nea health - spring/summer 2010

ISSUE 12 Spring/Summer 2010

Brought to you by

www.neabaptistclinic.com

WW HH AA TT II SS RR EE SS EE AA RR CC HH

Parkinson ’s Disease A new therapy for overactive bladder

Obstruct ive sleep apnea

II nn tt ee gg rr aa tt ee dd MM ee dd ii cc ii nn ee

Treatment Trials

Prevention Trials

Screening Trials

Quality of Life Trials

10- spring NEA Health-home 3-5:NEA_Health_fall_winter_08 4/19/10 1:14 PM

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STROKE Parkinson’s Multiple sclerosis Hip fractures

Orthopedic replacements Brain injury Spinal cord injury

10- spring NEA Health-home 3-5:NEA_Health_fall_winter_08 4/9/10 8:39 AM

1. NEA HEALTH • Spring/Summer 2010

PUBLICATION OFFICE1835 Grant Ave., Jonesboro, AR 72401www.neabaptistclinic.com

Holly Acebo, Editor

Kim Provost, Director of Fundraising and EventsNEA Baptist Charitable Foundation

Cheryl Goad, Director of Programsand Grant DevelopmentNEA Baptist Charitable Foundation

Nicole Frakes, Graphic Design

NEAHealth 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© 2010 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 fromNEABaptist clinic.


OnTheCoverNEA Baptist CharitableFoundation hasa mission to helpchange lives throughthe programs andservices it supports inNortheast Arkansas.The Foundation,through the generousgifts of our community,touches everycommunity memberand every corner ofNortheast Arkansas.

Thanks to all of our advertisers!

NEA Health magazinebenefits the programs of

Current Clinical Trials: 870.934.1006

If you would like to become part of an exclusive group of peoplebenefiting from and helping clinical research, please contact us.


Acute Coronary Syndrome - heartattack, MI, unstable angina

Cardiac Stent

Congestive Heart Disease withCardiac Event

Congestive Heart Failure

Diabetes Type I (newly diagnosed)

Diabetes Type II - many (previousmedicines & naïve)

Diabetic Painful Neuropathy

Epileptic Seizures

H1N1 Flu

Osteoarthritis

Pediatric Acute Ear Infection withEar Tubes

Pink-eye

Seasonal Flu

Taking Aspirin after a CardiacEvent or Stroke or with a GastricUlcer

Coming soon:Anemia

Female HyposexualDesire Disorder

Overactive Bladder/Urge/ UrinaryIncontinence

Post-op Hernia Surgery orHysterectomy

Current Oncology Trials: 870.934.5343Breast Cancer, Esophageal Cancer, Lung Cancer, Colon Cancer,Rectal Cancer , LymphomaWe also have registry studies open for colon, lung, lymphoma and myelodysplatic

syndrome.

10- spring NEA Health-home 3-5:NEA_Health_fall_winter_08 4/16/10 8:59 AM Page 1

Motivation, accountability, relationships…. These are all key wordswe hear when someone talks about what it takes to embrace changein their lives. The change could be diet, exercise, reaching a goal or

wanting to cross an adventure off their “bucket list”!

I didn’t realize the importance of these three things until I was asked to join agroup of incredible ladies to run with them. Up until that point I was primarilyrunning and exercising on my own, but when I started getting serious abouttraining for a half marathon I knew I needed some support. At first fear was myprimary reason for not joining others – fearful they’d be faster and I wouldn’tkeep up. Once I decided to give it a try, I found I was right – they were faster,but they were highly encouraging, motivating andmade running a lot more funthan I had ever expected it to be.

My fear quickly turned to excitement to besurrounded by ladies who enabled me toreach deeper within myself, to exceed limitsthat I didn’t think I would ever obtain, and tohave new found relationships, friendships andaccountability partners – ladies who did reallycare if I didn’t show up to run with them, andI cared if they didn’t show up!

Embarking on changes of lifestyle may seem scary or impossible, butsurrounding yourself with people who motivate you and hold you accountableand who care about your well-being – make it not only attainable, but truly alot of fun along the journey.

I encourage you reach deep within yourselves, to find friends or accountabilitypartners to reach goals with you, you will be surprised at what you can achieve.Read theWomen Can Run story on page 14 of this issue. Katie embarked on anew journey of weight loss with her mother as her support – and it’s amazingthe outcome she achieved! We are so proud of her story and of the changeswomen have achieved through the Women Can Run program!

It is our hope that you will enjoy this issue of NEA Health!Clinical Trials are exciting and cutting edge and animportant part of what we are doing at NEA BaptistClinic… I have personally been a part of a clinical trial,and found it very rewarding and exciting to think thatI could have played a part in advancing medicine!

Whatever your goal in 2010, grab a friend andembrace it with all your heart and soul… you won’tbe disappointed!

Have a healthy & blessed day!

fromthe editorCONTENTS

pages of advice from doctors and healthprofessionals you know and trust.20+

3 Integrated Medicine- Jim Boswell, CEO, NEA Baptist Clinic

6 Orthodontics: Braces?- Dr. Ben Burris

8 A New Therapy For Overactive Bladder- Dr. Michael Hong

10 Obstructive Sleep Apnea- Dr. William Long

11 Clinic and Hospital Connected:A patient’s perspective- Dr. Stephen Woodruff

12 Advances in Permanent Birth Control

14 Women Can Run Spotlight - Katie Wysocki- Amanda Herget

15 Improving Medical Care InNortheast Arkansas- Dr. Robert Taylor

16 Sleep Disorders & Neurological Conditions- Dr. Bing Behrens

18 What is Clinical Research?- Paul Koros, RN, CCRC

20 Oncology Clinical Research- Dawn Smith, BSN

23 Pictures of Joy- Dr. Charles Barker

24 My Hands Shake...Do I haveParkinson’s Disease ?- Dr. Kenneth Chan

26 NEA Baptist Hospital Service First- Paul Betz, CEO,NEA Baptist Memorial Hospital

34 Healthy Eating

36 How to Make the Most, Academically, ofyour Child’s Summer Break

27 In ReviewNEA BaptistCharitable Foundation

- Program Updates

- Event Updates

- Memorials/Honorariums

Holly Acebo, Editor


Julie Thatcher, Beverly Lutrell,Karla Williams, Kerri Parnell, Pam Bass,

Tonya Poteat, and Holly Acebo


Mayo Clinic CEO Dr. Denis Cortese describes integrated systems “ashaving high levels of physician engagement, teamwork, connectivityand a greater level of efficiency and quality controls”. All of these traits

of an Integrated Delivery System (IDS) are hard to achieve and take many yearsto develop but are clearly superior to the more fragmented model of care thatexist in most communities today.

Simply put, an integrated delivery system (IDS) is an organization wherebythe physicians and the hospital are all under the same ownership. A true IDSachieves high levels of quality care in a very cost effective manner. The physiciansare actively involved in the governance of the organization thus ensuringa patient centric focus. Notable examples of highly successful IDS areMayo Clinic, Cleveland Clinic, Geisinger and St. John's Health System just toname a few.

Most highly successful integrated systems began with the merging of amulti-specialty group practice and a highly successful hospital organization.These two organizations typically arrive at the point whereby they realize that inorder to truly reach the level of “coordinated care” required to improveperformance and patient outcomes they must come together as one entity.

A true multi-specialty group practice is one in which the physicians allpractice together as “partners or owners” of the clinic all under one roofsharing common management and governed by a physician board. The levelof coordination of care in a multi-specialty group practice is superior to thatof the more fragmented care provided in independent or loosely affiliatedphysician offices. The culture of a successful multi-specialty group practice isone in which “the needs of the patient and the organization surpass the needs ofthe individual physician”.

What Does an IntegratedDelivery System mean to

Northeast Arkansas?


Integrated Medicinecontinued on page 4D



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As stated, one of the secret ingredients to successful physician-hospital integration is a“true multi-specialty group practice”. They are extremely hard to create and sustain butby definition the physicians within a group practice are accustomed to partnering withothers and working towards the greater common good.

The merging of NEA Clinic and Baptist Memorial Healthcare is not unlike theevolution of other integrated delivery systems. In fact, NEA Clinic as well as Baptist haveeach been pursuing for years their own integrated system and it wasn't until November2008 that the two became partners in the local ownership of NEA Baptist MemorialHospital.

At first, the partnership between NEA Clinic and Baptist Memorial Health Care wasfocused on maximizing the performance of NEA Baptist Memorial Hospital in terms ofproviding the highest level of quality care. However, the relationship began toflourish as trust and respect for each other's value grew. It soon became apparentthat a rare opportunity existed to merge the two organizations together, forminga fully integrated non-profit delivery system. The partners realized that throughit's combined strength they could in fact build a new integrated campus.

The partners vision for Northeast Arkansas was to first create the integratedownership structure between NEA and Baptist and then develop a newphysically integrated clinic and hospital campus. The non-profit entity, NEABaptist Health System, was formed to steer the activities of two other non-profitentities to include NEA Baptist Clinic and NEA Baptist Memorial Hospital. It isunder this integrated health system that the clinic and hospital will be governed andwhereby the physical campus will come together.

By forming this new integrated system, NEA and Baptist have positioned themselves andthe community well for health care reform. Health care experts believe that theformation of clinically integrated enterprises and accountable care organizations is thekey to improving patient outcomes and controlling cost.

Amongst experts it is clear that the multi-specialty group practice model integrated witha highly successful hospital system provides higher quality care in a more efficient, cost-effective manner.

Integrated Medicinecontinued from page 3D



NEA Health Tip!

Practices conducive to good sleep

• Sleep only when drowsy

• Minimize light, noise and extremetemperatures

• Avoid strenuous exercise six hoursbefore bedtime

• Avoid large meals, caffeine, alcoholand nicotine before bedtime

• Avoid napping during the daytime

• Avoid lying in bed unable to sleep

• Maintain a regular arise time, evenon days off and on weekends

Do you get the right amount ofsleep...

Take a sleep quiz at

neabaptistclinic.com

For Northeast Arkansas, this newly created integrated deliverysystem means a “one stop” approach to health care. The clinic'selectronic medical record is integrated with that of the hospital.On the new campus, to be built on Hwy 49N, the clinic andhospital buildings will be integrated around specialty services, floorby floor, in order to maximize patient conveniance. The healthsystem itself will be governed by a board of local physicians,Baptist management as well as community leaders. For the patient,the pairing of the clinic and hospital will allow us to provide amore “seamless” level of care. The community of NortheastArkansas is fortunate to have such an integrated organizationemerge in Jonesboro.

The investment in terms of both capital and management is nosmall amount. In fact, it is estimated that the cost of the facilities aswell as formation of the health system is approximately $400million- the single largest made by Baptist in any community andthe largest health care investment in Arkansas in the last decade.The significance of the partnership between NEA and Baptist inthe formation of the states' only integrateddelivery system will be seen in the nextfew years. The impact that this system willhave on the delivery of health care in ourregion will be forever felt and coordinatedcare will benefit the patients andcommunity of Northeast Arkansas.

Jim BoswellChief Executive Officer

NEA Baptist Clinic870.934.5101

More on Integrated Medicine page 11D


In some respects, getting braces has become a right of passage. Forchildren (and adults) who need braces, it can make a tremendousdifference in their outlook on life. When a person who does not feelgood about his or her smile is able to have orthodontic treatment andbecome comfortable and confident, it is a life-changing experience!Being able to give a person confidence and self-esteem is the mostfulfilling and rewarding part of our job. We love what we do! Wewant everyone to experience the satisfaction and fulfillment that comeswith having a great smile and the confidence to show the world.Nothing warms a room, a relationship or changes attitudes like

a great smile!

The great news is that getting braceshas become so comfortable,convenient and affordable thatvirtually everyone can now affordto give the wonderful gift of a greatsmile to their children (orthemselves!). The days of having tosee the orthodontist every month,painful bands and separators,headgear and high down paymentsare in the past! Modern technology,modern convenience and modernfinancing make braces moreattractive and affordable now than

ever before. Let’s look at a fewof the common questions

and explore the latestadvances.

This is the most common question by far. In the past, people were toldto wait until all the baby teeth are gone and then wait for their dentistto refer them to the orthodontist. These days, however, it is a wholedifferent ballgame. Advances in technology have made it possible toidentify and address problems before they turn into a “train wreck”necessitating the removal of adult teeth and braces. If your child seesthe orthodontist at age 7 (or at least before age 10) the options andtools available for optimum treatment are greatly increased. In the vastmajority of cases, no treatment is necessary on young children, theorthodontist is able to monitor growth and development and thenintercede at exactly the right time if necessary. Sometimes having anorthodontist monitor your child from an early age and addressingminor issues through non-orthodontic means can help avoid situationsbecoming worse over time and even avoid the “need” for braces alltogether! The American Association of Orthodontists recommends anorthodontic screening by age 7 so do yourself and your child a favorand call an orthodontist to set up an appointment. Many times theinitial appointments, X-rays and records are even free! A dental referralis not necessary to set up a time to see the orthodontist.

This is the second most popular question. Each case is different and noorthodontist can diagnose your child over the phone! Go see theorthodontist for a visit and become educated on what is necessary (ifanything), how long treatment will take and how much it will cost.Once you have all the information, then you can decide what is bestfor your family. Financing orthodontic treatment has changeddramatically in the last few years. The days of requiring thousands ofdollars as a down payment are long gone. Today’s orthodontists willhelp you by accepting insurance, lowering down payments, extendingpayment times, working with cafeteria plans, automatically draftingyour credit card or bank account and many other conveniences.

One of the great things about the advances in orthodontics is that nowwe can use orthopedics to address problems with the bones and jawsearly in a child’s life to enhance and improve the smile and bite. Whennecessary, early treatment addresses bite and jaw issues before the adultteeth come in. In these cases, the first phase of orthopedic treatment

Braces?O R T H O D O N T I C S :

Howmuch do braces cost?

Willmy child have to have braces twice?

When should I takemy child to the orthodontist?

We all want the best for our children. To provide our kids with the advantages wedidn’t have is every parent’s dream! Achieving the dream can be difficult and evena little overwhelming. There are so many things to consider: time constraints,

budget concerns and who to trust; just to name a few. All of our endeavors as parents areundertaken in order to raise healthy, happy and confident children who will thrive andcontribute to our community. Orthodontics can be an integral piece to this puzzle.


Brock2010 patientwww.NEAsmiles.com



usually ends before the adult teeth erupt. When that happens, it isusually necessary for the child to have a second phase of treatment toalign the adult teeth after they erupt. This two phase treatment is notthe norm but it can make tremendous positive changes for a childwho has major issues and sees the orthodontist young enough. Manytimes early treatment can help avoid the removal or extraction ofpermanent teeth later in life and we are all about avoiding that!

Just like wearing a new pair of fancy shoes, when you first get bracesthere is some discomfort and rubbing. However, just as is the casewith your new footwear after a few days of breaking them in andgetting used to them, things are right as rain. By using the latest low-friction braces and new technology, braces are more comfortable thanever before and treatment times are shorter and shorter (assumingthat the patient does what he or she is told, doesn’t break things, wearselastics and keeps the teeth very clean). There is some discomfort. Noquestion. However, it is well worth a little discomfort to earn alifetime of great smiles.

People are often worried that we drill into teeth to attach the braces.Nothing could be further from the truth! We simply glue the bracesto the teeth. Also, when the braces come off, we have special toolsthat make this process easy as well.

Your first visit to the orthodontist is a fun and exciting time. You willbe greeted by the nice ladies behind the counter who will help yousign in. Once that is done, the records expert will come meet thepatient and parent and take them to the records area. For the doctorto have a complete picture of what is going on and what treatment isnecessary (if any) photos and X-rays of the patient will be necessary.The records process only takes a few minutes and is completelypainless. It is fun to see the teeth up close and personal! Once therecords are done, you will meet the Treatment Coordinator. The TCwill be your liaison with the doctor and help you through the process.After a tour of the office and meeting the team, the TC will discussin detail what the main concerns of the patient and parent are, takesome notes and then bring in the orthodontist to have a look. Theorthodontist will look at the patient and records and explain iftreatment is necessary. This is when time, cost and the other aspectsof treatment are explained. Since you and the orthodontist will allessentially be “family” during the year or two of treatment, it is vitalthat a good relationship is established and everything is explained in

great detail before any treatment is started. By the end of your newpatient appointment, the patient and parent will be educated aboutwhat is going on and what is required to create a great smile.Education is power and we believe it is incredibly important thateveryone is clear on the plan before treatment begins.

Absolutely! The first patient I ever put braces on was 73 years old!You are never too old to improve your smile! Metal braces are stillthe gold standard when it comes to efficacy but there are several otheroptions that are attractive to adults. Clear braces and Invisalign areexcellent options in many cases. Many adults have treatment withtheir children because it is convenient to come to appointmentstogether, the financing is such that it is affordable and it is a greatbonding experience!

All orthodontists completed dental school and are dentists. Thedifference is that orthodontists went a step further and completed 2-3 more years of full time residency. Orthodontists specialize inaligning teeth and jaws. That is all we do! There is something to besaid for doing one thing and doing it extremely well.

Orthodontics and the process of getting braces has changedtremendously over the last few years. Forget all the things you had toendure as a child, the lack of affordability and the painful process.Things are different now! Change is good. Call and makean appointment to see an orthodontist today. It will changeyour child’s life….

Do braces hurt?

How do they stick the braces to my teeth?

What happens at the first visitto the orthodontist?

Can adults have braces?

What’s the difference between anorthodontist and a dentist?

Ben Burris is an orthodontist andpartner of Orthodontics by the Fergus-Burris Team. He graduated from UT

Memphis in 2004 and lives in Jonesborowith his wife and two children. Ben

spends a great deal of time writing andspeaking to residents about the businessof orthodontics. He is also the founder of “The Progressive

Orthodontist” magazine and Smile for a LifetimeFoundation. To contact Ben, please check out his

facebook page www.facebook.com/bgburris.



Overactive bladder is a chronic bladder condition thataffects 17 million Americans. The classic symptomsinclude urinary frequency, urgency, and urge

incontinence. (Remember the TV commercial: Got to go!got to go! got to go!) This is caused by a miscommunicationbetween the brain, sacral nerves and the bladder muscles.Most people will obtain some relief with a daily medication.A new simple outpatient procedure called Interstim therapyis now available. It provides another treatment option forbladder control problems.

Traditional therapy for overactive bladder includes kegalexercise, fluid intake restriction, physical therapy, andmedications. The role of medication is to block abnormalsignals to the bladder muscle, relax the bladder, and stop thebladder spasm. Common side effects of medicationsincluded dry mouth, constipation, and blurry vision.

Interstim therapy is approved by the Food and DrugAdministration (FDA) for treatment of urge incontinence,urinary retention and significant symptoms of urgency-frequency. Interstim therapy is recommended for patientswith voiding problems that have not been helped or couldnot tolerate regular medications, such as Ditropan. It is anoutpatient procedure to influence the signal pathwaybetween the sacral nerve reflexes, and the bladder. Think ofit as a pace maker for the bladder. Instead of using apacemaker to correct irregular heart beats, Interstim therapycorrects the overactive signals that exist between the sacralnerves (located near the tailbone) and the brain.


Treatment with Interstim therapy begins with a seven-day trial assessment so a patient can test the therapy. Thedoctor numbs a small area and inserts a thin, flexible wire near the sacral nerves. The wire is taped to the skin

and connected to a small external stimulator that is worn on the waistband. The stimulator sends mildelectrical pulses to the sacral nerves. In a successful trial, patients should experience significantimprovement in their symptoms.

If good results are achieved from the trial, the patient may receive long-term Interstim therapy.Following a successful trial, the temporary flexible wire is removed and replaced with apermanent flexible wire, or lead. Once in place, the other end of the lead is passed underthe skin and connected to a small stimulator. The stimulator itself -- about the size of apocket watch -- is implanted under the skin in the upper buttock. The treatment iscompleted as an outpatient procedure at the hospital. It is reversible and can bediscontinued by turning off or removing the device at any time.

Medicare and most private insurance companies have a writtenpolicy providing coverage for Interstim therapy. Again, Interstimtherapy is indicated for the treatment of severe overactive bladder, inpatients who have failed or could not tolerate more conservative

treatments. Be sure to address any over active bladder problems with yourgynecologists at your next appointment.

NEA Baptist Clinic’s Lorna Layton, MD andMicheal Hong, MD are the only gynecologistsin Northeast Arkansas certified to perform thisprocedure and are accepting patients forimterstim consultation.


Michael Hong MD, FACOGObstetrics & Gynecology

NEA Baptist Clinic – 870.972.8788

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Obstructive sleep apnea is the most commonsleep disorder affecting millions of Americanpeople. Although it may appear to be just a

simple breathing problem during sleep, a sleepbreathing disorder will cause many complicationsaffecting your brain, in addition to the heart. A briefreview is listed below and I hope this will besubstantially beneficial to readers who are outside ofthe medical area.

LACK OF CONCENTRATIONAND POOR PERFORMANCE:

The patients often feel tired. Some patientssubconsciously get accustomed to drinking a lot ofcaffeine to counteract the fatigue. Although someindividuals may do well in their work, they very likelyperform significantly below their potentials.Obstructive sleep apnea will significantly increase therisk of having a serious accident including death andlong-term disability when driving and operatingmachines.

POOR MEMORY:

In function, patients were found tohave delayed response latency andreduced accuracy in registration ofinformation/message due to poorconcentration and reduced alertness. Inpathology, there is a significant decline ofcapacity of neuronal reservation due to thepossible chronic insult to the brain causedby complicated biochemical cascadessecondary to oxygen desaturation/hypoxiaand multiple inflammation mediators.Furthermore, if the brain does not getenough rest (restorative) on an almostdaily basis, the result is a "wearing-tearing”effect, that continues to exist long term(deterioration).

DEPRESSION AND MOOD SWINGING:

Patients frequently feel tired and have difficultyenjoying life. They may easily lose their temper andthen apologize later. They may have decreased interestin many things simply due to fatigue.

SIGNIFICANTLY INCREASED RISK OFHAVING STROKE:

Obstructive sleep apnea is an independent risk ofstroke, like diabetes and hypertension. The mechanismthat causes stroke by obstructive sleep apnea iscomplicated and not fully understood. In addition toraising sympathetic tone at night, it causes elevatedblood pressure during sleep (in normal sleep thereshould be a significant drop of blood pressure called"dippers"), this process is associated with significantsmall vessel arteriosclerosis (hardening of the arteries)and increased viscosity of the blood (blood viscosity isa measure of the resistance of the blood to flow).Therefore, the screening and treatment of obstructivesleep apnea are the important part of stroke prevention.

STRONG ASSOCIATION WITH SEVEREAND INTRACTABLE HEADACHES

INCLUDING MIGRAINE STATUS:

Obstructive sleep apnea can either induceheadaches or make headaches much worse. Itcan be the main aggravating factor in constantmigraine sometimes.

INCREASED SEIZURE ACTIVITYIN PATIENTS WITH EPILEPSY:

Obstructive sleep apnea can significantlyreduce patient’s seizure threshold. Itappears somewhat equivalent to sleepdeprivation, which is a well known risk ofbreakthrough seizure.

A Message from a Sleep MedicineSpecialist/Neurologist Regarding

OBSTRUCTIVESLEEP APNEA

10- spring NEA Health-home 3-5:NEA_Health_fall_winter_08 4/19/10 12:00 PM Page 10

A Clinic and Hospital Connected:A Patients Perspective.

The focal point of any successful healthcare organizationmust bethe patient. Helping the patientmove through the complicatedhealthcare delivery system in an efficient yet effective manner

takes much effort and coordination. Well known organizations suchas Mayo Clinic, Cleveland Clinic, and Geisinger Clinic are examplesof successful integrated systems. In the merger of NEA Clinic andBaptist Memorial Health Care Corporation, we feel that we havecreated a foundation for a similar regional center of excellence. In itssimplest form, synergy is the achievement of an outcome that is greaterthan the expected value. Excellence through synergy is therefore ourgoal for our patients.

How does this work? Well before a patient is ever seen by his/herphysician,much effort is put forth to have systems designed for treatingthe patient in the right place for the right reason. Information sharingbetween the outpatient and the inpatient world allows for efficient carethat is not duplicated. This speeds up themovement through the entiresystem and allows the precise diagnosis in a timely manner.

In the design of the new multimillion dollar NEA Baptist MemorialHospital andNEABaptistClinic facility, the clinicwill be just steps awayfrom the hospital. Care has been taken to place the surgeons near theoperating room; the cardiologists near the cath lab; the OB/GYNspecialists near the labor and delivery ward and so on. The interactionof various specialties on a case is encouraged and readily available to thepatient in a transparent fashion. The culture of the entire organizationis aimed toward top performance and national preeminence.Organizationally, hospital/clinicmanagement is pairedwith clinical teamsso that the focus is always patient centered. Decisions regarding newservices, technology, staffing and information systems are made in asharedmannerwith the physician and administrative staff. This synergybecomes contagious in such amanner that the entireworkforce benefits.

Our dream is to create an environment fortotal health care that has never been seen inourregion. We have a great start with two strongpartners and a foundation based on the legacyof caring for patientswith excellence. Thiswillobviously benefit our community as a whole.Watch us grow tomeet your needs.


Stephen O. Woodruff MD, FACPInternal Medicine


More on Integrated Medicine page 15D

BEING ASSOCIATEDWITH SOMENEUROLOGICAL DISORDERS:

Statistically, patients with stroke, Parkinson disease,REM behavior disorder, vascular dementia, Down'ssyndrome and congenital myotonia have shown amuch higher incidence of developing obstructivesleep apnea, compared to the normal population.

MIMICKING SOME OTHER SLEEPDISODERSWITH SOME SIMILARSYMPTOMS:

Obstructive sleep apnea may mimic narcolepsybecause its severe hypersomnia mimics a sleep

attack. Patients with undiagnosed obstructive sleepapnea may complain of having restless leg syndrome dueto tossing around. Severe obstructive sleep apnea patientsmay complain of insomnia rather than hypersomnia dueto difficulty in falling asleep or maintaining sleep due tofrequent arousals, gasping for air and/or cessation ofbreathing.

It may sound surprising that obstructive sleep apnea canbe so extensively related to many neurological disorders.It is my desire to bring formal and updated informationfrom specialty references to our patients and staff formore healthy brains.

Symptoms and signs of obstructive sleep apnea includesnoring during sleep, excessive daytime sleepiness,significantly short and thick neck, overweight, gaspingfor air or awakening from sleep with difficulty breathing.Diagnosis of obstructive sleep apnea is made with clinicalpresentations with confirmation by a polysomnogram.The treatment of obstructive sleep apnea variesaccordingly. Mild cases can be treated with oral devices,loss of weight or nasal decongestion if an allergy exists.Positional types can be taken care of effectively withsleeping on the side only. Patient with nasal septaldeviation, nasal turbinate hypertrophy, enlarged tonsils

and prolonged uvular prominencewith severe degrees will most likelyneed surgical correction. However, inthe majority of cases; mild, moderateor severe; most can be effectivelytreated with a CPAP or BiPAPmachine.

William Long MD, PhDNeurology & Sleep MedicineNEA Baptist Clinic – 870.935.8388



A significant advance in permanent birth control utilized worldwide is offeredat NEA Baptist Clinic-Women’s. The Essure® procedure allows doctors toprovide women with the first and only non-incisional alternative to tubal

ligation, eliminating the risks of surgery and general anesthesia.

The doctors at NEA Baptist Clinic - Women’s are performing the Essure®procedure in an office setting. We’re very excited to be able to offer women thisproven and reliable method of permanent birth control. It is over 99.80%effective without the use of hormones and is covered by most insurance plans.

During the Essure® procedure, the doctor places a soft, flexible coil called a“micro-insert” into each fallopian tube using a small catheter. Because theprocedure does not involve incisions, it can be performed with just a localanesthetic. Most patients leave the doctor’s office less than an hour after theprocedure, with most patients returning to their normal activities the next day.

Once in place, the Essure® micro-inserts cause tissue to grow in and around the devices, forminga barrier that blocks the fallopian tubes. The barrier takes about three months to form so a womanwill continue to use an alternative form of birth control during that time. The barrier formed bythe Essure® micro-inserts is confirmed with a special x-ray

The doctors at NEA Baptist Clinic - Women’s agree that the Essure® procedure gives women thepiece of mind that they are protected from unintended pregnancy. Tens of thousands of womenin the U.S. are relying on this revolutionary method of permanent birth control.

If you would like more information about the Essure® procedure, visit www.essure.com or contactNEA Baptist Clinic - Women’s at (870) 972-8788.

ADVANCES IN

Permanent Birth Control


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 Surgeryand in General Surgery

Melanie Greeno, ICTSkin Care/Aesthetician


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, FACOGCharles C. Dunn, MD, FACOGNorbert Delacey, MD, FACOGMichael Hong, MD, FACOGLorna Layton , MD, FACOG


WomenCan RunSpotlightKatie

Wysocki

Q & A withKatie WysockiHow has Women Can Run programaffected/changed your life?

Katie (K): “The Woman Can Run program has definitely hada positive effect on my life. I feel physically and mentally somuch better. One thing I really enjoy about this program isthe 5K run in Conway at the end of the program. It is so coolto see all the women from around the state that did the sametraining I did. It is such a positive environment. There is somuch encouragement and positivity.”

What advice do you have for beginning runners?

K: “My advice for a beginning runner is not to compareyourself to other runners. Everyone is different. For example,at the clinic they explained different breathing techniques, Ijust had to try each one until I found something that workedfor me. Find what works best for you. Also, they told us lastyear not to look at the ground when running. Look up,several feet in front of you. I hadn’t thought about it, butonce I did, it made a huge difference in how I ran. It wasmuch more comfortable.”

Since the clinic is only 2 months out of the year,how do you stay motivated the other 10 months ofthe year?

K: “After the 5K Women Run Arkansas in Conway last May, Ihad my best 5K time and it was such a great feeling I did notwant it to end. I continued with my running, going just alittle further each time I ran. At first I was running for 30minutes around my apartment complex, then 45 minutes,then an hour. Before I knew it I mapping routes and running6 miles and feeling great after!”

You have been a participant of the Women CanRun clinic for 4 years, do you feel each year getseasier for you?

K : “The first three years I was in the beginning runnersgroup and learned much from the leaders. This year, runningdid seem easier, so now I am in the intermediate runnersgroup and it is a good challenge.”

Have you ever wanted to meet newpeople, lose weight or improve yourcurrent fitness level? Katie Wysocki

did, and she accomplished all of those thingswith the help of the Women Can Run Clinic.

Katie, a former soccer player for Jonesboro High School, hadgotten out of the exercise routine and gained weight. In 2007Katie’s mother, Marilyn, saw an ad in the Jonesboro Sun for theWomen Can Run Clinic. Marilyn, an avid walker and jogger atthe time, wanted to see if she could improve her runningabilities. She invited her daughter to join her in the clinic andKatie agreed. The mother/daughter duo began the clinic asbeginning runners with hopes of finishing a 5K race together.Two months later they accomplished their goal.

After participating in the clinic Katie was able to run and finishseveral 5K races, but she didn’t see much weight loss. Takingadvice from the Women Can Run Leaders, she decided to makesome dietary changes. In addition to her running program shecut out fast food and snacking in-between meals. She minimizedher soda intake and started drinking more water, skim milk, andorange juice. The result: immediate and dramatic weight loss.Although Katie is private about her weight loss numbers she doesadmit she likes shopping in stores she never could before.

As participants of theWomen Can Run Clinic for 4 years, Katieand Marilyn Wysocki have completed multiple 5K races asrunners. Katie has even competed in 2 half- marathons. Herfocus for the future is to maintain her current weight bycontinuing to run and eat healthy. She is now training for her3rd half-marathon.

WomenCan RunSpotlightKatie

Wysocki



“The miracle isn't that I finished.The miracle is that I had thecourage to start."-John Bingham, running speaker & writer

Where is your favorite place to run?

K: “My favorite place to run is Craighead Forest Park.”

Why do you run?

K: “Running sometimes gives me a chance to clear my head.Maybe it has been a stressful day and going out for a run orout for a walk is a great way to unwind. Other times I justgrab my IPod and listen to some great music and think aboutnothing at all.”

What is your proudest running achievement?

L: “My proudest achievement is being able to say I havecompleted 2 half-marathons, one in Memphis and one inLittle Rock. If someone said to me last year at this time that Iwould be able to, I might have said, ‘Yeah right’. I’m reallyexcited that Jonesboro will be doing a Half-Marathon thisSeptember and can’t wait to be able to say I’ve completed 3!”

Congratulations Katieon all of your success.

The Women Can Run Clinic is sponsored by NEA BaptistClinic and Gearhead Outfitters and is in it’s fourth year inJonesboro. If you are inspired by Katie’s story, email her [email protected]

For more information on the WomenCan Run Clinic, contact Amanda Hergetat [email protected] or visitwww.neabaptistclinic.com


Improving Medical Care inNortheast Arkansas

The recent national debate about health care reformhas highlighted the need for change in the waymedical care is delivered. The demand for better

value (higher quality at reasonable cost) medical care isgreater than ever. A truly integrated delivery system has beenshown to be the best way to deliver high quality care in avery efficient and cost effective manner. We believe ourrecent partnership with Baptist Memorial Health Care hasresulted in a structure which will allow us to progress to afully integrated and synergistic system. In this system we willbe able to coordinate care across all aspects of inpatient andoutpatient care. Pairing of physicians with professionalmanagers at all levels of the institution should result inoptimal use of resources around the needs of the communityand individual patient. This system will allow the best clinicalquality and highest operational efficiency with sustainedimprovement over time.

We have committed to significant investment in the new andupdated infrastructure, including buildings, technology andelectronic records, which will be necessary to make thisprogress possible. Even more important than the physicalinfrastructure is our ability to recruit, support and retain thebest physicians and staff. We are convinced that we now havean organizational structure in place that allows us to pursueour vision of continually improving medical care for thepeople of northeast Arkansas.

Robert D. Taylor MD, FACPCardiology


“The miracle isn't that I finished.The miracle is that I had thecourage to start."-John Bingham, running speaker & writer

Amanda HergetGearhead Outfitters

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Many neurologic disorders may result in sleep disturbances, whichinclude sleep related breathing disorders, hypersomnia (excessivedaytime sleepiness) or insomnia, parasomnias, sleep relatedmovement disorders and circadian rhythm disorders. Thefollowing are just a few examples of many neurologic conditionsthat present important relationships with sleep disorders.

Alzheimer’s disease (AD) is the most common cerebral degenerativedisorder causing irreversible dementia. Dementia with Lewybodies (DLB) is now considered the second most commonirreversible cause of Dementia. Other causes of Dementia includePick’s disease, cortical basal degeneration (CBD), and vasculardementia, etc. Sleep disturbances in Dementia include sleeprelated breathing disorders, movement disorders, parasomnias,insomnia, circadian rhythm disorders and hypersomnia.

• Although the relationships between obstructive sleep apnea(OSA), cognitive status, and dementia are still being defined,there appears to be an association betweenOSA andDementia.OSA should be considered one of the treatable contributors toand causes of Dementia. Treatment of OSA, particularly withnasal continuous positive airway pressure (CPAP)may improvecognitive performance, excessive daytime sleepiness (EDS),mood and overall quality of life. Central sleep apnea (CSA) canalso occur in patients with primary central nervous systemdysfunctions. The dysregulation of the brainstem respiratoryneuronal networks is presumed to be responsible for CSA indegenerative dementia.

• Restless legs syndrome (RLS) is one of the commonmovement disorders and occurs quite frequent in patientswith Dementia. RLS often results in Insomnia. Thetreatment of RLS with dopaminergic agents may also lead toInsomnia in some dementia patients. Patients with cognitiveimpairment and RLS can be challenging to treat.Cognitively impaired patients may have difficulty preparingmeals with adequate nutrition, leading to inadequate ironintake. Iron deficiency should be considered since irondeficiency can precipitate or aggravate RLS.

• The associations of rapid eye movement (REM) sleepbehavior disorder (RBD, a type of parasomnia) withNeurodegenerative disease are well established. Patients withRBD experience violent dream-enacting behavior during

REM sleep, often causing self-injury or injury to bedpartners. The most prominent finding in polysomnography(PSG) recording in these patients is REM sleep withoutmuscle atonia.

• Circadian dysrhythmias are common in patients with AD.The degenerative changes in a brain structure namedsuprachiasmatic nucleus, and the decreased melatoninproduction are thought to be contributing factors in thecircadian dysrhythmic abnormalities in patients with AD andother dementing conditions. Sleep disturbance may lead tonocturnal wandering. Nocturnal wandering in Dementiamay reflect insomnia secondary to night/day reversal,medication effects, emotional distress, or restless legssyndromes.

• Hypersomnia is quite evident in patients with dementia,especially in patients residing in chronic care facilities.Hypersomnia may reflect untreated OSA, CSA, RLS,circadian dysrhythmia, or some combination of above.

Sleep disturbances and complaints are common in stroke patients.Sleep apnea, snoring, and stroke are intimately related. Stroke maypredispose patients to sleep apnea; sleep apnea may predisposepatients to stroke. It is important to diagnose sleep apnea in strokepatients, because untreated sleep apnea may adversely affect theirshort-term and long-term outcomes. Effective treatment for sleepapnea may decrease risk of future stroke. Insomnia is anotherdisturbance observed in stroke patients. The associated depression,spasticity, and immobility from stroke may result in Insomnia.Brain stem infarction may cause the syndrome known as Ondine’scurse, or primary failure of automatic respiration. These patientsbecome apneic during sleep.

A reciprocal relationship exists between sleep and epilepsy (i.e., sleepaffects epilepsy, and epilepsy affects sleep). Sleep facilitates epilepticactivity and seizures. Most of the time, seizures are triggered duringNonrapid Eye Movement (NREM) Stages N1 and N2 sleep,occasionally during NREM Stage N3 sleep. In contrast, during REMsleep, epileptic activity decreases. Some epileptic syndromes have a

N eurological disorders and sleep disorders often coexist, and their relationshipsare increasingly recognized. Neurologic disorders may cause a variety of sleepdysfunctions. Conversely, sleep disorders may have profound effects on the

natural courses of neurologic diseases. Thus, it is important that we understand,recognize, and diagnose sleep disorders when evaluating patients presenting withneurologic illness, so that these patients can be treated appropriately.

Sleep Disorders & Neurological Conditions

SLEEP & DEMENTIA

SLEEP & STROKE

SLEEP & EPILEPSY


marked tendency to occur only or predominantly during sleep. Sleeprelated epilepsy range from 10% to 45% of epileptic patients. Sleepdeprivation, which increases cortical excitability, is also an importantseizure trigger. OSA may also exacerbate sleep related seizures andcomplicate their treatment.

Epilepsy affects the structure and stages of sleep. These include delayin sleep-onset, increase in waking after sleep onset, reduced REM sleepand NREM Stage N3 sleep, and an increase of stage N1 and N2 sleep.Headache and sleep complaints are common. Sleep relatedheadaches are a group of headaches that occur during sleep or uponawakening from sleep. Most sleep related headaches occur daytimeas well as during sleep. These include migraines, cluster headacheand chronic paroxysmal hemicrania (a type of headache whichpresents as frequent, short-lasting attacks of unilateral headache).Hypnic headaches (a benign type headache), on the other hand,only occur in sleep. Patients with hypnic headache are usuallyawakened from sleep at a constant time each night. Sleep relatedheadaches may cause sleep disruption and insomnia with decreasedsleep efficiency. Other sleep disorders including obstructive sleepapnea (OSA) and snoring may also result in sleep related headaches.Treatment of OSA may improve headache.

Sleep disorders have been described in many patients withneuromuscular disorders, including motor neuron disease (such asamyotrophy lateral sclerosis, ALS), polyneuropathies, myastheniaGravis, myotonic dystrophy and other primary muscular diseases.The most common sleep complaints among these patients areexcessive daytime sleepiness resulting from frequent arousal orawakening from sleep, associated with sleep apnea andhypoventilation. Sleep disturbance in these conditions usuallyresults from the weakness of respiratory muscles, caused by thediseases of these muscles, nerves or the junctions between the nervesand the muscles. Some patients may have insomnia, especially inthose with painful neuropathies, muscle pain, muscle cramps andimmobility due to muscle weakness.

• A detailed patient history and physical examinations are essential,and lab tests should be conducted as an extension of history andphysical examinations. Tests should be directed at diagnosingprimary neurological disorders and assessing sleep disturbancesthat are resulted from neurologic diseases. Common tests thatassess primary neurologic conditions include neurophysiologictests (EEG, NCS/EMG, and video-EEG monitoring, etc.),Neuroimaging studies (CT, MRI, etc.), cerebrospinal fluidexaminations, and general lab tests.

Lab tests which are available in most sleep centers to investigatesleep and sleep-related breathing disorders in neurologic conditionsinclude overnight PSG, multiple sleep latency test (MSLT),maintenance of wakefulness test, actigraphy, and video-PSG.

• In order to manage sleep dysfunctions in neurologicdisorders, primary neurologic disorders should be properlydiagnosed, followed by treatment and monitoring of theneurologic illness. Treatment of underlying causes may improvesleep disturbances. When a satisfactory treatment is not availablefor a primary neurologic condition or does not resolve theproblem, treatment should be direct to the specific sleepdisturbance. Treatment modalities for sleep disorders includegeneralmeasures, pharmacologic agents,mechanical devices (nasalCPAP and other ventilatory supports), supplemental oxygen, andsurgical treatment.

For an appointment to evaluate your sleep and/or neurologicproblems, please call (870) 935-8388.

Dr. Bing Behrens is board certifiedin Neurology and Sleep Medicine.She is a member of the AmericanAcademy of Neurology, and theAmerican Academy of SleepMedicine.


Bing Behrens, MDNeurology & Sleep Medicine


SLEEP & HEADACHE

SLEEP & NEUROMUSCULAR DISORDERS

EVALUATION & MANAGEMENT


NEABaptist Clinic, has been in existence for over 30 years. For 26 of thoseyears we have been doing clinical trials. We began by conductingOncology Trials only. A little over 10 years ago we broke into all other

specialties of clinical trials.

NEA Baptist Clinic has made a name for itself within the Clinical Trial industry.We have been recognized as a leader in clinical trails throughout the nation. NEABaptist Clinic runs the second largest clinical trial department in the state, secondonly to the University of Arkansas at Little Rock (UAMS) where they trainphysicians and study medicine. Our clinic has completed over 1,000 studies andhad over 10,000 participants yet most people still know little about clinical trials.

Clinical trials have been taking place for as long as medicine has been around. Itis because of those trials that medicine is where it is today. Trials are regulated with2 main organizations overseeing every aspect that takes place:

1) The Food and Drug Administration (FDA) - A government agencycharged with overseeing the structure of the trials. Their main focusis to keep all Americans safe.

2) Institutional Review Board (IRB) -Review all aspects of what patientssee/hear about the trial. They oversee thetrials to make sure the trials aren’tcoercive.

Cover Story

Clinical ResearchA clinical trial is a study conducted with patients, usually to evaluate a new treatment. Each study is designedto answer scientific questions and to find a new and better way to help patients.During a trial,more informationis gathered about a new treatment, the side effects, and how well it may or may not work.The treatments thatare now considered standard for patient care, were at one time clinical trials.

18. NEA HEALTH • Fall/Winter 2009



What are some of the benefits

of Clinical Trials?

1) Advances in Medicine- every time we do a clinicaltrial we learn something new about the human bodyor medicines. It is the best way to continue advancesin medicine.

2) Helps future generations- most of the reason we areliving longer and healthier lives is because of whatwe have learned from clinical trials. We continue tomake large strides in medicine which are passed ontofuture generations.

3) Jobs - in a time that jobs are so important anddifficult to come by, clinical trails are making andsupporting jobs. NEA Baptist Clinic employees 14people to bring these great trials to our area.

4) Helps patients- patients are recieving some of theleading treatments in the world at no cost thanks tothe sponsoring companies. Not only does the sponsorpay for the treatment but sometimes they also pay thepatients for their participation and they commonly domore testing than what would normally be done so thepatient knows more about their general health thanthey would otherwise.

5) Feeling of importance in knowing what you are doingis making a difference and that you are contributing tothe health of future generations.

.

So what am I saying?

I’m saying you can get some of the best treatments availableat no cost to you to help both you and others.

Some of the diagnoses NEA Baptist Clinic specializes in are:

• Diabetes - both Type 1 and Type 2 diabetes. Some are fornewly diagnosed patients while others are looking for longterm diagnoses of diabetes. Some diabetic trials needpatients controlling their diabetes with diet and exercisealone and taking no medications. Others have patientswho have to take numerous diabetic medicines.

• Women’s Health- everything from infertility topostmenopausal symptoms, anemia to hypo-sexual desiredisorder and yeast or other types of infections.

• Cardiology- blood thinners, arrhythmias.

• Family Practice- hypertension, cholesterol.

• Ears Nose Throat (ENT)- allergies, sinus infection.

• Devices- pap smear machine, cardiac stents, a hand-helddevice to check anti-coagulation.

Of all of the clinical trials perhaps the most important and most lifealtering trials are the Oncology (cancer) trials.

More information onOncology trials on page 20D

Paul Koros, RN, CCRCClinic Research Center

NEA Baptist Clinic – 870.934-1006


NEA Baptist Clinic-Oncology offers comprehensive patientcare including clinical research protocols for most cancertypes. The oncology department has been active in clinical

trials for approximately 26 years.

Today, patients benefit from an environment that combines a caringstaff with clinical research. NEA Baptist Clinic-Oncologyphysicians conduct research in a broad area. Trials rangingfrom Phase 1 to Phase IV are conducted in collaboration withthe National Cancer Institute, Cooperative Groups such asCALGB, ECOG, NCCTG, NSABP, RTOG, and SWOG,cooperative groups, Sarah Cannon Research Institute andpharmaceutical companies.

When you, a family member, or a friend is diagnosed with cancer,it is important to know what treatment options are available. Oneof the options might be that of a clinical trial.

Before you sign up for a clinical trial you may have questions. Tohelp answer some of those questions, the following is an overviewof clinical trials.

What is an oncology clinical trial?

Clinical trials are research studies that are set up to evaluate newtreatment options. The actual research process may take years. Theclinical trial itself tests the safety and effectiveness of new or modifiedtreatments in cancer patients. These treatments may include newmedications or the modification of new or existing medications.

Why are there oncology clinical trials?

A clinical trial is one of the final stages of a careful research process.Every clinical trial is designed to find a new or better way toprevent, diagnose, or treat cancer.

What are the different types of clinical trials?

• Treatment trials - test new treatments (such as a new cancerdrug, new methods of surgery or radiation therapy, newcombinations of treatments, or new methods of gene therapy).

• Prevention trials - test new approaches including medicines,vitamins, minerals, or other supplements that some believemay lower the risk of certain types of cancer.

• Screening trials - test the best way to find cancer, especially inearly stages.

• Quality of life trials - review ways to improve comfort andquality of life for cancer patients.

Clinical Oncology Research at NEA Baptist Clinic predominatelyparticipates in treatment trials. Many of the treatment trials have anadded Quality of Life component.


Clinical Oncology ResearchOncology clinical trials are research studies in which people help doctors find ways to improve health and cancer care.Each study tries to answer scientific questions and to find better ways to prevent, diagnose, or treat cancer.

Cover Story


Potential benefits include

• Health care provided by leading physicians in thefield of cancer research.

• Access to new drugs and interventions before theyare widely available.

• Close monitoring of your health care and any sideeffects.

• Amore active role in your own health care.

• If the treatment being studied is found to behelpful, you may be among the first to benefit.

• An opportunity to make a valuable contribution tocancer research.

• The primary reason oncology patients participate inclinical trials is because it may benefit them and itwill certainly benefit their children andgrandchildren. And, it is important to them toknow they have made a difference in the future ofcancer care.

Currently NEA Baptist Clinic - Clinical OncologyResearch has 40 clinical trials open for enrollment inthe following areas, either as treatment or treatmentsupport:

• Breast (adjuvant andmetastatic)

• Lung (respectable, non-resectable, and metastatic)

• Bronchioalveolar (metastatic)

• Colon (adjuvant andmetastatic)

• Rectal (adjuvant andmetastatic

• Lymphoma (Non-Hodgkin’s Lymphoma)

• Prostate (metastatic)

• Renal Cell (advanced)

• Ovarian (metastatic)

• Melanoma (low grade)


Clinical trials are not all the same. Most clinical research testing must take place inorganized and orderly steps. These steps are divided into four phases of study.

• Phase I trials: these are the first studies in people to evaluate how a new drugshould be given, how often, and what dose is safe. A Phase I trial usuallyonly enrolls a small number of patients.

• Phase II trials continue to test the safety of the drug, and begins to evaluatehow well the new drug works. Phase II studies generally focus on a specifictype of cancer.

• Phase III trials test new drugs or a new combination of drugs. A participantwill usually be assigned to the standard treatment or the new group atrandom. Phase III trials enroll large numbers of people.

• Phase IV trials are studies that take place after a drug has been approved.The purpose of phase IV trials is to evaluate side effects, risks, and benefitsof a drug over a longer period of time with a larger group of patients. PhaseIV trials usually involve thousands of patients.

Before NEA Baptist Clinic - Clinical Oncology Research can participate in a clinicaltrial, the research protocol itself must be reviewed and approved by thesponsor of the study, the FDA (Food and Drug Administration) and anInstitutional Review Board. Phase III trials have an additional group knownas the Data Safety and Monitoring Committee that looks at test results andmonitors the safety of the participants, and decides if the study can continue.

Who can participate in a clinical trial?

Clinical trials try to enroll patients that are alike in certainways. Every trial has a specificlist known as eligibility criteria. The eligibility criteria specifies exactly who canparticipate in any given trial, and serves to protect the patient from any unusual risks.

Before a patient decides to participate in a clinical trial they should know andunderstand their disease and review the benefits and potential risks involved.

Now that the clinical trial process has been reviewed, let’s focus on Clinical OncologyResearch at NEA Baptist Clinic. As was stated earlier, this department and itsphysicians have been involved in clinical trials for approximately 26 years. RonaldBlachly, MD, Allen Nixon, MD, and Carroll Scroggin, MD have been participatingin clinical trials for a combined total of 79 years. All three physicians serve as PrincipalInvestigators on various studies. We have participated in Phase I through Phase IVtrials, and have done well in all four phases.

Just to highlight a few of the trials conducted in the Clincal Oncology Research overthe last several years we would include the following:

• From 1999 through 2002 we participated in a Phase I/II clinical trial usingthe drug Leukine, in which we were the top enrollers in the country. In2003, Ronald Blachly, M.D. and Carroll Scroggin, M.D. presented thestudy results at an Oncology Forum in Amsterdam.

• From 2000 through 2005 we participated in an adjuvant breast cancer studyusing the drung Herceptin in which the results were so overwhelminglypositive, it resulted in changes of the standard of care for women withadjuvant HER 2+ breast cancer.

Clinical Oncology Researchcontinued on page 22D


• From 2003 through 2007 we participated in a clinical trialusing the drug Lapatinib for metastatic breast cancer using anew oral drug that has now become standard of care inwomen with HER 2 +metastatic breast cancer. NEA BaptistClinic - Clinical Oncology Research was the first site in theUnited States to enroll a patient on this study.

• From 2007 through 2008 we participated in a clinical trialusing the drug Eltrombopag for patients with ITP (IdiopathicThrombocytopenic Purpura).This study allowed patientswith ITP to have an entirely new quality of life.The oral agentused in this study has now received FDA approval and hasbecome standard of care in the patient with ITP. NEABaptistClinic - Clinical Oncology Research was also the first site inthe United States to enroll a patient in this study.

• From 2008 through 2009 we participated in a registry studylooking for patients that had a positive PNH clone.Thisstudy recently closed with an enrollment of 52 patients.

One of the aspects that separate the oncology research from otherclinical trials is that of cost. The oncology trials do not provide totalpatient care at no cost. Patient care that is considered to be routinestandard of care for your disease continues to be billed to you or yourinsurance. The trial sponsor usually pays for the cost of the treatmentbeing studied, and any cost associated with that special treatmenttesting, or extra required physician visits. If the study is utilizing a newdrug, that drug will also be provided at no cost to you.

Clinical Oncology Research at NEA Baptist Clinic also offers genetictesting in the areas of breast, colon and melanoma.

If you decide to participate in a clinical trial, youwill workwith a research team that includes yourdoctor(s) and the clinical trial coordinators.Thisteam will be in charge of your care during thetrial and will often stay in contact with you afterthe trial ends.

NEA Baptist Clinic - Clinical Oncology Research team

Dawn Smith, BSNClinical Oncology Research


Clinical Oncology Researchcontinued from page 22D


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• Ronald Blachly, MD• Allen Nixon,MD• Carroll Scroggin, MD• Lena Harrison,Clinical Research Associate

•Mary Dover, BSMT, CertifiedClinical Research Coordinator

• Dawn Smith, BSN,Clinical ResearchManager

• Stacia Gallion, BSN, APN



Who could not smile when theyview a beautiful newborn?

NEA Baptist Clinic - Women’s is delighted to announce the recent donation and hanging ofa beautiful collection of exceptional portraits by local photographer Courtney Fitzwater.

The majority of these striking photographs are captured inCourtney’s easily recognized dramatic black on white and white on black.

There is also a number of colorful hangings that capture an entirely different take on ourjoy of family and life as captured by Ms. Fitzwater’s studio. This $30,000-plus donation

of art is not only available for our patients to enjoy, but anyone interestedin this artistic medium is welcome. Visit NEA Baptist Women’s Clinic,

3104 Apache Drive, Jonesboro, AR to view the entire collection.

Charles L. Barker, PhD, MD, FACOGpictured here with Courtney Fitzwater

pictures of joy

www.CourtneyFitzwater.com




Mrs. Jane is a school teacher who is now in her fifties andthinking of retiring. Mrs. Jane is also concerned about atremor (shaking) in her right hand that has become more

evident over time. She has also noted stiffness in the right shoulderand attributed it to her ‘getting older’ but it has now limited herwriting on the chalkboard. Her speech has also been involved andshe finds herself repeating sentences because her students cannothear her very well. Her voice volume has diminished. Her studentshave seen that Mrs. Jane takes a longer time to get to the cafeteriaat lunch and they wondered why she is ‘slowing down’.

Mrs. Jane saw her family doctor who then referred her to aneurologist thinking that she may have Parkinson’s disease. Theneurologist examined her and found the following:

• Resting tremor in the right upper extremity• Rigidity (stiffness) in the same area• Her voice volume was reduced• Bradykinesia( slowing of movements) in the right arm and

when walking

Mrs. Jane was diagnosed with mild Parkinson’s disease and she deferredtreatment at this time. Mrs. Jane continued teaching but her job wasbecoming more than she can handle because now she notes ‘weaknessand fatigue’ and she shakes more now especially under stressors orwhen she becomes anxious. This prompted another visit to herneurologist.

The neurologist found that Mrs. Jane had changed on her presentationbecause now her gait was also affected. She was much slower and didnot swing her right arm as well as before when walking and had moredifficulty with balance especially when she turned. She did not shuffleher feet while walking but had difficulty getting up from her chair.

Treatment was again offered to Mrs. Jane who was willing to trymedications to reduce her symptoms so she can continue teaching tillretirement.

Her neurologist discussed most of the available treatments (Requip,Mirapex, Azilect, Sinemet, Zelapar, Stalevo) and explained therationale for using these medications. He also explained the role ofneurotransmitters (messengers in the brain) and why dopamine is themain treatment for the disease. Mrs. Jane was started on a dopaminemedication and was followed about every three months and hermedication was adjusted if needed. She continued with her teachingcareer for many more years till retirement but her disease continued toprogress.

Parkinson’s disease is a progressiveneurological disease and to date there isno cure. It is estimated that about 80%of the nerve cells that are responsiblefor producing the neurotransmitter,dopamine, are not viable when thesymptoms begin. It is believed that theremaining viable nerve cells that aid inthe production of dopamine are alsodepleted over time and this leads to lessresponse to medications.

Parkinson’s disease can be divided intofive stages (stage 1 – stage 5) with stage1 being mild and stage 5 being severe.Untreated parkinsons progresses overfive to ten years from mildlysymptomatic to severely disabling.

My hands shake...Do I have Parkinson’s Disease?

Parkinson’sdisease is aprogressiveneurologicaldisease ...

...all tremorsare notParkinson’s...



Parkinson’s disease is not a terminal disease but complications arise from immobility(pneumonia, heart disease).

Mrs. Jane did retire and had touched many lives during her teaching career but especially ayoungmale student (Thomas) who knew about her ‘shaking disease’ and who also had ‘shaking’in both upper extremities and had many conversations with her about that topic. He wantedto know if he has Parkinsons’s disease.

Thomas was about sixteen years of age when he first noticed that he had a tremor in both ofhis hands. He enjoys fishing and this is where he noted a mild difficulty baiting the hook. Hedid not pay much attention to it but then he was introduced to target shooting and he againnoted the tremor while holding the hand gun and much more intense when pulling the trigger.In class while holding the pen in a certain position the fingers will shake uncontrollably. Thistremor was becoming more frequent especially while eating with a fork and he was embarrassedwhen he would go out to the local restaurant with his friends.

Thomas did not know much of his family history nor been around much of his close relativesbecause his family had relocated when he was very young. He found out later that his paternalgrandfather, two of his uncles and three cousins all have similar tremors. He then had aconsultation with his family doctor who assured him that he did not have Parkinson’s disease.He was relieved but was sent to a neurologist for further testing and or treatment.

The neurologist found no clinical evidence for Parkinson’s disease but diagnosed him with anaction tremor or familial tremor not akin to Parkinson’s disease. Treatment options werediscussed and Thomas started treatment and follows routine visits with the neurologist.

Benign essential tremor, familial or action tremor are at times used interchangeably. Thesetremors are worsened with advancing age and can be debilitatingespecially if your livelihood depends on precision use of your hands(dentists, surgeons, carpenters, mechanics etc.).

Tremors classified as movement disorders are routinely diagnosed andtreated by neurologists with varying results. Keep in mind that alltremors are not Parkinson’s disease and a visit to a neurologist canmake a difference.

Kenneth Chan, DONeurology




Our mission at NEA Baptist Memorial Hospital is based on thethree-fold ministry of Christ – to heal, to preach and to teach. Thisis the foundation for the care our patients receive. When our staffcares for our patients in the way they do, they are reinforcing ourmission. Delivering this level of care day in and day out hasdeveloped a culture at our hospital called Service First.

Service First is basically the golden rule interpreted from Matthew7:12: Therefore all things whatsoever ye would that men should doto you, do ye even so to them. We encounter examples of ServiceFirst in our every day lives. When someone helps you change a flattire, or when your church family brings you food when a loved onepasses away are examples of this. These people do not have to dothese acts of kindness but because they care they went above andbeyond for you. This is what our staff does for our patients.

Four colleagues of mine were recognized by their peers in 2009 fortheir Service First acts. These individuals went out of their way to carefor our patients by doing many things such as praying for a patientwhen delivering theirmeal, ormaking sure a patient found their waythroughout the hospital.

These colleagues areDavid Jewell, Becky Brewer,JoeyCa-Ang and Farnie Scott. We take timeeach quarter to recognize the individuals that have been nominatedand won the Service First Champion award. These four individualsare the first to win this award and have set the standard for all futureService First Champions to be measured against.

Although we do measure our Patient Satisfaction scores and areparticularly proud of our Hospital ConsumerAssessment of Healthcare Providers and Systems(HCAHPS) results, we know that the bestsatisfaction for our patients is delivered by ourcolleagues and having a Service First culture.

Iam proud to work at NEA Baptist Memorial Hospital for many reasons.I am reminded of these reasons when I visit our patients. They tell mehow wonderful our staff and physicians were to them. They tell me

how good the food was and how clean the hospital is. This gives me greatconfidence that not only will our patients receive great clinical care but thatthey will be treated like family.

Paul Betz, FACHEChief Executive Officer

NEA Baptist Memorial Hospital


NEA Baptist Charitable Foundation ... Giving back to the community of Northeast Arkansas

www.neacfoundation.org • 870-934-5101

IN REVIEWhelping

people and growing a stronger community.


NEA Baptist Charitable Foundation Programs:




In Christian theology, charity is an unlimited loving and kindness toward all others. As thegreatest of the three theological virtues, charity is selfless and unconditional. Charity andlove are synonymous.

How fortunate we are to have the opportunity to give and receive charity (love) in our daily lives.Most often, the path we walk in life is one we would have never guessed for ourselves; but, as wemeander along our path we are presented with opportunities to give and receive charity.

Several years ago, while in Greece, I was given a delicate gold etched ring which symbolized themeandering path of life. I began to grasp the concept of meandering – to move about life withall its twists and turns, never really knowing what would happen next or where the path mightlead. In the years since, my meandering path has indeed been an adventure with ups and downs,happiness and heartbreak. Through it all, the choice to give and receive charity has been mineto make.

Throughout the next few pages, the charity of individuals involved in the programs of the NEABaptist Charitable Foundation are evident. Take the opportunity to reflect on your meanderingpath and your expressions of charity. Allow the stories to inspire you, uplift you, and if needed,motivate you toward charity for a cause greater than yourself.

Blessings,Cheryl GoadDirector of Programs and Grant DevelopmentNEA Baptist Charitable Foundation

Craighead County Community Foundation provided the following:

• NEA Baptist Charitable Foundation Center for Healthy Children -$875 – Teach Nutrition Today – provides funding for to improvenutrition knowledge and health eating habits for children and families.

• NEA Baptist Charitable Foundation ShareHope Pregnancy and InfantLoss Support Program - $700 – Bereavement Photography – providetangible mementos (photos) for parents grieving the loss of their baby.

Grant Update!

CHARITY




Blessings really do come in small and sometimes largepackages. NEA Baptist Charitable Foundation’sShareHope, since it's inception in January of 2009,

has been in need of beautiful gowns and outfits to give toour bereaved families. Many volunteers have sewn tiny littlegowns, hats and blankets. We are truly grateful for thesupport of those who have seen the need and made things forthese little babies.

We are always in need of more items like these and I beganto scour the internet for groups that would donate burialgowns for these little ones. I stumbled upon two groups.The Mary Madeline Project and the Smocking Guild ofAmerica. Both of these groups were eager to help us withwhatever we might need.

The Mary Madeline Project was started because of theprofound impact one little baby girl, Madeline MarieErickson had on her family and those who loved her.Madeline Marie only lived for seven weeks but she is alwaysin the hearts of those who volunteer their time to sew andmake beautiful burial gowns in her memory. Women fromall over the country donate their cherished wedding gowns tothis project and volunteers give their time, talents and love bymaking the baby burial gowns and blankets.

I cannot really express to you the wave of emotions thatswept over me as I opened this huge (wedding dress size) boxto find it filled with beautiful little gowns for our bereavedfamilies. Many of the dresses and outfits are adorned withbeads, pearls and sequins. Each dress was carefully packagedwith a blanket, booties and a hat. Each one comes with aprecious note that reads:

Another organization that is is dear to our hearts is theSmocking Guild of America which has several chapters inArkansas. The chapter out of Hot Springs called the“Quachita Mountain Smockers” has been most generous insending us some absolutely beautiful hand smocked gownsfor all of our babies, ranging in size from less than a poundto full term. Darby Logan, vice-president of this group saysher volunteers do this because “they love to smock but morethan anything they love to help others in their time of need.”

It is very difficult to shop for a burial garment when a babydies. For stillborn or premature babies, it is often difficult ifnot impossible to find something small enough. It is alwaysheartbreaking when a family must bury their baby, but I amso thankful that we now have beautiful burial gowns to givethese hurting families. Just knowing that their baby is dressedin a beautiful outfit made out of love and compassion reallydoes bring them comfort in their darkest hour. After havinggone through this myself and now helping other families asthey cope with the loss of their baby I can tell you without ashadow of a doubt that these two organizations and all ofthe volunteers here in our community who give their timeand talents to help others are truly priceless to NEABCFShareHope. We are humbled by your generosity and foreverthankful for your support of NEABCF ShareHope.

BLESSINGS

*Glass Pocket Cross provided to familiesby Hope Glass. www.hopeglass.com

Stacey OrrShareHope Program Coordinator

NEA Baptist Charitable Foundation




Spring has Sprung at the NEA Baptist Charitable Foundation!Our 4th annual Gala honors Fred and Susan Cathcart for theirdedication to serving our community. Fred and Susan started the

St. Jude Super Bowl party 17 years ago as a way to honor their preciousdaughterDonna’smemory, raising over $2million and keenly increasedawareness of the work of St. Jude in our area. Our Gala also honorsDouglas L.Maglothin,MDandWilliamHubbard,MD for 25 years ofservice to Northeast Arkansas.

June 4th and 5th are the dates for the 5th annual NEA Baptist ClinicDARE to Ride Biker Classic. Join us Friday evening for the downtownfestival complete with live music, great food, and vendors! Saturdaymorning begins with the Charity Bike Run which will end downtown.The day will conclude by giving away a brand new Harley –Davidsonmotorcycle! We will be raffling a Harley-Davidson FLSTC HeritageSoftail Classic courtesy of Harley-Davidson of Jonesboro. Be sure and

check out our website www.bikerclassic.com for more information.

Are you on Facebook? If so, please become a fan of our programs andevents. Social Media is a great way to stay connected with our donorsand friends. One of our greatest challenges at the Foundation isawareness of our programs – what we do and why. Hardly a day goesby that we do not receive the opportunity toeducate someone on one of our 5 programs.With over 350 million members worldwideFacebook offers an excellent way to spread theword and work of our foundation. So checkus out on Facebook!

Kim ProvostDirector of Fundraising & Events


FUNDRAISING EVENTS...

Fred and Susan Cathcart never imagined that their lives would beforever intertwined with St. Jude Children’s Research Hospital.They never imagined, on that fateful day of March 26, 1993,

their beloved 9 year old daughter, Donna, would be diagnosed witha rare inoperable brain tumor, undergo months of chemotherapy, andthen pass on from this life on November 28, 1993.

In those months, the Cathcart family trudged on as families do whendealing with the shock and emotion of a life-changing event. St. Judebecame their home away from home. Natalie, Donna's older sister byone year, visited her sister weekly as she continued her studies at Hillcrestand lived with her Aunt.

Donna's illness seemed to happen overnight. “Donna was not a sickchild,” says Susan. But, the family suddenly faced a horrible situation andwhich led them to St. Jude. “When we arrived at St. Jude we knew wewould be okay,” said Susan. “They gave us hope and let us know theywere going to do everything they could do.”

“No one pays,” says Fred, “we had been at St.Jude for two or three weeks before we were askedabout our insurance.” St. Jude's policy is to billthe family's insurance provider, if available, in theallowable amount and then provide everythingelse free.

Donna, and the entire Cathcart family, receivedexcellent care. “The doctors and all the staff at St.Jude were caring. They would help us focus on

and live for the day – it was all about the good days,” shared Susan. Withfull support from “Make-A-Wish” Donna's wish to watch a live episodeof the sitcom “Full House” and to meet the Olsen twins was fulfilled.

Donna died peacefully at home the Saturday afterThanksgiving. She wassurrounded by her loving family.

Fred and Susan knew immediately that they wanted to do something tohonor Donna and give back what had been so graciously given to them.They organized a crawfish boil on Super Bowl Sunday at the 501 Club& Restaurant to raise money for St. Jude Children's Research Hospital.“We had no idea how difficult it would be to get crawfish at that time ofyear, so we mostly served shrimp,” laughed Fred. There were about 500in attendance and $14,000 raised for St. Jude in the first year. By thethird year, the St. Jude Super Bowl S'travaganza had outgrown the 501Club and was moved to a larger venue. In the seventeen years of thisfundraiser, with this year raising $255,000, more than $2 million hasbeen raised and donated to St. Jude.

Fred and Susan work to accomplish two goals: To raise awareness aboutSt. Jude Children's Research Hospital and to raise money forSt. Jude. They are vocal about the community of volunteersit takes to accomplish those goals. “People are giving andsupportive,” says Fred, “We could not do any of this withoutthe help of our family, friends, and the countless volunteersthat show up and make it happen.”

The Cathcart's think about the happymemories now and aregrateful for the nine years they had with Donna. “I got to beDonna's mother,” shared Susan, “and I cherish that time.”

Susan & Fred Cathcart

WHO ARE FRED & SUSAN CATHCART...


For the second consecutive year, NEA Baptist CharitableFoundation's Center for Healthy Children has receivedfunding to provide a free exercise and nutrition education

program to elementary and middle school students. TheNEABCF After School Program (ASP) is a six week program thattakes place within various schools in Northeast Arkansas. Duringthe six weeks, as many as 65 students gather in their schoolgymnasium for fun, games and lots of physical activity.

Blue and You Foundation funds Center for Healthy ChildrenAfter School Program

The purpose of NEABCF ASP is to provide additional exercise tostudents who may not be active for the remainder of the day onceschool is dismissed. It is common for kids to stay inside and watchTV, play video games or use the computer during the majority oftheir time spent at home after school. NEABCFASP provides funactivities for students to engage in with friends immediately afterschool. Beyond the six weeks, it is a goal to make after schoolexercising a habit for many families.

During the six week program, students undergo several pre and postmeasurements. One tool is a questionnaire that evaluates thoughtsand opinions on foods, exercise and overall health. Anothermethodof measurement is fitness testing. Students are evaluated on push-ups, sit-ups and a shuttle run. Fitness improvements and positiveattitudinal changes towards diet and exercise are common among thestudents that complete the six week program. In addition, studentsreceive an NEABCF ASP t-shirt and a notebook full of nutrition information, resources and games.

The first session of the 2010 NEABCF After School Program was held at Nettleton's Fox Meadow Intermediate Center in Jonesboro.Session 2 will take place at Greene CountyTech Elementary in Paragould. Plans for the beginning of next school year include Jonesboro'sHealth,Wellness and Environmental StudiesMagnet School.The program is provided free of charge for students interested in increasingphysical activity and learning to embrace a healthy lifestyle. For more information on NEABCF ASP or other programs of NEA BaptistCharitable Foundation Center for Healthy Children, please visit our website at www.neacfoundation.org or call 870-336-1760.



CHILDREN



Triumph of the Human Spirit celebrated the livesof eight individuals with an evening highlightedby music, laughter, smiles and a few tears. For

the sixth year The Sun and NEA Baptist CharitableFoundation’s HopeCircle honored individuals who havefaced adversity and illness and used their experiences topositively affect the lives of others.

Teresa Ashley, Raul Blasini, Mickey Bridger, Rick andNakostta Dement, Lora Mason, Carrie Mae Snapp andSarah Smith were nominated and then selected forrecognition by a committee of past recipients andcommunity leaders.

This year’s honorees exemplify how the power of the humanspirit can face and overcome apparently insurmountableobstacles. They were selected for the way they handleddifficult circumstances and impacted family, friends andsometimes strangers.

Ovarian cancer, prostate cancer, a brain tumor, loss of aninfant, kidney and liver transplants are some of the difficultiesthe honorees faced with grace and courage. Attendees wereinspired and encouraged by the stories as shared by emceeDiana Davis.

Each honoree received a piece of original art from artist GimaJansen, entitled Circles of Life.

Contributing to the success of the evening were HomeHealth Profesisonals and Hospice, Inc., Hilton Garden Inn,Harmony Gardens, NEA Baptist Clinic, Nettleton EAST,John Miles, The Sun, NEABCF HopeCircle volunteers andDr. Dan Ross and friends.

June MorseHopeCircle Program Manager


BIKERCLASSIC.COMBIKERCLASSIC.COM32. NEA HEALTH • Spring/Summer 2010




Elmwood AbrahamPenny King

Fintan BaltzBob & Pern Eubanks

Matt BibbK. Bruce Jones, MDNEA Baptist Physicians &Staff

TylerWilliam BonjourLarry & Barbara PettyContinental ComputerCorporation

Almeda BonnerMichael Isaacson, MD

Mary BradsherD.V. Patel, MD

Clarence BrandMichael Isaacson, MD

Matthews ChildersClyde & Pam RheaKathy GardnerRonald & PamTowery

Vetrie DyerD.V. Patel, MD

Nona FordDawn Schulz

Ladon HalseyMichael Isaacson, MD

Jackie HilburnNEA Baptist CharitableFoundation Board & Staff

Roy HintanMichael Isaacson, MDRay Hall, MD

Euguen HopkinsMichael Isaacson, MD

Jerry HubbardMichael Isaacson, MD

Jewel JarretMichael Isaacson, MD

Charles KnightMichael Isaacson, MD

Shelly MartinWindover Baptist Church

Tommy MartinUnion GlassSherry StoneThe Steel Yard, Inc.John, Mary, Lee &MaryKathryn MarcomKaren & Bill SlicerC.L. TempletonJonesboro Prosthetic &Orthotic Lab

Thomas Martin, Jr.Michael Isaacson, MD

Bessie McClaughlinMichael Isaacson, MD

Randy McGrewD.V. Patel, MD

Ruben MitchellAnthonyWhite, MD

Jerry MooreMichael Isaacson, MD

Robbin NeeceThe GreensmanDoug Jensen

George NothernRay Hall, MD& Staff

Auston Pasquith IIID.V. Patel, MD

Paul PickleAnthonyWhite, MD

Mary Cooper PittsShireen Fogleman

Delsma ReaganMichael Isaacson, MD

Lois ReedD.V. Patel, MD

Henry StollAnthonyWhite, MD

William StovallMichael Isaacson, MD

Alberta TateRay Hall, MD

Evert TateMichael Isaacson, MD

Parker Gavin TaylorGary & Joyce Rose

Angel Michelle TimmsAmanda Adcock

Marvin TreadwayMichael Isaacson, MD

Jane TurneyDr. &Mrs. StephenWoodruffD.V. Patel, MDRay Hall, MD

Orma VincentWindover Baptist Church

Dr. FredWagnerMr. &Mrs. Scot Davis

ForrestWidelAllen & Gloria Nixon

PatWilliamsMaryWegert

MaryWillisK. Bruce Jones, MD

FernWoodardRay Hall, MD

Memorials 2009 Fall/Winter *

Dr. &Mrs. Jason BrandtMary Margaret Scholtens

Dr. Amy SteinCharles &Tommye Givens

Cardio PartnersD.V. Patel, MD

Honorariums - 2009 Fall/Winter *

mail it to NEA Baptist Charitable FoundationPO Box 1960, Jonesboro, AR 72403or make online donations at www.neacfoundation.org

The perfect gift for any occasion!Contribute a Memorial or Honorarium

Donors are taking creativeapproaches to supportingNEABCFHopeCircle and its

programs for families living through acatastrophic illness. A recently diagnosedpatient, Diane Blackwood, used herdiagnosis and her friends’ efforts tosupport her, as an avenue for providingitems for NEABCFHopeCircle.

Family and friends held a “ChemoParty” for Diane. Yarn for afghans &caps, books, hats and money werecollected and contributed to NEABCFHopeCircle in Diane’s honor. At theparty, Diane talked about her experiencesat NEABCFHopeCircle and attendeeslearned more about the various servicesand programs.

Chemo PartyGenerates Itemsfor HopeCircle

*Donations given fromAugust - December 2009


3 heads garlic2 tablespoons olive oil1 1/2 tablespoons snipped fresh rosemary1 teaspoon ground black pepper1/2 teaspoon salt

1 (3 to 3 1/2 pound) whole roasting chicken3 medium sweet potatoes (1 1/2 to 1 3/4 pounds),peeled and cut into 1-inch pieces

1 large sweet onion (such as Vidalia, Maui, orWallaWalla),cut into wedges

Directions:Preheat oven to 375° F. Separate the cloves of garlic (you should haveabout 30 cloves) and peel. Mince four of the cloves. Set asideremaining garlic cloves. In a small bowl, combine minced garlic with1 tablespoon of the olive oil, 1 tablespoon of the rosemary, theground black pepper, and 1/4 teaspoon of the salt. Rub minced garlicmixture over chicken. Place six of the garlic cloves into the cavity ofthe chicken. Tie legs to tail. Twist wing tips under back.

Place on a rack in a shallow roasting pan. Insert oven-going meatthermometer into center of an inside thigh muscle. Do not allowthermometer tip to touch bone. Roast, uncovered, for 1 1/2 to 1 3/4

hours or until drumsticks move easily in their sockets andmeat thermometer registers 180°F.

Meanwhile, place sweet potatoes, onion wedges, remaininggarlic cloves, 1/2 tablespoon of the rosemary, and 1/4 teaspoon ofthe salt in a 13x9x2 inch baking pan. Drizzle vegetable mixture withremaining 1 tablespoon olive oil; toss to coat. Place in oven on aseparate rack and roast, uncovered, for 50 to 60 minutes or untiltender, stirring every 15 minutes.

Remove chicken from oven. Cover loosely with foil and letstand 15 minutes before carving.

Serve chicken with vegetables. Carve chicken; discarding skinbefore serving.

Nutrition Facts per serving:Calories 393; Total Fat (g) 12; Saturated Fat (g) 2; MonounsaturatedFat (g) 7; Polyunsaturated Fat (g) 2; Cholesterol (mg) 119; Sodium(mg) 481; Carbohydrate (g) 30; Fiber (g) 4; Protein (g) 40

American Heart Association Recipe


Garlic Chicken with Sweet PotatoesMakes: 4 to 6 servings. Prep: 25 minutes. Roast: 1 1/2 hours

Beef FajitasMakes: 4 servingsPrep/Chill: 2 hoursCook Time: about 5 minutes

This classic southwestern-style beef dishis a perfect low-fat supper, as long as youuse fat-free sour cream.

3/4 pound boneless beef round, trimmed&cut into strips1/4 cup fresh lime juice1 tsp. ground cumin1 tbsp. chili powder1 garlic clove, crushed1 tbsp. canola oil

1 yellow pepper, seeded& cut into strips1 red bell pepper, seeded& cut into strips1 red onion, thinly sliced4 fat-free whole-wheattortillas, warmed1/2 cup salsa4 tbsp. fat-free sour creamChopped cilantro to garnish

Directions:Combine lime juice, cumin, chili powderand garlic in a glass dish. Add beef andtoss to coat. Cover with wrap andmarinate in the refrigerator for 2 hours.Remove beef strips and discard marinade.

In a large nonstickskillet, heattablespoon of oil.

Add beef strips, bellpeppers and red onion,

stirring and tossing until beefis cooked - about 5 minutes.

Divide fajita mixture among fourtortillas. Garnish with salsa, fat-free sourcream and cilantro, and roll tortillas up.

Nutrition Facts per serving:Calories 253; Total Fat (g) 6.7; SaturatedFat (g) 1.2; Cholesterol (mg) 45; Sodium(mg) 269; Carbohydrate (g) 25.8; Fiber(g) 11.4; Protein (g) 22.2

American Heart Association Recipe


Do you reallyknow what's onyour plate?

Unfortunately, consumers cannot always trust the frontadvertisement on food packages. That is exactly what it it – anadvertisement! Claims on the front of food packages may indicatethat a product is “a good source” of a certain nutrient, or “less” or“lower” in calories, sodium or fat. These claims are subjective! Forexample, if a brand of soup claims it contains less sodium than theirprevious soup, it may still be a high sodium food. If a fruit drink claimsit contains a lower amount of sugar or something like 25% less sugar,it may still contain unhealthy amounts of sugar. A dairy product mayclaim to be a good source of calcium, but only contain 10% per serving(milk contains 30% per serving). However, if you were planning topurchase the food anyway, of course the less or lower amount wouldbe a better choice. But don't be tricked into thinking that you arebuying something that is “good” for your body because of these claims.

The US Food and Drug Administration (FDA) regulates food labeling.It is required to properly label most prepared foods, such as breads,cereals, canned and frozen foods, snacks, desserts, drinks, etc.Nutrition labeling for raw produce (fruits and vegetables) and fish isvoluntary (www.fda.gov). In recent years, the FDA has improved it'slabel laws by putting some restrictions on front package claims. It isstill important for consumers to know what they are looking for onlabels. Here are some guidelines to help you when shopping:

• The most important thing you will ever read on a food label is theSERVING SIZE! Without it, none of the other information willadd up correctly

• Avoid large amounts of saturated or trans fat and sugar

• For vitamins andminerals – Aim for at least 15%

• In whole grains – Look for at least 1 gram of fiber per 50 calories

• In a 2,000 calories per day diet – Aim for each meal to be around500 calories, and 2 snacks of around 250 calories. Don't forget toadd the calories you drink!

• Do themajority of your shopping on the outside isles of the grocerystore.This is where you will find fresh fruits and vegetables, meats,dairy and bread. The inside isles contain prepackaged, processedfoods that have many hidden ingredients that can be unhealthy.

It may feel like it is taking you far too much time to shop when youbegin reading food labels, but it is worth it! And becoming familiarwith products that you have read and trust will speed up the process.

– Laura Taylor, NEABCF Center For Healthy Children Manager




Michael Raborn, MD

Finally. Relief to leg pain & varicose veins.

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

Clinically proven, minimally invasive ways to treatvaricose 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

Within 24 to 48 hours afterlearning new concepts,students often begin to

forget information unless it isreinforced or applied immediately.That’s why, during school breaks, eventhe best students forget lessons theyhave learned during the school year.

While a break from school is great forrecharging your children’s batteries, ifstudents aren’t using the skills theyacquired in the classroom, they could find

themselves lagging behind once the school bell rings again. SylvanLearning center offers great ways to help your child continue to learn,in a fun way, when away from the classroom.

Writing - Encourage your child to start a diary or write letters to agrandparent or friend. If you are traveling on a vacation, ask your

child to keep a travel journal recordingwhere you stayed andwhat youdid. At the end of every day, talk through the activities with your childand help him or her with a journal. It not only improves writing skills,but also creates great family memories.

Mathematics - Helping mom or dad with grocery shoppingdevelops opportunities to use math skills, such as making change,

weighing fruits and vegetables, etc. Providing assistance with cookingcan also familiarize children with weights and measures, organizationand planning and following a recipe. Perhaps you and your childrencould make a special dessert for the whole family. Help them pick arecipe, create an ingredients list and go shopping together.

Reading - You can’t start too early. You can’t read too much.Reading to young children nurtures an interest in language, words

and communication. For older kids, reading together can be fun andinteresting. Children also learn by example. If parents are setting timeaside to read, it reinforces the fun and enjoyment of reading. Locallibraries offer infinite resources for children. Librarians can recommendbooks appropriate for your child’s reading level and interests, andmanylibraries offer free children’s programs and clubs. There are anabundance of sites that provide reading lists for children. Atwww.bookadventure.com, children (K-8) create personalized bookslists from more than 7,000 recommended titles, take quizzes on thebooks they’ve read at school or at home, and earn prizes for their readingcomprehension.

Academic Camps -There aremany enrichment activities availablefor childrenwhen school is out-of-session. Sylvan LearningCenter

offers engaging programs that keep the interest and fun in learning alivethrough the summer and into the school year.

Ashley Hill, Sylvan Learning Centerwww.JonesboroSylvan.com

How to Make the Most, Academically,of Your Child’s Summer Break


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.

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

tist.org and subscribe to the My Baby Expectations e-newsletter. You’ll get free

month-by-month information about the changes you’ll experience, delivered right

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

It’s all part of the benefit of NEA Baptist.

Delivering an exceptional experience.

Clark- born June 2009 atNEA Baptist Memorial Hospital

www.neabapt i s t . com


ANESTHESIOLOGYAlfonso Aquino, MDOksana Redko, MDLarry L. Patrick, MDReagan Barber, MD3024 Stadium (870) 972-7390

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

CARDIOVASCULAR &THORACIC SURGERYJames A. Ameika, MDDeborah Fairchild, APN3100 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

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

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

Diabetes CenterBilinda Norman, 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, 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, MDSara Lamberson, 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

NEUROSURGERYRobert Abraham, MDKenneth Tonymon, MDRebecca Barrett-Tuck, MD3100 Apache, Suite A (870) 935-8388

OBSTETRICS &GYNECOLOGYCharles L. Barker, MD, PhD, FACOGMark C. Stripling, MD, FACOGCharles C. Dunn, MD, FACOGNorbert Delacey, MD, FACOGMichael Hong, MD, FACOGLorna Layton, MD, FACOG3104 Apache (870) 972-8788

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

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

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

OTOLARYNGOLOGY (ENT)Bryan Lansford, MD3100 Apache, Suite B2 (870) 934-3484

Hearing CenterAmy Stein, AuD, CCC-A3100 Apache, Suite B2 (870) 934-3484

WOODSPRINGS2205 W. Parker Rd.(870) 910-0012

LATE NIGHT URGENT CARE1111 Windover(870) 910-6040

open late Mon - Fri

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

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

PHYSICAL THERAPYJeff Ramsey, PTGail Williams, PT1007 Windover (870) 336-1530

PLASTIC &RECONSTRUCTIVESURGERYW. Tomasz Majewski, MD, FACSMelanie Greeno, ICT3100 Apache, Suite B3 (870) 934-5600

PODIATRYChris Rowlett, DPM1007 Windover (870) 932-6637

PULMONOLOGYWilliam Hubbard, MDMeredith Walker, MD311 E. Matthews (870) 935-4150

RADIOLOGYJeffrey S. Mullen, MD3100 Apache (870) 934-3533

John 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) 219-7685

WELLNESS CENTER2617 Phillips (870) 932-1898

WOUND CARE CENTERJames Fletcher, MDNEA Baptist Clinic - Windover(870) 935-543

HILLTOP4901 E. Johnson(870) 934-3539

PARAGOULD4700 W. Kingshighway

(870) 240-8402

A location near youopen 7 days a weekNo Appointment Necessary

WINDOVER1111 Windover(870) 935-9585

STADIUM3003 Apache Drive(870) 931-8800

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, MDNathan 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

TrumannAlison Richardson, MDBrannon Treece, MD305 W. Main, Trumann(870) 483-6131

Lake CityAngie Fowler, APN208 Cobean, Lake City(870) 237-4100

Cherokee Village51 Choctaw Trace, Cherokee Village(870) 856-2862

ParagouldChris McGrath, MDKenneth Tonymon, MD (Neurosurgery)David L. Phillips, MD (General Surgery)William Long, MD, PhD (Neurology)Paragould Clinic & Urgent Care4700 West Kingshighway, Paragould(870) 240-8402


nea health - spring/summer 2010

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