Lives are transformed and extraordinary outcomes achieved through the constant pursuit of medical excellence at MCLeod.

Views InsideAt McLeod Health, our vision is to be The Choice for

Medical Excellence in the eyes of our Patients, our Physicians

and our People. Our Core Values of Caring, The Person,

Quality and Integrity are not mere words, but a culture of

dedication to an unrelenting vocation of service.

As we look forward to a New Year, McLeod Health

remains committed to advancements in treatment, research,

technology and specialized services, offering medical

excellence to all those who entrust us with their care.

We consider it a privilege to improve the health of our communities, providing

access to exceptional service and clinical excellence, from the Midlands to the Coast.

Our physicians, patient care providers and healthcare professionals are dedicated to

meeting the needs of the whole person on their journey to recovery.

Creating authentic relationships with those receiving care as well as with their

families is an integral part of our mission. We strive daily to improve the patient

experience, understanding that those who seek us deserve the best medicine,

compassion and comfort.

In each issue of the McLeod Magazine, we recognize and pay tribute to remarkable

challenges, outcomes and victories by listening to the voices and hearts of our

patients. Thank you for joining us and making our McLeod family a part of yours.

Rob Colones

Rob ColonesPresident, McLeod Health

is published by

McLeod Health, Florence, S.C.

Rob ColonesPresident and CEO, McLeod Health

Jumana A. SwindlerEditor, Vice President of Communications

& Public Information

Tracy H. StantonCo-Editor, Coordinator of Publications

Contributing Writers:Jennifer Beverly, Julia Derrick, Kristie Gibbs,

Jaime Hayes, Jennifer Hulon, Carrie Anna Strange,Shaw Thompson, Jessica Wall,

Tammy White and Arielle Williams

Photographers:Sidney Glass, Chief Photographer

Doug Fraser, Megan May

Design and Printing:Sheriar Press, Myrtle Beach, S.C.

©2017 by McLeod Health.All rights reserved. For permission to reprint,

contact McLeod Publications.(843) 777-2592 • www.mcleodhealth.org

4 ROBOTIC-ASSISTED SURGERY PROVIDES OPTIONS FOR PATIENTS

8 TCAR: A BIG NAME IN STROKE CARE

10 LIVING LIFE TO THE FULLEST

12 SAVING CAPTAIN HOWARD

15 TARGETING NERVE PAIN

18 IN GOOD HANDS

21 MOVING IN THE RIGHT DIRECTION

24 CRUISING TO RECOVERY

26 A BROADER SCOPE

29 EVOLUTION OF CANCER CARE

32 2017 CANCER REPORT

36 ONE COMMON GOAL

38 ENHANCING EMERGENCY CARE

40 REINVENTING “HOUSE CALLS”

42 McLEOD NEWSCRUISING TO RECOVERY | PAGE 24

EXCEPTIONAL SURGICAL CARE | PAGE 4

TARGETING PAIN | PAGE 15

FLORENCE | CHERAW | CLARENDON | DILLON | DARLINGTON | LORIS | SEACOASTMcLeod Regional

The Hospitals of McLeod Health2

Exceptional Surgical Abilities Coupled with Enhanced TechnologyROBOTIC-ASSISTED SURGERY PROVIDES OPTIONS FOR PATIENTS

by Kristie S. Gibbs

McLeod Regional Medical CenterRobotics Coordinator JuleidyTurnipseed, PAC, aligns therobotic camera scope whichprovides the 3-D visualization for the surgeons.

McLeod Surgeons utilize the latestsurgical advances and techniques and haveaccess to the finest in technology andsurgical equipment. Their abilities evolvewith the development of new instruments,procedures and processes.

Surgery, like all fields of medicine, isforever changing. There are choices forpatients: traditional open surgery,minimally invasive laparoscopic surgery orrobotic-assisted surgery. Today, surgeonsare performing procedures that offershorter hospital stays, smaller scars, lesspain and a quicker return to normalactivities.

In minimally invasive surgery, thesurgeon performs the procedure throughtiny incisions with the use of minimallyinvasive instruments. The instrumentsfunction as the surgeon’s hands and alaparoscopic camera allows the surgeon toview the inside of the body. The camera’s

image is projected onto a monitor in theoperating room for the surgeon to viewwhile performing the surgery.

Robotic-assisted surgery is a form of minimally invasive surgery. It allows the surgeon to perform many types ofcomplex procedures with more precision,flexibility and control than is possible with traditional techniques.

Like minimally invasive surgery,robotic-assisted surgery is performedthrough a few small incisions. Duringsurgery, the surgeon controls the robot’severy move while seated at a console in theoperating room. The surgeon’s hand, wristand finger movements guide the robotmanipulating the surgical instrumentsinside the patient. The robot becomes anextension of the surgeon’s hands. Thesurgeon views the surgical site through a high-definition 3-D camera. Thismagnified imagery provides enhanced

visibility and improved precision for exacttreatment and greater dexterity for thesurgeon.

At McLeod, robotic-assisted surgery isa team approach with a designated teamof operating room staff specially trainedto work with each surgeon and surgicalspecialty. The robotic-assisted surgicalteam consists of a physician assistant,operating room nurses, and surgicaltechnologists in addition to the surgeon.

According to many surgeons, robotic-assisted surgery has taken minimallyinvasive surgery to the next level. Thistechnology is exciting for both physiciansand patients when this type of proceduremeets the appropriate criteria for thatstandard of care. In all surgical cases,superlative outcomes are based on theskills and expertise through the hands of a great surgeon.

Robotic-assisted surgery provides many benefits to the patient including:

Conditions treated include:

Robotic-assisted surgery, like minimally invasive surgery, is not for everypatient. Only a physician can determine if it is the right surgical option.

McLeod Surgeons utilize the daVinci Robotic SurgicalSystem when performingrobotic-assisted surgery.

n Less Painn Minimal Scarringn Shorter Hospital Stayn Faster Recovery

n Quicker Return toNormal Activities

n Less Blood Loss

n Hernian Gallbladdern Colon Cancern Reflux Diseasen Prostate Cancern Kidney Diseasen Lung Cancern Esophageal Cancer

n Tumors n Congenital or Acquired

Ureter Diseasen Bladder Cancern Vaginal Prolapsen Endometriosis n Hysterectomy

Healing comes in many forms. It can be physical. It can be emotional. It can be

spiritual. Surgeons are healers of the body. Their minds are sharp and incisive and

their hands are strong and steady. They use instruments and techniques to restore

the body and reduce pain.

4 5

76

McLeod Health expands its nationally recognized surgical program to include robotic-assisted surgery. This surgical option,like minimally invasive surgery, is an alternative to traditional open surgery and is performed by McLeod General Surgeons,Urologists, Gynecologists and a Thoracic Surgeon. All McLeod Surgeons are well trained and experienced in their field ofmedicine. Those who offer robotic-assisted surgery as an option for their patients have undergone additional specializedtraining. McLeod Surgeons perform robotic-assisted surgery at McLeod Regional Medical Center and McLeod Seacoast.

McLEOD REGIONAL MEDICAL CENTER

McLEOD SEACOAST

The McLeod Seacoast robotic-assisted surgery team, pictured left to right: Mary Frances Stevens, Certified Surgical Technologist (CST)and First Assist; Eileen Custy, RN, Robotics Coordinator; Bob Porter, CST; and Crystal Swisher, CST.

The McLeod Regional Medical Center robotic-assisted surgery team pictured left to right: Juleidy Turnipseed, PAC, Robotics Coordinator;Adelia Sebnick, Certified Surgical Technologist (CST); Jill Coleman, CST; Crystal McFadden, CST, June Waters-Barnes, RN; LacreshaJohnson, CST; and Lydia Bilder, RN.

Performing robotic-assisted surgery requires the expertise of a highly skilled operating room team. These well-trainedteams at McLeod Regional Medical Center and McLeod Seacoast support all robotic-assisted trained surgeons during eachrobotic procedure. The members of the McLeod teams underwent extensive training with other robotic surgical teams.Each member worked with their respective counterparts to learn their role. Once trained individually, the group trainedtogether to unify their expertise and work as one unit. The team supports the surgeon and the surgeon relies on the teamand trusts in their knowledge and skill. Each person is valuable and essential to ensuring quality of care and safety for the patient.

Dr. Amy MurrellPee Dee Surgical Group

Urologist

General Surgeons

Dr. Robert Santa-CruzMcLeod UrologyAssociates

Dr. Craig SelanderPee Dee Surgical Group

Dr. John SonfieldPee Dee Surgical Group

Dr. Nicholas WhitePee Dee Surgical Group

Dr. Paul ChandlerMcLeod Women’sCare

Dr. Michael DavidsonMcLeod Women’sCare

Dr. Charles TatumMcLeod OB/GYNAssociates

Gynecologists

Dr. Lewis DickinsonMcLeod Loris SeacoastSurgery

General Surgeon

Dr. Timothy GajewskiAtlantic Urology Group

Urologist

Thoracic Surgeon

Dr. C. Wayne HolleyMcLeod Cardiothoracic Surgical Associates

Dr. Gary H. EmersonMcLeod OB/GYNAssociates

Dr. Candice GreenanMcLeod OB/GYNAssociates

During this procedure, the McLeodVascular Surgeon exposes the carotidartery through an incision on the side ofthe neck. The artery, after being clampedon both sides of the blockage, is thenopened to access the plaque. The plaque isremoved from inside the artery and theartery then sewn back together.

“This is an effective treatment fordecreasing the risk of stroke,” said McLeod Vascular Surgeon Dr. Christopher Cunningham. “However, some patients have medicalconditions that place them at high risk for carotid endarterectomy.”

For these patients, a new procedure called Transcarotid ArterialRevascularization (TCAR) is nowavailable. During the procedure, a McLeod Vascular Surgeon (Dr. Christopher Cunningham, Dr. Carmen Piccolo, Dr. Eva Rzucidlo, Dr. Joshua Sibille or Dr. Gabor Winkler)makes a very small, one-inch incision bythe collarbone to gain access to the blockedartery while the patient is under localanesthesia.

“Candidates for this procedure wouldbe patients who have a tight narrowing ofthe artery to their brain or who have had aprevious stroke,” said Dr. Cunningham.“TCAR is also a more viable option forpatients who have medical conditions thatwould prohibit them from undergoing anopen procedure like the carotidendarterectomy.”

To divert any dangerous debris thatmay break loose during the procedure, the blood flow in the carotid artery istemporarily reversed. A soft, flexible tube,placed directly into the carotid artery,connects to a filter system that directs theblood flow away from the brain andcaptures fragments of plaque that maycome loose during the procedure. Theblood is filtered and returned through asecond tube placed in the patient’s thigh.

This filter system also allows stenting tobe performed to clear the blockage in thecarotid during the blood flow reversalprocess. A stent, a tiny mesh wire tube,implanted inside the carotid artery,

Stroke, a leading cause of serious, long-term disability in the United States ranks as the

fifth leading cause of death in South Carolina. In an effort to decrease the risk of stroke

for patients who may not be a candidate for other stroke treatments, McLeod offers a

new minimally invasive procedure to treat carotid artery disease.

by Tammy White

98

stabilizes the blocked area. The stent staysin the artery permanently to hold theartery open. After securing the stent, thefilter system is removed and blood flow tothe brain resumes its normal direction.

“Recovery time for this procedure isshort since the incision is so small,” saidDr. Cunningham. “Because we repair theartery to the brain it is a serious procedure,but from a recovery standpoint, really veryminor. It only requires an overnight stay inthe hospital and most patients return totheir normal activities within a week.”

After the TCAR technology underwenttesting and clinical trials, the results were so powerful that the FDA approvedand released it to programs like theMcLeod Heart and Vascular Institute,

who have an established Carotid StentingProgram and serve as members of theVascular Quality Initiative for SouthCarolina. Being part of a quality initiativemeans McLeod compares the results of allof its vascular cases with its peers bothregionally and nationally.

“We were fortunate to have beenselected as the first class of surgeons inSouth Carolina to complete the FDAtraining,” added Dr. Cunningham. “TCARis available to patients in the region atMcLeod Regional Medical Center andMcLeod Seacoast. My partners and I arepleased to be a part of a healthcare systemthat cares about staying abreast of cuttingedge technology to offer our patients thebest in stroke and vascular care.”

Transcarotid Arterial Revascularization Procedure Now AvailableTCAR

The carotid arteries, the main arteriesto the brain, carry blood flow on each sideof the neck up into the brain. Theirfunction is to provide oxygen.

Over time, people develop problemswith the arteries to their brain inthe form of blockages as plaquebuilds up in the walls oftheir carotid arteries. This plaque consists ofcholesterol, calcium and fibrous tissue.

As the plaque increases, the arteriesnarrow and eventually the build up ofplaque reduces the blood flow through thearteries. If those blockages get severeenough they can cause a stroke.

Ischemic strokes account for 80 to 90 percent of strokes with

an estimated 20 to 30 percentcaused by disease in thecarotid arteries.

Carotid artery disease is a serious issuebecause blood clots can form on theplaque, and if a clot or a piece of plaquebreaks loose and travels to the brain it can block the blood flow to the brain.

Carotid endarterectomy, a procedure to treat carotid artery disease, is performed by the Vascular Surgeons of McLeod Vascular Associates.

McLeod Vascular Surgeons, Dr. Christopher Cunningham and

Dr. Carmen Piccolo, protect the patient from suffering a stroke by temporarily

reversing the blood flow from the brain intothe patient’s thigh during the Transcarotid

Arterial Revascularization (TCAR) procedure.

“We were fortunate to have been selected as thefirst class of surgeons in South Carolina tocomplete the FDA training. TCAR is available to patients in the region at McLeod RegionalMedical Center and McLeod Seacoast.” – Dr. Christopher Cunningham

The McLeod SurgicalTechnician prepares the

filtering system used duringthe Transcarotid Arterial

Revascularization procedure.

10

LIVING LIFEJeremy Van Allen, a 39-year-old Sergeant with the Sumter Police Department,

never thought his shoulder pain was a sign of heart trouble. He attributed his fatigue

and shortness of breath while throwing the football with his son to not being as

physically fit.

by Carrie Anna Strange

“Looking back, I had multiple signsthat something was wrong,” said Jeremy.

Experiencing shoulder pain and backpain, Jeremy initially brushed it off asindigestion. But, to be safe, he decided tomake an appointment with his primarycare doctor. After examining Jeremy, hisdoctor ordered a stress test for thefollowing week.

A few days later, Jeremy’s shoulder

pain intensified, and he told his wife,Gwen, “we need to go to the hospital.Something is wrong. I just don’t feelright.”

The couple quickly made their way to the Emergency Department atMcLeod Health Clarendon. Immediatelyupon arrival, Jeremy started havingsevere chest pain. The EmergencyDepartment staff rushed him back intoan exam room suspecting a cardiac issue.The medical team performed an EKGand drew labs on Jeremy. The test resultsindicated that Jeremy had experienced acardiac event.

Jeremy Van Allen was determinedto get back in heart healthycondition to meet the physicaldemands of his role with theSumter Police Department.

11

in the Cardiac Rehabilitation program atMcLeod Health Clarendon.

After a short recovery period, Jeremy completed 36 sessions of CardiacRehabilitation at McLeod Health Clarendon.Participation in the program helped himget back on his feet and rebuild hisstrength.

“Jeremy responded well to CardiacRehabilitation and exceeded his previouslevel of exercise tolerance,” said BettyDukes, the Director of CardiacRehabilitation for McLeod Health Clarendon.

“I haven’t felt this good in ten years,”said Jeremy. Eleven months later thanks to the quick response by the staff atMcLeod Health Clarendon, a change in hiseating habits and the addition of exercise --Jeremy is living life to the fullest.

He encourages others to pay attentionto what their body is saying, exerciseregularly and maintain a healthy diet.“Don’t ignore the signs. I’m here todaybecause I realized my shoulder pain wasmore than indigestion and I soughtmedical care.”

“Everyone should see a physicianregularly to evaluate their risk factors forheart disease,” added Dr. Lang.“These risk factors includehigh cholesterol, high bloodpressure, being a smoker, or having a family historyof heart disease.”

For both men and women, the mostcommon signs of a heart attack include:

• Pain or discomfort in thecenter of the chest

• Pain or discomfort in the arms,back, neck, jaw or stomach

• Shortness of breath

• Nausea

• Feeling faint

• Breaking out in a cold sweat

If you think you are having a heartattack, call 911. Never attempt to

drive yourself to the EmergencyDepartment. Emergency MedicalServices staff are trained to begin

heart attack treatment rightaway while enroute to thehospital.

“Everyone should see a physician regularly to evaluate their risk factors for heart disease.These risk factors include high cholesterol,high blood pressure, being a smoker, orhaving a family history of heart disease.”

– Dennis Lang, MD

Signs of a Heart Attack

The McLeod Health Cypress TransportAdvanced Life Support crew transportedJeremy to McLeod Regional MedicalCenter in Florence, South Carolina for an emergency heart catheterization.

McLeod Interventional CardiologistDr. J. Scott Wolery performed Jeremy’sheart catheterization. The procedurerevealed that Jeremy’s left anteriordescending artery had a 90 percentblockage and his right circumflex arteryhad a 70 percent blockage.

Dr. Wolery determined that Jeremywas not a candidate for a stent because of the location of the blockages. He called McLeod Cardiothoracic SurgeonDr. Michael Carmichael to confer withJeremy about surgical options.

Dr. Carmichael explained to Jeremythat he would need a coronary arterybypass graft (CABG), in which healthyblood vessels are used to bypass theblocked portions of the arteries, creatingnew pathways for blood to flow.

Dr. Carmichael performed coronaryartery bypass graft procedures on the twoblocked vessels leading to Jeremy’s heart.

After the surgery, Jeremy spent the nextthree days in the hospital surrounded bystaff that he says “were attentive to hisevery need.” Dr. Carmichael also advisedJeremy to follow up with Dr. Dennis Lang,a Cardiologist with McLeod CardiologyAssociates in Sumter.

During his follow-up appointment, Dr. Lang encouraged Jeremy to participate

1312

If you were fortunate to have participated as one of the 7,000 children who attended the

Florence County Sheriff ’s Department’s Camp Pee Dee Pride over the past 20 years,

then you had the pleasure of interacting with Captain Wayne Howard. A 44-year

veteran of the Sheriff ’s Department, Captain Howard has spent 22 years of his career

working with the community to help make the camp a reality for children.

Fundraising activities are vital to theexistence of Camp Pee Dee Pride. InMarch of 2017, the camp was just weeksaway from a major fundraising eventwhen the program’s dedicated leaderbecame ill.

Captain Howard was working in hisyard that Sunday afternoon in March. He suddenly began to feel hot, sweaty, and nauseous. His wife, Karen, called an ambulance to transport him to the McLeod Regional Medical CenterEmergency Department.

In the Emergency Department, it was discovered that Captain Howard’spotassium levels were too high and hisheart rate was too low. “High potassiumlevels can affect the rhythms of theheart,” said Dr. Katie Jennings, McLeod Emergency Services Physician.“We gave Captain Howard medicationsto help regulate these levels, but he wascritically ill and needed intensive caremonitoring.”

Captain Howard was admitted to theMcLeod Heart and Vascular IntensiveCare Unit. Shortly after arriving in theunit, his heart rate dropped to zero and his heart stopped beating. The nursesresponded quickly to begin chest

It was five days from his EmergencyDepartment arrival before CaptainHoward could remember any of thesetraumatic events. His first concern uponwaking was his wife. The ICU nurses told him he never asked about himself,his questions were always inquiringabout Karen. He wanted to make sureshe was okay.

His second concern was Camp Pee Dee Pride -- making sure thateverything stayed on track for a summerfull of fun for the children. From hisbedside, Captain Howard reached out tohis assistant, Investigator James Allen,

Saving the Life of

Captain Wayne Howard is pictured with some of the grateful campers from the 2017 CampPee Dee Pride season. From left to right: Elliott Glowe, Zachary Bennett, Jayson Flowers,Maycin Flowers and Ariel Bennett.

compressions, but Captain Howard’sheart started beating again on its own.

The Cardiac Catheterization team,along with McLeod InterventionalCardiologist Dr. Alan Blaker, wereimmediately alerted. Captain Howard’sheart rate was still dangerously low,which could have led into cardiac arrestat any moment. The nurses externallypaced his heart through the use of anexternal pacemaker to bring his heartrate up until the Catheterization Teamand Dr. Blaker could arrive.

“Captain Howard had come into theED with dangerously high potassiumlevels, which is what caused his heart tostop,” said Dr. Blaker. “Coupled with avery low heart rhythm, we needed to put in a temporary pacemaker. Thetemporary pacemaker served to protecthis heart until such time as McLeodElectrophysiologist Dr. Rajesh Malikcould implant a permanent pacemaker.Dr. Malik is a partner with Dr. Blakeralong with eighteen other cardiologiststhat provide cardiac care to patients in the McLeod Cardiology Associatesoffices located in Florence, Sumter, Loris, Little River and Myrtle Beach.

During the procedure, Dr. Blaker alsosearched for coronary blockages. Helocated several blockages at the front ofCaptain Howard’s heart and was able to repair one on the back of his heartwith a drug-eluting stent, according toDr. Blaker.

by Tammy White

C A M P P E E D E E P R I D E L E A D E R R E T U R N S T O T H E PA C K

Captain Wayne Howard reunites withMcLeod Emergency Services Physician Dr. Katie Jennings, who was part of theteam providing emergent care to CaptainHoward when he arrived at McLeod.

I can truly say I am here today because of the careI received at McLeod.” – Captain Wayne Howard

(Continued on next page)

1514

with the Florence County Sheriff ’sDepartment to ensure that the golftournament taking place in three weeks was all set.

“I have been a member of theMcLeod Health and Fitness Center for 15 years, exercising four times a week, somy physicians were not concerned withmy overall physical fitness,” explainedCaptain Howard. “They allowed me to delay my participation in CardiacRehabilitation until after Camp Pee DeePride as long as I didn’t overextendmyself, and I began a heart healthy diet.Fortunately, with the help of James and my support staff, it was anothersuccessful summer.

“This episode with my heart was verysurprising. Since the 2017 camp seasonhas ended I have been participating in

McLeod Cardiac Rehabilitation andworking closely with my physicians to make sure I stay healthy. I am soappreciative of everything the McLeod

doctors and nurses did to save my life. I can truly say I am here today because of the care I received at McLeod,” added Captain Howard.

Captain Howard recently visited with the nurses of the McLeod Heart and Vascular Intensive Care Unit who provided lifesavingcare to him. Pictured with Captain Howard from left to right: (first row) Vajiehah Shami, Meghan Wallace, Chelsea Crawford,Kayla Hewitt, and Adril O’Neal; (second row) Lauren Bailey, Priscilla Kizziar, Faith Scott, and Sandra Bazen.

Captain Wayne Howard had a 90 percent blockage in one of his coronary arteries.

AFTERBEFORE Targeting Nerve Pain with Precision

Some people live every day in fear of a sudden attack of intense pain shooting up from

their jaw and across their face. Often, they turn to a dentist because their symptoms

mimic a toothache. They are unaware that the source of their pain is a nerve located

millimeters from the brain stem that transmits sensations from the face to the brain

and controls the muscles used for chewing.

by Tracy H. Stanton

(Continued on next page)

“In my early 20s, I began experiencingsevere pain in my jaw and my face,” saidDebbie. “I thought it was related to my teethso I went from dentist to dentist seekingrelief. I would undergo root canals, but thepain always remained after each procedure.

“The next course of action includedextracting teeth one at a time to determinewhich tooth was the source of the pain.Eventually, all of my teeth were extracted,replaced with dentures when I was 52, yet I still suffered from excruciating pain.”

Debbie Floyd experienced thisdebilitating pain and the loss of her teethover a span of nearly 30 years. She finallyfound relief in the form of a very preciseradiation procedure that is typically usedto eradicate cancer.

Debbie Floyd plays the piano at All Saints Church in Florence. After undergoing treatment fortrigeminal neuralgia at McLeod, shecan finally sing with her studentswithout experiencing any pain.

16

A talented music teacher andperformer on stage and in church,Debbie said the worst part was how thepain would take over her life. “It causedme to be agitated and irritable. I simplywanted to be left alone when the painkicked in.

“As a result, I avoided socializingbecause I never knew when the painwould hit. At school, if the pain occurredwhile singing with the children I wouldhave to stop and wait for it to subsidebefore we continued.”

Debbie explained that anything couldtrigger the pain -- eating, talking, a puff of wind, brushing her hair or the watersimply hitting her face in the showercould cause it to flare up. “I couldsometimes go up to four or five weekswithout the pain then it would returnwith a vengeance to the point that I couldhave an attack of pain every day for amonth. The only time I did not feel thepain was when I was asleep.”

Debbie heard of trigeminal neuralgiaduring a conversation one day withsomeone whose spouse had experiencedthe same type of pain. “Once I startedresearching the condition, I immediatelythought to myself ‘this is what is wrongwith me.’”

Trigeminal neuralgia is a chronic paincondition that affects the fifth cranialnerve also known as the trigeminal. Oneof the most widely distributed nerves inthe head, the condition causes extreme,sporadic, shock-like or sudden burningfacial pain. The trigeminal nerve is one of 12 pairs of nerves that are attached tothe brain. The nerve has three branchesthat conduct sensations from the upper,middle and lower portions of the face aswell as the oral cavity to the brain.

Blood vessels pressing on the root ofthe trigeminal nerve are often the maincause of the condition. The pain canrange from sudden, severe and stabbingto a more constant, aching, burningsensation. Attacks may increase over timeand medication to control the pain canbecome less effective.

Debbie made an appointment withNeurosurgeon Dr. James Brennan todetermine if she indeed suffered fromtrigeminal neuralgia. An MRI confirmedwhat Debbie had suspected. Treatment for the condition often begins withmedication. Dr. Brennan prescribedTrileptal, a medication used to treatseizures, to control Debbie’s pain. After six months, Debbie returned to Dr. Brennan and told him that the

medicine only worked if she took morethan he prescribed -- sometimes as manyas six pills.

Dr. Brennan suggested a procedure that could ablate or block the nerve. The procedure called stereotacticradiosurgery (SRS) uses computerimaging to direct highly focused beams ofradiation at the site where the trigeminalnerve exits the brain stem. The treatmentcauses the slow formation of a lesion onthe nerve that disrupts the transmissionof sensory signals to the brain.

Dr. Brennan arranged for Debbie tomeet with the SRS team at McLeodRadiation Oncology to begin theplanning process for the procedure. “Theradiation team of Dr. Rhett Spencer,Physicist Tobin Hyman and Karen Jones, the nurse navigator, explainedeverything to me and answered all of myquestions.”

“The treatment for trigeminalneuralgia requires extreme precision andaccuracy because we are targeting andirradiating a nerve located only three tofour millimeters from the brain stem,”said Dr. Spencer.

The TrueBeam STx linear acceleratorat McLeod is specifically designed for the delivery of stereotactic radiosurgery.

her still during treatment. “I was awakeduring the procedure, but they gave me a medication so I would relax and keepstill. After the procedure, they removedthe frame and I returned home.”

Debbie was told not to expectimmediate relief from the pain after theprocedure because it can take up to sixmonths for the pain to totally go away. “I had the procedure performed inNovember 2016, right beforeThanksgiving. I started feeling much better in March,” said Debbie.

“It has now been eight months sinceI’ve had any pain. I went from taking fourpain pills a day to two, then only one, and I stopped taking it a few weeks ago.”

McLeod offers the only active linearaccelerator (LINAC) based stereotacticradiosurgery program from the midlandsto the coast. Since installation in October2014, a total of 132 patients have receivedintracranial stereotactic radiosurgery. Of that total, 13 patients have undergonetreatment for trigeminal neuralgia likeDebbie.

“I was very pleased that McLeodoffered the SRS procedure and I didn’thave to leave Florence to seek treatment,”added Debbie. “I honestly thought thispain was something I would have to livewith for the rest of my life. I’m simplyamazed that this treatment available atMcLeod ended my years of suffering.”

“The radiation is focused into acircular beam about the diameter of apencil,” explained Tobin. “These eight toten pencil beams move in an arc aroundthe patient’s head and intersect at thesame point in space, creating a highintensity area about the size of a pea. The radiation dose targets the nerve,effectively ablating it, and providing painrelief. The dose used to perform thisprocedure is approximately 40 timeslarger than the dose your typicalradiation patient receives on a dailybasis.”

Prior to the procedure, Karenremained with Debbie as the teamattached a frame to her head to keep

“I honestly thought this pain wassomething I would have to live with forthe rest of my life. I’m simply amazedthat this treatment available at McLeodended my years of suffering.” – Debbie Floyd

17

The McLeod Radiation Oncology Team provides the highest level of quality and radiation safety to its patients. They are picturedwith the TrueBeam STx linear accelerator specifically designed for stereotactic radiosurgery.

18

On Monday, January 16, 2017, after enjoying an Atlanta Falcons playoff football game

with his sons the day before, Bennettsville resident Sully Blair began experiencing severe

abdominal pain during the drive back home. Sully powered through the six-hour trip

and upon arriving home that afternoon greeted his wife, Erin, and then went to lie

down in hopes the pain would subside.

IN GOOD HANDSM c L E O D S U R G E O N S W O R K A S O N E

by Arielle Williams

Sully Blair enjoys spendingfamily time with his wifeErin and their sons, Kyle and Grey.

19

Around 8:00 that evening, Erin grewconcerned over her husband’s pain andinsisted that he go to the EmergencyDepartment. However, Sully preferred tostay home and “sleep it off.” He assuredErin that he would see his primary carephysician if he had no relief by morning.

At 11:30 p.m., Sully woke in agony andasked his wife to take him to theEmergency Department.

“As usual, I should have listened to my wife from the beginning,” said Sully.

Sully and Erin arrived at the McLeod Health Cheraw EmergencyDepartment (ED) around midnight, and Sully was admitted within minutes.

Upon admission, Sully underwent aCT scan and received pain medication.

“Things moved so quickly,” recalledSully, who had never been hospitalizeddue to an illness. “Erin and I feltoverwhelmed and anxious, but we knew we were in good hands.”

Mike Hutson, a registered nurse in the ED, played an instrumental role ineasing Sully’s anxiety. With a kind andempathetic demeanor, Mike consistentlycommunicated with Sully as the team ofclinicians worked to determine the causeof his pain.

“I could only describe Mike ascompassionate, kind, and intentional,” said Sully. “His constant reassurancehelped calm our fears.”

Moments later, Dr. TimothyHoldredge, a McLeod Health CherawEmergency Department Physician, greetedthe couple and examined Sully. He thenreviewed the results of the CT scan.

“Dr. Holdredge diagnosed me withappendicitis and explained that I wouldneed emergency surgery,” said Sully. “Heverbally walked me through the entireprocess so I knew exactly what to expect.”

As the surgical team prepped Sully forsurgery, Dr. Henry Jordan, a GeneralSurgeon with McLeod SurgeryBennettsville, spoke with him about theprocedure as well as the recovery process.

“Dr. Jordan was knowledgeable andunderstanding with a wonderful bedsidemanner,” recalled Sully. “His approach notonly helped quell my anxiety, but alsohelped my wife.”

During Sully’s surgery, Dr. Jordanrealized that what would typically be aroutine appendectomy would prove to bemore challenging. Due to the positioningof Sully’s appendix, Dr. Jordan called inGeneral Surgeon Dr. Salim Ghorra,McLeod Surgery Cheraw, to assist with thesurgery. Both surgeons worked in concertto successfully remove Sully’s appendix.

“My first recollection after theoperation was Dr. Ghorra giving me athumbs up in the recovery room,”chuckles Sully. “I immediately felt relieved,knowing that everything would be okay.”

From recovery, Sully moved to aninpatient room, where the nursing staffcontinued to monitor his progress for theremainder of his hospital stay. He recallstheir timely rounding to check on his paintolerance, comfort levels and what heconsiders the “necessary things.”

“The nurses and clinical staff I encountered at McLeod Health Cherawwere some of the most compassionate,friendliest and attentive professionals I could have ever asked for,” said Sully.

Prior to his discharge from thehospital, Sully received conciseinstructions from Dr. Ghorra regardingthe benchmarks he must meet to gohome.

“I followed every word of directionfrom Dr. Ghorra and Dr. Jordan, andespecially worked through any discomfortto get up and walk around every fewhours,” recalled Sully. “I focused solely on returning home to my family.”

Two days later, Dr. Ghorra dischargedSully.

Sully attributes a surprisingly quickrecovery to rigorously adhering to theguidelines given by Dr. Ghorra and Dr. Jordan. Within four weeks, Sullyreturned to all his normal activities.

Sully Blair recently returned toMcLeod Health Cheraw to thank

Dr. Salim Ghorra (left) andMike Hutson, RN, (right) as

well as Dr. Henry Jordan (not pictured) for their quick

actions when he neededemergency surgery for

appendicitis.

(Continued on next page)

“I chose McLeod Health Cheraw for itsconvenient location and quality care, andlooking back on my experience at thehospital, I cannot say enough about thecare and special attention I received as apatient,” said Sully. “I also find comfort inknowing that McLeod Health Cheraw ispart of a healthcare system -- McLeodHealth -- which has a tremendousreputation for quality and safety.”

All McLeod Health hospitals share thesame mission -- to improve the overallhealth and well-being of people livingwithin South Carolina and eastern NorthCarolina by providing excellence in health care.

“A simple thank you cannot adequatelydescribe our appreciation for Dr. Ghorra,Dr. Jordan, Dr. Holdredge, Mike Hutson,RN, and all of the nursing staff on theMedical Surgical floor,” said Sully. “I alsoappreciate how McLeod Health continuesto invest in both of our communities --Cheraw and Bennettsville -- with the

addition of physicians, services andenhanced facilities.”

Today, Sully has a clean bill of healthand enjoys the same activities as before hisemergency appendectomy -- traveling,boating, and most importantly, spendingtime with his wife Erin and his sons, Kyle,19, and Grey, 11.

“I also find comfort in knowing that McLeod Health Cheraw is part of a healthcaresystem -- McLeod Health -- which has atremendous reputation for quality and safety.” – Sully Blair

Sully Blair, a business owner andresident of Marlboro County,experienced excellent patient-centeredcare from the medical teams of theEmergency Department, Operating Room and Medical Surgical Unit at McLeod Health Cheraw in January 2017.

21

MOVING IN THE

by Jennifer Hulon

Ann Keelan, a retired medical professional, suffered from mitral valve prolapse and

understood the risks involved with her condition. After moving to Surfside Beach from

Maryland, she began to research hospitals in the area and was impressed by the quality

and expertise of the McLeod Health physicians and staff.

“I wanted to go to an experiencedand reputable institution that could betrusted,” said Ann. “I was pleasantlysurprised to find a hospital system likeMcLeod that had an extraordinary levelof quality as the forefront of theirmedical care this close to home.”

The heart has four valves that areessentially flaps of tissue, whose job is tokeep the blood flowing in one directionthrough the heart and body. If any ofthe four valves does not open or closeproperly, the result is heart valve disease.

One of the most common heartdiseases in females, mitral valve

prolapse, occurs when the valveleaflets do not seal properly.

(Continued on next page)

Ann Keelan is grateful forCardiologist Dr. Anne Evermanand the McLeod Heart andVascular team for offering her comfort and care during her procedure.

2120

Dr. Scot Schultz performscardiothoracic surgery at McLeod Regional Medical Center.The McLeod Cardiac SurgeryProgram is rated number one inthe state for medical excellenceby CareChex.

Untreated leaky mitral valves canlead to chest pain, palpitations,shortness of breath, exercise intolerance,infections, dizziness, fainting, panicattacks and stroke.

After Ann established a relationshipwith a primary care physician, she wasadvised to schedule an appointment with a cardiologist to monitor her mitralvalve condition. Understanding the risksinvolved with mitral valve prolapse, herphysician wanted to ensure Ann wasobserved more closely. He then referredAnn to Dr. Anne Everman with McLeod Cardiology Associates.

Dr. Everman discussed monitoringAnn’s condition in order to be proactivewith necessary treatments. “When I first met Ann, we found she was at amoderate state in her mitral valveprolapse condition,” said Dr. Everman.“Our goal was to get in front of theproblem -- monitoring her conditionclosely.

“Given that initial symptoms aresubtle, patients frequently pass off theirsymptoms as an excuse of getting olderand slowing down,” said Dr. Everman.

In May of 2017, diagnostic testingusing echocardiography indicated to Dr. Everman that Ann may be in need of valve surgery. Her mitral valve haddeteriorated and wasn’t closingproperly, allowing blood to flowbackward into her left atrium and lungs.

Dr. Everman recommended Ann see Dr. Scot Schultz, a McLeodCardiothoracic Surgeon, to discussoptions for repairing the leaking valve.Dr. Schultz has experience andspecializes in all types of valve repairand replacement.

“Some people, especially females, are born predisposed to this heartcondition and live much of their liveswith no symptoms,” said Dr. Schultz. “If symptoms do appear, it is usuallyshortness of breath, irregular heartbeats(called arrhythmias), dizziness or evenchest pain.”

22

Mitral valve repair is unique forevery patient. Successful repair requiresthe experience of a cardiothoracicsurgeon who has an understanding of how the heart’s valve and musclestructure function as one. For thisreason, mitral valve repair requires theattention of the most competent heartand valve surgeons available.

After examining Ann, Dr. Schultzscheduled her for surgery at McLeod Regional Medical Center in Florence the following week.

During Ann’s surgery, Dr. Schultzand his anesthesia colleaguesdetermined a valve replacement was not necessary and felt confident acomplex repair would provide a durablesolution to her leaky mitral valve. When possible, valve repair is preferableto replacement as this carries a lowerrisk of complications.

During her recovery in the hospital,Ann developed atrial fibrillation (A-Fib), a common occurrencefollowing heart surgery. This conditionis a quivering or irregular heartbeat(arrhythmia) of the atria (top chambersof the heart) that can lead to bloodclots, stroke, heart failure and otherheart-related complications, if leftuntreated.

Electrophysiologist Dr. Rajesh Malikwith McLeod Cardiology Associates, aspecialist in this condition, reviewedAnn’s case to determine how to alleviateher risk of A-Fib. Since Ann’s A-Fibprevented a regular heart rhythm, Dr. Malik explained that an implantablepacemaker, along with medication,would assist in regulating the timingand sequence of her heartbeat.

Prior to being released from thehospital, Dr. Malik performed Ann’spacemaker procedure.

“Over the last few years, we havefound novel ways to improve care forheart failure patients,” says Dr. Malik.“New medications are improving aheart patient’s quality of life, but themajor leap has been in technology andthe latest developments in implantablepacemakers.”

“During my career in the medicalfield, I worked alongside many greatmedical professionals,” said Ann.“McLeod Health set the bar higher than any other medical institution I’ve seen.

“McLeod Health also gave merenewed faith in the medicalprofession,” added Ann. “My experiencewith McLeod has been amazing, and I could not have had a betterexperience. I’ve recommended McLeod Health to many people.”

The mitral valve is located in the heart between the left atrium and the left ventricle. The mitral valve consists of two flaps called leaflets. Normally, the leaflets open and shut in coordinated fashion to allow blood to flow in one direction -- from the atrium

to the ventricle. If the valve is not closing properly it allows blood to flow backward into the left atrium and lungs.

23

24

When Darrell Estes purchased an old 1950 Plymouth before relocating from Mt. Airy,

North Carolina to Sunset Beach, he was looking forward to retirement and cruising

the beach with his wife, Sally.

Darrell and Sally Estes enjoycruising in their 1950 Plymouth andspending their days on the beach.

Cruising TO R E COV E RYby Jennifer Beverly

In November of 2016, while in theprocess of moving, Darrell was visiting afriend and tripped on some steps in thegarage.

“I thought I was on the lower level ofthe steps, but when I went to step down,I fell,” said Darrell. “I really felt the injuryto my knee, thinking it was the onlything I had hurt.”

After two weeks, Darrell’s knee hadhealed, but his right shoulder ached andfunctioned poorly.

“I couldn’t raise my arm, so my wifesuggested that I make an appointment to see Dr. David Lukowski with McLeod Orthopaedics Seacoast,” saidDarrell. “Because she was a knee patientof his colleague, Dr. Eric Heimberger,

Sally knew that Dr. Lukowski specializedin treatment of the hand and arm.”

On the day of his appointment, Dr. Lukowski examined Darrell andsuspected that he had a torn rotator cuff.

“Darrell was visibly in pain, but to be100 percent sure of the diagnosis, I senthim to McLeod Seacoast for an MRI,”said Dr. Lukowski.

When the MRI confirmed acomplete tear of two muscles in his rotator cuff, Dr. Lukowskirecommended an outpatient surgicalrepair of the rotator cuff to helpeliminate the pain.

On the morning of January 20, 2017,Darrell arrived at McLeod Seacoast forsurgery. Performing an arthroscopicrepair, Dr. Lukowski inserted a tinycamera, called an arthroscope, intoDarrell’s shoulder joint through asmall incision in the skin. The camerais connected to a video monitor in theoperating room and produces imagesthat allow Dr. Lukowski to examineand repair the tissue. The procedure isless invasive with smaller incisions anddoes not require separating musclelayers, which results in less painfollowing the surgery.

“Dr. Lukowski did an outstandingjob,” said Darrell. “The outpatientsurgery team and anesthesiology staffwere also fantastic and discussedeverything with me before theprocedure.”

Dr. Lukowski released Darrell six weeks after surgery, which wasfollowed by physical therapy.“Rehabilitation plays a vital role ingetting you back to your dailyactivities,” said Dr. Lukowski. “Physicaltherapy helps patients regain shoulderstrength and motion.”

Darrell worked with PhysicalTherapist Deborah Jones at

McLeod Seacoast to rehabilitate hisshoulder. “Deborah was tough and I needed that,” joked Darrell. “Shewould fuss at me for using my armwhen I shouldn’t.”

A complete recovery of a rotatorcuff repair usually takes severalmonths. Darrell gained functionalrange of motion and strength fourmonths after his surgery. Hiscommitment to Deborah’s plan of care and physical therapy helped withhis successful outcome.

“I was impressed by the knowledge and professionalism of the McLeod Seacoast Rehabilitationteam,” said Darrell. “They are reallyspecial people and I value theirprofession.”

Since his recovery, Darrell has beenenjoying the little things in life again.“I wasn’t able to drive my Plymouthbecause it was a straight drive,” saidDarrell. “It sat in the driveway foralmost a year until I could use my arm again.”

Now that his arm and shoulderhave healed, Darrell and Sally love totake the Plymouth out for drives andto visit car shows.

“As a retired pharmacy director of a small community hospital, I have nothing but compliments for the physicians and staff at McLeod Seacoast and the excellentcare I received during my surgery andrehabilitation,” added Darrell.

McLeod Orthopaedics Seacoast offershigh-quality orthopedic surgery servicesusing the latest procedures andtechniques. Many of these procedures can be performed with minimally invasivetechnology. The physicians, nurses,physician assistants, rehabilitationspecialists and various medical supportpersonnel work with each patient todevelop a treatment plan specifically forthat patient. Their number one goal isgetting the patient moving better, faster.

The physicians of McLeod OrthopaedicsSeacoast, pictured above from left to right:Dr. David Lukowski, Dr. Peter Lukowski, Dr. Christopher Walsh, and Dr. Eric Heimberger, are highly trained and provide an extensive range of medicalservices including general orthopedics, hip and knee reconstruction, anterior hipreplacements, complex revision jointreplacement, osteoarthritis, hand andupper extremity surgery and sportsmedicine.

McLeod Orthopaedics Seacoast welcomed its newest member to the team, Dr. Christopher Walsh, in August2017. Dr. Walsh specializes in adultreconstructive surgery and is trained inthe minimally invasive anterior hipreplacement.

“I chose to specialize in orthopedicsbecause I enjoy being able to restore apatient back to normal function,” said Dr. Walsh. “Getting someone back to doingwhat they love is my reward.”

25

McLeod OrthopaedicsSeacoast

“As a retired pharmacy director of a smallcommunity hospital, I have nothing butcompliments for the physicians and staff atMcLeod Seacoast and the excellent care Ireceived during my surgery and rehabilitation.” – Darrell Estes

During Fred’s recovery period from his lung transplant surgery, he sent Kathryn McLain a picture of himself after he completed athree-mile walk over the Arthur Ravenel, Jr. Bridge in Charleston.

The physicians of McLeod Digestive Health Center and McLeod DigestiveHealth Center Seacoast care for patients in Florence and Little River. From left to right, Dr. Veeral Oza, Dr. Deepak Chowdhary, Dr. Timothy Spurling,Dr. Jeffrey Dorociak, Dr. John Wolford, Dr. Davinderbir Pannu, and Dr. Khaled Elraie.

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S C P EA B R O A D E R

McLeod Digestive Health Centers Offer Innovative Diagnostics and Specialized Care

by Shaw Thompson

Of the many health concerns facing the people of northeastern South Carolina and

southeastern North Carolina, gastrointestinal (GI) conditions are some of the most

common. Gastroenterologists are specially trained physicians who treat patients with

these diagnoses. To bring quality physicians, collaborative approaches and the most

innovative tools to combat these concerns, McLeod Health and McLeod Physician

Associates have established the McLeod Digestive Health Center in Florence and the

McLeod Digestive Health Center Seacoast in Little River.

Reflux, Peptic Ulcer Disease, Colitis,Gallbladder and Biliary Tract Disease,Irritable Bowel Syndrome (IBS), andpancreatitis. These gastroenterologists are also leaders of teams fighting cancer of the colon, intestine, and GI tract.

The most common procedures

performed to diagnose and treat theseconditions are called endoscopy -- teststhat allow the physician to look inside thebody by inserting instruments through themouth or anus without making incisions.For many patients these procedures,especially a colonoscopy, means staving off cancer before it strikes.

“The gold standard for diagnosis ofcolon cancer is colonoscopy. There areother tests available but they are not asreliable or effective as colonoscopy,” saidDr. Chowdhary. “I know that it is not onanyone’s list of things to do for fun, but itdoes save lives. In fact, it is one of the fewdiagnostic procedures known to save lives.During the procedure polyps may beremoved. Usually by looking at the polyps

at the time of the test, we can tell howadvanced they are and how

likely they are to becancerous. Most of the

time, the polyps aresmall and can beremoved during thecolonoscopy beforethey can becomecancerous.”

27

Using techniques such as EUS (endoscopic ultrasound), Dr. Oza and Dr. Pannu can safelyand effectively diagnose pancreatic cysts that could lead to cancer.

(Continued on next page)

The McLeod Digestive Health Centerin Florence follows the merger of two existing physician practices andthe arrival of newly recruitedinterventional physicians to the area. The six physician team is comprised of Dr. Deepak Chowdhary, Dr. Jeffrey J. Dorociak, Dr. Veeral Oza, Dr. Davinderbir Pannu, Dr. TimothySpurling, and Dr. John Wolford. Dr. Khaled Elraie serves patients in Little River at McLeod Digestive HealthCenter Seacoast.

“McLeod Physician Associates iscommitted to providing physicians to meetthe healthcare needs of the people in thecommunities we serve,” said Dane Ficco,Senior Vice President for McLeodPhysician Associates. “We know that thetreatment of gastrointestinal conditions is a great need in the region, and ourMcLeod Digestive Health Centers ensurethat physicians are available to care forthese patients.”

As board certified gastroenterologists,these physicians treat conditions affectingthe esophagus, stomach, small intestine,colon, liver, pancreas, and gallbladder. The conditions treated include Hepatitis,

TH E E VO LUTI O N O F

at McLeodCANCER CAREThe history of cancer care at McLeod dates back to the 1930s. During this decade,

Dr. James McLeod, the son of McLeod founder Dr. F. H. McLeod, and Dr. Leonard

Ravenel conducted research on a possible new treatment for inoperable and incurable

cancer. In addition, the State Aid Cancer Clinics were established at five hospitals

including McLeod.

by Tracy H. Stanton

Today, the McLeod Center for Cancer Treatmentand Research offers patients the highest level oftreatment -- from stereotactic radiosurgery toeradicate brain tumors in a single treatment to themanagement of a patient’s care through the use ofimmunotherapy and targeted precision medicine.The number of oncologists caring for patients hasalso grown from one radiation oncologist in the1970s and one medical oncologist in the early 1980s to 11 board certified physicians today.

The development of the cancer program began to take shape in July of 1981 with the arrival of Dr. Michael D. Pavy. Dr. Pavy came to McLeod aftercompleting a fellowship in Medical Oncology at Johns Hopkins Hospital in Baltimore, Maryland.

(Continued on next page)

McLeod Oncologist Dr. Michael Pavy has beencaring for cancer patientsat McLeod since 1981.

With the arrival of two interventionalgastroenterologists, Dr. Oza and Dr. Pannu,advanced endoscopic procedures such asEUS (endoscopic ultrasound) and ERCP(Endoscopic Retrograde Cholangio-Pancreatography) can now be performedat McLeod Regional Medical Center. Using these advanced techniques, thephysicians can evaluate stages of cancerand other chronic conditions as well asstudy abnormalities or tumors in organslike the gallbladder, pancreas and liver.

“Endoscopic ultrasound allows adoctor to obtain images and informationabout the digestive tract and thesurrounding tissue and organs,” said Dr. Pannu. “During EUS, a smallultrasound device is installed on the tip of a lighted flexible tube, or endoscope,with a camera attached. By inserting theendoscope and camera into the upper orthe lower digestive tract, the doctor is ableto obtain high-quality ultrasound imagesof organs using sound waves. Because the

endoscopic ultrasound can get close to theorgan(s) being examined, the images aremore accurate and detailed than thoseprovided by traditional ultrasound.”

One of the most critically neededprocedures now available at McLeod isEndoscopic Retrograde Cholangio-Pancreatography, or ERCP.

“ERCP is a diagnostic procedureperformed by a specially trainedgastroenterologist to examine theesophagus, pancreas, and bile ducts,”explained Dr. Oza. “Under lightanesthesia, an endoscope about thethickness of your index finger is placedthrough the mouth and into the stomachand first part of the small intestine. Dye is injected, and X-rays and computerimaging help guide the physician indiagnosing and removing bile duct stones, inserting stents, clearing blockages,and treating or removing polyps ortumors.”

The presence of this coordinated

team of general and interventionalgastroenterologists offers patients a fullspectrum of services including someprocedures that were not previouslyavailable in the region.

“Before McLeod committed toproviding these advanced procedures,patients who needed EUS or ERCP had totravel to medical centers in other areas,sometimes more than one hundred milesfrom home,” added Dr. Oza. “With ourMcLeod Digestive Health Center and thecollaboration of physicians throughoutour system, we can provide quality care for those patients close to home.”

28

The treatment of gastrointestinalconditions is a greatneed in the region, andthe McLeod DigestiveHealth Centers ensurethat physicians areavailable to care forpatients.

29

The latest linear accelerator in the McLeod Cancer Center is capable of treating lung and liver cancer in fewer treatment sessions.

Dr. Pavy explained that when hearrived at McLeod, the cancer programconsisted of the Cancer Registry, theCancer Clinic and Radiation Oncology.“The hospital received accreditationfrom the American College of Surgeons’Commission on Cancer in 1977, but at a different level than the hospital hasachieved now. We also did not havechemotherapy certified nurses, andchemo was only administered in theCancer Clinic,” said Dr. Pavy.

“The first thing we did was establishthe inpatient oncology unit on the thirdfloor,” explained Dr. Pavy. “The nurseswere not trained in oncology, so Ibrought a nurse from Johns Hopkins toteach them how to deliver chemotherapy.I also sent Adele Hewitt, a McLeod IVTherapy nurse, to Hopkins to receivetraining in apheresis, a process thatcollects blood, separates it into plateletsand plasma and returns the healthy partsof the blood back into the body.”

After Dr. Pavy began caring forpatients at McLeod in the early 1980s,cancer research efforts were developed, a support system for patients and theirfamilies strengthened with hospital socialworkers assigned to cancer patients, and

the hospital added hospice care and anapheresis program. As medical director,Dr. Pavy set about building upon existingservices and establishing many new onesto form the McLeod Cancer Center thatnow exists.

Dr. Pavy chose oncology as hismedical specialty because he was drawnto treatment that involved clinical trialsand drug-related therapy. Having apassion for research, Dr. Pavy also startedthe cancer research program at McLeodin the mid-1980s. The McLeod CancerResearch Department continues to offernational state-of-the-art cancer researchtrials for the prevention and treatment of cancer to eligible patients in thenortheastern region of South Carolina.Currently, the research departmentincludes two research nurses who workwith more than 70 patients involved in15 cancer trials at McLeod.

“The radiation oncology programwhich began at McLeod in the 1970s hasalso expanded greatly over the years,”said Dr. Pavy. “In 1988, RadiationOncologist Dr. T. Rhett Spencer arrivedat McLeod joining Dr. John Ravita inpractice. A year before Dr. Spencer’sarrival, the hospital had installed the

most advanced linear accelerator in the state.”

In his nearly 30 years of caring forpatients at McLeod, Dr. Spencer has been instrumental in many treatmentadvancements including IntensityModulated Radiation Therapy (IMRT),the use of four dimensional CT scans toguide the team in treatment planning andthe delivery of Stereotactic Radiosurgery(SRS) to treat brain tumors.

As “the cancer hospital” for theregion, Dr. Pavy said “the oncology teamwas pleased that McLeod Health madethe commitment to unify and improveupon the care of their patients byopening the McLeod Center for CancerTreatment & Research in early 2014. TheCancer Center serves as a focal point forthe next generation of cancer care in ourregion, providing patients and theirfamilies with the highly sensitive,sophisticated and personal care theyexpect and deserve. It offers additionalspace with the patient’s comfort in mind, expanded access to preventativemedicine, individualized treatmentfocusing on each patient’s diagnosis, careand recovery, as well as state-of-the-arttechnology.”

Advancements in OncologyReflecting on 35 years of scientific

advancements in the field of cancer, Dr. Pavy said, “The advancements in the treatment of cancer are taking placeat a rapid pace. In 1998, we saw thedevelopment of precision or targetedtherapy in the treatment of ChronicMyeloid Leukemia (CML). Researchersdetermined that chromosome numbernine produced a protein that drivesCML. They found a drug that fights that protein called Gleevec.

“A surgeon sent a patient to mearound that time who had beendiagnosed with breast cancer but herwhite blood cell count was 150,000. I diagnosed her with CML and sent her to MD Anderson in Texas because I knew this doctor had just started usingGleevec. She got on the experimentalprotocol and I still care for her today 18 years later. This is precision targetedmedicine at work.”

In addition to targeted medicine, Dr. Pavy explained that they now betterunderstand immunotherapy. This is a

treatment designed to boost the body’snatural defenses to fight cancer. It usessubstances or cells made by the body, ortreatments created in a lab to improve or restore immune system function.

“In a healthy person, the immunesystem works to identify and eliminateabnormal or diseased cells. Whennormal cells become cancerous, theimmune system responds because thesecells appear different. However, cancercells have a way of hiding from theimmune system. They put a cloak overthemselves so the immune system can’tsee them. Now, with immunotherapy wehave a way of decloaking the cancer cellsso the immune system can see thesecells, attack and kill them.”

One type of immunotherapy is calledcheckpoint inhibitors. “They recognizethe cell is foreign and attack it,” said Dr. Pavy. “An example of a checkpointinhibitor is Keytruda. Many people areaware that former President JimmyCarter developed a melanoma to hisbrain in 2015. He went to EmoryUniversity Hospital in Atlanta where

they were experimenting with Keytrudaand his tumors went into remission.Now, this medicine is being used to treatpatients with non-small cell lung cancerwith good results.”

Today, oncologists have checkpointinhibitors, precision targeted medicineand immunotherapy, according to Dr. Pavy. “We also understand thehuman genome -- what mutations it has and we select a specific drug for that mutation.

“Cancer is never going to beeliminated. It is a balance betweenmutations and immune surveillance. As you age, your cells create moremutations and eventually you are goingto develop a cancer. However, my hope is that in the next 20 to 30 years thetreatment of cancer will be managed as achronic condition like diabetes or highblood pressure.”

Dr. Pavy added, “What we know nowabout cancer is so much more complexthen what I knew in the 1980s, and it isamazing.”

McLeod Research Nurses Jo Capotosti and Dorie Sturgill work with patientswho participate in clinical trials through the McLeod Cancer Center.

30 31

32 33

GIVING PATIENTS A TRUE HOPE support for patients with few resources aswell as educational manuals and supplies.

The evening highlighted Portraits ofHope representing survivorship andcourage. These testimonials were shared invideo and through audio and picturesbetween the live performances. ThePortraits of Hope included: John Braddy,Jane Blum, Leslie Denton, Anne Kirby,Conni Singletary, Jocie Patterson, RobbyRoberson, Stephanie Benjamin and HarryCantey.

The 2017 event also featured talentedperformers and regional artists payingtribute to loved ones touched by cancer.Performers for the evening included:Singers Ray and Jordan Taylor, DancerScout Hamrick, Violinist Yuri Lvovskyaccompanied by Robin Thompson, PianistDaQuan LaSane, Musician Brandon Goff,Singer Kristin Hardaway, Dancer R.J. Lee,The Rod Brown Jazz Quartet, and amusical performance by Tippi Harwell,Jumana Swindler and Rebecca Thompson.

Ronald Brown

McLeod Health celebrated cancersurvivors and its oncology staff during An Evening of Hope to benefit the McLeod Center for Cancer Treatment and Research in September. The McLeod Health Foundation’s 18th AnnualCancer Benefit underwritten by WellsFargo raised a record breaking $103,000 to benefit the HOPE Fund.

Proceeds from the evening aredesignated to the HOPE Fund whichprovides transportation and nutrition

Services covered by the HOPE Fundinclude transportation to treatments,assistance with medication for pain andnausea, educational supplies for the newlydiagnosed, assistance with wigs and headcoverings, as well as an immediate needsfund to assist individual patients withspecific needs.

“Treating cancer patients is not justabout the technology we have, the clinicalstaff or the great physicians or medications,”explained Judy Bibbo, Vice President ofCancer Services at McLeod. “There areother things that help support the patientand make that care much more well-rounded. When you provide those servicesalso it helps to make the program muchstronger and much more complete.”

Guided by an advisory group ofcommunity members who have beentouched by cancer -- either as a patient orcaregiver -- the HOPE Fund continues togrow. In 2016, the committee funded theposition of a HOPE Fund Coordinator and hired Lauren Snipes.

Having a personal point of contact inthe McLeod Center for Cancer Treatmentand Research to ensure all cancer patientsare made aware of the resources available to

them was a dream come true for thecommittee.

Located within the HOPE ResourceCenter, Lauren meets with each new cancerpatient on their first day of treatment. In addition to offering guidance andanswering any questions or concerns theymay have, she secures resources for patientssuch as transportation, medication ornutrition assistance.

“The HOPE Fund committee wantedsomeone who was available to every patientand who truly was a resource,” explainedJudy. “Lauren understands the importanceof this role and the connection she ismaking with each patient. She is here justfor them to have a more successful journeyand one that is filled with hope.”

According to Ronald, the HOPE Fundtook a great deal of stress off of him. “Whenorganizations like McLeod reach out andsay we are going to help you that means awhole lot.

“To the people who have given that Ihave never met and might never meet, yourgenerosity and the kindness of your heartsto me it means the world. This kind of hopeyou are giving people is a true hope,” addedRonald.

“When I was diagnosed, it never crossedmy mind that a man of my stature couldhave cancer,” said Ronald Brown. “You lookat yourself and say, ‘I’m strong and I’mable…I can move around.’ But, I telleverybody that cancer will whip your butt.”

Ronald was diagnosed with stage fourlaryngeal cancer on November 21, 2016. Hiscancer journey began with ten treatments ofradiation followed by chemotherapy inJanuary of 2017.

“I said to myself ‘how are you going toget back and forth for all of this.’” Ronalddid not have income or someone who couldtransport him from his home in Hartsvilleto McLeod in Florence for each treatment.Fortunately, Tara Pierce, the McLeodCancer Clinic Coordinator, explained toRonald about the HOPE Fund and how itserves to assist patients in need.

Countless cancer patients like Ronaldhave benefitted from the establishment ofthe HOPE (Helping Oncology PatientsEveryday) Fund since October of 2014.

portraits of Hope:Listen to these individuals share their personal experiences about compassionate and exceptional cancer care at McLeod.

An Evening of Hope and Inspiration

Stephanie Benjamin Jane Blum John Braddy

Conni Singletary Leslie Denton Jocie Patterson

Anne Kirby Robby Roberson Harry Cantey

McLeod Center for Cancer Treatment & Research

2017 MCLeod Health Cancer Report

To watch these encouraging testimonials, visit www.McLeodHope.org

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10 Most Prevalent Cancer Sites Source: American Cancer Society “Cancer Facts and Figures 2016”

Breast

Lung

Prostate

Colorectal

Bladder

NH Lymphoma

Corpus Uteri

Melanoma

Leukemia

Cervix USA SC MRMC

25.4% 14.3% 14.6%

16% 15.3% 13.3%

14.1% 11.4% 10.7%

9.3% 7.9% 8%

2.9% 4.3% 4.6%

2.5% 3.9% 4.3%

2% 3% 3.6%

5.5% 4.5%

3.2% 3.6%

1%0.8%0.8%

1.5%

1.2%

GEORGETOWN

0.4%

WILLIAMSBURG

5.4%

HORRY

1.8%

CLARENDON

3.5%

SUMTER

1.8%

LEE

2.3%FLORENCE

37.9%

MARION

8.0%

DILLON

7.3%

MARLBORO

4.6%

DARLINGTON

16.4%

CHESTERFIELD

7.7%ROBESON

0.8%

COLUMBUS

0.6%

BRUNSWICK

0.2%

NCSCSC

Five Leading Cancer Sites

Diagnosed at McLeod in 2016

Site Cases

Breast 350Lung 220Prostate 194Colorectal 125Urinary System 102

Total Cases: 994

Highest Percentage of NewCases in our Service Area

OUT OF SERVICE AREA: 0.9%OUT OF STATE: 0.4%

At McLeod Regional Medical Center,there are greater than 100 new cases ofcolorectal cancer diagnosed and/ortreated annually. As treatment forcolorectal cancer continues to improve,McLeod remains committed to providingthe highest quality of care to patients inthe region.

McLeod Regional Medical Center(MRMC) is nationally accredited by the American College of Surgeons’Commission on Cancer as a CommunityComprehensive Cancer Program. Thismeans that MRMC meets or exceedsstandards of care and quality metricsdefined by the Commission on Cancer asessential to the provision of high qualitycancer care.

For colon cancer, the AmericanCollege of Surgeons’ Commission onCancer has set a very specific measure

related to colon cancer and surgicalresections. Evidence supports that bestpractice for colon cancer surgery is that“at least 12 lymph nodes are removed andpathologically examined for resectedcolon cancer.” The American College ofSurgeons’ Commission on Cancer has setan expected performance rate for thisguideline as 85 percent compliance.

For the most recent complete year of data collection, calendar year 2015,results from the National Cancer DataBase quality reporting tool indicate that the performance rate for McLeod Regional Medical Center is 94 percent. This is greater than SouthCarolina’s cumulative performance rate of 91 percent and the nationalperformance rate of 92 percent.

McLeod Exceeds Quality Standard forColon Cancer Treatment

85% 94% 91% 92%

Expe

cted

Perf

orm

ance

McL

eod

Heal

th

Sout

hCa

rolin

a

Unite

d St

ates

of A

mer

ica

COLON CANCER PERFORMANCE GUIDELINE COMPARISON

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Colon cancer is the third most common cancer in men, after prostate and lungcancer and second most common in women, after breast cancer. This form ofcancer has consistently been the fourth highest incidence of cancer diagnosedat McLeod with more than 130 new cases each year.

Colon cancer is considered a silent disease because often there are nosymptoms.

The symptoms that people may experience include:

• Change in bowel habits• Abdominal pain• Blood in the stool • Weight loss

To prevent colon cancer, individuals should have a colonoscopy on a regularbasis. It is one of the few diagnostic procedures known to save lives. Onaverage, individuals should start being screened at age 50. People who are at high risk, because of family history or because they have other healthconditions that predispose them to develop colon cancer, should be screened at an earlier age.

McLeod Center for Cancer Treatment & Research

2017 MCLeod Health Cancer Report

Reference: https://facs.org (American College of Surgeons’ Commission on Cancer)

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The wear and tear on an athlete’s knees is often the result of years of playing

high-impact sports like football or basketball.

by Julia W. Derrick

Bob Wilson, an Athletic Director forFlorence School District One, underwenthis first knee surgery for a damagedligament and torn meniscus at McLeod Regional Medical Center in 1979.He was playing basketball for FrancisMarion College, now Francis MarionUniversity, when he sustained the injury.

Bob’s initial procedure occurred beforearthroscopic surgery, minimally invasivesurgery of the knee, became available inthe area. At the time, recovery from his

injury and subsequent surgery included aweek’s stay in the hospital and six monthsof physical therapy before release toresume normal activity.

Since Bob’s initial surgery 38 years ago,he has undergone four arthroscopicprocedures on his left knee and twoarthroscopic surgeries on the right knee.Arthroscopy, when appropriate, is often performed on the knee to

alleviate meniscus and cartilage damage.A long-time patient of McLeod

Orthopedic Surgeon Dr. Patrick Denton,Bob trusted Dr. Denton’s advice to have atotal knee replacement. After extensivehistory of knee surgeries as well asconservative methods and bracing, Bob’s knee appeared “bone on bone” and very little cartilage remained.

37

“Planning ahead is integral to thesuccess of sports, and a joint replacementis no different,” said Bob. With surgeryscheduled for May of 2017, Bob set a goalto perform all of his duties as the AthleticDirector for South Florence High Schoolby August, in time for football season.

Dr. Denton often tells his patients, “I perform the surgery, but your part iseven bigger. For the best outcome withyour replacement, you must prepare aheadof time, as well as push yourself after thesurgery.”

Numerous people played specific rolesin Bob’s journey before, during, and aftersurgery. Dr. Denton and his staff, NursePractitioner Meredith Banner and MedicalAssistant Michelle Jones, helped prepareBob by guiding him through the processof scheduling and pre-surgical testing.

Bob also took advantage of the Total Joint Replacement Class offered toorthopedic patients prior to surgery. The class informs patients about what to expect during their hospital stay andrecovery period. The Joint ReplacementClass, taught by Orthopedic NavigatorMelissa Brock, eased some of Bob’sapprehension and prepared his family for his care at home, as well as details on transportation to appointments.

“As a coach, I’ve pushed athletesbeyond their comfort zone because I knewthey needed that encouragement to reachtheir personal goals,” said Bob. “McLeodPhysical Therapists Matt Ferguson and LizParrish pushed me beyond my comfort

zone, but at the same time understood my limitations.”

One day at South Florence HighSchool, McLeod Sports Medicine CertifiedAthletic Trainer Sarah Shaeffer noticedswelling on Bob’s knee and referred him to Erika Rowe, a McLeod LymphedemaSpecialist. Lymphedema, or swelling of the joint, frequently occurs after a totaljoint replacement. Lymphedema therapyreduced the swelling in Bob’s knee in onlytwo sessions.

When Bob was not in physical therapy,Eric Schwab, a Certified Athletic Trainer atSouth Florence High School, assisted himwith stretching and flexibility.

Once released from physical therapy,Bob resumed working out every morningat the McLeod Health & Fitness Center,where he has been a member since 2001.

“I would advise anyone preparing forsurgery to control what you can and plan.Obtain as much information about theprocedure as possible to prepare for theentire process. This includes many smalldetails such as transportation to physicaltherapy and other appointments. Stayingactive is also a vital part of the preparationprocess although that part has to become a lifestyle habit,” Bob said.

“My wife Peggy, my daughter Kayla,and I got to really know the McLeodteams,” continued Bob. “There were manypeople involved, but we all had the samegoal. We ended with a very ‘successfulseason’ and I’m grateful for each memberof the team.”

Bob Wilson and his team demonstrate a hand stack huddle. From left to right: Sarah Shaeffer, Peggy Wilson, Kayla Wilson, Eric Schwab, Dr. Patrick Denton, Bob Wilson, Matthew Ferguson, Erika Rowe, Liz Parrish, and Melissa Brock.

“To think today you can have a totalknee replacement, spend one night in thehospital and then participate in physicaltherapy several days later, is incredible,”said Bob. “I have been watching McLeod Health progress over many years.It amazes me to see the dedication toadvanced medicine.”

Dr. Denton, a partner with Pee Dee Orthopaedic Associates, added,“Since starting my career as an orthopedicsurgeon, I have seen tremendousdevelopments in the materials used inknee replacements, and also in themedications and anesthesia we give --particularly in the past four years. Withthese advancements, medical teams areable to decrease the pain, nausea, and use of narcotics, resulting in a quickerrecovery from surgery. Combining theseadvances with a team of professionalsdedicated to the patient’s well-beingcreates a very favorable outcome.”

With more than 36 years of experiencein athletics, Bob professes to using sportsanalogies for every situation in life. WhenDr. Denton started discussing replacementfor his left knee, he viewed himself as anathlete getting ready for next season andthose he entrusted with his care as playerson his team.

“Planning ahead is integral to the success ofsports, and a joint replacement is no different.”

– Bob Wilson

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During the past decade, the EmergencyDepartment at McLeod Dillon hascontinued to experience a steady growthin volume. In 2010, more than 26,000patients were treated in the EmergencyDepartment. By 2016, the number of visitsclimbed to more than 35,000.

Responding to an increase in demand,McLeod Dillon opened the doors to a newEmergency Department (ED) in 2010.The multi-million dollar additionincluded 17 exam and treatment rooms, a decontamination area and staff supportareas. A helicopter pad was also added,allowing for transport of trauma patients.

“Today, the volume of patients usingthe Emergency Department continues toincrease,” stated Mary Canady, Director ofCritical Care Services at McLeod Dillon.“We need to meet growing demands aswell as provide more access and timelycare for patients in the area.”

In the past few years, the McLeodDillon primary service area has expandedover the North Carolina border intoRobeson County -- a key area to McLeodgrowth. In 2016, 27 percent of EmergencyDepartment discharges were fromRobeson County.

“Growth across the border aligns withthe McLeod Health mission to improvethe overall health and well-being of peopleliving within South Carolina and easternNorth Carolina,” said Mary.

Building a culture of people first, whether it is the patient or a staff member, ensures

the future quality and growth of all businesses. That includes healthcare. Consumers

have decision making power about where they seek care and McLeod wants to

be that choice for medical excellence.

E N H A N C I N G T H E

Emergency Experienceby Jaime Hayes

Exceeding patients’ expectations andenhancing staff morale through qualityimprovement has been a major focus for the leadership and staff of theMcLeod Dillon Emergency Department.Streamlining processes andcommunicating more with patients hasimproved the patient experience as well asdecreased wait times and the total timespent in the department. This has all beenachieved even as the volume in theEmergency Department has grownsignificantly.

Dr. Kievers Cunningham wasnamed Medical Director of theMcLeod Dillon EmergencyDepartment in July of 2017.

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To advance the patient experience in the Emergency Department, anOperational Effectiveness project wasimplemented in Emergency Departmentsthroughout the McLeod Health systemduring the summer of 2017. OperationalEffectiveness is a quality initiative drivenby efforts to remove the burdens of work,take away the unnecessary steps, and allowmore time to focus on “value added”work. Operational Effectiveness has beenimplemented out of respect for people,both patients and employees.

The Emergency Department projectwas designed to streamline the intakeprocess, a key factor in decreasing waittimes and length of stay. During the hoursof 9:00 a.m. and 9:00 p.m. each day, theintake process sorts patients’ acuity uponpresentation and places them with the appropriate provider to expedite their care.

Since the project was implemented,McLeod Dillon has seen an increase in itspatient satisfaction scores. “The biggestimprovement appears to be Total TimeSpent in the Emergency Department,which is a reflection of the new intakeprocess and communication with thepatients,” says Alice Todd, ServiceExcellence Process Manager.

During the initiation of the project,Alice made rounds on patients in theEmergency Department. “I visited withpatients and explained how we wereworking together as a team to improvetheir experience in our EmergencyDepartment,” she said.

The feedback she received proved the process was working. “The patients’experiences were exceeding theirexpectations, and that is the outcome we wanted to achieve.”

Dr. Kievers Cunningham was named the Medical Director of theMcLeod Dillon Emergency Department in July of 2017. “We have been successfulin sustaining this new process because weare all part of it. We have all bought intoit,” he explained.

Dr. Cunningham added that the newprocess has also improved departmentmorale. “The staff is happier, and thepatients can see and feel that,” he said. “In turn, the patients are having a better experience, and we have seen adramatic increase in patient satisfactionscores.”

Lisa Byrd is the Associate VicePresident of Quality and Safety atMcLeod Dillon. “The OperationalEffectiveness initiative that we haveimplemented is part of a multi-tieredapproach to improvement,” she said.

“Everything we do at McLeod isrooted in our Core Values (Caring,Person, Quality and Integrity). Theprinciples of Operational Effectivenessfully align with each of our Core Values.We are continuing to improve theQuality of our services, honoring andrespecting the time and capabilities ofeach Person on our staff, increasing ourcapacity for Caring for our patients andeach other, and ensuring that the utmostin Integrity is upheld in everything we do.”

Dr. Kievers Cunningham joined theEmergency Department at McLeod Dillonin 2012. Previously, he practiced medicineat McLeod Family Medicine Center inFlorence, South Carolina, and served as afaculty member for the McLeod FamilyMedicine Residency program. In thiscapacity, he also oversaw the coordinationof the residents’ rotations. Dr. Cunninghamreceived his medical degree from theMedical University of South Carolina in Charleston in 2003. He completed his family medicine residency at McLeod Regional Medical Center where he served as the Chief Resident for the McLeod Family Medicine Residency Programfrom 2005 to 2006. Dr. Cunningham hasexperience caring for people of all ages, frominfancy to those at the end of life.

An electrically powered life-saving medicaldevice that offers high quality, automatedchest compressions on patients in cardiacarrest has been installed at McLeod Dillon.The device, called the Lucas 2 ChestCompression System, is the first system of its kind to be used in Dillon County.

“The Lucas 2 is an exceptional piece ofequipment,” said Mary Canady, Director of Critical Care Services at McLeod Dillon.“It is specifically designed to deliver highquality chest compressions during CPR,giving patients in need of resuscitation aneven greater chance of survival overmanual compressions alone.”

The Lucas 2 provides an extra set of hands to caregivers, allowing them tocarry out other critical tasks more timelyand efficiently during a life-savingsituation. It was developed for use by firstresponders, transport teams and hospitalEmergency Departments.

The purchase of the Lucas 2 was madepossible by a grant received from theMcLeod Foundation. “The generosity of the McLeod Foundation demonstrates a commitment to our community byproviding us with the absolute best in life-saving equipment,” added Mary.

New Cardiac DeviceInstalled at McLeod Dillon

The Lucas 2 Chest Compression System, a life-saving medical device that offers high quality, automated chest compressions onpatients in cardiac arrest, has been installed at McLeod Dillon.

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McLeod TeleHealth: Reinventing the Doctor’s “House Call”by Jessica Wall

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His sister, who lives in Columbia,recommended the McLeod TeleHealthapp.

“I had never heard of anything like adoctor-on-demand before,” says Stephen.

To expedite his care and ensure hewas being evaluated by a credentialedphysician Stephen downloaded the appand followed the prompts to sign in.

Three minutes later, a doctorappeared online and Stephen explainedhis symptoms.

“At first, I anticipated an awkwardexperience, but once I met the doctor, I immediately felt comfortable, as if Iwere in his office,” recalls Stephen. “Afterlooking at my throat and asking variousquestions, he called in an antibiotic to a

local pharmacy approximately one milefrom our vacation home. By the end ofthe next day, I felt human again.

“This convenient option allowed me to enjoy an uninterrupted vacation with my family,” continues Stephen. “I definitely plan to keep the app on myphone in the event I need it again whilevisiting South Carolina.”

As the healthcare landscape continues to evolve, McLeod Health consistentlyevaluates the needs and expectations ofconsumers to provide the highest qualityconsumer experience.

Recent research shows that one of themost important healthcare features forconsumers involves seeing a doctorwithin 24 hours of feeling sick. Yet,consumers wait on average three to fourweeks to see the doctor.

As a result, a growing trend amongconsumers involves seeing a doctor overvideo, also known as telehealth.

Earlier this year, McLeod Healthimplemented McLeod TeleHealth, whichprovides quality healthcare online by aphysician anytime, from anywhere -- alaptop, phone or tablet. Available for usein both North Carolina and SouthCarolina, McLeod TeleHealth servesconsumers throughout the hospital’sentire system.

“In a way, McLeod TeleHealth reinventsthe doctor’s house call,” explains Dr. Bryon Frost, McLeod EmergencyPhysician. “Traditionally, consumers have accessed health care by seeingtheir physician in the office. McLeodTeleHealth allows them to access aphysician on their terms.

“We understand the difficulties

consumers face in their daily lives. Theyneed to access health care or see aphysician, yet their busy schedules oftenprevent it. McLeod TeleHealth allows aperson to access a physician anywhere,anytime 24/7 online,” continues Dr. Frost.

McLeod TeleHealth providers includeexperienced, board-certified familydoctors, emergency medicine, or urgentcare physicians who have an interest incaring for consumers via telehealth. BothMcLeod physicians as well as physiciansconnected to the program’s nationaltelehealth provider offer care.

Best suited for healthy consumers withminor illnesses, McLeod TeleHealthphysicians can diagnose and treatcommon conditions, including but notlimited to: cough/cold, sore throats, earinfections, urinary tract infections, viralinfections, pink-eye, allergies, rashes, flu and more.

To access McLeod TeleHealth,consumers simply use their Android orApple device to download the free appfrom the App store or Google Play. Withits user-friendly design, the app offers easy-to-read screens with prompts towalk consumers through the process,step by step.

There is no cost to sign up for McLeod TeleHealth, and each E-Visitcosts only $49.

An additional benefit of the app includesthe visit summary each consumerreceives upon completion of their visit.They have the option to save, print, or

email the visit summary and share it withtheir primary care physician or keep fortheir personal records. Consumers canalso log into the McLeod TeleHealth portalto access their visit summary any time.

“McLeod Health strives to bring value toeach consumer we serve, and McLeodTeleHealth delivers secure, high-qualitycare while eliminating the need to make a doctor’s appointment,” explains MattReich, Associate Vice President ofMcLeod TeleHealth.

Recent data indicates that McLeodTeleHealth provides both value andpositive experiences for the consumer.

Of those who rated McLeod TeleHealth’sonline care, 95 percent of consumersrated the care as four or five stars.Nearly 90 percent of consumers rated

the experience with five stars.

In addition, more than 90 percent ofconsumers gave a five-star rating fortheir experience with a McLeodTeleHealth physician.

Consumers demand more

of the healthcare industry

than ever before. In their

effort to manage hectic

schedules and focus on

staying healthy, they

expect greater access to

care in a convenient,

cost-effective manner.

To date, nearly 400 consumers haveaccessed the McLeod TeleHealth app fortheir healthcare needs. Many of theseconsumers include busy professionals,parents with young children, or perhaps a visitor or tourist.

Stephen Kill, a resident of Fort Worth,Texas, benefited greatly from the McLeodTeleHealth app during his annual familyvacation earlier this year.

Originally from South Carolina,Stephen looked forward to spending timewith his family at Myrtle Beach. In aneffort to be with his family, Stephenpushed hard to meet his work demandsas an airline pilot.

As he made his way to South Carolina,Stephen began to develop a sore throat.

“With any family vacation, there ismost always one person who becomessick, and this time it was me,” saysStephen.

Pilot Stephen Killexperienced ease and efficiency using McLeod TeleHealth.

McLeod NewsMCLeod Provides Greater Access toServices with Regional Clinics

Through regional office locations and rotating providers,McLeod specialty clinics offer appointments to patients in the communities where they live. Located in Carolina Forest, Cheraw, Dillon, Hartsville, Manning and Sumter,McLeod Specialists provide care in Cardiology,Electrophysiology, Nephrology, Otolaryngology (ENT),Urology, General Surgery and Vascular Surgery.

McLeod Health Carolina Forest McLeod Health recently opened the second building in

the 43-acre expansion designed to provide services to meetthe healthcare needs of residents within and around theCarolina Forest area. With the completion of this two-storyfacility, the McLeod Health Carolina Forest campus offersphysician services in cardiology, family medicine, neurology,otolaryngology (ENT), urology, general surgery and vascularsurgery. Seven facilities will comprise the Carolina Forestcampus, providing access to primary care and specialtymedical services.

McLeod Medical Park SumterMcLeod Medical Park Sumter was established in 2016

with the relocation of McLeod Cardiology Associates. The spacious and centrally located facility allows residents of Sumter, Clarendon, and Lee counties to receive care from specialists in cardiology, general surgery and urology.

McLeod Medical Park HartsvilleIn January of 2018, McLeod Health will establish

McLeod Medical Park Hartsville located at 1319 SouthFourth Street in Hartsville. Services will include physicaltherapy and rehabilitation services through McLeod SportsMedicine and Rehabilitation, as well as rotating physicianappointments in Cardiology, Vascular, and Orthopedics and future subspecialties.

For more information or to search for physicians in yourarea, visit www.mcleodphysicians.org.

McLeod Health Carolina Forest Medical Office Building Two is located on107 McLeod Health Boulevard at the intersection of Highway 31 andInternational Drive , Myrtle Beach, SC.

McLeod Medical Park Sumter is located at 540 Physicians Lane,Sumter, SC.

McLeod Medical Park Hartsville is located at 1319 South Fourth Street,Hartsville, SC.

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McLeod Health555 East Cheves Street • Florence, SC 29506-2606PO Box 100551 • Florence, SC 29502-0551Change Service Requested