NEA Health - Spring/Summer 2011

ISSUE 13 Spring/Summer 2011 Brought to you by

neabaptistclinic.com

Botox® & BeyondW. Tomasz Majewski, MD, FACS

Patient Centered Medical Home

Hip Replacement?

CPAP Tips & Tricks

Cutting-Edge Technology

Women’s Health

Our Vision Becomes RealityConstruction Update Inside

Homebound Medical Assistance Physician ordered Nurses Aide Therapy

Terminal diagnosis Team approach to fulfill last desires or request

Pain management Team of Physician, Nurse, Clergy, Aide, Social Worker

Chronic or acute diagnosis

Same team approach as hospice

Pain management Retain Medicare option of treatment and hospitalization

HOME HEALTH HOSPICE PALLIATIVE CARE

870-762-1825 870-932-7630 573-695-3966

Arkansas: Craighead, Mississippi, Greene, Poinsett, Clay, Crittenden Missouri: Pemiscot, Dunklin

HOME HEALTHPROFESSIONALS INC.

HOSPICE CARE NEAof

“Agency Of Excellence”on Medicare HomeCare Elite List

Susan Carter, President/CEO, is a Registered Nurse with over 25 years experience. She started her own company, Home Health Professionals Inc. in 1989, which is recognized as one of the top 150 experts in the United States by the National Association of Home Care and Hospice. She has served as President of the Home Care Association of Arkansas, and participated as a delegate to the Home Care and Hospice Industrty Strategic Planning Congress, and is currently appointed to the Arkansas Governor’s Healthcare Advisory Board.

Please feel free to call me at 870-761-7630 regarding Home Health questions

WHAT IS HOME HEALTH, HOSPICE, & PALLIATIVE CARE?

DO I QUALIFY?

WHO PAYS FOR SERVICES?

Medical care and assistive services in your home

Medicare, Medicaid, Private Insurance, Limited HMO’s, Private Pay

If you are under the care of a physician, have a medical limitation or need, call and speak with one of our health care professionals

“Your first choice for quality hospice care”

COUNTIES SERVED:

FOR FURTHER INFORMATION CALL:Blytheville Jonesboro Missouri

SUSAN CARTER

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1. NEA HEALTH • Spring/Summer 2011

W.Tomasz Majewski, MD came to Jonesboro in 2001 to joinNEA Clinic as the Clinic’s first plastic surgeon. His practiceincludes most aspects of plastic surgery.

Dr Majewski received his medical degree in 1987 from the MedicalAcademy in Lodz, Poland. His entire life revolvesaround medicine: his parents were pediatricians, wife –Beata Majewski, MD – is a rheumatologist at NEABaptist Clinic and his in-laws are physicians as well. Infact, all of them except his mother graduated from thesame medical school.

After graduation he worked in Poland as ageneral surgeon, receiving a 1st degree specialtytraining in that discipline.

After arriving in the United States in 1993 hecontinued his career at the Berkshire MedicalCenter (University of Massachusetts system)in Pittsfield, Massachusetts, where hecompleted his General Surgery residencyprogram in 1999. As a resident he received aprestigious Willie Chang Award for excellencein plastic surgery. That year he entered hisplastic surgery residency at the Medical Collegeof Georgia in Augusta, Georgia, which hecompleted in 2001.

Dr. Majewski is Board Certified by theAmerican Board of Plastic Surgery and theAmerican Board of Surgery. He is a Fellow ofAmerican College of Surgeons and a member ofAmerican Society of Plastic Surgeons.

His plastic surgery practice with NEA Baptist Clinicencompasses a broad spectrum of services, includingboth cosmetic and reconstructive procedures.

Dr. Majewski and his wife, Beata, have been marriedfor over 22 years. They have two daughters, Karolinaand Maja, and three dogs.

Publication office1835 Grant Ave., Jonesboro, AR 72401

neabaptistclinic.com

Deaundra Waddell, Editor

Director of Marketing

NEA Baptist Clinic

Danial Trotter, Marketing Coordinator

Nicole Frakes, Art Direction and Design

NEA Health is published bi-annually for the purposeof conveying health-related information for the well-being of residents of Northeast Arkansas andSoutheast Missouri. The information contained inNEA Health is not intended for the purpose ofdiagnosing or prescribing. Please consult yourphysician before undertaking any form of medicaltreatment and/or adopting any exercise program ordietary guidelines.

Editorial, advertising and general businessinformation can be obtained by phoning 870-934-5101 or by writing in care of this publication to: POBox 1960, Jonesboro, Arkansas 72403.

Copyright© 2011 NEA Baptist Clinic. All rightsreserved. No part of this publication may bereproduced or transmitted in any form or by anymeans, electronic or mechanical, includingphotocopy, recording and any information storageretrieval system, without written permission fromNEA Baptist Clinic.

www.neabaptistclinic.com

OnThe

Cover

NEA Baptist Charitable Foundation has a

mission to raise funds to help support the

programs that impact lives and meet needs

in Northeast Arkansas.

It’s through the generous

contributions of our

donors that help us

accomplish our mission.

If you would like more

information on how you

can support NEA Baptist

Charitable Foundation,

please call Robbie

Johnson at (870)934-

5117 or Kim Provost at

(870)336-1422. We

would love to have you

be a part of helping meet

the needs of others in our

community.

Thanks to all of our advertisers!

NEA Health magazine benefits the programs of

The land is clear, the safety fence is up and the construction phaseof our new medical campus has begun. Every time I see the floorplans or drive by the construction site, I am amazed at how the

face of health care is changing in Jonesboro. Speaking of changes, youmay notice that NEA Health has a new editor, I am excited to be a partof the publication of this magazine and this great organization.

Our new medical campus consists of a professional medical office building thatwill house NEA Baptist Clinic’s medical specialists and surgeons, as well asdiagnostic testing services. This building will be connected floor by floor withthe new 6 story NEA Baptist Memorial Hospital. Additionally, a free standingcancer center is being constructed on the northwest corner of the property.Look across the highway to see more NEA Baptist construction as our newDialysis Center is being built next door to our Hilltop Family Practice andUrgent Care Clinic.

The new buildings are just a part of what is going on at NEA Baptist Clinic.The physicians and employees that care for our patients are the real story. Inthis issue of NEA Health, be sure and read the heart warming ‘My Hero’ storywritten by Anna Vinson, age 10, about Dr. Carroll Scroggin, Jr. and the care hegave to her mother during her cancer treatment.

Celebrate with us as Dr. Tomasz Majewski marks his 10th anniversary as aplastic surgeon in Jonesboro and learn more about plastic surgery procedures inhis NEA Health feature article, ‘Botox and Beyond’. Meet our newest clinicphysicians as we continue to bring new specialty services or expand our servicesto our patients. Other physicians contributing to this issue of NEA Healthinclude Jason Brandt, MD, Ray Hall, MD, David Nichols, MD, NorbertDelacey, MD and John Phillips, MD. Hopefully, these doctors’ insights will bebeneficial to you as you take care of your health or that of another.

Finally, get up to date with news from NEA BaptistCharitable Foundation. This is another group ofpeople that work to give back to our community.Through your donations and fund raisingevents, the foundation is able to provideprograms such as HopeCircle, Center forHealthy Children, Wellness Works!, ShareHopeand Medicine Assistance.

NEA Baptist Clinic is proud to be our area’ssingle largest multi specialty group clinic –made up of great physicians, employeesand even new buildings. All that said, theultimate goal for all of us is providingthe best health care for our patients.Here’s to good health!

fromtheeditor

CoNTENTspages of advice from doctors and health

professionals you know and trust.20+

4 Patient-Centered Medical Home

- Ray Hall, Jr., MD

6 Hip Replacement?

- Jason Brandt, MD

7 Feed Your Children Well

7 Looking to the Future

- Darrell King, CEO, NEA Baptist

Clinic

8 Considering a Laser Procedure

- Paula Arnold, RN, CLT

9 New NEA Baptist Clinic Dialysis

Center

10 CPAP Club

- David Nichols, MD

12 Our Vision Becomes Reality - New

Medical Campus

14 Cutting – Edge Technology

- John Phillips, MD

16 Women’s Health

- Norbert Delacey, MD

18 Botox® & Beyond

- W. Tomasz Majewski, MD

24 How Hard Do I Have to Exercise?

- Pamela and Steve Bowen,

NEA Baptist Clinic Wellness Center

26 My Hero - Dr. Carroll Scroggin-

- Anna Vinson

34 Healthy Eating

27 In Review

NEA Baptist Charitable Foundation

- Program Updates

- Event Updates

- Memorials/Honorariums

Deaundra Waddell, Editor


(870) 932-4875neabaptistclinic.com

Learn more about Weight Loss Surgery with free monthly seminars.

July 26 & August 30*, 6pm at NEA Baptist Memorial Hospital

Dr. Bruce Jones is the most experienced, board certified bariatric surgeon in NortheastArkansas. He has successfully helped many people change their lives through weightloss surgery. Dr. Jones, an NEA Baptist Clinic physician, and NEA Baptist MemorialHospital are the most trusted, experienced team for your surgery. *Look for future dates on our website.

Your Health. Your Team.

Thanks to Dr. Bruce Jones

I Can!Sit in an airplane seat comfortably. Play with my nephew. Walk up stairs.

Bruce Jones, MDBariatric and General Surgeon,Board Certified, Member of

American Society of Bariatric Surgeons


870-802-2344www.heritagebankark.com

JEFF BRECKLEIN IS A GREAT EXAMPLE OF A LOCAL BANKER.

Jeff BreckleinExecutive Vice PresidentCommercial Lender

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Patient – CenteredMedical HomeThe patient-centered medical home (PCMH) is a model of health care based

on an ongoing, personal relationship between a patient, and and their personalphysician, and encompasses preventive care, acute care, chronic care, or end-

of-life care. The PCMH model includes a personal doctor and care team that willprovide medical care on a continuous and comprehensive basis. When subspecialtycare is needed, the doctor and care team will personally manage, facilitate, andcoordinate the care with appropriate qualified professionals; such as hospitals, nursinghomes, pharmacies, and related community resources.


Arkansas Blue Cross/Blue Shield has selected the Internal Medicine Department at NEA Baptist Clinic toparticipate in a pilot program. At NEA Baptist Clinic, our internal medicine department has alreadyimplemented many of the features of the PCMH. Our electronic medical record (EMR) was installed severalyears ago. Significant financial resouces have been invested in this advanced information technology program,and new software features are being added each year. Our robust EMR will not only provide the entire clinicwith the integrated individual patients’ medical history, but will also feature e-mail, e-prescribing, clinicaldecision support (i.e. practice guidelines for specific disease processes), track preventive tests and measures,and will also document quality of care markers in patient outcomes. These measures will differentiate NEABaptist Clinic performance from other health care providers.

Currently our Internal Medicine Department has three physicians, an advanced practice nurse (APN), a PA(physician assistant), a diabetic nurse educator, RN’s, LPN’s, and clerical support staff. Our clinicInformation Technology Department is available 24 hours a day to provide EMR support. In the near future,we will add additional physicians and mid level providers and utilize a social worker (case manager), aneuropsychologist, and employ demandmanagement techniques to enhance our patientaccess to the team. Our new clinic facility nowunder construction on East Johnson near Hilltop,is designed to facilitate practice in the PCMHmodel. Without a doubt, health care delivery ischanging. Our goal at NEA Baptist Clinic is toposition our clinic at the forefront in providing ourpatients with the highest quality care.

Patients who choose to receive care through the PCMH model will benefit

by the following:

• Access to doctors that utilize improved technologies to staybetter connected with the medical community and managecare more efficiently.

• Improved access to care through easier scheduling ofappointments and extended hours.

• More focused personal interaction with doctors and careteams who will help navigate through the complex healthsystem.

• A more comprehensive delivery of primary care throughthe improved coordination of care, management by thepatient’s personal doctor, and their care team.

Quality and safety are hallmarks of the medical home.

• Practices advocate for their patients to support theattainment of optimal patient-centered outcomes that aredefined by a care planning process driven by acompassionate, robust partnership between physicians,patients, and the patient’s family.

• Evidence based medicine and clinical decision support toolsguide decision making.

• Physicians in the practice accept accountability forcontinuous quality improvement through voluntaryengagement and performance measurement andimprovement.

• Patients actually participate in decision-making, andfeedback is sought to ensure patient’s expectations are beingmet. Information technology is utilized appropriately tosupport optimal patient care, performance measurement,patient education, and enhanced communication.

• Practices go through a voluntary recognition process by anappropriate non-governmental entity to demonstrate thatthey have the capabilities to provide patient-centeredservices consistent with the medical home model.

• Patients’ families participate in quality improvementactivities after practice level.

Patient satisfaction,delivered in accordance withan agreed care plan is thehallmark of the PCMH.

Ray Hall, Jr., MD, FACP Internal Medicine

NEA Baptist Clinic – 870.934.4150

Pictured: NEA Baptist Clinic – Internal Medicine front row: Ray Hall, Jr., MD, FACP, Stephen O. Woodruff, MD, FACPback row: Carla Nix, PA, Brannon Treece, MD, Kristy Willson, APN


Hip Replacement?The Answer May Be Right in Front of You

Hip replacement surgery has been performedsuccessfully for decades. As with any procedure,refinements in technique can evolve with time. One

of the latest advancements is hip replacement through a directanterior approach. This means that the surgeon enters the hipfrom the front instead of from the back or side of the hip.

Jason Brandt, MDOrthopedic SurgeryNEA Baptist Clinic – 870.932.6637

The difference: The direct (front) anteriorapproach differs from a traditional approachin several ways.

• The hip is exposed in a way that muscles andtendons are NOT detached.

• Intraoperative x-ray (fluoroscopy) is typicallyused to assure correct placement andalignment of the implants.

• Intraoperative positioning allows leg lengthsto be checked and equalized.

Potential benefits:

• Possibly smaller incision and reducedmuscle disruption may allow for a shorterrecovery time.

• Risk of dislocation may be reduced

• Less post operative activity restrictions

• Minimized limp since the muscles aroundthe hip are not cut.

Any type of surgical approach has risks and benefits. The ultimate performance of a hipreplacement depends on a patient’s age, preoperative activity level, weight, andassociated medical conditions. Recovery after a hip replacement takes time.

Hip replacement through a direct anterior approach offers patients some significantpotential advantages. Only your orthopedic surgeon can help you determine whetherhip replacement through direct anterior approach is right for you.

Childhood obesity is becoming amajor health issue, and parentseverywhere are concerned aboutteaching their children to eat nutritiousmeals and maintain a healthy weight.Here are some basic ideas for instillinggood nutrition habits:

• Set the right example. Let yourchildren see you eating goodfood, not junk.

• Provide a healthy variety.Don’tforce foods on kids, but makenutritious food available in yourhome so they can choose whatthey want.

• Avoid power struggles. You can’tcontrol what other children eat,nor what your child eats at afriend’s house. You can set therules for your own home, so do itand don’t obsess about whatothers do.

• Involve your children.Take themto the store so they can see whatyou choose and they can make afew selections of their own. Enlistthem in helping prepare meals sothey see what goes into a healthydinner. Talk about where fruitsand vegetables come from, andwhat goes into processed foods.

• Eat together.As much as possible,schedule dinners so everyone inthe family can join. This helpsyou influence what your childreneat at meals.

• Remind everyone to slow down.The faster people eat, the morethey eat. Don’t let your kids racethrough dinner; urge them totake their time with every bite.

• Drink water.Water is betterthan soda and other sugarydrinks, and helps kids feel fullbetween meals.


ONE injection.Up to 6 months of knee pain relief.

OrthopedicSurgery

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Visit www.SynviscOne.com for information about Synvisc-One.

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Started in 1977 with the vision of Ray Hall, MDfor a multi-specialty physician group, NEABaptist Clinic continues to look toward the

future. The highlight of the coming months is theprogress of the largest building project in the state ofArkansas.

Driving north on 49 toward Paragould, you will see twolarge cranes as you round the curve. These cranes are solarge that they had to be built on site. It took 13 tractortrailer loads to haul the parts. But even bigger news is themedical campus that is being built.

The new NEA Baptist Clinic medical office building willhouse our specialty clinics. This building will connect tothe new 181 bed NEA Baptist Memorial Hospital,bringing a new concept in health care to our area asphysicians and patients can easily move between the clinicand hospital. The medical campus will also include a freestanding cancer center unlike any in the area. The familypractice and urgent care clinics will remain in their currentconvenient locations.

NEA Baptist Clinic is committed to taking care of yourhealth care needs. That is why we have 10 physiciansjoining our practice this year. As the largest multispecialtygroup in the state, we continue to strengthen our staff bywelcoming the following physicians.

• Ryan Brenza, DO - Family Medicine/Trumann• Kristin Addison-Brown, PhD -Neuropsychology

• Charles Cesare, Jr., MD - OB/Gyn• Keith Criner, MD - Pulmonary/Critical Care• Matthew Haustein, MD - Cardiology• Thomas Nix, MD - Ophthalmology • Adam Sills, MD - Dermatology• Tommy Taylor, MD - Internal Medicine,Cherokee Village

• Aaron Wallace, MD - Orthopedic Surgery • Adam Woodruff, MD - Nephrology

I hope you get a sense of ourexcitement. NEA BaptistClinic is proud to be a part ofthe most significant healthcare news in NortheastArkansas.

LookiNgFuTurEto

the

Darrell KingChief Executive Officer

NEA Baptist Clinic

NEAHealth Tip!

Feed Your Children Well


NEA Baptist Clinic – Plastic and ReconstructiveSurgery offers patients the latest laser techniques forcosmetic procedures. With laser skin rejuvenation,

acne treatment, rosacea treatment, skin resurfacing, hairremoval and vein therapy, we provide enhanced skin careservices. In response to patient demand, we offer the mostadvanced and accurate treatments available.

The lasers at NEA Baptist Clinic – Plastic and ReconstructiveSurgery are very safe. The procedures are comfortable with littleto no down time. Patients can come in and receive theirtreatment, then go about their business, returning to school orwork. We are very fortunate that ourgeneration today has access to severaldifferent lasers, which provide treatmentsfor various problems and conditions; bothmedically and cosmetically.

Because of the variety of laser treatmentsoffered at the clinic, both men and womencan benefit from the procedures. Also, many teenagers as well assome younger children benefit from the various laser treatmentsoffered. Skin services that are offered include laser hair reductionand the treatment of Pseudo-Folliculitis, laser leg vein removal,laser acne reduction, enhanced skin rejuvenation and laser skinresurfacing.

The Lyra laser that is used at NEA Baptist Clinic – Plastic andReconstructive Surgery is the first laser the FDA cleared for hairremoval in all skin types, as well as the removal of shaving bumps.Lyra’s low absorption in pigment makes it an ideal and safetreatment, achieving outstanding results while maintaining thenormal appearance of the skin. Laser hair removal treatmentswork by impairing the growth capacity of hair follicles. Severaltreatments every few weeks may be necessary in order to obtainthe desired result. Most patients experience considerablereduction after 4 to 7 treatments, depending on the hair density,hormone fluctuation, age and level of treatment.

Laser leg vein removal treatments work by selectively heating veinwalls until they collapse and seal shut. The body then absorbs thesealed vein over a period of months. Most patients experienceconsiderable improvement after 1 to 3 treatments, with 4 to 6week intervals, depending upon the severity and size of vesselsbeing treated.

Laser acne reduction treatments work by triggering the body’snatural bacteria fighting defenses. Each treatment triggers a chainreaction that eliminates some of the problem-causing bacteria,reducing the severity of current and future breakouts. Mostpatients who have experienced this procedure see considerableimprovement after 2 treatments per week, for 2 to 5 weeks,depending on the severity of the acne condition treatment.

The enhanced skin rejuvenation treatment and the laser skinresurfacing use precision laser therapy to remove the mostcommon signs of aging and sun damage, as well as removewrinkles, scars and discoloration. The enhanced skin rejuvenationtreatments work by precisely targeting the three major signs ofaging: brown discolorations, red discolorations and wrinkles. The

laser skin resurfacing treatment works bycomfortably removing the top most layer, orlayers, of skin. For both treatments, mostpatients experience considerableimprovement after 1 to 4 treatmentsdepending upon their skin condition andlevel of treatment.

The laser procedures that are offered at NEA Baptist Clinic –Plastic and Reconstructive Surgery can help improve theappearance of patients with all different skin types. We believethat by having clear and smooth skin, people have moreconfidence in themselves, which carries over in all areas of life. If

you are interested in receiving treatment,we recommend a consultation to makecertain that you are a good candidate forappropriate treatment. All first time laserconsults are free at NEA Baptist Clinic lasercenter. All laser treatments have beencarefully researched and FDA cleared.

Paula Arnold RN, CLTMedical Aesthetic Laser SpecialistPlastic & Reconstructive SurgeryNEA Baptist Clinic – 870.934.3530

Considering a

Laserprocedure?

... both men and women can benefit ...

3100 Apache Dr. Suite B-3, Jonesboroneaplasticsurgery.com

NEA Baptist Clinic Laser SpecialistsMelanie Greeno Hart, ICTPaula Arnold, RN, CLT

Call Us Today! 934-3530

In May, NEA Baptist Clinic broke ground on a newdialysis treatment facility to be located at 4909 EastJohnson in Jonesboro, across from the new NEA

Baptist hospital and medical office building and nextdoor to NEA Baptist Clinic’s Hilltop family medicineoffice. The 8,000 square foot facility will have twelvedialysis chairs, an isolation treatment room and a privatearea for peritoneal dialysis training.

The new treatment center will provide additional conveniencefor patients who reside in the area and will expand availabletreatment in the Jonesboro area. NEA Baptist Clinic’s currentdialysis center has had to add additional shifts to try and meetthe demand for dialysis treatment needs, so the additionalchairs are needed in the community.

In addition, NEA Baptist Clinic will be adding a newnephrologist, Adam Woodruff, MD, to help meet thecommunity need for nephrology services. Dr. Woodruffreceived his medical education and nephrology fellowship atthe University of Arkansas for Medical Sciences College ofMedicine and will start seeing patients in August 2011.

The new dialysis center is expected to be complete by theend of 2011.


Gibson’s Pharmacy

870-972-9125Monday - Friday 8 am - 6 pm

Saturday 9 am - NoonFree Local Delivery

403 East Matthews Ave.Jonesboro, AR 72401

PharmacistsBrian Oholendt, Pharm DBrittani Mallett, Pharm D

Brandy Lane, Pharm D

Pictured l-r: Mark Oliver Cahoon, Architect discusses detailswith NEA Baptist Clinic representatives - Mari Mullis, DialysisCenter Director, Lexanne Horton, Chief Operating Officer,Denise Boles, Director of Specialty Operations

New NEA Baptist Clinic Dialysis Center

3100 Apache Dr. Suite B-3, Jonesboroneaplasticsurgery.com


Does this sound like you or someone you love and care about?

Joe had just completed the sleep test his wife and children had so insistentlypushed him into doing because he was “such” a loud snorer. He didn’t eventhink he did snore, and even if he did it was clearly not as bad as everyone

insisted. Several days later he received a call from someone telling him he needed toget his CPAP equipment to use at home to treat his newly found obstructive sleepapnea. He was to visit Happy Time Medical, a durable medical equipment company(DME) that provided the stuff he needed and training on its care and use. And thenthe “fun began”. The first night passed, and he didn’t think he really wanted to evenput that stuff on. The next night his wife insisted, so he put the mask on, filled thewater reservoir, hit the machine’s on button and tried to sleep. After he finally didfall asleep, he woke with a squealing and burping sound with air blowing into hiseyes. He recalled something about tightening the straps and dutifully cinched them

back. A bit later he awoke again and this time he had severe pain at the bridge of his nose and overthe cheek bones. He rapidly decided that this was not for him and tossed the mask over onto thebedside stand and said, “I cannot handle this thing, I quit!”

An aggressive team approach can increase the level of successful treatment.

Although this story could take many different twists, what happened to Joe is that he has just become amember of the CPAP non-compliance club. What does that mean? It implies that Joe will be labeled asunable to tolerate continuously positive airway pressure (CPAP), the gold standard of therapy for obstructivesleep apnea (OSA). If left unaided, it will make perfect sense to Joe that he should stop therapy. Is this reallytrue? The single biggest reason for failure to succeed with CPAP therapy relates to the patient’s decision notto continue with therapy due to pain, perceived lack of efficacy, or frustration with the therapy. Couldanything be done differently that would give a different outcome? I think the answer is clearly yes, and itinvolves multiple members of a team formed when the diagnosis is first suspected. The team members arethe patient (with family support), the physician (with his staff ) and the durable equipment company (withits staff and therapist). Each of the team members can be thought of as one of the legs of a three-legged stool.If each does its part to support the therapy (the stool) it will be successful, if not it will tilt and tumble andtherapy will be unsuccessful.

Tips, Tricks and Thoughts to Help Stick with CPAP Therapy for Obstructive Sleep Apnea


Better patient understanding leads to better likelihood of success.

I am a firm believer that a patient’s success with therapy is directlyrelated to how well that patient understands the illness presentand the resulting symptoms, the rationale for the recommendedtreatment, the benefits of treatment, and the consequences of notreatment. It is also important that all available treatment optionsare discussed and compared. This is important so that the patientunderstands when options are exhausted and efforts need to befocused on making the chosen option succeed. This processbegins with the patient’s initial evaluation of sleep complaints andsymptoms. During the interview process, OSA is described as asleep disorder that involves the upper airway muscles relaxingwith sleep and resulting in a narrowing or closure of the airway.The brain must leave the sleep state and awaken to stiffen themuscles and re-establish the open airway. Severity of OSA isexpressed in the number of such events that occur for every hourof sleep. This can be as high as 60-100 times or more per hourand results in a highly fragmented or broken up sleep pattern.This poor quality sleep is not efficient in ridding the brain of thesleepiness acquired throughout the normal period of wakefulnessand results in a sleep deprived brain expressed through alteredmood, intellectual functioning and excessive sleepiness.

The goal of the CPAP treatment is to convert the poor qualitysleep of the apnea patient back to normal high quality sleep freeof interruptions. The CPAP, while applied, creates an air tunnelstretching from the facial area down to the opening of thewindpipe or larynx. Pressure is applied shoring up the walls of thetunnel which keeps the tissues from collapse or narrowing. Thisin turn eliminates the snoring and breathing events and allows forfree and uninterrupted sleep that promotes a restful and restoringsleep in the brain that, as a result, takes away the daytimetiredness and sleepiness. To establish the tunnel a seal must becreated somewhere at the air entry points on the face (nose,mouth or both), and is achieved by a comfortably fitting mask.The needed pressure level is sustained by an air pressure device(CPAP machine) that has been adjusted to levels adequate to keepthe airways open. Free and easy breathing is then guaranteedthrough the tunnel. Successful tunnel operation is only possiblewhen the mask and device remain in place. Without them theairway collapses and is vulnerable again to interrupted breathingand resultant poor sleep.

The prescription for successful therapy must also be clearly statedand understood. CPAP needs to be viewed as a tool capable ofconverting the poor sleep of a sleep apnea sufferer back into ahigh quality sleep of a normal sleeper. It should be viewed in clearblack and white terms. Use the CPAP andget normal or better sleep which restoresthe daytime alertness, or don’t, andcontinue to be tired and sleepy during theday. Greatest success in eliminating theunwanted daytime fatigue, tiredness orsleepiness comes from using the CPAP atthe prescribed pressure (pressure dose)over every hour of sleep an individualtakes during a 24 hour cycle (duration).Failures usually result when the pressure falls due to a maskleak, or there is an inadequate quantity of high quality sleepfrom the CPAP use pattern (failure to use enough time).

Compliance failure can come from multiple sourcesthat have workable solutions if recognized.

The remainder of this article is devoted to discussing the potentialreasons for failure with CPAP. They are broadly divided into (1)technical issues with the mask and other equipment, (2) pre-existing medical conditions and (3) attitudes and behaviorsadopted by the patient.

Technical Issues

The mask selection, fitting, andadjusting is hands down the mostimportant technical thing to getright. The best mask is, simply put,the one that the patient findscomfortable enough to wear for thefull night of therapy. Wearing amask is never natural but should notbe uncomfortable. It is important

that a mask be of the correct physical size for the patient’s face;compromise is never a good idea in this area. Adjusting a mask isaccomplished by properly placing it on the face and adjusting theVelcro straps that hold the mask to the face. If the mask leaksthings are too loose; but if there is facial pains then they are tootight. The “Happy zone” lies between the two extremes and theyare, unfortunately, not very far apart. All adjustments need to bemade with tiny steps to all four of the straps. The bridge of thenose is a special situation. It is very sensitive to pressure becausethere is very little fat tissue between the skin surface and the bone.This makes it not only sensitive but vulnerable to skin rednessand breakdowns. Many masks have a special device designed toraise the tip of the mask up off of the nose without using thestraps and the DME company should be asked about it. Othermasks use softer material and design to avoid this complication.It is not unexpected to find some red pressure marks from theedges of the mask. This is normal and usually fades after havingthe mask off for a while each morning. It will not create anyserious issues. However, pain and skin breakdown is unacceptableand should be promptly reported by the patient.

The mask selection may be influenced by prior conditions apatient may have present prior to the start of CPAP. These are afew examples: IF a patient has a history of trouble with nasalobstruction during the night or with seasonal changes then amask dependent on air entry via the nose may not work. If thereis claustrophobia or fear of suffocating when the face feels too

covered then a large full face mask maynot be the best choice. If the mouthroutinely opens during sleep then the useof a nasal only mask may also be a badchoice. When a mask change iscontemplated because of a problem it isimportant that the choice begins with thepatient giving the best possible descriptionof the offending problem to the treatingtherapist or physician with special

emphasis on what specificallywould make the situation CPAP Club

continued on page 22D

• Construction on the medical campus beganSpring 2011. During construction the site will beenclosed by a fence for safety.

• Designed by nationally known Earl SwenssonAssociates of Nashville, TN, the integratedmedical campus features a healing, light filledenvironment.

• The general contractor, Hoar Construction, isknown as one of the top health carecontractors in the country.

• Focusing on safety and stability, constructionbegins with the drilling for approximately 2,400foundation pilings.

•The 6 story hospital will have larger patientrooms and operating suites and allow for future growth.

• NEA Baptist Clinic specialty physician officeswill be connected to each floor of the hospitalallowing for ease of access.

• A free standing cancer center will be located onthe 80 acre site.

• The clinic portion of the facility will be 5 storiesand house the clinic specialities.

• Family Medicine and Urgent Care clinics willremain in current convenient locations.

Building Size: 765,703 sq. ft.

Number of Hospital Beds: 181

Services offered include Heart, Cancer, Women’s, Bariatric, Neurology, Orthopedics, Plastic Surgery, Outpatient Rehabilitation, Emergency

The single largest investment in a community byBaptist Health Care and the largest health careinvestment in Arkansas in the last decade, the

new NEA Baptist Health System medical campus iscomprised of NEA Baptist Memorial Hospital andNEA Baptist Clinic.

Our Vision Becomes Reality


• Construction on the medical campus beganSpring 2011. During construction the site will beenclosed by a fence for safety.

• Designed by nationally known Earl SwenssonAssociates of Nashville, TN, the integratedmedical campus features a healing, light filledenvironment.

• The general contractor, Hoar Construction, isknown as one of the top health carecontractors in the country.

• Focusing on safety and stability, constructionbegins with the drilling for approximately 2,400foundation pilings.

•The 6 story hospital will have larger patientrooms and operating suites and allow for future growth.

• NEA Baptist Clinic specialty physician officeswill be connected to each floor of the hospitalallowing for ease of access.

• A free standing cancer center will be located onthe 80 acre site.

• The clinic portion of the facility will be 5 storiesand house the clinic specialities.

• Family Medicine and Urgent Care clinics willremain in current convenient locations.

Building Size: 765,703 sq. ft.

Number of Hospital Beds: 181

Services offered include Heart, Cancer, Women’s, Bariatric, Neurology, Orthopedics, Plastic Surgery, Outpatient Rehabilitation, Emergency

H E A L T H S Y S T E M

neabaptist.com

Our Vision Becomes Reality

Watch the construction of ournew medical campus onlinethrough streaming video.

neabaptist.com



Earlier this year, NEA Baptist Memorial Hospitalinstalled the first dual source CT scanner in the state ofArkansas. The Siemens Somatom Definition Flash CT scanner

is 1 of only 43 in the United States and 150 in the world.

The new scanner can capture incredibly detailed images of the heart, brain,bones—even the smallest blood vessels. This kind of speed is unprecedentedand utilizes the lowest radiation exposures. NEA Baptist Health System ispleased to bring the fastest, safest and most technological diagnostic CTscanner to Jonesboro. This incredible machine is a large investment in the careof NEA Baptist patients.

The machine can scan the entire body in less than six seconds and image the chest in0.6 seconds. Thus, sick patients don’t have to hold their breath during chest scans. Thisspeed provides significant advantages when imaging older patients and children, as wellemergency department and intensive care unit patients and ultimately minimizes theradiation exposure to the patient and the length of the exam.

Until now, patients would have to travel to St. Louis, Mayo Clinic, or Dallas for thistechnology. The new NEA Baptist Memorial Hospital’s scanner means patients can betreated much closer to home. In addition to speed and low dose, the scanner candetermine the composition of the tissue imaged using a combination of high and lowenergy radiation. This is done at no increased dose. No other scanner in Arkansas hasthis ability.

NEA Baptist Memorial Hospital is a 100-bed acute care facility in Jonesboro. Thehospital offers a number of inpatient and outpatient services, including an emergencyroom, surgical services, neurology, respiratory care, cancer care and pulmonaryrehabilitation. NEA Baptist Memorial also offers heart care through its Heart Centerand labor and delivery services through the hospital’s Women’s Center. For moreinformation about NEA Baptist Memorial Hospital, please call 870-972-7000 or visitwww.neabaptist.com.

Cutting – Edge Technology Unveiled

at NEA Baptist Memorial Hospital

John Phillips, MDRadiology – NEA Baptist Clinic Radiologist-in-Chief – NEA Baptist Memorial Hosptial


Advanced CT angiography – automatically removes boneand calcified plaque to see the arteries in greater detail. Veryuseful in stroke patient evaluation, aneurysm cases and afterendograft repair of aneurysms.

Better blood clot detection – detects areas in the lung thatdon’t receive enough blood flow. This can help doctors detectblood clots in the lungs.

Contrast optimization – focusing on the low energy tubemakes contrast brighter. Allowing the radiologist to administerless X-ray dye. Less dye is important to patients with kidneyproblems.

Kidney stone characterization – determines if kidneystones contain uric acid, which can be treated with medication.While calcium containing stones may be treated with surgeryor lithotripsy.

Diagnosis of gout – in patients with arthritis the machinecan actually identify uric acid collections, signs of goutyarthritis.

The world’s fastest examination of the heart – withlowest radiation exposure.

Virtual noncontrast imaging –offers contrast enhanced andunenhanced images in one single scanwhenever needed. With the Flashscanner the patient can frequently bescanned one time with dye. Then, thecomputer can subtract away the dye,eliminated a second scan. This lowersradiation dose and scan time.

Better lung cancer and lungnodule characterization – dual-energy technologyaccurately determines the vascularity of lung nodules helpingdoctors predict the probability of malignancy within a givennodule.

Selectively reduces radiation – exposure to dose sensitiveorgans, such as breasts, eyes, and thyroid with X-CAREapplication.

Speed reduces the need for sedation of children

Motion issues are virtually eliminated – when dealingwith all patients.



Botox®/Dysport • Dermal Fillers • Breast Enhancement • Body Contouring • LiposuctionRhinoplasty • Facial Rejuvenation • Skin Care • Permanent Makeup • Chemical Peels

Microdermabrasion • Laser Hair/Spider Vein Removal

870-934-3530W. Tomasz Majewski, MD FACS

Board Certified in Plastic & Reconstructive Surgery

and in General Surgery

Melanie Greeno - Hart, ICTSkin Care/Aesthetician

Paula Arnold, RN, CLTLaser Specialist

Let’s talk about whether Essure is right for you. Call our office today 870-972-8788.

3104 Apache Drive • Jonesboro, AR 72401870-972-8788 • www.neabaptistclinic.com

Charles L. Barker, MD, Ph.D, FACOGMark C. Stripling, MD, FACOG Charles C. Dunn, MD, FACOGNorbert Delacey, MD, FACOGMichael Hong, MD, FACOGLorna Layton , MD, FACOG

Women have unique health care needs and play animportant part in making health care decisions fortheir families. How a woman feels can have a huge

impact on her quality of life. Women need to manage theirhealth—the earlier they start, the better. Diet, exercise, history,screenings and medical decisions all play a part in women’s health.

The choices women make in their 20s and 30s, even 40s and 50s, canaffect them as they age. Simple things, such as diet and exercise,regardless of how many times you put them off or tell yourself they don’tmatter, really make a difference. As you get older, your diet needs toinclude more protein and fewer carbohydrates as well as other nutrients.Many women benefit from also taking supplements such as a multi-vitamin. You should visit with your doctor about your diet, exercise andoverall health.

Something as simple as knowing your family history allows you andyour children to know your health risks and what to avoid. Take thetime to write your history down as part of your prevention plan andshare it with your physician and children.

A sensible diet and exercise, coupled with regular visits to your physicianand appropriate health screenings, can help prevent disease and lead toearly detection and treatment. Recommended screenings will change asyou age, but it is important for women to receive screenings for heart,bone, and breast health. Your doctor can help insure that yearlyscreenings are scheduled and performed through routine visits.

Despite eating right, exercising and taking other preventative measures,sometimes women face difficult decisions about medical procedures tostay healthy. In relation to women’s health, one of the more commonoperations in the United States is the hysterectomy; with more than

600,000 being performed each year.

Seventy percent of these operations are currently invasive andperformed through incisions that can be 4-8 inches long, require a 2-3day hospital stay, and the recovery process may last up to 6 weeks. Manywomen do not realize that there are less invasive procedures thatsometimes can be performed. One alternative we, at NEA BaptistClinic – Women’s Health, advocate is the minimally invasivelaparoscopic procedure. The advantages of choosing this type ofprocedure include smaller incisions that are one inch or smaller, shorterhospital stays--sometimes less than 24 hours, fewer complications and ashorter overall recovery.

Laparascopic hysterectomy is just one of the many women’s servicesprovdided by NEA Baptist Clinic – Women’s Health. Visitneabaptistclinic.com for a full list.

When it comes to health care, women have a choice. Don’t be afraid toask your physician if there are other options. You make decisions everyday that affect your health and well-being. Take the time to make wisedecisions and plan for the rest of your life.Managing health through diet, exercise,routine doctor visits and screenings can impactyour quality of life. Discuss your options withyour doctor and consider therecommendations they give you from thesmallest changes in diet to considering lifechanging operations.

Womens’ Health...There Are Options

Norbert Delacey, MD, FACOGObstetrics & Gynecology


Let’s talk about whether Essure is right for you. Call our office today 870-972-8788.

3104 Apache Drive • Jonesboro, AR 72401870-972-8788 • www.neabaptistclinic.com

Charles L. Barker, MD, Ph.D, FACOGMark C. Stripling, MD, FACOG Charles C. Dunn, MD, FACOGNorbert Delacey, MD, FACOGMichael Hong, MD, FACOGLorna Layton , MD, FACOG


Cover Story

Plastic SurgeryReconstructive surgery is performed on abnormal structures of the body caused by congenital defects, developmentalabnormalities, trauma, infection, tumors, or disease. It is generally performed to improve function, but may also be doneto approximate a normal appearance. Cosmetic surgery is performed to reshape normal structures of the body in orderto improve the patient’s appearance and self-esteem.

Since the very beginning of the quest for facialrejuvenation there was a strong interest inminimally invasive, or even better – non-

invasive techniques. Scientists were always lookingfor a way to erase wrinkles, make the skin looksmoother, and make the person look younger.

Botox® &

Beyond


Botox & Beyond continued on page 20D

Over the centuries, scientists and alchemists createdmyriads of formulas, some more successful thanothers, of creams, ointments, lotions etc. sometimesclaiming “miraculous” results with their use. EvenCleopatra, the queen of ancient Egypt, took dailybaths in goat milk to achieve these optimal effects.

The 20th century brought us evidence-basedmedicine. Although the gigantic market ofcosmetics with hyper-inflated promises stilldominates the world of beauty, there has been asignificant growth of minimally invasive procedureswith real benefits, including chemical peels, lasers,IPL (intense pulse light) and others.

However, none of them can compete with Botox®

(and its younger competitor – Dysport®) in terms ofpopularity. Botox® has become a household name,and the term is frequently misused as a substitute toseveral other injectables. Last year there were over 3 million injections of Botox® administered in theUS alone.

In addition to Botox® and Dysport® (and Xeomin®,coming soon), described jointly as neurotoxins, i.e.muscle-relaxing substances, there is a wholespectrum of injectable dermal fillers available to helperadicate (or at least improve) wrinkles andrejuvenate the aging face.

Before I explain the differences among the injectables, let’s talk more about the types and causes of wrinkles.

To simplify the issue we can divide wrinkles into two categories - dynamic and staticones. Dynamic wrinkles appear when the underlying muscle contracts, folding the skinin the direction perpendicular to the course of muscle fibers. For example: contractionof a vertically oriented frontalis muscle of the forehead results in transverse wrinkles onthe forehead. Pure dynamic wrinkles disappear when the muscle relaxes. Botox® andDysport® are injectables which relax these muscles. Since the muscle attachments to skinare constant, every muscle contraction folds the skin in the same location. After years ofthis action the skin develops static wrinkles – they persist even if the underlying muscleis completely relaxed. Just like a paper clip that you bend and straighten several times willeventually crack or break – skin will create these unwanted wrinkles.

As a general rule, Botox®/Dysport® will improve the appearance of dynamic wrinkles, butnot the static ones. When static wrinkles appear – one should consider fillers.

Fillers are the substances injected through a small needle to improve the appearance ofwrinkles, or to restore lost or replenish insufficient volume in the face.Their evolution continues: from the early ones (of historical interestonly at this point: crushed nails, early injectable silicone etc.),through newer ones (collagen-based: Zyderm®, Zyplast®,Cosmoderm®, Cosmoplast®) to the most modern and cutting-edge. There are several FDA-approved fillers available, butthey are not created equal. Different products are designed toaddress different problems and most of them are notinterchangeable if one wants to achieve the desired result.

Cover Story

Type of wrinkle...you mean there’s more than one?

Dynamic

Static

Botox® & Beyond Ccontinued from page 19



Here are some of the most common fillers:

Restylane®/Restylane-L® and Juvéderm® Ultra/Juvéderm® Ultra XC(hyaluronic acid): designed to address fine to moderate wrinkles. Usedpredominantly around the mouth and orbits. Also helpful to “plumpup” the lips. Clear gel, injected superficially, lasts 6-12 months.

Perlane/Perlane-L and Juvéderm® Ultra Plus/Juvéderm® Ultra Plus XC (hyaluronic acid):chemically same as the above, but “thicker”. Used fordeeper wrinkles and for moderate correction ofvolume depletion (nasolabial folds, marionette lines).Injected slightly deeper. May last 6-12 months.

Radiesse® (calcium hydroxyapatite): used toaugment certain areas, especially useful to correctdeficiency of the underlying facial skeleton. Also usedfor volume augmentation in the nasolabial folds,prejowl sulcus (depression between the chin and the

jowl) etc. It’s white and pasty, so it has to be injected deep to avoidvisibility and nodularities. Not recommended for injection into thelips. May last up to a year and sometimes even longer.

Sculptra® (poly-L-lactic acid): typical “volumizer”, helps to increaselost volume of the cheeks, around the mouth etc. Typically injected inthree sessions in one month intervals. The patient’s collagenaccumulates and creates deposits around microscopic granules of theproduct, further increasing the volume. May last up to 2 years.

Other dermal fillers used less frequently include: Artefill©, Evolence™,Elevess™, Prevelle Silk®, Cosmoplast®/Cosmoderm®.

To find out what injectable substance (or their combination) would bethe most appropriate to use in your particular situation, schedule aconsultation with Dr. W. Tomasz Majewski, Board Certified PlasticSurgeon by calling (870) 934-3530.

W. Tomasz Majewski, MD, FACSPlastic & Reconstructive Surgery


NEA Baptist Clinic Plastic Surgerypractice was established in August of2001 when Dr. W. Tomasz Majewski

joined NEA Baptist Clinic. The practicecomplemented the multispecialty profile of NEABaptist Clinic. The practice encompasses theentire spectrum of plastic surgery, includingcosmetic and reconstructive aspects.

Our goal is to provide patients with personalized,high-quality service. Dedication to quality, ethics,and friendliness are the hallmark of the practice.Emphasis is placed on patient’s education andpatient’s participation in the decision makingprocess. Dr. Majewski provides a detailedconsultation with each patient explainingtreatment options, risks and benefits of proposedprocedures, recovery time, etc. Each patient istreated individually and the treatment plans aretailored accordingly. Patients are encouraged toask questions and bring family members withthem for consultation.

We want our patients to feel comfortable withtheir decisions and with us. We try our best tohelp our patients obtain approval from insurancecarriers of the services provided whenever thetreatment meets criteria of medical necessity. Weincorporate the newest trends and technologies inour practice as they emerge.

As a board certified plastic surgeon, generalsurgeon and a third generation physician, Dr.Majewski has an understanding and resources totreat complex problems that the patient presentsto our clinic.

Growth of our practice isa result of the growingnetwork of satisfiedpatients referring theirfamily members andfriends and referrals fromphysicians that are pleasedwith the care provided totheir patients.

Contact us today for your consultation!

neaplasticsurgery.com

better. With this information thetherapist or physician can help decideif a change will solve the problem or

not. Sometimes an adjustment could be more likely to fix theproblem. It is important to realize a friend’s favorite mask may beyour worst nightmare. Mouth openings or other oral leaks mayrequire use of a chin strap or a change to a full-face mask whichcovers the nose and mouth. Masks can wear out; particularly thecushion in contact with the face; Velcro straps may stretch as theyage. Replacement should be done on a regular basis. (3-6months). This is particularly true if leaks begin to appear on apreviously good fitting mask.

Machine settings can be another technical issue needingattention. The highest pressure that the machine delivers is bestthought of as the dose of the CPAP. Like a drug dose this is amedical decision, and is made at the time the CPAP pressure isdetermined in the lab. It is usually found to be somewherebetween 5-20 cm H20 pressure and is well tolerated. At the upperlevels there can be some facial pain from sinus pressure build up,air may enter the middle ear space and cause pain or air could beswallowed causing some belly pain, but these events are unusual.Use of a machine, which can vary the pressure within a range,may help these complaints by only reaching the upper pressureswhen the patient need is present, which is often after fallingasleep. When starting pressures are 10 cm or more this can oftencause an unpleasant feeling that can be relieved by using theramp- up feature. This is a setting which allows the pressure tostart below the therapeutic pressure and gradually increase thepressure over a preset time. The concept is that the patient willoften fall asleep prior to reaching the uncomfortable therapypressure. If the time is too long the patient could have an apneaevent and wake up with a snore or choking. This is fixed byshorting the ramp time. If too short then sleep may not occurbefore reaching the higher pressure.

Using a humidification system to increase water vapor in theinflowing air can often help the feelings of a dry nose or mouth,and can help reduce nasal obstruction because of the pushing ofair through the nose and the beneficial effect of the moisture.Heating the water allows more water to be carried to the nose.This often reduces burning discomfort and congestion. It isimportant to realize that too much heat can cause a condensationin the tube or mask and cause noise in the tubing or unwanteddroplets in the mask. This can be eliminated by reduction of theheat or by providing an insulation coat to the tubing from themachine to the mask. Newer machines have heated tubing toextend from the machine to the mask. It is clear that the properuse of humidity is a critical factor in keeping the patientcomfortable on the CPAP device and in turn increases the

compliance with therapy.

A well trained,experienced, knowledgeable and empathic coach is a clear plus tosuccessful compliance.

It should be obvious that having a good coach is critical tosuccessfully negotiate the pathways that lead to solving the many

common discomforts. The patient plays a key role by being agood observer and describer of the problem or discomfort, butthen the coach (physician, sleep lab technologist, or DMEcompany therapist) must engage their brain and be a good listenerand then combine their experience gained from prior problemsolving and their knowledge of available equipment to suggestpossible solutions. In this process it is important for all toremember that CPAP is not natural but should not be painful oroverly frustrating. Benefits of treatment should outweigh thefrustrations. Coaches should have regular follow-up assessmentvisits to assess compliance, and search for problems. Patientsshould not hesitate to call for help or explanations whencontinued use is threatened by unresolved frustrations ordiscomforts. Both must accept the concept that failure is not anoption.

Some pre-existing conditions can impact the success ofCPAP therapy and be mistakenly attributed to CPAPuse, causing people to stop thier therapy.

Pre-existing medical conditions in a patient can significantlyimpact success if they are not recognized early in the treatment.The concept here is that if a patient has, for example, chronicnasal problems that historically have interfered with breathingcomfortably through the nose then there is a pretty good bet thatthey will surface during treatment and may become a reason forfailure. Clearly, the patient must not blame the CPAP for theproblem, but instead see the medical problem as an obstacle tosuccessful CPAP treatment and therefore a problem in need of itsown management strategy.

Some nasal issues are structural in nature and may crowd theairway or allow for collapse of the nasal passage with inspiration.This would include things like septal deviation, nasal polyps,swollen nasal lining, broken nasal bones or weak cartilage areascan obstruct the nasal air flow. Other issues are medical in natureand may relate to allergies, or chronic rhinitis that can cause thelining of the nose to become swollen and obstruct airflow, orcreate excessive drainage causing coughing or dripping. At timesover use of nasal decongestant spray creates a chronic obstructionproblem as well. All of these issues can be evaluated for surgical ormedical treatment that when applied will make the CPAP morecomfortable and successful.

Claustrophobia or fear of close spaces can interfere with theability to tolerate masks over the face. This needs addressing byboth selecting masks that cover the least possible amount of theface, but also by teaching the patient that the breathing is notlimited by the mask, and that they are in charge of when the maskis removed and replaced. Progressive and slow introduction oftherapy and gradual increase in the wear time can help suchpatients. Sometimes the reason patients don’t use a device relatesto being concerned that a young child sleeping with them isfrightened by the mask. This is an issue that can generally behandled by explaining the medical need for the patient andexplaining how the device helps the patient’s breathing; that it isnot painful or harmful to them. Most children will adapt to theCPAP equipment and accept its need.

CPAP Club

Ccontinued from page 11


nea baptist clinic – center for Sleep

Disorders Receives accreditation

NEA Baptist Clinic Sleep Disorders Center(located at 1118 Windover) has receivedfull accreditation from the American

Academy of Sleep Medicine. The Sleep DisordersCenter is the only sleep center in the region with allboard certified sleep physicians and all registeredsleep technologists (some of whom hold multiplecredentials—-CRT-SDS and RN.) The physiciansthat practice at the center are Dr. David Nichols,Dr. Bing Behrens and Dr. William Long.

The Sleep Disorders Center has state of the art sleeptechnology with a commitment to quality sleepmedicines; which include diagnostic, treatment,and follow up care (all provided at the center). Inaddition, the center offers a great educationalresource room which includes computers and manyreferences to better educate patients and familyconcerning sleep disorders (open to the publicduring normal business hours).

Dr. David Nichols, Medical Director of the sleepcenter says, “I am proud of the hard work of thecenter manager, Mr. Rickey Lee and the sleep centerpersonnel in achieving this status. Even moreimportant to us is the benefit to our patients and thecommunity from raising the standards of careoffered for sleep disorders in the community. We seethis as an important first step and look forward tocontinuing our efforts to broaden the scope andquality of services for those who suffer from poorquality sleep. Accreditation is a professionallyrewarding stamp of approval offered by recognizedexperts in the field of sleep medicine.”

NEA Baptist Clinic – Center for Sleep Disordersspecializes in conditions that result in sleepdisturbances capable of creating sleep loss sufficientto interfere with the quality of life. Throughaccurate diagnosis and appropriate therapyaddressing these disorders, a patient’s daily qualityof life can be improved. Some of the commonproblems seen in the clinic are sleep disorderedbreathing, insomnia, restless leg syndrome,narcolepsy, and excessive daytime sleepiness. TheSleep Disorders Center opened in November 2008and under American Academy of Sleep Medicineguidelines, had to operate a period of time in orderto receive full accreditation status and thepermission for this public announcement.

Patients can make behaviordecisions that can have unintentional impacts onsuccessful compliance with CPAP therapy.

It is my belief, supported by medical research, that good patient understandingof OSA’s treatment concepts and benefits can improve compliance. I wouldlike to share some commonly encountered behaviors in patients that can resultin unintentional negative effects on the success of CPAP use.

• Falling asleep watching TV in bed or a recliner prior to placing theCPAP mask in place.

• Getting up to use the bathroom and deciding that there is no need toreplace the mask when only an hour or two remain before the normalwake time.

• Going on an overnight trip and not taking the CPAP equipmentbecause it is only one night.

• Not using the CPAP because of spending time in the hospital eitheras a patient or attending a sick friend or relative.

• Having an illness with intermittent gastrointestinal symptoms orcoughing and deciding not to use CPAP for the entire night.

• Failure to use CPAP when camping rather than explore batteryoptions to support the use of the CPAP.

Often these decisions are due to a lack of full understanding of theprescription for therapy and the importance of adherence to the duration oftherapy. It is important that the patient realize that the improvement indaytime sleepiness is gained through hour by hour use of the CPAP. All sleepwithout CPAP is not as effective at ridding the brain of sleepiness as the highquality sleep created by using the CPAP device. The CPAP should be used forall of the night time sleep and any naps exceeding 10 minutes. If up out of bedduring the night, the mask should be replaced for the remaining time spent inbed. It is important to guard against falling asleep either in bed or in a reclineror on a sofa before placing the mask on. All travel should be covered with theCPAP device even for a single night. Why is this important? The absence ofusing it will cause sleep loss and the brain will acquire a sleep debt and daytimesleepiness will appear along with decreased function.

I hope that by reading this article CPAP users and their families will begin tosee that it is important to accept the notion that Obstructive Sleep Apnea canbe treated successfully with reduction of the unwanted sleepiness and daytimefunctional changes and a reduction of the health risks that strike at patientswith untreated sleep apnea. There are many reasons for failure to comply withCPAP but most if not all have a “work around” solutionto regain successful CPAP use if all members of theCPAP team will extend the collaborative efforts to reachout and find the fix.

David Nichols, MDSleep Medicine



To get the most cardiovascular benefit from yourworkout, it is necessary to exercise within arecommended range. Determining if you are doing

it correctly is the hard part. Heart-rate is a commonly usedmethod for monitoring exercise intensity. This method canbe difficult to master, especially when moving, anddepending on the individual’s medical history, can affectone’s heart rate.

One of the easiest ways to monitor your exercise intensity is to use theratings of perceived exertion (RPE) scale. Whether you walk, jog,bicycle, swim or perform low-impact aerobics, your exercise intensityshould be within a range of comfort.

By using the RPE scale, you can monitor your exercise intensity and getthe most out of your exercise routine.

Perceived exertion is assessed by a 0-to-10 scale to rate the feelingscaused by your exertion. For example, using the 0-to-10 scale, sitting onthe sofa watching TV would have a rating of 0. Raising your legs upalternating one at a time for 2 minutes might increase the effort to 1.Walking in the mall could be rated as 1.5. Walking briskly for 15minutes may have your RPE up to 5. We want to continually increaseour rate of exertion by small amounts when starting out. For exampleincrease our RPE by 1 point every two weeks.

We have a tendency to not push ourselves…it is just human nature toavoid being uncomfortable. But, to reach our goals of weight loss andbetter health we need to push past our normal level of comfort.

Remember, the rate of your exertion is based on how you feel, not howfast you are moving.

You can also use the “Talk Test”, when walking with a buddy duringyour conversation, be sure that you are not able to complete a sentencewithout needing to take a few deep breathes. If you are able to have a

normal conversation whilewalking then you are notpushing yourself hard enough.

Whether you are new toexercise or a fitness fanatic, usethe RPE scale to evaluate yourlevel of effort. Your exercisesessions will be more effectiveand more enjoyable.


Pamela and Steve BowenDirector of Functional Training/Nutritional Planning andWellness Center DirectorNEA Baptist Clinic WellnessCenter – 870.932.1898

How Hard Do I Have to Exercise?


� � � � � � � � � � � � � � � �

Call 870-934-4091 or visit us at www.iberiabank.com

or any one of our other 14 branch locations in NE Arkansas.or any one of our other 14 branch locations in NE Arkansas.

PRIVATE BANKING

NEA Baptist Clinic Wellness Center tirelessly works todo what is necessary to ensure that their membersmeet their individual goals. Each person is unique,

which is why the Wellness Center constantly strives toincorporate different workout regimens to accommodate theneeds of all. Below are just some of the new, innovativeworkouts the Wellness Center has added recently.

Cardio Krank – Kranking is the first exercise program to focus on theupper body as a way to build cardio fitness. It represents a new way tobuild aerobic capacity and upper body strength, burn calories and buildcore stability. Since it utilizes the upper body instead of the legs, itrepresents a unique cross training opportunity for athletes of all types.

One of the most exciting aspects of Kranking is its impact on upper bodystrength. Studies have demonstrated muscle growth and increaseddefinition, so participants are developing strength while performing aneffective cardio workout. There are three different ways a person canincorporate Kranking into their workout regime.

Kranking Fusion Classes: mixing multiple training modalities inone session! Upper Body strength, cardiovascular and strengthtraining, core stabilization and conditioning all in one!

Power Kranking Classes: 30 minutes of heart pumping format thatuses seated and standing movements incorporating arms, shoulders,chest, back, abdominal, and core muscles. 30 minutes will providea unique, full body training session that you never forget!

Individual Kranking: Define upper body, build muscle, cross train,put a new spin on cardio!

Women on Weights (WOW) –Weight lifting is growing in popularitywith women. That’s why the Wellness Center offers a 6-week program.Participants learn how to safely lift weights by using important trainingprinciples such as sets, reps, spotting, the buddy system and more.

Fitness Bootcamp – A high energy group exercise class that combinesstretching, strengthening and cardiovascular exercises.

Personal Trainers – A good personal trainer can be an excellent additionto a person’s workout program. NEA Baptist Clinic Wellness Center’scertified personal trainers provide structure and accountability. Whetherit’s to lose weight or tone, they can help develop a lifestyle that assists inachieving a person’s goal(s). They offer group, first timer, partner, fusionand even children’s personal training. They can also provide meal plansand food.

NEA Baptist Clinic Wellness Center has much to offer the individualwho cares about their health and well-being. State-of-the-art equipment,juice bar, swimming pool, indoor track, certified personal trainers andgroup exercise classes give a person a variety of options when it comes toenhancing their quality of life.

Visit neaclinicwellness.com or call (870) 932-18982617 Phillips Drive, Jonesboro, AR

Medical employees mention this ad to receive your discount!


Anna Vinson, 10, wrote the above paper for a class project. She is pictured with NEA Baptist Clinic’s Carroll Scroggin, Jr., MD.


NEABaptistFoundation.org • 870.336-1421

in ReviewThe Charitable Foundation’s mission is to help change livesthrough the programs and services in Northeast Arkansas. TheFoundation, through your generous gifts, touches everycommunity member and every corner of Northeast Arkansas.

All gifts to NEA Baptist Charitable Foundation are appreciatedand carefully used. Your support gives help and hope to themany people who benefit from the special community servicesand programs provided by NEA Baptist Charitable Foundation.

– In this section you will find stories of how our events andprograms affect Northeast Arkansas.

facebook.com/NEABaptistCharitableFoundation

Make a cherry blossom!Visit NEABaptistFoundation.org

for instructions on how to make the cherry blossom.

INTRODUCING.....................................................................................................................................................Jennifer Martinez


NEA Baptist Charitable Foundation ... Caring for our Community

We wanted to take a moment to express how thankful we are for thevolunteers who make it possible for our NEA Baptist CharitableFoundation programs to function effectively and efficiently. We

depend on volunteers for a variety of services, from working special events,soliciting items, knitting, crocheting and sewing, to assisting patients in theHopeCircle resource center, the chemo room or working with children at theCenter for Healthy Children. A volunteer may visit a bereaved family after theloss of a child or listen to a newly diagnosed patient. Our volunteers utilizetheir skills and interests as they respond to the needs of our families.

Some of our volunteers work at our sites, some never come on site, but provide neededitems. While our volunteers and their contributions are varied, one thing remainsconstant – our appreciation of their commitment. We are thankful for their givingspirit and grateful for all they do for Center for Healthy Children, HopeCircle,Medicine Assistance Program, ShareHope and Wellness Works! You are appreciated!

Thank You VolunteersAt the beginning of June, I was blessed with the opportunity to

help change individual’s lives in a positive way. I became thenew program manager of NEA Baptist Charitable Foundation

Center Healthy Children and Wellness Works! I will be responsiblefor managing and conducting exercise and nutrition classes forchildren as well as managing the Wellness Works! Program.

I’ve been a part of the NEA Baptist Health System for over two years nowand am extremely excited to embark on this newadventure. Education, children, health and wellnesshave always been a huge part of my life in onecapacity or another and I truly am lucky to be able tocombine each of these passions to help people be thebest person they can possibly be.

Jennifer Martinez, Program [email protected]

Center For Healthy Children & Wellness WorksNEA Baptist Charitable Foundation

Lilly Oncologyon Canvas

NEA Baptist CharitableFoundation’s HopeCirclerecently worked with Lilly

to present the Lilly Oncology on Canvas Art Exhibitin Jonesboro. The traveling 25 piece mixed mediaexhibit features art from Lilly’s biannual competitionfor people whose lives have been affected by cancer.

Patients, family, friends, caregivers and health careproviders express through art and narrative, the life-affirming changes that gave their cancer journeys meaning.The traveling exhibition is currently touring hospitals,cancer centers and patient advocacy venues nationwide.We look forward to this touching exhibition every year.

For further information on Lilly Oncology On Canvas,visit www.LillyOncologyOnCanvas.com

INTRODUCING.....................................................................................................................................................Robbie JohnsonIam excited about the great things going on here at NEABaptist Charitable Foundation!

My name is Robbie Johnson and I am the new Director ofDevelopment for the Charitable Foundation. Being new to NEABaptist, but not to Jonesboro, I graduated from Jonesboro HighSchool and Arkansas State University. Jonesboro is my hometown.Over the last twenty-one years I have worked in outside sales with thelast ten in the pharmaceutical industry. In the 20 years of marriage tomy high school sweetheart, Stacey Canada Johnson, we have beenblessed with three children: Nathan (15), Stephen (12), and Betsy(8). My family and I are members of the Journey Campus of CentralBaptist Church. I have also been an avid runner and cyclist for thepast 20 years, and enjoy those activities in my spare time.

As dirt is being moved and concrete is poured at the site of the newNEA Baptist campus in north Jonesboro, think about the newfoundation that is being laid for health care in Northeast Arkansasand Southeast Missouri. Think about the new technologies that willtreat cancer patients, women’s health issues, and so much more. NEA

Baptist Health System will impact the lives of patients in our regionboth now and for generations to come.

It is my privilege to oversee fund raising that will provide theseinnovative health services. Monies donated to NEA BaptistCharitable Foundation will provide revolutionary new ways to treatdiseases and improve outcomes for our patients. Every pennydonated to the Foundation will be invested in the health of ourregion. I hope that you are as excited as I am about the future ofhealthcare in our community. If you would like to know what youcan do now to impact the health of ourcommunity for tomorrow, feel free to send mean email. I would love to sit down and talk withyou. Join us in building today for a healthiertomorrow.



Thank You VolunteersRobbie Johnson, Director of Development

[email protected] Baptist Charitable Foundation

Duck Classic was held December 3rd and 4th at the Craighead Fairgrounds. Wehad a wonderful turnout for the Thursday evening banquet and auction. On Fridaymorning Duck Classic teams were hunting at premiere locations all over NortheastArkansas thanks to our landowners and hosts. This years Duck Classic winning teamwas Focus Bank hosted by Clay Hubbard.

It was a beautiful evening for an artauction – April 28th at the home of Dr.Craig and Cindy McDaniel (picturedwith the feature artist print) wherethere was a lovely turnout for Art Slam2011. Sam Jones IV served as oursignature artist for the evening. We areso grateful to the generous artists of ourcommunity who donated to the live andsilent auction. Thank you for making this evening asuccess!

Biker Classic 2011 was a blast! What a fun event heldin Downtown Jonesboro – lots of motorcycles, greatfood and an awesome crowd. Thank you to all of oursponsors and participants who helped raise funds forJonesboro Police Department D.A.R.E. and NEABaptist Charitable Foundation. We truly appreciateyour support of these two great causes. Please check outour website for event photos www.bikerclassic.com

The NEA Baptist Charitable Foundationwebsite is a great resource for events,dates and information.

neabaptistfoundation.org

NEA Baptist Charitable Foundation supports five programs offeredfree of charge to our community. This is only possible due to thecommunity support of our fundraising events. We are so

appreciative of our sponsors, volunteers, and event participants withoutwhom these events would not be possible.



Kim Provost, Director of Fundraising & [email protected] Baptist Charitable Foundation

Foundation Events



Don’t have prescription coverage...

Maybe we can help!PO Box 1089, Jonesboro, AR 72403

neabaptistfoundation.org

870-934-5400

Mark your calendar and make plans to be part of the 6thannual Hope Week, a week set aside to celebrate andhighlight the importance of Hope in the lives of all of us –

individually and as a community.

Six years ago, NEA Baptist Charitable Foundation’s HopeCircle began HopeWeek as a way to celebrate and highlight the importance of Hope in the lifeof our community. In dealing with families experiencing life changingillness, death and grief, it was observed that Hope made a difference, notnecessarily in the outcome of a person’s life, but in the living of that journey.

Hope Week gives individuals, non-profit organizations, schools, businessesand organizations an opportunity to celebrate the importance of Hope andto spread Hope through activities and events that signify Hope to them.

On Sunday, September 25, area churches are encouraged to emphasize Hopein their worship services. Throughout the rest of the week individuals andgroups are asked to host activities and events that create Hope for area non-profit organizations.

Examples of Hope Week activities include: ovarian and breast cancerawareness events; “Teal Toes”; collection of household items for families inneed; food drives; job fairs; pet adoptions; mentoring at area schools;knitting and crocheting items for patients; hat and yarn drives; “HopefulArt” contests and exhibitions; making and delivering cards and/or food topatients and nursing homes and carnivals for special needs children. Theactivities are as varied as the groups participating. The one constant is – theemphasis on celebrating and fostering Hope.

Each participating group will have their slogan and events listed in a“Hopeful Events” community calendar and on facebook and severalwebsites. Details for events and slogans can be sent to June Morse [email protected].

For additional information on how to be a part ofHope Week contact co-chairs Melinda West,[email protected], or Shanna French,[email protected].

June Morse, HopeCircle Program [email protected]

NEA Baptist Charitable Foundation

National CancerSurvivor’s Day

National Cancer Survivor Day is a day ofcelebration and that is what NEA Baptist Cancersurvivors, family, friends and oncology staff did atthe annual Cancer Survivors’ Day event on June5th. There was laughter, and even a few tears aspeople visited with their “chemo” friends andstaff, traded stories and reconnected.

The oncology staff provided the food with thehelp of “chefs” Harold and Jay from Home IV.Dan Ross created a musical background assurvivors visited, viewed the Lilly Oncology onArt exhibit and listened for their name to becalled for a door prize.

As one participant said, “It’s good to visit withmy Thursday friends without getting chemo.”

National Cancer Survivor Day is a reminder toall of us that each day is a gift and is to becelebrated.



Irene AmeikaDr. Ray H. HallDr. Bruce JonesDr. & Mrs. Robert TaylorNEA Baptist Clinic Physicians& StaffLawrence BaltzDr. Michael IsaacsonGary BarneyDr. Michael IsaacsonRobert BornhoftMr. & Mrs. Scot DavisJames BoozerDr. Ray H. HallElymus BradleyBetty CrawfordLinda BrewerDr. Michael IsaacsonWillis BroadawayDr. Ray H. HallCyrus BrownDr. Michael IsaacsonMr. Frances BurrisDr. Ray HallMornay BusloyDr. DV PatelWilliam CapoothDr. Eumar TagupaElda CarterDr. Michael IsaacsonGlen CheltonDr. Michael IsaacsonMatthew ChildersMr. & Mrs. Ronald ToweryDacon ClayMr. Gorden ClayMs. Nina MalloyLaverne CouchDr. DV PatelJohn Crain, Jr.Dr. Eumar TagupaLois CreegDr. Michael Isaacson

Eugene DudleyDr. Ray H. HallDr. Michael IsaacsonCharlotte FaulknerMr. & Mrs. Jerry BlantonMr. & Mrs. Jim BowlinDr. Jon CollierMs. Carol CroyMr. & Mrs. Michael ExumMr. & Mrs. Larry FaulknerMr. Robert L. FranksMr. & Mrs. Bill HarrisMs. Carolyn HaynesMr. & Mrs. Tom JonesMs. Janice LongMr. & Mrs. Shane MikelMr. & Mrs. Charles MooreMr. & Mrs. Ron PiqueMr. & Mrs. Larry PoynorMr. & Mrs. David PrattMs. Sandra ReddickMs. Carrie RowlandFaye ShawMr. & Mrs. Dalton ShewbuirtMr. & Mrs. Mel SonneyMs. Janet WestMs. Virginia WestEthel Franks FamilyGreene Couty Tech Class of ‘65Kathy FaustDr. Michael IsaacsonNona FordBrad & Dawn SchulzElwood FreemanDr. Ray H. HallWarren GallionDr. Anthony WhiteRonnie GannDr. Michael IsaacsonKay GardnerDr. DV PatelWoodraw GoffDr. Michael IsaacsonFreeman GoodeDr. Michael Isaacson

Kathy GottMr. & Mrs. Chris ChildersMr. & Mrs. Ronald ChildersMr. & Mrs. David ClarkMs. Mary ClarkMrs. Connie CookMr. & Mrs. Randy DentMs. Delores GarnerMr. & Mrs. Patrick HaynesMr. & Mrs. Gerald LumpkinMs. Tanya McKenzieMr. & Mrs. Brent PhillipsMr. & Mrs. Caleb StraitMr. & Mrs. Coma TippittJennie HarrisMr. & Mrs. Joe HendrixMr. Bobby McDanielJoe HendrixMr. & Mrs. Frank LeeGlidis HesterDr. Michael IsaacsonJohn HickmanDr. DV PatelMay HicksDr. Michael IsaacsonBrian HillDr. Michael Isaacson Crawford HolmesDr. Ray H. HallMcKenzie HortonMegan CooperWalmart 128Bobby HughesDr. Michael IsaacsonMark JamesDr. Ray HallAniyah Lynn JonesDanielle PittmanAnnice Pauline JohnsonMr. & Mrs. Scot Davis Joanne JohnsonMrs. Jennifer CatesMr. & Mrs. Chester KeyDorothy KellyDr. Ray Hall

Robert KernDr. MichaelIsaacsonJean KingstonDr. Michael IsaacsonJ.W. KirklandDr. Michael IsaacsonBetty KroneDr. Ray Hall MemoryW.P. (Rosemary) LamarDr. & Mrs. Ray H. HallWilliam LamarDr. Ray H. HallJunior LansdellDr. Michael IsaacsonJason LassiterJoAnn HarmonMarlene JonesVickie Macon c/o Marlene JonesLensmastersShirley LassiterDr. DV PatelMitchell LawsonDr. Michael IsaacsonJoy LedbetterDr. & Mrs. Ray H. HallLee LilesDr. Eumar TagupaHenry LindseyDr. Michael IsaacsonViolet MandrellDr. Eumar Tagupa William McCallDr. DV PatelBert McGowanDr. Michael IsaacsonDale McKinneyDr. Ray HallDavid McLarryDr. Ray H. HallCoyAnn McSwainDr. Ronald BlachlyMr. & Mrs. Kenneth BlanchardMs. Mary Epping

Mr. & Mrs. Charles FriersonDr. Ray H. HallMs. Carolyn HaywardMr. & Mrs. Robert HoustonMr. & Mrs. Bud LangfordMr. & Mrs. Frank LeeMs. Lisa McBrideMs. Dora May MeredithMr. & Mrs. Bobby MillerMr. & Mrs. Lanier MooreMs. Susan OsbornMr. & Mrs. Bobby PuryearMr. Robert SloanLilly News Company, Inc.Magee EnterprisesKarl McSwainPeggy Barbour Dr. Ronald BlachlyMr. & Mrs. Robert HoustonMr. & Mrs. Bud LangfordMr. & Mrs. Frank LeeDora May MeredithMs. Susan OsbornMr. Neil PuryearEarl MetcalfDr. Michael IsaacsonFlora MichaelDr. Michael IsaacsonEddie MorrisonMr. & Mrs. Brian DayWilliam MosbachDr. Michael IsaacsonKenneth MoweryDr. & Mrs. Michael IsaacsonChristie MunnMs. Elizabeth ColemanMs. Laurie CotterMr. & Mrs. Steve JohnsonMr. & Mrs. Mark SteverMr. & Mrs. David ThorneNEA Education Coop-EarlyChildhoodJeanne MurrayDr. Michael IsaacsonNorma NeeceDr. Ray Hall

The Cherry BlossomJust as five petals make up the cherry

blossom, creating more than the sum of

its parts. The origami cherry blossom,

where each petal is created separately

and then glued together,

illustrates how the

hard work and

dedication of the

foundation’s staff

and volunteers make

up NEA Baptist Charitable

Foundation.

Memorial and Honorary Contributions – We offer a way toremember friends and loved ones through a Memorial Contributionor to recognize a birthday, anniversary or major accomplishmentthrough an Honorarium. With each memorial or “gift in honor”contribution received, an acknowledgement letter is sent to theappropriate person named. You will also receive letter for your records.

Gifts may be designated for specific programs or services.

Memorials 2010

Lane Wyatt NicholsMr. & Mrs. RJ AshcraftMs. Danielle PittmanMr. & Mrs. Larry SpurlockMr. & Mrs. Bruce WestRiceland InternationalAllen NixonMr. & Mrs. Scot Davis Norma EmisonDr. Ray H. Hall Mr. John Jarrett Mr. & Mrs. Frank Lee Dr. & Mrs. Doug Maglothin Mr. & Mrs. Morris Mays Ms. Ann Moore Paul & Gail Osborn Mr. George Puryear Dr. Scott Puryear Ms. Liz Rainwater Ms. Beatrice Robey Dr. & Mrs. Carroll Scroggin, Jr.Dr. Robert Taylor Mary Wegert Mr. & Mrs. J.T. Williams The Jack Carson Family Jones & Co Womack, Landis, Phelps &McNeill Hazel NoblinDr. Eumar TagupaLinda NovisDr. Michael IsaacsonWilliam OlsonDr. & Mrs. Michael IsaacsonRoyce PierceDr. Michael Isaacson

Stacie PierceDr. K. Bruce JonesCharles PotterDr. Eumar TagupaConnie PrattDr. Michael IsaacsonElbert QuallsDr. Michael IsaacsonEverette RadcliffDr. DV PatelElvie RedwineDr. DV Patel Orba RobertsDr. Ray H. HallClay RobertsonMr. & Mrs. Scot DavisBlueberry RobinsonMr. Jerrod StonecipherNeda RorieDr. Michael IsaacsonRoss RunyanDr. Michael IsaacsonDr. Buck RusherMr. & Mrs. Frank Lee Dr. & Mrs. Robert TaylorDolphis RussellDr. Michael IsaacsonCarl “Doc” RutherfordMr. & Mrs. Scot DavisDonald Lynn ScottMr. & Mrs. Brian DayCarletta SettlemoirMs. Carolyn Haynes

Dorothy SharpDr. Michael IsaacsonLola SharpDr. Anthony WhiteHenry SimmonsDr. Michael IsaacsonLori SimsDr. & Mrs. Michael IsaacsonGordon SimpsonGary & Dean AustinHenley BergstromHillary Hunt Steven and Martha McFerronBonnie and Ted SmithJames WayClaimsnet.comWood Ford SalesReedie SmithDr. Michael IsaacsonVastima SmithDr. Michael IsaacsonEthel StubblefieldDr. Michael IsaacsonFloyd SnyderDr. Michael IsaacsonDexter TateDrs. Chris & Leslye McGrathJohn TatumDr. Michael IsaacsonFlorence TaylorMr. & Mrs. Scot DavisMr. & Mrs. Brian DayDr. & Mrs. Michael IsaacsonDr. Bruce JonesMr. Darrell King

Dr. & Mrs. Doug MaglothinDr. Eumar TagupaDr. & Mrs. Brannon TreeceDr. Stephen WoodruffRobert TedderMr. & Mrs. Scot DavisMr. & Mrs. Brian DayDr. Norbert DelaceyDr. & Mrs. Michael IsaacsonDr. Bruce JonesDr. & Mrs. Brannon TreeceDr. Stephen WoodruffGeorge TollisonDr. Michael IsaacsonCarol TraumMr. & Mrs. Brian DayWilliam TrenemanDr. DV PatelAwle TribbleDr. Michael IsaacsonJames TurnerSharon CooperMr. Christopher GardnerMr. & Mrs. David PrattDavid TurnerMr. & Mrs. Randall DunnamMr. & Mrs. Jake MorseJan TurneyMr. & Mrs. Randall CarltonCarl VaupelMr. & Mrs. Scot Davis James W. VealDr. DV PatelElwood VinesMr. & Mrs. Randall CarltonDr. K. Bruce Jones

John WalkerRandall & Teresa DunnamHancil WallDr. Michael IsaacsonPeggy WeaverMr. & Mrs. Joe Bergan Ms. Bonnie Lee GiffordRaymond HoelscherMr. & Mrs. Daniel MaddockMs. Norma MartinezSally Shepard & FamilyThe Stonewall CommunityChurchThe Cumberland FamilyElbert WilliamsDr. Eumar Tagupa Carolyn WilsonDr. Bruce JonesDonald WinsteadDr. Michael IsaacsonCarlos WoodardDr. Michael Isaacson Theretha WoodsDr. DV PatelCharlotte WootenDr. Eumar TagupaJim WrightDr. Ray H. HallAnnie WyattDr. Michael Isaacson Judy WynneDr. Michael Isaacson



A FREE support program for those whose lives are touchedby the tragic death of a baby through pregnancy loss, stillbirth or in the first few months of life.

311 East Matthews, Jonesboro, AR 72401 • 870.336.1421

A FREE exercise and nutrition education program forchildren who struggle with weight problems.

2617 Phillips Drive, Jonesboro, AR 72401

870.336.1760

A community of hope, support and educational programsFREE for families living with a catastrophic illness.

311 East Matthews, Jonesboro, AR 72401870.934.5214

This program helpspatients get theirprescriptions frompharmaceuticalcompanies for FREE.

PO Box 1089, Jonesboro AR 72403 • 870.934.5400

Wellness Works! is a FREEmedical and health professional monitoredfitness program available

exclusively for diabetic, cardiopulmonary and cancer patients.

2617 Phillips Drive, Jonesboro, AR 72401 • 870.336.1760

mail to PO Box 1960, Jonesboro, AR 72403

or donate onlineNEABaptistfoundation.org

The perfect gift forany occasion!A Memorial

or Honorarium 50th wedding anniversary ofMr. & Mrs. Tom ReevesMrs. Janice Mather Holly AceboDanielle PittmanNicole FrakesJennifer Martinez

Dr. & Mrs. Lou AdamsLouis SchaafCardio partnersDr. DV Patel Honor Mr. & Mrs. Neal GrahamLouis Schaaf

Mr. David HoganLouis SchaafDr. & Mrs. Allen HughesLouis Schaaf Mary JohnstonDr. DV PatelJune MorseJonesboro University Rotary

Mr. & Mrs. Gary ProstermanLouis Schaaf Mr. Stephen C. ReynoldsLouis SchaafDr. & Mrs. M. Coyle Shea, Jr.Louis SchaafDr. Stephen WoodruffMr. John & Norma Stotts

Honorariums - 2010


Salmon & Zucchini withRed Pepper Sauce

Ingredients8 ounces whole-wheat elbow noodles, (2 cups) 1 10-ounce package frozen chopped broccoli 1 3/4 cups low-fat milk, divided 3 tablespoons flour 1/2 teaspoon garlic powder 1/2 teaspoon salt 1/4 teaspoon ground white pepper 3/4 cup shredded extra-sharpCheddar cheese 1/4 cup shredded Parmesan cheese 1 teaspoon Dijon mustard

Bring a large pot of water to a boil. Cook pasta for 4 minutes. Addfrozen broccoli and continue cooking, stirring occasionally, untilthe pasta and broccoli are just tender, 4 to 5 minutes more.Meanwhile, heat 1 1/2 cups milk in another large pot overmedium-high heat until just simmering. Whisk the remaining 1/4cup milk, flour, garlic powder, salt and pepper in a small bowl untilcombined. Add the flour mixture to the simmering milk; return toa simmer and cook, whisking constantly, until the mixture isthickened, 2 to 3 minutes. Remove from the heat and whisk inCheddar, Parmesan and mustard until the cheese is melted. Drainthe pasta and broccoli and add to the cheese sauce. Return to theheat and cook, stirring, over medium-low heat, until heatedthrough, about 1 minute. Serves 4

No-Bake Mac & Cheese

Ingredients2 tablespoons fresh lime juice 1/4 teaspoon salt 1 ripe peeled avocado 1/2 cup chopped seeded tomato 4 Romaine lettuce leaves 4 (8-inch) Whole Wheat flour tortillas 2 cups shredded skinless, boneless chicken(about 8 ounces)

Place first 3 ingredients in a medium bowl;mash with a fork until smooth. Stir in tomato. Place 1 lettuce leaf on each tortilla; spreadabout 1/4 cup avocado mixture on eachlettuce leaf. Top each serving with 1/2 cupchicken. Roll up. Serve.Serves 4

Chicken Wraps & Guacamole

Ingredients1/3 cup sliced toasted almonds1/4 cup chopped jarred roasted red peppers 1/4 cup halved cherry tomatoes 1 small clove garlic 1 tablespoon extra-virgin olive oil 1 tablespoon red-wine vinegar 1 teaspoon paprika3/4 teaspoon salt, divided 1/2 teaspoon freshly ground pepper, divided 1 1/4 pounds salmon fillets 2 medium zucchiniCanola or olive oil cooking spray 1 tablespoon chopped fresh parsley, for garnish

Preheat grill to medium. Blend almonds, peppers,tomatoes, garlic, oil, vinegar, paprika, 1/4 teaspoon saltand 1/4 teaspoon pepper in a food processor or blenderuntil smooth; set aside. Coat salmon and zucchini on bothsides with cooking spray, then sprinkle with the remaining1/2 teaspoon salt and 1/4 teaspoon pepper. Grill, turningonce, until the salmon is just cooked through and thezucchini is soft and browned, about 3 minutes per side.Transfer the zucchini to a clean cutting board. When coolenough to handle, slice into 1/2-inch pieces. Toss in abowl with half of the reserved sauce. Serve vegetables withsalmon topped with some of the remaining sauce. Garnishwith parsley, if desired. Serves 4


Staying HydratedDuring the Summer

Being athletic, I’ve always known the importanceof staying hydrated. It’s been ingrained in me asfar back as I can recall how necessary it is to drink

while being active. It becomes twice as important as thesummer months approach. This knowledge seemed toescape me this past May while I was completing my firstmarathon. About mile 10 I became quite familiar with thesigns of heat stroke because I neglected to drink properly.

Generally speaking, a person should consume ½ of their body weight inounces. For example, if you weigh 120 lbs. you should consume 60 oz.of fluid daily. As you become active, the amount increases. Add the heatfrom the summer months to that and frequent fluid intake becomesvitally important. As little as 2% dehydration can cause a significantdrop in your performance. Four percent dehydration can cause lethargy,apathy and lack of focus. If left untreated, dehydration can turn intoheat exhaustion which can then turn into the more serious heat stroke.

According to the Kendrick Fincher Memorial Foundation, the signs ofdehydration are as follows:

• Noticeable thirst

• Muscle cramps

• Weakness

• Decreased performance

• Nausea

• Headache

• Fatigue

• Lightheaded feeling or dizziness

• Difficulty paying attention

If you experience any of these signs, try resting in a cool place andconsume fluids such as water or a sports drink. Steer clear of soda orcaffeinated beverages. If your condition worsens or doesn’t change, itmay be best to consult a physician.

The best way to prevent dehydration is by consuming fluids before,during and after physical activity. Water and sports drinks are good to

keep on hand. You can also consume your fluid through food byeating fruits such as grapes, watermelon or orange slices.

Summer’s a great time to get outdoors and be active with activitiessuch as swimming and baseball. Keeping your hydration in mindwill insure that your time outdoors will be an enjoyable one.

Jennifer Martinez, Program [email protected] For Healthy Children & Wellness WorksNEA Baptist Charitable Foundation


Michael Raborn, MD

There is a solution to the discomfort, swelling& appearance of varicose and spider veins.

Clinically proven, minimally invasive ways to treat varicose veins and spider veins, with little or no pain. Find out what procedure is right for you. Call us today.

After hours visits available.

3100 Apache Dr., Jonesboro, AR 72401(870) 934-3530 • neabaptistclinic.com

Finally. Relief to leg pain & varicose veins.

NEA BAPTIST WOMEN’S CENTER — NEA Baptist is dedicated to making sure every birth is a beautiful beginning. That

means a compassionate, highly trained maternity staff that’s with you throughout labor and delivery. And technology like

Safe Place®, a computerized infant security system in the nursery that tells us where your child is at all times.

But our care doesn’t begin and end in the delivery room. Our breastfeeding

and lactation consultants will help make sure you and your baby get off to a good

start together.

Delivering an exceptional experience.

Clark- born at NEA Baptist Memorial Hospital

870-972-7000www.neabapt i s t . com

receive month-by-month information about the changes you will experience,

delivered right to your inbox — all the way through your baby’s first year.

tist.org and subscribe to the My Baby Expectations e-newsletter. Subscribe to

And if you want guidance during your pregnancy, log into www.HerBap-

ANESTHESIOLOGYOksana Redko, MDLarry L. Patrick, MDReagan Baber, MD3024 Stadium (870) 972-7390

CARDIOLOGYAnthony T. White, MDMichael L. Isaacson, MDRobert D. Taylor, MD, FACPEumar T. Tagupa, MDD.V. Patel, MDSuresh Patel, MD, FACPMatthew Haustein, MD Margaret Cooper, APNJennifer Jarrett, APN311 E. Matthews (870) 935-4150

CARDIOVASCULAR &THORACIC SURGERYJames A. Ameika, MD Deborah Fairchild, APN 3100 Apache, Suite B4 (870) 972-8030

Michael Raborn, MD3100 Apache, Suite B1 (870) 219-7685

CLINICAL RESEARCH416 E. Washington Ave, Suite C (870) 934-1006

CLINICAL ONCOLOGYRESEARCH311 E. Matthews (870) 934-5343

DERMATOLOGYAdam Sills, MD3100 Apache (870) 935-4150

EMERGENCY MEDICINEBrewer Rhodes, MDJerry R. Biggerstaff, MDJames Fletcher, MDKaren Kuo, MDCole Peck, MDStacy L. Wilbanks, MD3024 Stadium (870) 972-7251

ENDOCRINOLOGYKevin D. Ganong, MD311 E. Matthews (870) 935-4150

Diabetes CenterAmber Toombs, APN311 E. Matthews (870) 935-4150

GASTROENTEROLOGYMichael D. Hightower, MD311 E. Matthews (870) 935-4150

GENERAL SURGERYK. Bruce Jones, MDRussell D. Degges, MDDavid L Phillips, MD800 S. Church, Suite 104 (870) 932-4875

HEMATOLOGYONCOLOGYRonald J. Blachly, MDD. Allen Nixon, Jr., MDCarroll D. Scroggin, Jr., MDStacia Gallion, APN311 E. Matthews (870) 935-4150

HOSPITALISTWilliam Hubbard, MDBrock Harris, MDRobert B. White, MD, FACPKara Cooper, MDMatt Quick, MD3024 Stadium (870) 275-2916

INTERNAL MEDICINERay H. Hall, Jr., MD, FACPStephen O. Woodruff, MD, FACPBrannon Treece, MDKristy Wilson, APNCarla Nix, PA311 E. Matthews (870) 935-4150

NEPHROLOGYMichael G. Mackey, MDAdam B. Woodruff, MDSara Culbreath, APN311 E. Matthews (870) 935-4150

Dialysis Center3005 Middlefield (870) 934-5705

NEUROLOGYKenneth Chan, DOBing Behrens, MDWilliam Long, MD, PhD3100 Apache, Suite A (870) 935-8388

NEUROPSYCHOLOGYKristin J. Addison - Brown, PhD2205 W. Parker, Jonesboro (870) 935-4150

NEUROSURGERYRobert Abraham, MDRebecca Barrett-Tuck, MD3100 Apache, Suite A (870) 935-8388Kenneth Tonymon, MD4700 West Kingshighway, Paragould, (870) 240-8402

OBSTETRICS & GYNECOLOGYCharles L. Barker, MD, PhD, FACOGMark C. Stripling, MD, FACOGCharles C. Dunn, MD, FACOGNorbert Delacey, MD, FACOGMichael Hong, MD, FACOGLorna Layton, MD, FACOGCharles Cesare, Jr., MD3104 Apache (870) 972-8788

OCCUPATIONAL MEDICINEMelissa Yawn, MD, MROJeffery Barber, DO, MRO4901 E. Johnson (870) 910-6024

OPHTHALMOLOGYJoseph George, MDThomas Nix, MDJames Cullins, OD416 E. Washington, Suite B(870) 932-0485

ORTHOPEDIC SURGERYJason Brandt, MDHenry Stroope, MDAaron Wallace, MD1007 Windover (870) 932-6637

open late Mon - Fri 1111 Windover (870) 910-6040

OTOLARYNGOLOGY (ENT)Bryan Lansford, MDHeidi Cohn, APN3100 Apache, Suite B2 (870) 934-3484Hearing CenterAmy Stein, AuD, CCC-A3100 Apache, Suite B2 (870) 934-3484

PAIN MANAGEMENTRaymond Greaser, MD3005 Apache (870) 933-7471

PEDIATRICSBrannon Treece, MD311 E. Matthews (870) 935-4150*All NEA Baptist Clinic family medicine physicians see children as well.

PHYSICAL THERAPYJeff Ramsey, PTNikki Luster, PT1007 Windover (870) 336-1530

PLASTIC &RECONSTRUCTIVE SURGERYW. Tomasz Majewski, MD, FACSPaula Arnold, RN, CLTMelanie Greeno Hart, ICT3100 Apache, Suite B3 (870) 934-5600

PODIATRYChris Rowlett, DPM1007 Windover (870) 932-6637

PULMONOLOGYWilliam Hubbard, MDMeredith Walker, MDOwen K. Criner, MDSara Hogan, APN311 E. Matthews (870) 935-4150

RADIOLOGYJeffrey S. Mullen, MD3100 Apache (870) 934-3533John K. Phillips, MDGregory Lewis, MD3024 Stadium (870) 972-7000

RHEUMATOLOGYBeata Majewski, MDLeslie McCasland, MD311 E. Matthews (870) 935-4150

SLEEP MEDICINEDavid Nichols, MDBing Behrens, MDWilliam Long, MD, PhD1118 Windover (870) 336-4145

SPECIALTY CLINICPocahontas, (870) 892-9541

VEIN CENTERMichael Raborn, MD3100 Apache, Suite B1 (870) 934-3530

WELLNESS CENTER2617 Phillips (870) 932-1898

WOUND CAREJames Fletcher, MDStacy L. Wilbanks, MDBrandy Crump, APNNEA Baptist Clinic - Windover (870) 336-3211

FAMILY PRACTICEJonesboroJ. Timothy Dow, MDDouglas L. Maglothin, MDJoe McGrath, MDJames Murrey, MDWindover Clinic & Urgent Care1111 Windover, Jonesboro (870) 935-5432

Michael E. Crawley, MDMichael E. Tedder, MDArnold E. Gilliam, MDStadium Clinic & Urgent Care3003 Apache, Jonesboro(870) 931-8800

Craig A. McDaniel, MDTroy A. Vines, MDW. Scott Hoke, MDRandy Carlton, MD Nathan Turney, MDWoodsprings Clinic & Urgent Care2205 W. Parker, Jonesboro(870) 933-9250

Tim Shown, DOMelissa Yawn, MD, MROJeffery Barber, DO, MROHilltop Clinic & Urgent Care4901 E. Johnson, Jonesboro(870) 932-8222

OsceolaKenneth Dill, MDDebbie Wilhite, APN616 W. Keiser, Osceola(870) 563-5888

TrumannBrannon Treece, MDRyan Brenza, DOMichelle Montomery, APN305 W. Main, Trumann(870) 483-6131

Cherokee VillageTommy Taylor, MD51 Choctaw Trace, Cherokee Village(870) 856-2862

ParagouldChris McGrath, MDJoe McGrath, MDKenneth Tonymon, MD (Neurosurgery)William Long, MD, PhD (Neurology)Chris Rowlett, DPM (Podiatry)Angie Fowler, APNParagould Clinic & Urgent Care4700 West Kingshighway, Paragould(870) 240-8402

WOODSPRINGS 2205 W. Parker Rd.(870) 910-0012

HILLTOP 4901 E. Johnson(870) 934-3539

PARAGOULD 4700 W. Kingshighway

(870) 240-8402

A location near you • Open 7 days a week • No Appointment Necessary

WINDOVER1111 Windover(870) 935-9585

STADIUM 3003 Apache Drive(870) 931-8800

NEA Health - Spring/Summer 2011

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