organization to visit new heart patients and their
families in the hospital. These visiting volunteers can
be recognized easily in the hospital by their red vests.
New heart patients are typically concerned
about how their lives will change and how quickly
Tracy Baughman
is the first member to join the
revived Mended
Hearts group at
Sentara RMH.
they will heal, says Ragan, who was an officer of
the original local chapter and also served at the national level, including time on the national board
of directors.
“Patients want to know what’s normal in
recovery and when they should call or visit their
doctor,” he says. “So these visits can really help. We
get them to talk about their experiences, and that’s
often cathartic. Once they start talking, we share
our experiences to keep the conversation going.”
Ragan’s wife, Stephanie, also a charter member and officer of the original chapter, points out
that families face many challenges as they prepare
to take a new heart patient home. Following her
husband’s heart attack, she worried that he might
have another cardiac episode. She was also concerned about his recovery and dietary needs, and the
psychological effects of his experience.
“As a caregiver, you don’t know what to
expect,” she says. “But with Mended Hearts you
don’t have to face it alone.” ■
YOU’RE
INVITED!
Heart patients and their family members are invited to attend the monthly
meetings of the Sentara RMH Mended Hearts satellite chapter. For more
information, contact Tom Rice of the Sentara RMH Heart and Vascular
Center at 540-689-1839 or [email protected].
Sentara.com
27
living with synergy
FOLLOW YOUR
HEART TO A
Path of Purpose
Are Mondays coming too often and Fridays not often enough? Do you feel you’re not as good a fit
for your current job as you once were, but are unsure about what other kinds of work you could
do? Are you stuck spinning your wheels but getting nowhere, wondering if others know something you don’t? Perhaps you’ve dreamed of starting a business, but you’re too busy just getting
through each day to see how you could turn your passion into reality.
I
f any of the above scenarios fits you, I invite you
to stop going through the motions and answer a
couple of tough questions:
• Areyoudoingwhatyouwanttodoorwhatyou
think you should do?
• Doyoulikeandrespectwhoyouareinyourwork?
Many of us may have chosen a career based on
family expectations, advice from teachers, or areas
of study in which we performed well. But for some
people, none of these influences is necessarily the best
basis upon which to build a life. In his book “The 7
Habits of Highly Effective People,” author Stephen
Covey writes: “Most people spend their whole lives
climbing the ladder of success only to realize, when
they get to the top, the ladder has been leaning against
the wrong wall.”
28
healthQuest | Winter 2015
Sadly, we can be very successful at a given profession but never really satisfied by it. Who we are is much
more than what we’re good at, and success without fulfillment can be toxic over time. The happiness we desire
and deserve comes only when we live in alignment with
our core values.
Luckily, a radical career change isn’t always required
for you to live more purposefully. The following tips can
help you get to the heart of what really matters, find a
deeper connection to the work you already do and add a
fresh twist to what you think is possible.
1. Take 100 percent responsibility. YOU are in
charge on this one. YOU get to define for yourself what
will make you happy—not your friends, not your family,
not the latest trends.
Listening to our Inner Wisdom
When you’re tempted to blame others or
complain about your circumstances, state out loud:
“I take full accountability for my own happiness and
fulfillment.”
2. Be honest. Come clean on what you do—
and don’t—feel passionate about.
“Your time is limited, so don’t waste it living someone
else’s life. Don’t be trapped by dogma—which is living
with the results of other people’s thinking. Don’t let the noise
of others’ opinions drown out your own inner voice.
And most importantly, have the courage to follow your own
heart and intuition. They somehow already know what you
truly want to become. Everything else is secondary.”
—Steve Jobs
Does something you’re involved with now feel
more like an obligation? Let go of any attachment to
what you think your ideal life should look like; release
the unnecessary roles and responsibilities that are
draining you dry.
3. Get fresh perspective. Wake up! What are
you waiting for? If you think you have forever to get
around to that “thing” you want to do, think again.
Take nothing for granted; live NOW. This moment is
the only one you can do anything about.
If today were your last day, what would you wish
you had done with your life? Write it all out in a
“bucket list” and share it with someone close to you.
Ask that person to hold you accountable for crossing
something off your list regularly, and celebrate like
crazy each time you make one happen!
4. Reframe the idea of perfection. Unrealistic
expectations often will sabotage our best efforts at
change—so will guilt over past mistakes, regret about
missed opportunities and the habit of comparing your
“worst” to everyone else’s “best.”
Watch out for thoughts like these:
• “IfIcan’tdoitperfectly,whytryatall?”
• “Imissedmychancetodevelopmytalent.”
• “OtherpeoplearebetterormoreskilledthanI;
I have nothing special to offer.”
If you catch yourself thinking this way, STOP!
BREATHE! Then FLIP the thought to one that’s
more empowering, such as:
• “It’snevertoolatetolearnnewthings.”
• “NoonecanfulfillmymissionbetterthanIcan.”
5. Use your struggles. There’s nothing in your past
that you can’t use to help you move forward. Every
experience you’ve had, especially the challenges and
struggles, can help you get clear about why you’re here
and how you’re meant to serve. With this resilient
mindset, we don’t just survive in spite of setbacks; we
intentionally thrive because of them.
If there is a higher purpose for the tough times
you’ve been through, what would it be? We teach best
what we need to learn ourselves. Sharing your story
could have a powerful effect on others.
6. Listen to your “heart messages.” Learn to
say YES to what your heart really wants. Is there
any place in your life right now where you have that
“gut instinct” about what to do next? Moments of
intuition are blessings about the directions we need
to take in our lives, but we can miss the quiet whispers of spirit unless we make an intentional effort to
be mindful and listen.
Set your timer for five minutes. Go to a quiet
place. Close your eyes and place your left hand
over your heart. Take a few deep breaths and say
the following out loud: “What do you really, really,
really want me to know?” Give yourself space to
just listen. Repeat the question if you get distracted.
You’ll continue to receive answers, so pay attention
to flashes of insight, creative ideas and inspirations,
and things that you hear and see. Trust that these
answers are authentic to you and a reflection of your
true calling.
The world can be happier and healthier
because of the contribution you are here to make.
Whether it’s taking up a creative hobby, volunteering for a cause you’re committed to, writing a book
or mastering a soul-centered project, my
greatest wish is that you follow your heart
and claim your true calling—with no
excuses or apologies! ■
■ Christina Kunkle, R.N., is a CTAcertified life and wellness coach.
To learn more, visit her website at
www.synergylifeandwellnesscoaching.com
or call 540-746-5206.
Sentara.com
29
All
HEART
Harrisonburg Man Undergoes Newly Available,
Minimally Invasive Heart Surgery
For the past 12 years, Don Myers has been an avid mall walker,
trekking a distance of two miles, five days a week, inside Harrisonburg’s
Valley Mall. The physical activity has been a boost to his overall health,
so he was puzzled when last winter he began experiencing chest pain
and shortness of breath. Still, he didn’t tell anyone.
By Karen Doss Bowman
30
healthQuest | Winter 2015
“I didn’t want to worry my family,
and I just thought [the chest pain] would go away.”
“I didn’t want to worry my family, and I just
thought it would go away,” says Myers, 71, a Harrisonburg resident who retired in 2006 from Myers
Ford in Elkton, the car dealership his family owns. “I
didn’t think it was anything to be concerned about.”
After two weeks of persistent chest pain,
however, Myers finally confided in his two walking
partners—one of them a nurse—who were adamant
that he seek medical attention that very day. Myers
called his primary care doctor, who advised him to go
to the hospital immediately.
At the Sentara RMH Heart and Vascular
Center, Myers, who has no previous history of heart
problems, underwent a stress test that revealed a
blockage of the left anterior descending coronary
artery, the most important vessel for supplying blood
to the heart. Because of the obstruction, the heart
wasn’t receiving adequate blood flow. A subsequent
evaluation in the catheterization lab showed that the
blockage, because of its location, could not be treated
with a stent, a small wire tube designed to keep an
obstructed artery open.
Myers was told he would need coronary artery
bypass grafting (CABG) to create a new pathway
for blood to flow to the heart. Because he needed
grafting for just one artery, he was a candidate for
minimally invasive CABG, a procedure that requires
just a small, two-inch incision and can be performed
with the heart beating.
New Technique, Big Benefits
Sentara RMH began offering the new procedure in
fall 2013 when Jerome McDonald, M.D., FACS,
joined the hospital’s medical staff. Dr. McDonald is
a cardiothoracic surgeon with specialized expertise
in minimally invasive surgery for the heart and chest
area, including the lungs. He also is one of a small
number of cardiothoracic surgeons in the country
who perform minimally invasive aortic valve replacement. Prior to Dr. McDonald’s arrival at Sentara
RMH, patients had to go out of the area for these
procedures.
Dr. McDonald, who serves as medical director
of the Sentara RMH cardiothoracic surgery program, explains that the minimally invasive CABG
procedure offers a faster recovery time and leaves a
less-visible scar than traditional open-heart surgery.
The traditional approach requires a large, eightinch to 10-inch incision and is performed while the
patient is connected to a heart-lung machine to keep
blood circulating through the body. The recovery
period for traditional open-heart surgery can be six
weeks or longer.
However, the minimally invasive procedure
isn’t an option for the majority of Dr. McDonald’s
patients, he says. Those who need more than one or
two bypass grafts, or those who have had previous
heart surgeries or who have other health conditions,
are not candidates for the technique.
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31
“The care I received was excellent. Everybody was really attentive to
my needs and went out of their way to be helpful.”
“Most patients we do heart surgery on need
quadruple bypasses,” says Dr. McDonald. “But the
minimally invasive approach is an excellent option
for those who need only one or two bypass grafts in
certain segments of the heart. There’s essentially no
bleeding with this procedure. Patients are less likely
to have complications, so they can go home sooner,
experience a quicker recovery and get back to their
normal activities.”
Getting Back on his Feet
Just two weeks after his surgery, Myers began rigorous cardiac rehab at Sentara RMH, during which
he worked out on the treadmill, the NuStep and a
stationary bicycle. His recovery wasn’t easy, but Myers credits the medical team as a large motivating
factor for him.
“Cardiac rehab was no picnic—they really put
me through the paces,” he recalls, laughing. “But I
really have no complaints. They were doing their job
and took good care of me.”
Myers also was pleased with the care and attention he received from Dr. McDonald and the nurses
and other medical staff at the Sentara RMH Heart
and Vascular Center. Since completing his rehab,
Myers has resumed his normal activities, including
walking two miles daily, five days a week, at the mall.
He believes his walking habit may have helped speed
up his recovery.
“I was back on my feet right away and didn’t feel
weak,” says Myers. “The care I received was excellent.
Everybody was really attentive to my needs and went
out of their way to be helpful. They made the experience as pleasant as possible, and that does make you
feel better.”
Reassuring Other Heart Patients
Myers works with
front-desk staff
in the Heart and
Vascular Center.
32
healthQuest | Winter 2015
Myers has been a Sentara RMH volunteer since
2007, following in the footsteps of both his parents: John, now deceased, and Rachel Myers. As a
volunteer at the front desk of the Heart and Vascular
Center, Myers says he now understands firsthand
patients’ concerns about heart disease and tries to use
his own experiences to help ease patients’ anxieties.
“I enjoy meeting people coming in with heart
concerns,” he says. “Many times, they’re tense and
anxious. I hope I can put them at ease by helping
them through the registration process or getting
them a wheelchair or whatever else they might need.
Now I can relate to what these patients are going
through.”
He does have one specific piece of advice for
others who may be experiencing symptoms of heart
problems: See your doctor.
“If you have any reason to believe you’re having
heart trouble, don’t put it off like I did; get it checked
out,” Myers suggests. “It could have been much worse
for me. I’m thankful my walking partners urged me
to see a doctor.” ■
nutrition
For Your
(Heart) Health,
Go Mediterranean!
Widely recognized as the model for healthy
eating, the Mediterranean diet is associated with
a low risk for developing many chronic diseases
such as high blood pressure, heart disease,
Type 2 diabetes and obesity.
BY LISA V. MAHENTHIRAN, M.S., R.D.,
SENTARA RMH FOOD AND NUTRITION SERVICES
The healthful characteristics of the Mediterranean
diet include:
• Anabundanceoffruits,vegetables,whole
grains, nuts, seeds and beans that are minimally processed, seasonally fresh and locally
grown
• Oliveoilasthemajorsourceofdietaryfat
• Lowtomoderateamountsofdairyproducts
(mainly cheese and yogurt)
• Nomorethanfoureggsperweek
• Moderateconsumptionofseafoodorfish
(at least twice per week)
• Less-frequentconsumptionofredmeat
(several times a month)
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nutrition
Simple Steps to Help
you go Mediterranean
■
Always eat breakfast. Fruits and whole grains are fiber-rich
and will keep you full for hours. Possible breakfast items
include granola, yogurt and fruit, or whole grain toast with
half a mashed avocado.
■
Eat plenty of vegetables, preferably grown locally. Fill
half your plate with vegetables for lunch and dinner. Include
salads, greens, soups and stews, oven-roasted or grilled
vegetables, vegetable-laden pizzas, and plates of sliced fresh
tomatoes drizzled with olive oil and topped with feta cheese.
■
Go vegetarian at least one night a week. Make vegetarian
meals using beans, lentils, whole grains and vegetables. Add
herbs and spices to increase flavor.
■
Replace refined grains. Instead of white bread, pasta or rice,
use whole-wheat bread, brown rice and whole-wheat pasta.
Try recipes that use the whole grains barley, bulgur and
couscous.
■
Use dairy products in moderation. Eat plain or Greek yogurt
and small amounts of a variety of cheeses.
■
Use very little red meat. To lower saturated fat, replace red
meat with skinless chicken, turkey, fish, eggs, beans and nuts.
Limit portion sizes of red meat to 3-4 ounces.
■
Eat fish or seafood twice a week. Fatty fish like salmon, tuna,
herring and sardines are rich in omega-3 fatty acids, which
help keep your heart healthy.
■
Experiment with herbs and spices. Use these instead of salt
to flavor food.
■
Use healthy fats in meals. Extra-virgin olive oil, nuts, peanuts, sunflower seeds, olives and avocados are sources of
healthy fats. Replace margarine and butter with canola oil or
olive oil for cooking. A high-quality extra-virgin olive oil seasoned with balsamic vinegar is delicious for dipping bread.
■
Don’t forget desert! Eat a wide variety of fresh fruits. Save
sweets like ice cream, cookies, and other items high in sugar
and fat for special occasions and celebrations.
■
Drink water. The Mediterranean diet is high in fiber, and the
body needs sufficient water for the fiber to work properly.
• Lowtomoderateamountsofwine,generally
with meals (optional)
The Mediterranean diet is a plant-based diet
that’s high in fiber and unsaturated fat and low in
saturated fat. It doesn’t consist of one type of food,
but a combination of foods that work together to
maintain good health. As an added bonus, this dietary pattern also recognizes the importance of social
ties—enjoying meals with family and friends—and
being physically active.
What are the Health Benefits?
Research over several decades has consistently shown
that the Mediterranean diet plays an important role
in preventing and slowing the development of many
common chronic diseases.
• Heart disease and stroke: The Mediterranean
diet is heart-protective because it’s low in trans
fats, saturated fats and cholesterol.
• Type2diabetes: Healthy food choices, combined
with regular physical activity and not smoking, can
help decrease the risk of developing diabetes. The
Mediterranean diet is rich in healthy food options
such as whole grains, fruits and vegetables. It is also
linked to better blood glucose control in people
who are newly diagnosed with diabetes and in
those who are overweight or obese.
Continued on page 36
34
healthQuest | Winter 2015
Diet: A Four-Letter Word
Say “diet,” and many people think immediately of restrictions and limitations. But not so with the
Mediterranean diet! It’s not really a “diet” in the way people generally use the term. Rather than
dietary restrictions, think of the Mediterranean diet as a way of life you will adapt to help you lose
weight and stay healthy. It’s the healthy eating pattern of people who live in olive-growing regions
like Greece, Italy, Portugal, Spain and some North African countries.
RECIP ES
Herb Baked Fish
(serves 4)
1 pound of fresh halibut, cod or salmon
2 teaspoons olive oil
1 teaspoon dried thyme
¼ cup grated Parmesan cheese
Preheat the oven to 425°F. Place fish in a flat
baking dish, skin side down. Rub both sides
with olive oil. Sprinkle top with thyme and
cheese. Bake for 10 minutes or until the fish
flakes easily.
Fresh Vegetable Wrap
(serves 1)
1 whole-grain wrap
2 tablespoons hummus (any flavor)
½ cup chopped romaine lettuce or
baby spinach
2 tablespoons diced walnuts
1 small red pepper, seeded and
sliced
Place the wrap on a flat surface.
Spread the hummus evenly over the
wrap, leaving about a half-inch of
space around the edge. Add lettuce,
walnuts and pepper. Wrap tightly,
tucking in the edges. Wrap in aluminum foil for lunchtime transport.
Sentara.com
35
Lentil Soup (serves 4)
This soup can be made with any kind of
lentils. For a protein boost, serve each portion topped with a diced hard-cooked egg.
2 tablespoons extra-virgin olive oil
1 large onion, chopped
1 stalk celery, chopped
1 garlic clove, minced
2 teaspoons ground cumin
2 tablespoons tomato paste
1 quart vegetable or chicken stock
1 cup lentils
Juice of 1 lemon
Salt and pepper
Crumbled feta cheese for garnish
Heat the olive oil in a large pot. Add the
onion, celery and garlic; sauté for 2 minutes.
Add the cumin and cook, stirring continuously, for one minute longer. Add the tomato
paste, stir until smooth, and add the stock
and lentils. Bring just to a boil; reduce the
heat; and simmer partially covered for 20
minutes, or until the lentils are very soft.
Add 1 cup of water if the soup seems too
thick. Puree in batches in a food processor
or blender, return to the pot, and stir in the
lemon juice. Season with salt and pepper.
Serve garnished with feta cheese.
• Obesity: It’s a well-known fact that obesity
increases the risk of developing many chronic
diseases. Dietary patterns that are high in red
and processed meats, high-fat dairy products,
sugar-containing beverages, sweets, desserts, and
refined grains are associated with an increased
risk for obesity and heart disease. In contrast, the
Mediterranean diet is linked to decreased risk
for obesity because it is nutrient-dense and high
in fiber and water, which helps you feel full after
eating and keeps you from eating long after you’re
already full. People on similar dietary patterns
tend to lose weight safely with more long-term
benefits and without feeling restricted or deprived.
• Cancer: Researchers have found links between a
person’s overall dietary pattern and the development of some forms of cancer. The Mediterranean diet consists of food choices that are
rich in fiber, antioxidants, and other nutrients
associated with an overall lower risk for cancer.
The Mediterranean diet also may help prevent
osteoporosis and Alzheimer’s disease. The healthiness of the Mediterranean diet continues to be
supported by new studies that appear regularly in
leading scientific journals. ■
Want to Learn More? Visit Mediterranean Diet & Pyramid/Oldways, available at
oldwayspt.org/resources/heritage-pyramids/mediterranean-diet-pyramid
36
healthQuest | Winter 2015
medical staff update
The following professionals have recently joined the Sentara RMH medical
staff. We welcome them to Sentara RMH and the community.
Do you need a physician referral or need to contact a physician? Call our free contact
center, Sentara RMH Healthsource, at 1-800-SENTARA.
Rebecca L. Botticelli, M.D.
Family medicine
Valley Family & Elder Care
Medical School: Medical College
of Virginia, Richmond
Residency: Fairfax Family Practice
Residency Program, Virginia
Commonwealth University, Fairfax
Clinical Interests: End-of-life care
Personal Interests: Zumba, needlework,
traveling, spending time with family
Heather N. Camp, DNP
Allied health
Harrisonburg Medical Associates
Graduate Schools: James Madison
University, Harrisonburg (MSN); University
of Alabama, Tuscaloosa (doctor of
nursing practice)
Clinical Interests: Gastroenterology
Personal Interests: Travel, crafting,
reading
Amanda L. Gerber, M.D.
Pediatrics
Bluestone Pediatrics
Medical School: Michigan State University
College of Human Medicine, East Lansing
Residency: Children’s Hospital of
Richmond
Clinical Interests: Weight problems,
behavioral health
Personal Interests: Cooking, swimming,
hiking, family time
Anthony O. Isedeh, M.D.
Internal medicine
Sentara RMH Hospitalists
Medical School: Ross University School of
Medicine, Edison, N.J.
Residency: Newark Beth Israel Medical
Center, Newark, N.J.
Personal Interests: Reading, traveling,
tennis and golf
Nirmal B. Khandoobhai, M.D.
Internal medicine
Sentara RMH Hospitalists
Medical School: Eastern Virginia Medical
School, Norfolk
Residency: Wake Forest University Baptist
Medical Center, Winston-Salem, N.C.
Clinical Interests: Hospital medicine
Personal Interests: Electronics, biking,
hiking
Veronica Kheyfets, M.D.
Hematology/oncology
Hematology Oncology Associates
Medical School: Albert Einstein College
of Medicine, Bronx, N.Y.
Residency: North Shore University
Hospital, Manhasset, N.Y.
Fellowship: Montefiore Medical Center,
Bronx, N.Y. (hematology/oncology)
Clinical Interests: Malignant hematology,
breast cancer, colorectal cancer, prostate
cancer
Personal Interests: Gardening, traveling,
spending time with family and friends
Ryan McKenzie, M.D.
Internal medicine
Sentara RMH Hospitalists
Medical School: Medical University
of the Americas, St. Kitts and Nevis
Residency: Carilion Clinic–Virginia Tech
Carilion, Roanoke
Personal Interests: Mountain biking,
tennis, fun with family
more »
Sentara.com
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medical staff update
Chad D. Moorman, DPM, CPed
Podiatry
Hess Orthopaedics & Sports Medicine,
Harrisonburg
Medical School: Temple University School
of Podiatric Medicine, Philadelphia, Pa.
Residency: Temple University Hospital,
Philadelphia, Pa.
Clinical Interests: Trauma and sports
medicine of the foot and ankle
Personal Interests: Soccer, cooking, and
spending time with his wife and children
Georgios Psarros, M.D.
Internal medicine
Sentara RMH Hospitalists
Medical School: University of Athens
Medical School, Athens, Greece
Residency: Albany Medical Center,
Albany, N.Y.
Fellowship: University of Michigan Hospitals Health, Ann Arbor (infectious diseases)
Clinical Interests: Infectious disease
Personal Interests: Soccer, swimming,
spending time with his two sons
David E. Muscan, N.P.
Allied health
Harrisonburg Medical Associates
Graduate School: James Madison
University, Harrisonburg
Clinical Interests: Heart failure
Personal Interests: Family, public speaking, musical performance
Sudhir R. Rao, M.D.
Pain management
North American Spine & Pain Center
Medical School: St. George’s University
School of Medicine, Grenada, West Indies
Residency: Albert Einstein College of
Medicine, Montefiore Medical Center,
Bronx, N.Y. (anesthesiology)
Fellowship: Mount Sinai School of
Medicine, New York, N.Y.
(interventional pain management)
Clinical Interests: Spinal cord stimulation,
chronic neuropathic pain, chronic regional
pain syndrome, health and wellness
Personal Interests: Travel and running
Li Ouyang, M.D.
Internal medicine
Sentara RMH Hospitalists
Medical School: Central South University,
Hunan, China
Residency: Kingsbrook Jewish Medical
Center, Brooklyn, N.Y.
Clinical Interests: Diabetes, pulmonary
medicine
Personal Interests: Reading, cooking,
shopping
Beth Poore-Bowman, N.P.
Allied health
Harrisonburg Medical Associates
Graduate School: Virginia
Commonwealth University, Richmond
Clinical Interests: Heart failure, heart
disease prevention, electrophysiology
Personal Interests: Reading, knitting,
hiking, travel, cooking
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healthQuest | Winter 2015
Sarah C. Rhinehart, N.P.
Allied health
Sentara RMH Valley Behavioral Medicine
Graduate School: Virginia
Commonwealth University, Richmond
Clinical Interests: Schizophrenia,
underserved population
Personal Interests: Gardening, biking,
hiking, spending time with her dog
Melissa K. Sikes, FNP-C
Allied health
Harrisonburg ENT
Graduate School: University of Virginia,
Charlottesville
Certification: Family nurse practitioner
Clinical Interests: Otolaryngology
Personal Interests: Crafting, outdoor
adventures, spending time with family
Alexandria A. (AlexAnn) Westlake, CNM
Allied health
Shenandoah Women’s HealthCare
Graduate School: Oregon Health &
Science University, Portland
Clinical Interests: Women’s health,
pregnancy, preconception care,
contraception, postpartum care
Personal Interests: Trail running and
hiking with her family, friends and dog;
cooking; gardening
Jason P. Wilson, P.A.
Allied Health
Harrisonburg Emergency Physicians
Graduate School: James Madison University, Harrisonburg
Clinical Interests: Emergency medicine
Personal Interests: Camping, kayaking
and archery
Kimberly St. Jean, M.D.
Hospice and palliative care
Sentara RMH Hospice and Palliative Care
Medical School: Drexel University College
of Medicine, Philadelphia, Pa.
Residency: University of Illinois at Chicago
(internal medicine)
Fellowship: Med Star Washington Hospital
Center/Capital Caring, Washington, D.C.
(hospice and palliative medicine)
Personal Interests: Travel, college football, music
Constance N. Wenger, P.A.-C
Allied health
Harrisonburg Medical Associates
Graduate School: James Madison
University, Harrisonburg
Clinical Interests: Nephrology,
inflammatory process, biofilms
Personal Interests: Kayaking, gardening,
travel
Sentara.com
39
RMH foundation
Funding
Compassionate
Care
By
Karen Doss
Bowman
B
“We hope
our gift will
contribute to
better care
all around.”
40
healthQuest | Winter 2015
Grateful Patient Supports
Advanced Education for
Sentara RMH Nurses
ill Bedall understands firsthand the impact caring nurses can
make on a patient’s experience at Sentara RMH.
During each of the three times he’s been hospitalized—
most recently in December 2013 after an episode of atrial
fibrillation, or irregular heartbeat—Bedall has been impressed with
the level of care and compassion delivered by the hospital’s nurses.
Not only did they bring him his medications and monitor his
progress, they also offered reassurance to him and his wife, Gerry,
during their times of uncertainty.
“Everyone on the medical team provided excellent care, but I was especially impressed
with the nurses,” says Bedall, who worked for 40 years as a financial planner in Harrisonburg before retiring 14 years ago. “They really did a great job taking care of me. They were
at or near the bedside 24/7.”
As an expression of gratitude for the care they received, the Bedalls recently made a
generous contribution to support the Sentara RMH Institute for Nursing Excellence and
Innovation. The institute provides scholarship support to nurses seeking to advance their
nursing education.
Sentara RMH has set a goal of having at least 80 percent of its registered nurses
trained at the baccalaureate level or higher by 2020. Support from grateful patients like
Bedall, who also made a substantial gift to the Sentara RMH Heart and Vascular Center, is
crucial to strengthening the hospital’s delivery of nursing care.
“Bill and Gerry’s generosity to the RMH Foundation has made a tremendous
impact on the care our patients receive,” says Cory Davies, executive director of the
Foundation. “Their earlier gift helped fund advanced technology that enables our Heart
and Vascular Center to provide the latest, most advanced treatments to patients. And
their most recent support invests in the training and education of our nurses. It’s a gift
that keeps on giving, because the nurses who benefit pay it forward as they provide
higher-quality care to their patients.”
Bill and Gerry
Bedall, of
Harrisonburg,
give to the RMH
Foundation
because of the
compassionate
care they have
received at
Sentara RMH.
As health care becomes increasingly complex,
ongoing professional development for nurses is essential, especially as the current shortage of experienced
nurses continues to grow. The Harrisonburg community
is not immune to this predicament, says Davies, so the
institute is putting into place strategies to develop and
support new nursing graduates and to retain experienced clinicians.
“Sentara RMH is committed to ‘grow our own’
expert nurses through formal education, professional
development and specialty certification,” Davies adds.
“We want to continue the hospital’s long-standing commitment to nursing excellence.”
The institute also seeks to improve patient care
by supporting original research and the application of
evidence-based best practices in patient care. As nursing
knowledge and practice continue to advance, the quality
of the care delivered at Sentara RMH will be enhanced
by nurses who contribute to that scholarly work and
pursue methods for applying it at the bedside each day.
“When you’re in the hospital, the nurses are the
people on the medical team who are with you the most,
day and night,” notes Bedall. “So having nurses who can
recognize when something is going wrong, even when
the doctor isn’t nearby, is very important. That’s why we
wanted to support nursing scholarships. If I’m in the
hospital bed, I want the assurance that the person who’s
by my bedside, taking care of me hour by hour, is as well
trained as can be.”
For many nurses with families to support, committing to an educational program can be challenging.
The Bedalls hope their gift will help ease the burden for
working nurses and encourage them in their pursuit of
professional development.
“I have three sisters who are nurses, and I know
what they go through to further their education,” Gerry
says. “We hope our gift will contribute to better care all
around.” ■
Sentara.com
41
friends
OF THE RMH FOUNDATION
Gifts Received June 1–Nov. 23, 2014
Sentara RMH Medical Center is grateful to have the support of generous community members. We express this gratitude and recognize the contributions our donors make through the
President’s Forum, the William Leake Society and the 1910 Cornerstone Club. These exclusive
giving circles are our way to honor our most generous partners who show they care about
having the best medical services available in our community. Thank you for your support!
Totals represent cumulative amounts given in 2014.
President’s
Forum
$100,000 and above
The Fred O. Funkhouser Charitable
Foundation Inc.
Harrisonburg Emergency Physicians,
PLC
$25,000–$99,999
Warren L. and Lillian C. Braun
Garner H. and Mae Frances Downey
Fidelity Charitable Gift Fund
Zanette and Howard Hahn
Jerry and Becky Morris
Karl D. and Barbara B. Stoltzfus
$5,000–$24,999
Jerry R. and Kathleen L. Andes
Bill and Gerry Bedall
Eddie R. and Catherine Coffey
Dynamic Aviation Group Inc.
Farmers and Merchants Bank
Harry F. and Margaret M. Flippo
Foundation given through The
Community Foundation of Harrisonburg and Rockingham County
Orden L. and Reba Harman
Dr. Alden L. and Louise Otto Hostetter
Herman and Janet Mason Families given
through The Community Foundation
of Harrisonburg and Rockingham
County
Packaging Corporation of America
(PCA)
Rockingham Cooperative
42
healthQuest | Winter 2015
Rotary Club of New Market Charitable
Fund
The Merck Foundation
Theta Iota Chapter of Alpha Phi, JMU
Lynn and Diane Trobaugh
N. Paige and Ann C. Will
William Leake
Society
$1,000–$4,999
Active Network
Drs. Frank J. and Jean-Marie P. Barch
Larry and Natalie Beiler
Blackwell Engineering, PLC
Blue Ridge Aviation
Blue Ridge Bank
Bob Wade Auto World
J. Michael and Dianne H. Burris
Dr. William F. and Susan Cale
Piers Carey
William B. Sr. and Phyllis W. Carper
Dr. Dale A. Carroll and Merrily
McGowan
Paul and Sherry Cline
George L. Curran III
Brownie M. Driver
Gladys A. Driver
Friends of Valley Charities
M. C. and Lori Gravely
Asa and Kathleen Graves given through
The Community Foundation of
Harrisonburg and Rockingham
County
Elizabeth Harnsberger Trust
Katherine A. Harrison
Harrisonburg Department of Parks and
Recreation
Richard and Julie Haushalter
Dr. Charles H. and Mary Henderson
International Student Association
Joe Bowman Auto Plaza
Richard and Mona Johnson
Mary Elizabeth Kite Estate
Jim and Vicki Krauss
Mary Louise Leake
John and Kathy Lubkowski
Janet L. Macarthur
Linda T. and James R. McIntyre Jr.
T. Carter Jr. and Connie G. Melton
Jim and Pat Messner
N2 Hair Salon
Garry and Nancy Nichols
George and Ann Pace
Heidi D. Rafferty, M.D.
Deborah Y. Ritchie
Rocktown Sports Performance, LLC
E. John III and Carol H. Rosenberger
Michael and Susan Rozmus
Martha Coupe Schneider
Bob and Mary Sease and Family given
through The Community Foundation
of Harrisonburg and Rockingham
County
Shenandoah University
Mary C. and James R. Sherman
Helen W. Shickel
Sigma Phi Epsilon
Ed and Zizi Sipe
Audrey L. Smith
Lisa H. Spruhan
Ethel S. Strite Estate
Debra D. Thompson
Turner Ashby High School Student
Athletes and Athletic Program
Dr. Robert M. Underwood
United Way of Greater Augusta Inc.
Nancy Hopkins Voorhees
1910
Cornerstone
Club
$100–$999
Accuwrite Forms and Systems Inc.
Robert L. and Karma C. Adams
Isobel B. Ailles
Corina Albert
Clarence C. and Helen M. Allen
Donald V. Allen
Franklin L. Allman Jr.
Marcus B. Almarode
James R. Alpine
Social Security Retirees
Richard and Johanna Anderson
Margaret B. Arbogast
C. Dennis Armentrout
Eldon W. and Sandra P. Armstrong
Isabel Baez
Lloyd C. and Theresa G. Bailey
Sandra G. Baker
Cynthia M. Banks
Joyce I. Barb
Edgar L. Barnard Jr.
John G. Barr
Stephen S. Sr. and Mattie Wacker
Barranco
Charles and Janet Batten
Richard A. Baugh
Jennifer B. Baugher
Sheila R. Baugher
Walstene A. Bazzle
W. William and Elizabeth A. Beckmeier
James T. Sr. and Barbara R. Begoon
George W. Bell
Thomas L. Bellamy
David L. Bernd
Kenneth G. and Linda R. Berry
Lois E. Berry
Richard and Sandy Berthelsen and
Family
Dr. Thomas and Faythe E. Bertsch
Beta Alpha Psi—James Madison
University
Donna K. Blank
Patricia Blankenbicker
Debra H. Bontrager
Jane H. Bowles
Gail M. Bowman
James O. and Sylvia K. Bowman
Larry O. and Paula C. Bowman
Auburn A. and Ruth D. Boyers
Joyce A. Bracken
Robert N. Branson
Angela M. Breeden
Craig L. Breeden
Teresa A. Breeden
Rosemary O. Brenner
Lisa Bricker
Jeb W. Brittle
Carol J. Brooks
Candace R. Brown
Dr. and Mrs. Donald R. Brown, DDS
H. Kent Brown
Larry E. Brown
Harold D. and Fay K. Brubaker
J. Allen and Erma R. Brubaker
Lynn and Becky Brubaker
Nellie V. Brubaker
Rebecca M. Brubaker
Jennifer M. Bryant
Katharine C. Buckner
Henry F. and Catherine S. Buhl
Jane S. Burgess
Amy E. Burke
Christine W. Burner
Gregory G. and Pollyanna A. Bush
Matthew S. and Carrie C. Bynaker
Howard E. Sr. and Anne G. L. Byrd
Nancy E. Camp
Charles T. Campbell
Jay L. Campbell
Eleanor F. Canter
Robert P. and Marilyn R. Carroll
Thomas F. and Janice R. Carroll
Harry W. Cash
Stephanie M. Cave
Stephen and Gretchen Cessna
Kathryn L. Cheeks
Sheri Lee Childs
Lee E. Clapper Sr.
Hope R. Clatterbuck
Holly B. Clem
Brenda J. Cline
Ralph W. Cline
David R. B. and Christine Collins
CommonWealth One
Thomas F. Constable Jr.
Dana Corriere
Mary Cox
Timothy S. Craddock
Christy L. Crawford
Gloria M. Crump
Rosalie W. Cumings, Todd Cummings,
Timothy Cummings, Shannon
Angelotti
Dale L. and Sandra S. Cupp
Loretta Sue Custer
Claudette E. Dalton
Maria D’Antonio
Daniel A. and Megan R. Davis
Diane C. Davis
Irene Morris Davis
Kenneth G. and Gayle L. Davis
Lowell R. and Alta A. Davis
Michael W. and Debra I. Davis
Melissa G. Dawson
Ingrid De Sanctis
Debbie L. Dean
Mensel and Linda Dean
Mickey Dean
Debra K. Deavers
Ben and Betty DeGraff
Patricia C. Dickens
Gary and Marie Dickenson
Donald B. Dillon
Anita F. Dove
Betty B. Dove
Dr. Aubrey Jr. and Elizabeth Drewry
DuPont Community
Rita K. Durbin
Elizabeth V. Early
Jessica C. Edwards
Mary C. Eger
Ronald D. and Diane Elliott
Ronald W. Elliott
Harold C. Eskey
Dr. James D. and Sheila D. Evans
Everence
Teresa D. Evick
Sarah L. Fagan
Patricia C. Farrell
Greg and Regina Felton
Hal C. and Saundra Sue Ferguson
Jean L. Fifer
Dr. Denis E. Finnegan
Elwood and Madge Fisher
Theodore J. and Shelly B. Fisher
Amy E. (Libbi) Fitzgerald
Audrey G. Fitzwater
Jennifer L. Fitzwater
Norman V. and Patsy M. Fitzwater
Edgar A. Flora
Samuel H. and Lillie Ann Flora
William M. and Grace A. Florence
Cheryl B. Floyd
Virginia R. Foltz
Jeffery Ford
Michael A. and Tracy S. Fornadel
Susan M. Foster
Clarence L. Fox
Dennis B. and Joan E. Fox
Dr. Fred L. and Gail P. Fox
Loretta G. Frantz
Freehill Hogan & Mahar, LLP
Friendship Industries Inc.
David and Rachel Frye
Margaret S. Frye
Curtis W. Funkhouser Sr.
Joseph K. II and Sallie Funkhouser
Samuel F. Funkhouser
Thomas N. and Susan S. Gallaher
Ruby B. Gallalee
Ruth K. Garber
Silvia Garcia-Romero
Norma J. Gardner
Sandra Gardner
Tracey A. Gentry
Royce O. Gibson
Sara E. Gingerich
M. Andreé Gitchell
Harry and Pat Glenn
Gregory and Carolyn Gochenour
Saieda A. and Richard M. Godfrey
Paige Webb Godoy
Edwin L. and Esther B. Good
Janene O. Good
Bobby W. Gooden II
Barbara Graves
Mary S. Gray
Gerald D. Greene
Janis L. Gregg
Benjamin W. Greider
Jamey C. Groff
John F. and Joann Grubbs
Daryl D. Gum
Donna S. Hahn
Trenna M. Haislop
Herman W. and Rosemary G. Hale
Josh P. and Chassidy S. Hale
Jean S. Hamill
Donald L. and Jacqueline S. Hamilton
Kevin and Kimberly Landis-Hamner
Helen S. Harman
Rebecca S. Harrell
Pamela M. Harris
Vivian Harrison
Harrisonburg First Presbyterian
Church—Presbyterian Women
Doris L. Harsh
Kenneth T. Haskell III
Brenda J. Hedrick
Debra Hedrick
Nancy R. Heisey
Donald F. Heishman
Krista A. Heishman
John E. and Judith N. Henneberger
Denise A. Hensley
Frederick R. Hepner
Roger E. Herring and Family
Mary E. Hershey
Patricia A. Herudek
James A. and Donna J. Herzig
Regina L. Hester
Darin C. Hevener
Kenneth and Lillian Hilbert
Emily Hill
James H. and Lois Hinegardner
John and Lou Holsten
Robert E. and Betty W. Hoover
J. Faye Hoover-Thomas
Richard K. and Laurel J. Horst
Dwight and Carolyn Houff
Michael L. and Rose Ann Houliston
Martha F. Hounchell
Catherine J. Houser
Harold E. Huber
William R. and Sandra E. Hudelson
Charlinda W. Huffman
James E. and Theresa A. Huffman
Brenda J. Hull
Glen C. and Virginia Ann Hulvey
Robert W. Hussey
Ethel W. Iverson
JMU Strikeout Cancer Drive
David S. and Judi Jackson and Family
Jeffrey A. Jackson
Charlene A. Jacob
Yvonne G. Jarrels
Shelvy M. Jenkins
Rebecca S. Jessie
Sharon L. Johnson
Sam P. Jr. and Sue L. Jones
William Y. and Janet S. Joseph
Sherry Joyner
Susan K. Justice
Robin D. and Leslie T. Keith
Ken Copeland Family Dentistry, PLC
Robert O. and Janice M. Kenney
Bonnie F. Keppel
Howard P. Kern, FACHE
Daniel B. Keyes
Charles S. and Nelsie M. Kiracofe
Gleen D. and Lena R. Kite
Linda D. Kite
Teresa M. Kite
Jo Ann P. Kline
Orrin M. Jr. and Jane C. Kline
Amos D. and Anna G. Knicely
James E. and Amanda M. Knicely
Katherine H. Knicely
Kerry Knight
Betty Jane Knighton
Betty M. Kniss
Carlene Knupp
Rachel L. Knupp
Joyce W. Kuhns
Carolyn R. Lam
Deanna D. Lam
Patricia M. Lam
C. Stephen and Cynthia H. Lamb
Arnold L. and Elaine H. Lambert
Gina L. Lambert
Tina M. Lambert
Dana Landacre
David R. and Sarah Landis
Stephanie S. Laos
Bill and Joan Layman
David A. and Anna Layman
Jerry O. and Daisy D. Leake
Robert and Nancy Lee
Rita A. Lehman
Robert J. and Carolyn J. Leiston
Cathy Jackson Leitner, PLC
Sentara.com
43
friends
OF THE RMH FOUNDATION
Donald L. Lemish
Jeffrey G. and Brenda J. Lenhart
Jean L. LeRoy
Deborah S. Lewis
Charles E. and Cynthia A. Litten
Edy C. Long
Wayne L. and Ann Payne Long
Wilbur J. and Ann S. Long
Thomas T. and Susan R. Lopresti
Ruth Lorson
Kathy M. MacMillan
Robert MacQueen
H. L. and Mildred Maiden
Laura S. Mapp
Robin L. Martin
Ivan J. and Peggy G. Mason
William R. Matthews
Celia M. McClinton
Leonard J. and Esther H. McDaniel
Deborah M. McDonald
Ellen S. McDonald
Dr. Susan B. McDonald
Paul A. McEnderfer
Patricia McGinn
Jeffrey and Joan McGlaughlin
Rob and Peggy McKearney
Angela D. McNamer
Donna F. Meadows
Sandra F. Meadows
T. Carter Jr. and Connie G. Melton
Ann and Neal Menefee
Colonel and Mrs. William P. Menefee
Odessa F. Merica
D. K. Miller
Dwight E. Miller
Edgar L. and Carmen Strite Miller
Jana R. Miller
Thelma H. Miller
Janet R. Mitchell
Amy L. Moats
Charles C. Moats
Leslie E. Mohler
Jessica L. Monger
Sherry L. Mongold
Katherine S. Montgomery
John E. Moore
Margie L. Moore
Kathy Moran and Marcie Harris
Linda S. Morani
Dr. Glenn and Linda Morrison
Elizabeth F. Moseley
Neil W. Mowbray
Pricilla D. Mowbray
Donald L. and Marie I. Moyer
Lawrence G. and Linda C. Mullen
Grace N. Mumaw
Sarah E. Mumbauer
Jane C. Mundy
Alison F. Myers
Donald Taft Nair
Sterling E. and Foelke D. Nair
Darryl and Diane Nash and Mr. G.
Keith Nash
44
Robert E. and Delores M. Nash
Brenda S. Neese
Randolph G. and Beverley Z. Nelson
Darlene L. Newman
Rebecca M. Nicely
Nieder Chiropractice & Rehabilitation
Inc.
Melinda S. Noland
Dan and Gail O’Donnell
Charles V. and Lois M. Oster
Padgett Business Services
Heather L. Palazzolo
Dr. Phillip J. and Mary L. Pandolfi
Brenda J. Parker
Richard L. and Etha Jane Parker
Edward C. and Carol L. Parks
Debra R. Pattison
Annie D. Pauley
Deborah J. Pavay-Thompson
Dawn T. Payne
Sharon L. Peale
Robert F. Pecht and Rebecca L. Akers
Karen S. Peck
Fred B. and Carolyn B. Pence
Janice L. Pence
Stephanie M. Pence
Phyllis Peterson
Philips Lifeline
Paula K. Phipps
Orlando A. and Eloise E. Pinneri
Thomas W. and Tassie L. Pippert
Carol A. Pitsenbarger
Shannon M. Pitsenbarger
Catherine E. Powell
Lee Paige Price
Lisa C. Price
Eva F. Prickett
Bobby E. Prophet
Gerry Quann
Pamela D. Ragland
Kacey B. Raines
Mildred L. Ranck
Doug, Vickie and Chad Rawley and
Lauren Reznik
Diane R. Ray
Patra H. Reed
Cynthia L. and John Blair Reeves
John B. Reeves
Dr. G. Brian Reichgott, DDS, PC
Susan W. Ribelin
James B. Richardson Jr.
Linda J. Riddle
Riddleberger Brothers Inc.
Douglas Glenn Riley
U. S. Jr., “Jack” and Billie B. Rinaca
RMH Wellness Center Staff and
Members
Roger D. Roadcap
Daniel W. and Edna L. Rodgers
Carrie A. Rogers
Amy J. Rogowski
Helen C. Rohrbaugh
Ronald W. and Mary Ellen Rohrbaugh
Hubert D. Rohrer
Erica R. Rollins
Philip E. Ropp
Thomas R. and Laura R. Rosazza
Rotary Club of Rockingham County
John E. and Pauline L. Roth
healthQuest | Winter 2015
Ann S. Royer
Susan E. Rozmus
James R. and Peggy Rule
Carol M. Sacra
Winifred Salyards
Kathy P. Saufley
Frederick F. Schenk
Adam Schmid
Paul A. and Jane H. Schreckengost
Bettie H. and Ken Schuler
Polly Scott
Kathryn K. Scripture
Robert F. and Nancy D. Scully
Donald W. Seese
John H. and Faye T. Sellers
Cletus M. Sellers and Jeanine G. Sellers
Sentara RMH Business Office
Employees
Sentara RMH Medical Staff
Jeffrey K. and Janet S. Sheffer
Shenandoah Valley SHRM
Margaret V. Sherman
Pamela S. Sherman
Crystal D. Shifflett
Erik C. Shifflett
Jeanette V. Shifflett
Lori A. Shifflett
Sabrina D. Shiflett
Arvin W. and Shirley D. Shipe
Linda L. Shipley
Craig D. and Bonnie B. Shoemaker
Goldie T. Showalter
James M. and Carol S. Showalter
Dr. Samuel G. and Janice S. Showalter
Alfonso C. and Ethel M. Sisneros
S. Grayson Sless
Smallwood and McKown-Smallwood,
DDS, PC
Dawn A. Smith
Detra Shell Smith
Doris W. Smith
Glenn, Terri, Wes and Jake Smith
Ilene N. Smith
John L. Smith
Anita L. Smootz
Phyllis H. Sonner
Gerald L. and Anita L. Spence
Connie L. Spitzer
Della J. Spitzer
Sammye B. Sponaugle
John G. and Victoria B. Stansbury
Anna H. Steele, Wendi and Traci
Catherine O. Steger
Elizabeth A. Stepp
Gary and Debra Stiffler
Dr. Phillip and Cherrill Stone
Stanley T. Stone
Dwynn M. Stovall
Esther J. Strawderman
Robert Hopkins and Lorraine Warren
Strickler
Rodney and Ruth Stultz
Dr. Jeremiah B. and Yolande T. Sullivan
Peggy S. Swicegood
C. Thomas Swope
Bernard Tabatznik
Linda P. Taliaferro
Dan and Bobbi Taylor
John C. and Elizabeth Taylor
Sybil R. Taylor
William L. Taylor
Michael Templin
Kimberly N. Teter
Donna C. Thacker
Debra Thomas
Sarah R. Thomas
Oliver D. Thompson
Carlinda M. Todd
Gilbert S. Trelawny
Joan H. Trobaugh
William D. and Claudette J. Trout
Pamela K. Tullos
Donald, Florence and Todd Turner
United Way of South Hampton Roads
USPS Employees
VA Momentum, LLC
Valley 4th Run
Keith VanBenschoten
Patrick R. and Kathleen A. Velanzon
William Vieth
Stephen L. Vogen
Barbara R. Vought
Dorothy K. Wampler
Fred F. and Dorris M. Wampler
Jodie E. and Phyllis D. Wampler
Rose A. Warren
John A. and Doris S. Washam
Destiny L. Washington
Leon R. and Doris S. Waters
Grace B. Watt
Kathleen W. M. Weatherly
Merv and Marlene Webb
Dorita I. Webster
Dale and Waneta Wegner
Betty Jean Whisler
Stephen White
Denise A. Whitman
Dr. C. Larry and Kathy Whitten “You
Can’t Take It With You Fund” of
The Community Foundation of
Harrisonburg and Rockingham
County
John P. Jr. and Jo Ann Widener
Richard L. and Pamela B. Wilkins
Roberta (Robbie) and Robert K. Wilkins
John R. Wilkinson
Louie Z. Will
Donald E. and Linda F. Williams
John and Doris Williams
Gregory S. Wills
Chasity H. Wilson
Robert A. and Davene M. Wolfe
Rebecca L. Wong
Marijo Wood
Nell C. Wright
Barbara A. Wyant
Frederick B. and Brenda Wynn
James R. Yager
Lee F. Yancey
Clifford A. and Jacqueline W. Yarnell
John D. and Janet G. Yeich
Mim and Nate Yoder
Teresa Boshart Yoder
Kelli L. Zahn
Mark and LuAnne Zimmerman
Robert L. and Linda S. Zimmerman
Robbie J. Zirkle
Annual
Support
$25–$99
Benjamin L. Adamson
Kathryn L. Albrite
Joseph and Jane Alderfer
Karen C. Alger
Alice H. Alley
Larry W. Jr. and Christina M. Almond
Ervin L. and Ann N. Anderson
Fynthia E. Anderson
Jerry O. Andes
Avivia F. Arehart
Gregory T. and Edna S. Armstrong
Thomas H. and Kathleen G. Arthur
Jenny L. Atkins
Joyce R. Atkinson
Robin R. Atwood
Allison M. Ayres
Darrell G. and Gloria H. Bachman
Judy M. Baker
Sharon A. Baldwin
Phillip E. Balsley
Heather Banks
Isabel Carmen Banks
Susan J. Banks
Ronald and Deborah Barrick
Catherine I. Barry
Z. Robert and Nancy A. Bashlor
Janet D. Basye
Marian J. Bauman
Sue E. Baylor
Luanne F. Bender-Long
Jennifer G. Bennett
Paul F. Sr. and Lois H. Berry
Hilary M. Bierly
Thomas T. and Virginia W. Biggs
Russell L. Biller
Roy O. and Charlotte Billhimer
Claudette J. Birckhead
Barbara W. Blakey
Judith A. Bland
Donald R. Blosser
Lora L. Blye
Rebecca B. Bonds
Gina E. Bondurant
Sharon Botkin
James E. Bowers
Roy S. and Teresa G. Bowers
Catherine W. Bowman
Doris W. Bowman
Gordon D. Bowman II
Rebecca S. Bowman
Sheila M. Bowman
Noella A. Boyce
Aaron M. and Helen L. Bradfield
Dr. Cecil D. and Nancy R. Bradfield
Loretta F. Bradley
Selene Bradshaw
Donald S. and Marie M. Bragg
Ellen C. Branner
Rodney A. and Patricia D. Branson
Judith K. Breeden
Teresa L. Breeden
Laurie R. Brinkley
Billie Jo Brittle
Stefanie D. Brock
James F. and Carol B. Brown
Charles W. and Gail H. Brubaker
Nancy L. Brubaker
Teresa A. Bruce
John D. and Sharon C. Bucher
Steve C. and Marian B. Buckwalter
Eliza B. Burkholder
Lois C. Burkholder
Beverly S. Burrill-Hill
Judith F. Buskirk
Ronald A. and Barbara J. Buss
Carroll F. and Donna L. Bynaker
Jill M. Byrd
Josiah D. and Kelly Payne Cadle
Cathy S. Caldwell
William A. and Patricia S. Caldwell
Gary V. and Lesa R. Calleo
Joe and Carol Calvin
Barry A. and Cynthia C. Campbell
Cynthia D. Campbell
Jeffrey D. Campbell
Margaret A. Campbell
Norma P. Campbell
James C. and Adelaide J. Cannata
Ashley E. Caplinger
Fernanda N. Carbajal
Carolyn E. Carderelli
Maria D. Cardoso
Thomas and Jo Ann Carle
Joseph P. and Akiko Carniglia
Diana J. Catlett
Shirley Chamberlain
Catherine L. Chapman
William Wayne Chestnut
Amy Chico
Kimberly A. Cicotello
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48
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healthQuest | Winter 2015
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Rebecca Ziegler
Ron and Jan Ziegler
David and Norma Kiracofe
Charles S. and Nelsie M. Kiracofe
Nancy Kisamore
Richard L. and Joyce K. Strawderman
Frances T. Knicely
A. O. Knicely
Charity M. Hinkle Knott
Emilly Hill
John Edward Knupp
Rachel L. Knupp
Lynda E. Krobath
Rotary Club of New Market Charitable
Fund
Loretta Jean Lam
J. Allen and Erma R. Brubaker
Mundy Stone Company
Loyd E. and Lillie M. Snyder
Nelson E. and Donna B. Suter
Sandra M. Tolle
Joe Laprevotte
Linda W. Laprevotte
Judy Ennis Larson
Accuwrite Forms and Systems Inc.
Corina Albert
Kathy L. Armentrout
Richard A. Baugh
Jeffrey T. and Mary Lou G. Bourne
ComSonics Inc.
Dr. Fred L. and Gail P. Fox
Teresa A. Gonzalez
Carole Jo Harner
Dale B. and Mary Jo Hulvey
Whitney Brown Johnson
Charles W. and Sherry F. King
John F. and Terry I. Knight
Pamela J. McDonald
Mack G. and Towana H. Moore
Dick and Susanne Myers
Mike and Terri Pope
Rotary Club of Rockingham County
Shenandoah Valley SHRM
Lee A. Shifflett
Diane L. Stamp
Milla Sue Wisecarver
Carl A. Layman
Bill and Joan Layman
Dennis E. Leake
Audrey L. Smith
Gary W. Lee
Kenneth G. and Gayle L. Davis
Janice W. Drechsler
Bruce Leffel
Bob Evans and Village Inn Bridge Clubs
of Joan Leffel
Sue A. Lemish
Donald L. Lemish
Lois Lewellen
Joseph D. and Diana M. Enedy
Ninfa T. Lianez
Emmanuel Lianez
Winston Life
Robert L. Taylor
Donald R. Litten
Madeline W. Litten
Larry W. Litten
Beverly A. and Nancy M. Litten
Jean Lohr, My Sister
Celia M. Mitchell
Lena M. Long
Sarah Kristen Long Hinkle
Leonard and Virginia Long
George E. and Betty L. Painter
My Loved Ones
Faye Senes
Harold Ludholtz
James R. and Peggy Rule
Mary Lumsden
Isobel B. Ailles
Tye Cobb Lytton
Tyrus C. and Lita Z. Lytton
Woodrow K. Marcus
S. P. and Joann R. Jones
Evelyn Martin
H. L. and Mildred Maiden
Irene Matthews
William R. Matthews
David Mattichak
Alan L. and Judy C. Miller
Richard L. and Etha Jane Parker
Larry May
Weldon D. and Shirley B. Dean
Sarah D. McEnderfer
Paul A. McEnderfer
Thomas Patrick McGinn Sr.
Richard and Johanna Anderson
Lynn and Becky Brubaker
Nancy Cole
Mary Cox
David Garrard
Jerry E. Houck
Andrew Howley
Kerry Knight
Leonard J. and Esther H. McDaniel
David and Ann McGinn
Patricia McGinn
Ray and Sarah Roberts
John St. Clair
Gary and Debra Stiffler
Dallas E. Meadows
Donna F. Meadows
Dr. David G. Metzler
Doris K. Metzler
Guy Miley
Christine Miley
James V. Jr. and Sally K. Haag
Kathy Moran and Marcie Harris
Phyllis Peterson
Jodi B. Riddle
Ed and Zizi Sipe
Eileen Waterhouse
Ralph E. Newman
Bettye S. Newman
Perry S. Nicodemus
Irvin E. and Mary J. King
Our Parents
John A. and Doris S. Washam
Janet Garber Pattison
Charles D. and Bernice W. Garber
Dr. William Patzig
April Jones
Daniel W. and Edna L. Rodgers
David O. Pauley
Annie D. Pauley
Robert V. Phillips Jr.
Carolyn L. Phillips
Galen R. Miller Jr.
Shirley S. Miller
Goldie M. Pleasants
Wanda L. Buckles
Allison Fink
Kevin and Kimberly Landis-Hamner
VPGC, LLC
Paulette Mills
Robert E. and Mary E. Rhan
Dorothy V. Price and Evelyn V. Stultz
Rodney and Ruth Stultz
Ethel Mims
Franklin L. Allman Jr.
Carrie L. Prophet
Debbie L. Dean
Bobby E. Prophet
Barbara Miller
Dwight E. Miller
Estelle Monestersky, my mother
Marian P. Aveson
Julia Montgomery
Russell C. Montgomery
Betty S. Moore
Marie Catherine Spitzer
Lenford S. Morris
Betty D. Morris
Victoria “Tori” Morris, RN
W. William and Elizabeth A. Beckmeier
Claudette E. Dalton
Karen K. Dillon
Raymond F. Mowbray
Pricilla D Mowbray
Jason N. Moyers
Lois J. Moyers
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Trenna M. Haislop
Paige F. Nash
Darryl and Diane Nash and G. Keith
Nash
Emily Sullivan Newcity
Kenneth and Lillian Hilbert
Marion E. Newkirk
Jack R. and Pat A. Crouch
Daniel A. and Kathie M. Ginn
Etha Mae Propst
Leila P. Hopkins
Charles and Ivy Puffenbarger
Harvey E. and Joan F. Shifflett
Pauline S. Pullin
Linda P. Taliaferro
James L. Queen
Linda K. Queen
Harry L. Rawley
James O. and Joyce R. Benedict
Doug, Vickie and Chad Rawley and
Lauren Reznik
Virginia Clara Reed
Ronald Jr. and Cathy A. Smith
Eunice Rexrode
Reba M. Stroop
Marvin B. Rexrode
Michael B. Rexrode
Barbara J. Riddleberger
Kevin and Kimberly Landis-Hamner
Riddleberger Brothers Inc.
Robert Hopkins and Lorraine Warren
Strickler
Doyle Rigney
Mildred L. Rigney
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49
friends
OF THE RMH FOUNDATION
Sally D. Rinaca
Billy E. Shiflet
Sherly W. Ringgold
Dwight and Carolyn Houff
Golda E. Ritchie
Robert R. Ritchie
Mary F. Ritchie
Deborah Y. Ritchie
Sheridan Ritchie
Robert R. Ritchie
Kay Simon Roberts
John and Doris Williams
Susan G. Robertson
H. L. and Mildred Maiden
Sadie B. Rodes
John E. Rodes
John W. Rosenberger
Peg Farrow Babyak
Frederick R. Hepner
Hepner Family, LLC
Rockingham Cooperative
E. John III and Carol H. Rosenberger
Margaret Runion
Janette R. Tusing
Wanda Showalter
John R. Wilkinson
Wayne A. Strawderman
Esther J. Strawderman
Luther J. Turner
Louemma Turner
Blanche Simmers
Mary Martha Good
Arthur F. Stroop
Reba M. Stroop
Catherine S. Simmons
Gayle E. and Hester S. Judy
Zena C. Swadley
John A. and Doris S. Washam
Ruth Robertson Turner
Bennie and Edna Bennett
Debra Thomas
Robert E. Simon Jr.
Ethel S. Alls
Lowell R. and Alta A. Davis
John and Doris Williams
Donna Dee Swartz
N S. and Tami J. Foltz
Dick and Peggy S. Neff
David L. and Judy F. Rhinehart
Erma Sims
Fraternal Order of Eagles Ladies
Auxiliary #4129
Velma Lee Swope
C. Thomas Swope
My Sister
Carroll L. and Dianna L. Cubbage
Wiley W. Smith
Edward L. and Sara S. Diehl
Richard C. Tanczos
Richard F. Albers
Richard and Sandy Berthelsen and
Family
Ingrid I. Bruno
Katharine C. Buckner
David R. B. and Christine Collins
Maria D’Antonio
Don E. and Essie Deen
Greg and Regina Felton
Dennis B. and Joan E. Fox
John R. and Jerry M. Grantham
Brenda J. Hull
David S. and Judi Jackson and Family
Paul S. and Brenda A. Jarvis
Robin D. and Leslie T. Keith
Gerald R. and Patricia J. Kunde
Paula B. Lantz
Sandra A. Mercer
Mark A. and Sally K. Montrey
Richard and Joann Ritz
Alfonso C. and Ethel M. Sisneros
Robert B. and Patricia A. Thomas
Erik D. and Faye H. Topp
Frederick B. and Brenda Wynn
Janice M. Snyder
James L. Snyder
Dick Tango
James E. and Joan E. Nobles
Ray V. Sonner
Phyllis H. Sonner
Marion K. Taylor
Sybil R. Taylor
Caryn Southers
Stephen S. Sr. and Mattie Wacker
Barranco
Russell F. Teter Jr.
Dorothy W. Teter
Jessica Skillman
Cape Fear Community College—“Your
Cape Fear Family and Friends”
Mary B. Covel
Thomas W. and Susan W. Fife
Maureen Fox
Margaret S. Frye
Arlie E. Smith
Detra Shell Smith
Clarice Smith
John and Doris Williams
Clo Sager
Dana Landacre
Edwin Smith
Cora Frances Garth Smith
T. Goldyne B. Sager
Mildred G. Good
Douglas and Aleta Mather
Robinson Elementary School
Winifred Salyards
Nancy D. Zirkle
Dr. Richard H. Smith Jr.
Ilene N. Smith
John F. Schaefer
Suzanne P. Auckerman
Sandra Kay Coffman
Gerry Quann
Captain Robert J. Schuster, USN
Shirley L. Schuster
Lyman and Rosemary Seese
Donald W. Seese
Louise Shepherd
John E. and Sylvia L. Crumpacker
Jacquelyn R. Sheppard
William T. III and Sandy R. Sheppard
Betty M. Shifer
Robert E. and Martha M. Cook
Helen Shifflett
Richard L. and Etha Jane Parker
Grace D. Shirk
J. Allen and Erma R. Brubaker
Joann E. Shirkey
James E. Shirkey
Gloria Short
Heather L. Palazzolo
50
healthQuest | Winter 2015
Tatyana Sycheva
Vera Sycheva
Judith R. Smith
John L. Smith
Stanford A. Smith
Joyce M. Smith
Carroll G. Spitzer
Connie L. Spitzer
Don Spitzer
Della J. Spitzer
Rita Mae Sprouse
Robert L. Sprouse Sr.
Wendell M. Steele
James J. and Crystal C. Hayden
Anna H. Steele, Wendi and Traci
James O. Stepp
Janet S. Stepp
Richard H. Stepp
Elizabeth A. Stepp
M. Lena Tewalt
Mary Martha Good
Arthur W. “Art” Thomas
Sarah R. Thomas
Mary Jane Swink Thorne
Tracy and Louise McCray
Daryl E. Tonini
Shirley M. Tonini
Florence A. Trelawney
Gilbert S. Trelawny
Valery and Gene Trout
William D. and Claudette J. Trout
Eddie VanPelt
Dan and Gail O’Donnell
Glendon Vaughn
Ann G. Vaughn
Martha W. Vaughn
Margaret V. Sherman
Tina M. Vieth
William Vieth
Mary Wade
Edwin W. Wade
Cecil L. Wampler
Dorothy K. Wampler
Dorothy Liskey Wampler
Richard and Mona Johnson
T. Carter Jr. and Connie G. Melton
Dale E. Wegner II
Dale and Waneta Wegner
Robert E. “Bob” Wetsel
Carolyn H. Wetsel
Dr. Richard F. Whitman Jr.
Donald L. Lemish
Lydia Wilfong, my mother
Earl W. and Edith Hartman
Jack C. Will
Louie Z. Will
Bessie T. Williams
John H. and Alice T. Williams
Harvey Williams
John and Doris Williams
Jean Williams
Donald E. and Linda F. Williams
Golda V. Wimer
Thomas E. Wimer Jr.
Mary Wine
Mary D. Dove
Goldie T. Showalter
John “Yogi” Wolfe Jr.
Katherine R. Blosser
Jay L. Campbell
Warren E. “Butch” Wood
Jay L. Campbell
Ethel W. Iverson
Marshall Woods
Nellie V. Woods
Frances E. Wyant
Evelyn S. Hedrick
Melvin C. Yoder
Douglas H. and Martha B. Shank
Arnold Young
Kathy J. Young
The JMU Softball Team
Jeffery Ford
Mr. and Mrs. Wilson Pence
John T. and Deborah K. Keenan
John and Joyce Zigler
Randolph G. and Beverley Z. Nelson
Dr. Robin D. Kollman
Sterling E. and Foelke D. Nair
Dr. Heidi Rafferty and Staff
Sybil Lowe
Beverly Zindler
Leo H. Zindler Jr.
Jim Krauss
J. Michael and Dianne H. Burris
Cheryl Ricman
Lucile H. Vaughn
Blair Zirkle
Maxine W. Zirkle
Ruth B. Life
Granville E. Life
Natalie S. Rinaca
Robert F. and Nancy D. Scully
Mabel Lee Lohr
Janet A. Waugerman
Heather Roberts
Mark E. and Barbara C. Roberts
Paul M. Longacre
Nancy R. Heisey
David M. and Gladys D. Longacre
Carla Robertson
Rebecca H. Powell
Honor Gifts
Jared and Margaret Alexander
Russell E. and Lillian C. Huffman
George and Mary Anderson
Jack, Jane, Jonathan and Daniel Yokum
Lynn Ellen Black
Ellen T. Wilhite
Cindy and Ted Bryan
Darlene L. Newman
Tammy Crawford
Larry D. and Barbara B. Horne
Vada T. May
Lareth L. May
Janice McArdle
Rebecca H. Powell
Connie McDonald
Robert F. and Nancy D. Scully
Mary Mongold
Bryan A. and Loretha J. Bland
Dr. Brian E. Robinson
Sam P. Jr. and Sue L. Jones
Robert L. and Virginia C. Layman
Nell C. Wright
Dr. Timothy Short
Dr. Gary L. and Marcia E. Tyeryar
Caroline Spiers
Sharon S. McLaughlin
The MDs, NPs and staff of the Sentara
RMH Funkhouser Women’s Center
Dr. Susan Conaty-Buck, DNP, FNP-C
Ken Thomas
Fred B. and Carolyn B. Pence
R. Jan Thompson
Lucile H. Vaughn
All Those Who Need Help
Norma L. Greenleaf
Dr. Christine M. Urbanski
Roberta (Robbie) and Robert K. Wilkins
Tara Vetting
Nancy L. East
Dr. Mary Helen Witt
Robbie J. Zirkle
Dr. Gene L. Yoder
Mr. and Mrs. Johnny L. Thompson
Dr. Paul Yoder
Daryl D. Gum
Martha Sutton
Dr. Abraham Davis Jr.
Nora Dofflemyer
Hubert and Judy Roop
Mae Frances Downey
Garner H. Downey
Wallace S. Erdman, Father
Michael R. and Adina E. Bailey
Kenneth W. Fletcher
Kenneth W. and Shelbia J. Fletcher
To the Glory of God
Sara Davis
Dr. Stephen E. Godshall
Shirley Hupp
Jodi Marie Gooden
Bobby W. Gooden II
Arlene Gutshall
Jeanette L. Jamison
Robert and Ambi Hahn
Bernard Tabatznik
Team Hamntonality
Colin Mantell
Kay Harrison
J. Michael and Dianne H. Burris
Susan Harrison
John S. and Jo Anne Hensley
Leroy Harsh
Doris L. Harsh
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Todd and Amy Slaubaugh
Hospice Volunteers
Dana Landacre
Phyllis Hughes
Wayne L. and Ann Payne Long
A Gift That Pays Income for Life?
A charitable gift annuity, in addition to helping improve and enhance the
care our patients receive, can also provide income back to you. For example,
a 78-year-old individual would receive the following benefits for a $10,000
gift annuity:
• A6.4percent*return($640annually)fortherestofhisorherlife,
partly tax free
• Anincometaxdeduction
• Aneffectiverateofreturnupto9.2percent*aftertaxbenefits
• Advancingourmissiontoimprovehealthandpromotewell-being
*Rates depend on age and whether the annuity is for one or two lives
Many of our friends have found this option to be one of the more satisfying ways
to make a gift. To receive the “Giving Through Gift Annuities” pamphlet without
cost or obligation, please complete and return the form below:
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City: ________________________________________________________________________________
State: _______________________________________ Zip: __________________________________
Mail to: Cory Davies, Executive Director, RMH Foundation
2010 Health Campus Drive, Harrisonburg, VA 22801
540-564-7225
Sentara.com
51
Jim Bishop
Amazing Love
H
ow does one put into words
one of the most powerful
forces in the universe?
Love is marvelous, amazing, a
many-splendored thing.
Yet, I find myself declaring, “I love
seafood. I love warm, sunny days on
the beach. I love celebrating holidays.
I love getting affirmations on email.
I love music of the 1950s. I love getting my monthly annuity check.”
Then I realize these are merely
commodities about which I’ve come
to have strong feelings. But do they
deserve the term “love”?
The abiding principle here should
be: love people, use things. It’s all too
easy to venerate material objects that
don’t return our affection while feeling
insensitive toward our fellow human
beings who deserve our kindness.
We’re supposed to love everyone,
but is that humanly possible? Can I
honestly say that I love everyone?
I am grateful for having been
raised in a setting where love was
shown in numerous ways. My parents
not only modeled love but also verbalized it often to my siblings and me.
If we’ve experienced love at critical
stages of our development, we should
in turn be better equipped to share the
same with others.
Love has two sides that almost
52
healthQuest | Winter 2015
NEVER QUITS
seem to be opposing poles. It’s tough
yet tender—tough when we need to
forgive one who has wronged us, tender when we feel compassion toward
one in need.
Perhaps just as important as lovingly offering forgiveness is the other
necessary component: letting go of
the wrongdoing. We love—excuse me,
like—to hang on to the memory even
after the wrong has been righted. A
wise person once stated, “When you
bury the hatchet, don’t mark the spot.”
Love doesn’t remain stagnant,
but it can wither and fade if we fail to
cultivate and nourish it in both word
and deed.
We keep discovering what it
means for love to deepen and flourish. It may be through a painful,
life-shattering experience when you
hang in there with someone who has
wrongfully used you. Or it could result
from being the recipient of another’s
heartfelt action toward you.
In I Corinthians 13, the “love
chapter,” the Apostle Paul declares that
“love never fails.” I take this to mean
that love never gives up, regardless of
how difficult situations become.
Only love can turn an enemy
into a friend. This is true of relationships between individuals and between
groups with opposing ideologies.
I keep returning to the basic question: What is love? A few propositions:
• Loveisakindwordinplaceofone
spoken in haste or anger, patience in
a mile-long waiting line, listening
instead of always talking or insisting on
having the final word.
• Loveisrespondingtothewide-eyed
innocence of children, and respecting
and encouraging them.
• Loveisagentle,caringtouch;ahearty
hug; a tender kiss.
• Loveisvisitingashut-in,givingfinancial gifts with gratitude, contributing
time and energy to worthy causes, giving a flower to someone “just because.”
• Loveisrejoicingwiththosewhorejoice
and weeping with those who weep.
• Loveisquietingoneselfbeforethe
Creator, being still and knowing that
God is already there.
Again, to paraphrase St. Paul: “To
sum up, there are three things that will
never quit: faith, hope and love.”
My heartfelt prayer is that each of us
will grow in the greatest
of these—love. ■
Jim Bishop is retired
after 40 years as public
information officer at
Eastern Mennonite
University. He can be
contacted at jimanna.
[email protected].
●
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2010 Health Campus Drive
Harrisonburg, Virginia 22801
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BURLINGTON, VT
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