Janet and George Faragi,Boynton Beach, Florida

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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, Jenna Falls Cox, Julia Derrick,

Rachel T. Gainey, Kristie S. Gibbs, Jennifer Hulon,Shaw Thompson, Jessica Wall,

and Tammy White

Photographers:Sidney Glass, Chief Photographer

Doug Fraser

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

©2015 by McLeod Health.All rights reserved. For permission to reprint,

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

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For 30 years, it has been our privilege and honor to sharestories through the McLeod Magazine of medical victories,excellent outcomes and personal journeys to better health.These stories are to educate about the mission to serve othersin the midst of the burdens of illness and injury.

Each season, the following pages reflect hope, persistenceand compassion from our patients and their families, incollaboration with McLeod physicians, nurses and staff. These are not features about individuals. The narratives and

photographs consist of teams -- people working together to ensure the best resultspossible. Creating authentic relationships with those receiving care as well as with theirfamilies is an integral part of our mission. We strive daily to improve the patientexperience, understanding that those who seek us deserve the best medicine,compassion and comfort.

You’ll read words that underscore the extraordinary, like: Prevailing, Consistent,Outstanding, Superior, Devoted and Relentless. We are reminded by our mission toserve and our four core values of Caring, The Person, Quality and Integrity.

We are uplifted by these voices and their courage. May they be an inspiration to you as well. At McLeod Health, we thank you for entrusting us with your healthcare needs.

Rob Colones

Rob Colones, President, McLeod Health

4 DESTINATION TO MEDICAL EXCELLENCE

6 DETERMINATION & PERSEVERANCE PREVAIL

10 CELEBRATION OF LIFE

12 ORTHOPEDICS IS THE FAMILY BUSINESS

14 AT THE CENTER OF IT ALL

17 McLEOD HEALTH TO LOCATE MEDICAL OFFICE BUILDING IN CAROLINA FOREST

18 THE STRENGTH OF McLEOD HEALTH ACROSS THE CAROLINAS

20 GIVING PATIENTS HOPE

22 PAWS ON A MISSION

24 ABLE TO ENJOY LIFE AGAIN

26 GROWING IN HER OWN TIME

28 EXPERIENCE INSPIRES CAREER PATH

30 REFLECTING ON THE FUTURE:A MEDICAL STUDENT’S PERSPECTIVE

33 McLEOD NEWS

GROWING IN HER OWN TIME

PAGE 26

PAWS ON A MISSION

PAGE 22

DESTINATION TO MEDICAL EXCELLENCE

PAGE 4

Inside

F L O R ENC E D I L L O NT H E H O S P I TA L S O F M c L E O D H E A LT H DAR L I N G T ON L O R I S S E A C O A S T

On the Cover:Janet Faragi, a McLeod Open Heart Surgery patient from

Boynton Beach, Florida, would not consider going anywhere but

McLeod Regional Medical Center for her surgery when she learned

that the “country’s best” surgeon, Dr. Michael Carmichael,

was now part of the McLeod Heart and Vascular Institute team.

When Janet was cleared to return home, she and her husband,

George, left with fond memories of their positive experience at

McLeod and the “wonderful” care they received.

In 2007, Janet’s husband, George,needed open heart surgery. Wanting the best for her husband, internetresearch by Janet led the couple to Dr. Carmichael, who at this time waspracticing in Boynton Beach.

“Ten minutes after meeting Dr. Carmichael, we knew he was thephysician for us,” said Janet. “Hisspiritual nature, kind, compassionatedemeanor revealed to us how passionatehe was about his work. Dr. Carmichaelalso has a list of impressive credentials.Among them: Dr. Carmichael trainedunder world-renowned surgeon andpioneer in heart transplant surgery Dr. Denton A. Cooley at the Texas HeartInstitute.

“My husband had an Aortic Valvereplacement and by-pass surgery. Twoweeks after the surgery, he was back inthe pulpit of Cornerstone ChristianCenter where he serves as the Pastor.”

Seven years later, Janet found herselffacing open heart surgery. Herphysicians had been following thedecline of her valves for years, and shetoo had reached the point where shecould no longer perform daily activities.

When Janet tried contacting Dr. Carmichael she was told he was nolonger at the Boynton Beach practice.However, that did not deter Janet. Shewent back to the internet to track downher favorite Cardiothoracic Surgeon andfound that he had relocated to Florence.

“I located a phone number for Dr. Carmichael and called him,” saidJanet. “He actually remembered myhusband. When I explained to him of mydesire to come to McLeod and Florencefor him to be able to perform mysurgery, he welcomed the opportunity.”

“Janet came to see me withcomplaints of being short of breath anda lack of energy,” said Dr. Carmichael.“She was always feeling very fatigued,which is very typical for someone withJanet’s health problems.”

Janet had severe leakage of both her mitral valve and her tricuspid valve.The valves of the heart are made of thintissue that open and close as the heartpumps. Their function is to make surethe blood flows through the heart in theright direction.

“When valves don’t close properly,blood will leak where it shouldn’t,” saidDr. Carmichael. “When heart valvesdevelop problems, such as leaking, thismakes the heart work too hard, whichcan lead to heart failure.”

Dr. Carmichael’s plan of care forJanet was a surgical repair of the mitralvalve and the tricuspid valve. “Our goalis always for repair of valves overreplacement,” said Dr. Carmichael. “It is what is best for the patient. There isa lower risk of complications from thesurgery and the patient will not requireblood-thinning medication for the restof their life.”

Janet also suffered from atrialfibrillation, a very frequent occurrencefor people with heart valve problems.

Atrial fibrillation or AF, is one of themost common irregular heart rhythms.This condition is an abnormality of theelectrical system of the heart. It is a rapidbeating of the upper chambers of theheart, which prevents the heart frompumping blood adequately to the lowerchambers.

To resolve Janet’s atrial fibrillation,Dr. Carmichael performed a MAZEprocedure. The MAZE procedure is a

surgical intervention for heart patientswhose AF cannot be controlled bymedications or for those who areundergoing open-heart surgery for otherreasons. MAZE cures AF by interruptingthe electrical patterns that areresponsible for the irregular heartbeat.

With the MAZE procedure, Dr. Carmichael used a radiofrequencyprobe to produce burn lesion areas inthe heart tissue without damaging theheart. These lesions, placed in strategicareas of the upper chambers of theheart, redirect the electrical pattern.

The scar tissue generated by thelesions permanently blocks the electricaltravel route and helps redirect theelectrical flow. This surgery also helpsthe heart pump in a normal way.

Dr. Carmichael was able tosuccessfully repair Janet’s damagedvalves. Days later when Janet was cleared to return home, she and herhusband, George, left with fondmemories of their positive experiencewith McLeod and the “wonderful” carethey received.

“I was so impressed with all of thestaff,” said George. “The nurses andeveryone we met were so wonderful.When I was in the Surgical WaitingRoom during Janet’s surgery, I wasamazed at the level of comfort andattention the staff, volunteers and evenother families gave me as I was waitingfor word that Janet was out of surgery.Janet and I truly felt we like we were athome at McLeod.”

“I am so glad I made the trip fromFlorida,” said Janet. “McLeod is trulyblessed to have one of the best doctors inthe country right here in Florence.”

Janet Faragi says she would have traveled the world to have the skilled hands of

McLeod Cardiothoracic Surgeon Dr. Michael Carmichael perform her open heart

surgery. Fortunately, it only required her to travel from her home in Boynton Beach,

Florida, to the McLeod Heart and Vascular Institute in Florence, South Carolina.

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Janet Faragi traveled from BoyntonBeach, Florida to have her heartsurgery performed by McLeodCardiothoracic Surgeon Dr. Michael Carmichael. Janet is pictured with her husband,George, at their home in Florida.

Destinationto MedicalExcellence

by Tammy White

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DETERMINATION& PERSEVERANCE

PREVAILby Kristie Salvato Gibbs

While Amy was traveling to her job asa Pre-load Manager for UPS, a deer ranout in front of her vehicle. “The accidentwas unavoidable,” said Amy. “As myvehicle rolled over, I truly thought I wasgoing to die.”

Amy’s left hand was crushed as aresult of the accident. Because of the severity of the injuries it was believed that Amy would lose her hand.Fortunately, it was able to be repairedsurgically.

In order to regain use of her handafter undergoing three surgeries, Amyrequired extensive therapy and wasreferred to the McLeod OccupationalTherapy (OT) Hand Center.

Amy had not seen her hand since the morning of the accident. It had remained covered with bandagesuntil her first therapy session. CindyBelk, an Occupational Therapist with the McLeod OT Hand Center, was the firsttherapist to treat Amy.

“When Cindy took the bandages offmy hand I could tell by the look on herface that it was worse than I imagined,”said Amy. “But, Cindy took my hand and looked me in the eyes and said, ‘I promise you it will be alright.’”

Through Cindy’s words, Amy foundthe courage to persevere. “At first, I thought I would not be able to use my hand again,” explained Amy. “Thetherapy was extremely painful, but

I believed I could accomplish anything aslong as I set my mind to it.”

“Amy was missing muscle out of herhand,” said Cindy. “She had pins holdingher middle finger together and openwounds on the back of her hand. Weworked on helping her build fine motorskills and lifting heavy items. Since shelifts boxes at work, we needed to help herregain the strength in her hand and assistin her return to functioning for work.”

Three months into therapy, Amycould barely move her hand. But herdetermination prevailed. She underwenttherapy three days a week for one year. Intime, Amy overcame the challenges andpain and successfully regained the use ofher hand.

It was 5:00 a.m., dark outside, and the air was crisp and cool. Amy Oakes of

Cartersville, South Carolina, was going through her normal morning routine and

preparing for work. Little did she know that early morning in March 2012 would be

like no other; it was one that would change the rest of her life.

AMY OAKES

Amy Oakes works to strengthen her hand bystacking weighted cylinders onto a shelf withassistance from McLeod Occupational TherapistBeth Einziger.

Travis’ motorcycle accident resultedin three broken toes, two broken ankles,the loss of two fingers and skin tornfrom his body to the bone. He spentnearly three months as a patient atMcLeod Regional Medical Center.

Travis endured multiple surgeries torepair his injuries. “I stopped countingafter 30 surgeries,” said Travis. “I neededpins in my toes and fingers, a metal platein my right ankle, and skin grafting torepair my arms and legs. I also had twofingers amputated.”

Unable to walk, Travis was restrictedto a wheelchair. He also had both handswrapped in bandages. “It was tough

relying on others to take care of me,especially when I am someone who isused to doing things on my own,” saidTravis. “I had to learn how to doeverything all over again.”

At the McLeod OT Hand Center,Travis underwent a great deal of woundcare and swelling management. Heworked through an excruciating amountof pain to strengthen his fine motorskills and increase the motion in hisremaining fingers.

Despite the rigorous experience,Travis kept a positive attitude. “I decidedthat I was going to walk again and that Iwould recover from this accident,” said

Travis. “I wanted to come to therapybecause I was determined to gain morefunction and eventually return to my jobon the assembly line at General Electric.

“The staff at the McLeod OT HandCenter encouraged and pushed me toget me where I am today -- back to fullfunction and working again,” Travis saidwith a smile.

“Travis’ recovery was remarkable,”said Cindy. “He had two broken anklesand was told he may never walk again.Yet, today he can run on the track at theMcLeod Health and Fitness Center. He isan inspiration to us all and continues tobe for our other patients.”

Travis Hamer of Florence, South Carolina, enjoyed the activity of sportsbike

motorcycle racing for many years. A racing accident caused him to change course

and brought him to require the services provided by the McLeod OT Hand Center.

“We are here to help patients returnto normal function,” said Beth Einziger,a McLeod Occupational Therapist withthe McLeod OT Hand Center. “Weconsult with one another to determinewhat treatment options will work bestfor each patient’s condition. We valueeach other’s strengths and work togetheras a team on behalf of the patient. Weare all in this for the same goal -- to helppatients recover and return to what theyenjoy.”

“I knew that Cindy and Beth werethere to help me every step of the way,”said Amy. “Without the McLeod OTHand Center I don’t think I would beworking today. My life would havechanged completely if it had not beenfor them. It was a difficult journey, butthey stood beside me through it all.”

For both Amy and Travis, the severeaccidents they experienced changed theirlives. They met one another during theirtreatment sessions at the Hand Centerand helped encourage each other.

“When we have a patient who hasexperienced a traumatic hand injury wecall on Amy and Travis to share theirstories,” said Beth. “They come by to visitwith patients and give them the hopeand encouragement they need topersevere.”

TRAVIS HAMER

McLeod Occupational Therapist Cindy Belkassists Travis Hamer while he utilizes theBTE Primus Simulator II to improve hisstrength and range of motion.

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McLeod Occupational Therapy Hand CenterThe McLeod Occupational Therapy Hand Center provides rehabilitation therapy

services for disorders and injuries of the hand and upper extremities. The team

of specialty trained Occupational Therapists help people regain skills that are

important for day to day function.

The OT Hand Center specializes in the treatment of:

• Soft tissue sprains, strains and

contusions

• Overuse and traumatic injuries

• Degenerative and Rheumatoid

Arthritis

• Rotator Cuff tears

• Impingement syndromes of the

shoulder, elbow and wrist

• Carpal Tunnel Syndrome

• Instability of the shoulder

• Fractures, dislocation, and

subluxations

• Nerve impairments

Additional services include:

• Wound management

• Pain management through

modalities, exercises, stretching

and pain reduction techniques

• Therapeutic exercise and manual

therapy to regain motion, strength

and dexterity

• Splinting includes: customized

static, serial static and dynamic

splints

• Activities of daily living and

adaptive equipment needs

• Prosthetic services including

wound care, stump preparation

and prosthetic training

In December of 2013, Jaime andTodd welcomed their blue-eyed firstborn, Ella Margaret Hayes, into theworld. The family celebrated Ella’s birthwith Jaime’s caregivers at McLeodOB/GYN Dillon.

Jaime’s Obstetrician andGynecologist is Dr. Rebecca Craig withMcLeod OB/GYN Dillon. Throughouther pregnancy, Jaime also had visits withthe other providers in the practice,including Certified Nurse PractitionerAndi Atkins, NP-C.

“The staff in the practice is great.They remember me and my familymember’s names and are always friendlyand helpful. Andi encouraged me to callher anytime I had a question.

“When I was pregnant with Ella,”recalled Jaime, “I came to the hospital onFriday, December 6, for a non-stress test.During the test, Ella’s heart rate droppedand it was determined that I needed tobe induced. Everything happened soquickly after that decision was made. I had not planned to stay at the hospitaland have the baby that day, so I feltcompletely unprepared.

“When I was being induced, Ella’sheart rate dropped again. The doctorand staff members explained that for hersafety, I needed to have a c-section. Theyexplained everything to us and madesure we were comfortable. We first metour healthy baby girl at 5:56 p.m. Sheweighed six pounds and eight ounces.Registered Nurse Kaycie Lockamy is afriend of ours and was in the operatingroom with us. I remember herexcitement when she said, ‘She’s here!She’s so beautiful!’”

The personal attention and caredidn’t stop there. When Jaime and Ellawere moved to the postpartum unit ofMcLeod Dillon, they were welcomed byJaime’s nurse, Lisa Johnson, RN.

“I knew I wanted to breastfeed Ella,”said Jaime. “The first night of feeding

her, I was frustrated and upset. Lisacame in and wiped my tears and helpedme through it. She was both comfortingand encouraging. With her help, I wassuccessful.”

Lisa is one of four Certified LactationCounselors at McLeod Dillon. “AtMcLeod Dillon, breastfeeding isencouraged and the staff here is asupport system to new moms,”explained Patricia Jones, Director ofWomen’s Services at McLeod Dillon.“Scientific evidence shows thatbreastfeeding lowers risks for certaindiseases and improves the healthoutcomes for both mothers and babieswho breastfeed. With the correctinformation and support, most womenwho choose to breastfeed are successful.”

When Ella was only five-months-old,the family learned they were expecting asecond bundle of joy. “The day after weheard our baby’s heart beat for the firsttime, I called Andi because I wasbleeding. She told me to come to theoffice right away. They determined that I had developed a subchorionichemorrhage,” said Jaime.

“A subchorionic hemorrhage, orhematoma, is accumulation of bloodnext to the placenta or within the layersof the placenta itself,” explained Dr. Craig. “This usually doesn’t causeany further problems unless the clotsincrease in size. The subchorionichemorrhage typically reabsorbs on itsown.”

“Fortunately,” said Jaime, “thecondition improved and the baby wasunaffected.”

At 14-months-old, Ella met her babybrother, Griffin Todd Hayes, who wasborn on February 19, 2015. Alsodelivered by c-section at McLeod Dillon,Griffin received the same warm welcomeas his big sister.

“Shannon Carter, RN, was our nurseduring my c-section with Griffin,” said

Jaime. “As a friend of ours, she was justas anxious and excited as we were tomeet Griffin. However, our excitementbriefly changed to worry when welearned that the umbilical cord waswrapped around Griffin’s neck threetimes. Fortunately, the NurseAnesthetist, Joe Villeneuve, CRNA, was standing by my side during theprocedure and he kept telling me thateverything was okay. His calmness wasvery reassuring. He even stopped by ourpostpartum room later that day to checkon us.”

Registered Nurse Tracey Campbellcared for Jaime and Griffin during theirstay at McLeod Dillon. “It’s great to havefriends that are OB Nurses. I calledTracey during both of my pregnancieswith questions. It meant a great deal tome that she was able to take care of usafter Griffin’s delivery,” said Jaime.

Dr. Joseph Wangeh with McLeodPediatrics Dillon was the pediatricianthat cared for Ella and Griffin in thehospital after they were born. “We stilltake our children to him for care,” saidJaime. “He’s so good with them, and healways tells them how much they meanto him.

“We are fortunate to have a pediatricpractice here in Dillon, close to ourhome. We are also glad there is an afterhours number. As new parents, we liketo know we can call at any hour whenwe have a question or concern about ourchildren’s health.

“McLeod OB/GYN Dillon andMcLeod Medical Center Dillon gave ustwo special, memorable experiences. We can’t imagine going anywhere else.We are happy we share memories withfriends who celebrated the births of Ellaand Griffin with us,” added Jaime. “Andnow, our family is growing up withMcLeod Pediatrics Dillon. We are veryfortunate to have such great medical carein Dillon.”

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CELEBRATIONof LifeThe abundance of toys, the sweet sound of “da da” and the smile on a newborn’s

face -- these are the things that give joy to Jaime Vance Hayes and her husband, Todd,

of Dillon, South Carolina.

by Rachel T. Gainey

The Hayes Family of Dillon, South Carolina, have been very pleased with the high-quality medical care they received at McLeod Dillon. From women’s health to their children’s health care, they appreciate the personal attention.

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ORTHOPEDICSIS THE FAMILY BUSINESS

by Jenna Falls Cox

For Dr. Peter Lukowski and Dr. David Lukowski, helping others is “in their

bones.” Dr. Peter Lukowski recently joined his son, Dr. David Lukowski and

Dr. Eric Heimberger at McLeod Orthopaedics Seacoast.

“It was a dream of mine to practicewith my son,” said Dr. Lukowski. After a successful career as an orthopedicsurgeon in Charleston, West Virginia for more than 25 years, Dr. Lukowskidecided to leave his hometown to becloser to family.

“We were constantly on the road tosee our grandchildren. My wife, Julie,and I knew it was time to move so wecould spend quality time with ourfamily. Even though it meant we had toleave friends, our church family andstrong roots, it was worth it to be a partof our children’s and grandchildren’slives.”

Dr. Peter Lukowski started his careerin healthcare as a physical therapist.“I really enjoyed my time as a physicaltherapist, but decided I wanted tobecome a physician so I could have agreater impact in diagnosing patientproblems,” he said. Returning to WestVirginia University, he completed hisundergraduate work to study medicine.He went on to complete his residency atthe Naval Medical Center Portsmouth,in Portsmouth, Virginia, and was thenassigned to be a staff orthopedist atNaval Hospital Charleston inCharleston, South Carolina.

The younger Dr. Lukowski said heknew during his early years what hisvocation would be. “I think I was inthird grade when I made my mind upthat I wanted to be a physician,” said Dr. David Lukowski. “I grew up playingsports, so my dad’s specialty inorthopedic surgery was always ofinterest to me.

“Throughout the years, I shadowedmy dad on several occasions. When Iwas 16, one of my best friends tore hisACL during a soccer game. I was able toskip school and see my dad perform hissurgery. It was my first time in theoperating room and it was exciting toobserve my dad in his element.

“I can even remember him quizzingme on physiology and anatomy for aclass I was taking. During college, I alsoshadowed my dad in his office. Finallyin medical school, I actually performeda surgery with him. It was ChristmasDay and we were repairing a hipfracture.”

Dr. David Lukowski also attendedmedical school at West VirginiaUniversity, his father’s alma mater. “My dad hooded me when I graduatedfrom medical school. It was a specialmoment for the both of us,” he said.

After graduating from medicalschool, Dr. David Lukowski completedhis residency at Akron General MedicalCenter and the Children’s HospitalMedical Center in Akron, Ohio. He thencompleted a fellowship in Hand andUpper Extremity Surgery at Wake ForestUniversity Baptist Medical Center inWinston-Salem, North Carolina.

Dr. David Lukowski knew he wantedto practice in the Grand Strand area. His family had enjoyed vacationing inthe area for more than 40 years. Theyalso have great memories of summersspent with their extended family atSunset Beach, North Carolina.

“Family is so important. It is whatbrought me to this area,” said Dr. PeterLukowski. In addition to the youngerDr. Lukowski, Dr. Peter Lukowski andhis wife, Julie, have two more children,Sarah and Ben, and three grandchildren:Henry, Owen, and Luke. He lovinglyrefers to them as “Buster,” “Skooter” and “Skeeter.” Sarah and Ben also chosecareers of public service. Sarah followedin her mother’s footsteps as a socialworker, and Ben is pursuing a career inhealthcare administration.

“It is a joy as a father to see your sonbe successful using his God-giventalents everyday,” said Dr. PeterLukowski. “He is not only a gifted andsmart physician, but he has a big heart.

I see many patients that have been pastpatients of his. It is gratifying to hearhow wonderfully David has cared forthem.

“We aren’t just father and son, we are colleagues now. It is said that ‘A wiseman seeks counsel’ which is from theBook of Proverbs. We work welltogether and consult with each other, as well as with Dr. Heimberger, onpatients’ conditions,” added Dr. PeterLukowski.

“My dad has the combination of agreat bedside manner and wonderfuloutcomes, which makes him verytalented technically. He can always relateto patients. I have tried to model mypractice and my care by using him as an example.

“Years down the road, I will lookback at these special times andremember how blessed we were to havethis experience together,” said Dr. DavidLukowski.

Father-son team Dr. David Lukowski and Dr. Peter Lukowski of McLeod OrthopaedicsSeacoast, commonly consult with one anotheron cases, blending their technique andknowledge together.

The Lukowskis love spending quality time with family.

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On April 21, 2015, Richard andAbby’s youngest daughter, Christina,turned one. The birthday celebrationwas not typical of what one mightexpect. Guests were limited toChristina’s parents and siblings, andChristina did not have the luxury ofenjoying a slice of birthday cake.

Born 13 weeks premature anddiagnosed with chronic lung disease,Christina requires the help of aventilator to breathe and a feeding tubefor nourishment. Because she is moresusceptible to infection than mostchildren her age, Christina does notleave home except for doctor’sappointments.

The journey began when Abby was20 weeks pregnant and doctorsdiscovered that Christina was growthrestricted. Abby underwent closemonitoring for the next several weeks,but Christina showed no signs ofprogress. At 27 weeks, Christina’s heartrate began to steadily drop, forcingdoctors to perform an emergency C-section.

Minutes later, Christina was bornweighing just 470 grams, which isequivalent to about one pound.

“The doctor held her up for a briefmoment, and I couldn’t believesomeone so tiny could survive,” recallsAbby. “Her faint cry sounded like akitten.”

Facing more challenges in

her first year of life than

most adults, Christina

Feistel’s road to her first

birthday has been a

journey like no other.

by Jessica Wall

OF ITALL

The Feistels gather in what is both their mainliving area and Christina’s nursery. After spendingthe first seven months of her life in the hospital,Christina is constantly surrounded by the loveand laughter of her parents and sisters, Adelaide(at left) and Kate (at right).

Dr. Douglas Moeckel, McLeod Neonatologist,was delighted to see Christina’s progress duringa recent visit to the McLeod Neonatal IntensiveCare Unit (NICU). AT THE

Members of the McLeod NeonatalIntensive Care Unit (NICU) team were present in the operating room,ready to deliver immediate care. Theyintubated Christina at one minute oflife and wrapped her in a plastic bag toregulate her body temperature beforetransporting her to the unit.

After Abby’s recovery, she andRichard made their way to the NICU tosee Christina. The machines and noiseswere overwhelming.

“I felt like I was in a dream,” saysAbby.

This “dream” quickly became reality.Christina spent the next three monthsin the NICU under the care of McLeodNeonatologists, including Dr. DouglasMoeckel.

“We cannot say enough about the NICU,” says Richard. “Theneonatologists gave us the facts, whichwere sometimes difficult to process, but they never gave up on her.”

Christina was diagnosed withprematurity less than 500 grams andsevere intrauterine growth restriction(IUGR). Although born at 27 weeks, she measured closer to a baby born at 23 weeks, resulting in significantlyunderdeveloped lungs.

“Honesty is the most importantcomponent,” explains Dr. Moeckel. “We try to prepare parents for a range of outcomes, from average to worst-casescenario, but we also stay hopeful.”

During Christina’s time in theMcLeod NICU, she avoided manyserious complications of prematuritysuch as brain bleeds or eye disease.However, she did suffer severalbronchopulmonary dysplasia spellswhich are related to chronic lung disease and can be fatal, according to Dr. Moeckel.

15

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Two of those spells led to Christinasuffering cardiopulmonary arrest.

“Essentially, Christina’s airwayconstricted and didn’t open back up,”he explains. “We immediately beganchest compressions and administeredmedication before replacing herbreathing tube.”

The neonatologists also attempted towean Christina off the ventilator severaltimes, but they determined that herlungs were too weak for her to breatheon her own. As a result, she wastransferred to another hospital toundergo a tracheostomy and feedingtube placement. After two months,Christina returned to the McLeodPediatric Intensive Care Unit (PICU).

“We were glad to be home,” recallsAbby. “The PICU staff pamperedChristina with as much compassion asthe NICU staff, and we could not bemore grateful.”

On December 10, after nearly eightmonths in the hospital, Richard andAbby were able to take Christina home.Although they had prepared a nurseryfor her, they decided to put her crib inthe main living area.

“We want her to be in the center of it all,” says Abby. “This way, she issurrounded by laughter and interaction.She loves to hear her sisters’ voices, andthey are a vital part of her therapy.”

Today, Richard and Abby worktogether to keep Christina going, along

with the support of a dedicated team oftherapists and nurses.

“Christina has changed every aspectof our lives,” explains Abby. “You don’texpect to set up your baby’s crib in theliving area and rely on a team to helpcare for her. It was difficult for us torealize that we couldn’t take care of ourbaby on our own.”

Christina requires constantsupervision and undergoesoccupational, physical, speech, andvision therapy. In addition, a nursecomes to the home to monitorChristina during the night so the familycan rest.

Through this journey, the Feistelshave gained a new perspective on lifeand health.

“We have learned to appreciate thehealth of our oldest daughters, Adelaideand Kate,” explains Abby. “Their healthis beautiful to me now because I knowhow precious it is.”

Richard and Abby also find joy in thesmall moments.

“Christina originally had a cuffedtracheostomy tube which kept her frommaking noises,” says Richard. “Her cuffhas since been deflated, and we arebeginning to hear her voice.”

“Christina has shown me how muchI took for granted before,” added Abby.“Now, we treasure every laugh, everysmile.

“You have to focus on the good andsee what God is doing. There’s always abigger picture.”

“We want her to be in the center of it all. This way, she is surrounded by laughter andinteraction. She loves to hear her sisters’ voices,and they are a vital part of her therapy.”

– Abby Feistel

Christina is pictured with just a fewmembers of the McLeod NICU team whocared for her during the first three monthsof her life.

McLeod Health to Locate MedicalOffice Building in Carolina Forest

The proposed facility and serviceswill expand to meet the needs of adultsand children and provide convenience tothe residents within and around theCarolina Forest area. The propertywithin Carolina Forest was identifiedbecause it offers a central location in thecommunity. A feasibility study is alsounderway to further determine otherappropriate medical resources which areneeded in this community.

The investment in this medicalexpansion to the region underscores

the commitment of McLeod to providetreatment, services and health care thatthe people of Horry County deserve,according to McLeod Loris SeacoastAdministrator, Dick Tinsley.

“We are pleased to initiate theinvestment of these medical offerings forthe people in our county. This type offacility will insure the continuity ofquality care expected from our McLeod Health system,” stated Tinsley.

“At McLeod, our organization iscommitted to a mission of improvingthe health and well-being of our citizens.We are privileged to be a part of thiseffort to provide excellent care, greateraccess and convenience to area families.”

At the completion of this project,McLeod Health Carolina Forest willbecome an integral part of a state-of-the-art medical system to meet theregion’s medical needs.

McLeod Health recently announced plans to open a medical office building

in order to provide the community with access to physicians and outpatient

services in Carolina Forest. This will be the initial phase of development of its

McLeod Health Carolina Forest Campus.

17

The location of the new McLeod HealthCarolina Forest Campus will be at the cornerof International Drive and Highway 31.

19

Coverage by County, as of April 28, 2015

URGENTCARE

H Hospital

Urgent Care

McLeod Physician Associate Practices

THE STRENGTH OF

ACROSS THE CAROLINAS

Recognized nationally for its quality initiatives and

methodology, McLeod Health has a leading regional

presence in Northeastern South Carolina and

Southeastern North Carolina and a reputation for

dedication to its patients and their families. McLeod

is constantly seeking to improve its patient care

with efforts that are physician led, data-driven and

evidence-based. The 15-county area McLeod

serves has a population of more than one million

including those who live in Southeastern North

Carolina.

Founded in 1906, McLeod Health is a locally owned

and managed, not for profit organization supported

by the strength of nearly 650 members on the

medical staff and more than 1,700 nurses. In

addition to its modern facilities, premier technology

and equipment, McLeod is dedicated to improving

the health of the residents of those communities

it serves. McLeod Health is composed of

approximately 6,600 employees and nearly

60 physician practices in ten counties. With six

hospitals, McLeod Health also operates a Health

and Fitness Center, Sports Medicine and Outpatient

Rehabilitation Center, a Behavioral Health Center,

Hospice, and Home Health Services. The hospitals

within McLeod Health include: McLeod Regional

Medical Center, McLeod Darlington, McLeod Dillon,

McLeod Loris and McLeod Seacoast.

18

20

“Our first step was to remove thekidney stones, and then we discussedvarious ways to treat the tumor,” explainsDr. Horger.

He explored the options of removingthe entire kidney and tumor as well as anopen partial nephrectomy. However,doing so would put Bonnie at risk fordecreased kidney function in the futurebecause of other existing medicalconditions.

Dr. Horger then consulted withMcLeod Interventional Radiologists Dr. Mary Beth Lewis and Dr. TimothyMacFall to determine if percutaneouscryoablation was an appropriatetreatment for Bonnie.

“The day came for my biopsy,”explains Bonnie. “As I was waiting in theexam room in my hospital gown, thedoor opened and Dr. Mary Beth Lewiscame in. She explained that Dr. Horgerhad shared my condition with her andshe believed a treatment option calledcryoablation could treat my tumorwithout surgery.”

Introduced at McLeod in 2014,cryoablation is a state-of-the-art methodof treating tumors in the lung, liver, andkidneys with extreme cold.

After hearing about the treatment,Bonnie elected to not have the biopsyperformed that day.

On October 1, Bonnie underwent her first cryoablation, which eliminatedninety percent of the tumor. A biopsyperformed during the procedureconfirmed a renal cell carcinomadiagnosis. Bonnie experienced nocomplications and was released to gohome a few hours after the procedure.

Bonnie then underwent a secondcryoablation on November 12 to removethe residual tumor.

Guided by computed tomography(CT), interventional radiologists insert a thin, needle-like probe through thepatient’s skin and into the tumor. The tipof the probe is cooled to below -100°C,forming an iceball that engulfs the tumorand kills the cancerous cells.

Cryoablation procedures lastapproximately 20 minutes and can beperformed under local or generalanesthesia.

“Cryoablation is a minimally invasivecancer therapy,” says Dr. Lewis. “There isno effective chemotherapy for renal cellcarcinoma (kidney cancer), so there aretwo options -- surgical removal of eitherpart or the whole kidney, or theseminimally invasive procedures.

“With these minimally invasiveprocedures, patients have little to norecovery. There are no incisions and nosutures, only a band-aid.”

Bonnie’s follow up CT scans show her to be cancer free. The tumor has been completely treated and her kidneyfunction remains normal. She willcontinue to be followed closely in case the tumor returns.

“Instead of losing my kidney, Dr. Lewis came in like an angel and gaveme hope and a cure,” says Bonnie. “Therecovery process was very short, and I have no lasting effects. My husband andI even walked the Cooper River BridgeRun last month.

“I suppose the kidney stones were ablessing. Without them, I would not be inthe good health I am today.”

Bonnie Ruedinger never thought she would be glad to have a kidney stone.

A teacher for 36 years, Bonnie used her summer break during July 2014 to schedule

a physical exam with her primary care physician, Dr. Kelly Lyles.

Giving Patients Hopeby Jessica Wall

When her routine physical exam led to akidney cancer diagnosis, Bonnie Ruedingerexpected to lose a kidney. Thanks to thecollaboration of Dr. David Horger and McLeod Radiologists, Bonnie avoided major surgery and is now cancer free.

Her blood work revealedmicrohematuria, or microscopic blood inthe urine. Bonnie had no symptoms orany visible trace of blood in her urine.Little did she know, this routine checkmay have saved her life.

“At first, I thought it was just aurinary tract infection, but a urinalysisshowed no sign of an infection,” Bonniesaid. “I repeated the urinalysis a few dayslater, with the same result. Dr. Lyles saidthe next step was to see a urologist.”

Bonnie was referred to McLeodUrologist Dr. David Horger, whospecializes in problems associated withthe urinary tract including the kidneysand bladder.

Microhematuria commonly appearsin blood work without indicating aserious abnormality, according to Dr. Horger. However, in some instances,microhematuria is a sign of urinaryinfections, kidney stones, bladder tumorsor, rarely, kidney tumors.

Bonnie’s evaluation revealed alarge kidney stone in the left ureter(the tube which brings urine fromthe kidney to the bladder) as wellas a stone in her right kidney.

In addition to the two kidney stones,the CT scan detected a small abnormalityon the right kidney. A more detailed CT scan of the area confirmed thediagnosis of a renal tumor, measuringapproximately 4.7 centimeters.

Despite being told not to, Bonniebegan searching the internet for what theproblem could be. The results were notoptimistic. “I kept seeing cancer in the

results, which of course wasvery frightening. I was

preparing myself to facethe possibility ofhaving my kidneyremoved.”

In 2014, McLeod introduced two state-

of-the-art minimally invasive cancer

therapies: microwave and cryoablation

of tumors in the lung, liver and kidneys.

These modalities use specific types

of energy to thermally ablate or

kill tumors. Each procedure requires

the CT-guided placement of one or

more probes into a tumor by an

Interventional Radiologist. Ablation is

achieved by using extremely high or

low temperatures.

The type of tumor and its location

often determine which type of

energy is used, according to

McLeod Interventional Radiologist

Dr. Timothy MacFall. Cryoablation

allows the Radiologist to treat tumors

close to critical structures without

damaging them.

In addition, most procedures are

performed on an outpatient basis, and

patients return to their normal activities

the following day.

21

McLeod Interventional Radiologists Dr. Mary Beth Lewis and Dr. Timothy MacFallnow perform two state-of-the-art minimallyinvasive cancer therapies for tumors in thelung, liver, and kidneys.

“Instead of losing my kidney, Dr. Lewis came inlike an angel and gave me hope and a cure. Therecovery process was very short, and I have nolasting effects.”

– Bonnie Ruedinger

22 23

Ruth Ellen Coffey and her two blackLabrador Retrievers, Jezzy, age 12, andMolly, age 9, volunteer with McLeodLoris Seacoast comforting patients andcaregivers. Jezzy and Molly are alwayseager to lend a helping paw to anyonewho may be experiencing anxiety,loneliness or may be in need of a nosenuzzle during their hospital visit.

Coffey, a native of Conway, SouthCarolina, took a special interest intherapy dog training years ago after dog-sitting for a friend. She soon decided thatshe wanted her own therapy dogs but wasnervous about the extensive training thatwent into the certification. Coffeyresearched the different trainingprograms and realized how pet therapycreated a unique bond with people.

“I was eager to get Jezzy and Mollycertified so that we could begin visitingpatients,” said Coffey. “I chose the K9Good Citizen Test because it is registeredthrough the American Kennel Club(AKC).”

After training was completed, Coffeyknew she had a challenge on her handswith Molly because she didn’t alwayslisten to commands. Jezzy, on the otherhand, was likely to have no problemspassing due to her obedient, comfortingpersonality. With much preparation, bothJezzy and Molly passed the K9 GoodCitizen Test with flying colors. The nextcourse of action was to become licensedthrough Therapy Dogs International(TDI).

To pass the TDI test, a dog must beable to accept a friendly stranger, sit andstay in place, react or not react to noiseand distractions, etc. “If you research thedifferent certification categories, thehardest command is the ‘leave it’command,” said Coffey. “It’s veryimportant for a therapy dog to listen in amedical setting. There are food carts,medical equipment and medications thatthe dog is exposed to which couldpotentially harm them.”

As a volunteer with McLeod LorisSeacoast, Coffey has scheduled days thatshe brings Jezzy and Molly to visit at bothhospitals. When the dogs make theirentrance into the building, everyonesmiles, and wants to interact with them.Like people, dogs also have their ownpreferred working environments.

“Jezzy is a little more laid back thanMolly,” said Coffey. “She likes to visitpatients in the Emergency Department.Molly enjoys sitting in a chair or next tothe bed, so she visits patients in theirrooms.”

Jezzy and Molly have made a hugeimpression on the McLeod Loris SeacoastMedical Staff, too. “Everyone stops us inthe hallways and wants to pet the girls --even the physicians,” said Coffey.

Dr. Belal Khokhar, a McLeod LorisSeacoast Hospitalist, always welcomesJezzy and Molly to his work area. “Forsome patients, hospitalization can betraumatic,” said Dr. Khokhar.“HavingJezzy and Molly visit helps make the

patient’s stay a more positive experience.”Recent studies have shown that the

presence of animals can be effective inreducing stress, decreasing blood pressureand heart rate. They also motivatepatients to get up out of their bed andmoving. Providing unconditional loveand acceptance during times of need,Jezzy and Molly’s service at McLeod LorisSeacoast has already made an impact onthe patients and staff.

Coffey and her dogs stay active withinthe community by not only volunteeringat McLeod Loris Seacoast, but also atnursing homes, assisted living facilitiesand libraries.

Coffey added that she has seen first-hand how beneficial therapy dogs can bein a time of need. Her first volunteer jobas a therapy dog handler was at thePentagon Family Assistance Center(PFAC) helping families whose lovedones were killed on 9-11. Coffey spent afew days there offering support andcanine companionship.

“Some of the children were sodistressed, but they could talk to the dogs.There were also adults that just sat downand held the dogs and cried,” said Coffey.“It was very intense.” However, she wasthankful to have had the opportunity tohelp comfort those who were sufferingand overwhelmed with grief.

“It was heartbreaking, but it was anhonor to have made a difference,” shesaid.

Coffey, along with Jezzy and Molly,look forward to continuing to make adifference at McLeod Loris Seacoast. “Weenjoy our visits each week,” said Coffey.“Dogs need a job, and Jezzy and Molly’sjob is to make people feel better. That iswhat we are here to do.”

When entering a hospital’s emergency department, patient room or surgical waiting

area, you typically are not expecting to be greeted by a friendly, furry face. However,

at McLeod Loris Seacoast you just might.PAWSON A MISSIONby Jennifer Beverly

Ruth Ellen Coffey and her two therapydogs, Molly (left) and Jezzy (right),volunteer at McLeod Loris Seacoast.They provide special comfort topatients and visitors.

“For some patients, hospitalization can betraumatic. Having Jezzy and Molly visit helps makethe patient’s stay a more positive experience.”

– Dr. Belal Khokhar

Able to Enjoy Life Again

Patsy Simmons participates in CardiacRehabilitation at McLeod Loris severaltimes a week to regain strength.

by Jennifer Hulon

Patsy Simmons says she

experiences the simple joys

in life by working in her

garden and tending her

flower beds. This is

where she is most at

peace. When these

activities became too

difficult for her to

accomplish, Patsy

knew something

physically was not

right with her health.

In the Fall of 2014, Patsy became aware of problems with catching her breath, a lack of energy, and found it difficult to take steps without having to sit down. These symptoms became so severe, she made an appointment to see her primary care physician, Dr. Andrew SeJan with Southern Medical Associates.

“That afternoon, I wanted to go to mygarden, which is about 40 yards from myhouse. I was so out of breath, it took me about30 minutes to walk to the garden because I had to continuously sit down,” Patsy said.

Patsy had an appointment with Dr. SeJan early the next day -- a Friday. Dr. SeJan quickly recommended that Patsy see a Cardiologist for testing.

24

His team made her appointment with Dr. Nathan Almeida at Pee DeeCardiology the following Mondaymorning. However, Patsy’s conditionrequired immediate care.

At 2:30 a.m. Monday, Patsy woke upwith difficulty breathing and heaviness inher upper body. “It took all of my energyto reach over to wake my husband to helpme,” said Patsy. Her son called 911, andshe was transported to McLeod Loris.

Once EMS reached McLeod Loris,Emergency Department Physician Dr. Stephen Harvey was waiting toexamine Patsy. Dr. Harvey consulted withDr. Christopher Po, a McLeod LorisHospitalist, concerning Patsy’s condition.Dr. Po admitted Patsy into the IntensiveCare Unit and called Dr. Almeida. She hadsuffered a heart attack.

Patsy’s condition was critical and theyneeded to move quickly. Dr. Almeidaoffered Patsy a choice to be moved toMcLeod Regional Medical Center inFlorence or to a hospital closer to home.Patsy selected McLeod.

“When I came into McLeod, I knewthey were completely in control of mysituation, and had every aspect carefullyorganized. There was no delay in any ofthe process. I knew I was in a criticalsituation, but I felt a calmness knowingthey were prepared to help me,” said Patsy.

Dr. Scot Schultz, a CardiothoracicSurgeon with McLeod CardiothoracicSurgical Associates, met with Patsy todiscuss her medical condition. Heexplained that bypass surgery wasnecessary, and that she would likelyrequire four bypasses (a quadruplebypass). He also concluded thatPatsy had Congestive HeartFailure, so surgery was delayeduntil the following dayallowing Dr. Schultz tooptimize her medicalcondition.

Dr. Schultz asked Patsy’s husband,Wayne, if he would be traveling backhome that evening. Home for theSimmons is Tabor City, North Carolina,which is an hour and a half drive fromFlorence. When Wayne told Dr. Schultzhis desire was to remain with his wife inFlorence, Dr. Schultz contacted theMcLeod Guest House to offer Wayne aconvenient and comfortable place to staywhile Patsy was hospitalized.

“My husband felt reassured we hadmade the right decision to come toMcLeod. Not only did they take care ofme, they also met the needs of my family.It was refreshing to know this physicianunderstood the importance of having myhusband close by, and that McLeod hadthis option available for their patients’families. It was another level of patientcare that we found impressive. Itconfirmed we made the right choicecoming to McLeod,” Patsy said.

Patsy underwent a quadruple bypasson Tuesday morning. One day later, shewas up walking. It was exhausting, but shepersisted. Other heart patients in the unitwere mobile, which encouraged her thatshe could do it, too. “Every day I sawsomeone walking past my door. I thought,‘if they can do it, I can do it.’ I was thatdriven,” said Patsy.

After six days in McLeod RegionalMedical Center, Patsy transitioned to arehabilitation facility to gain strength andnormal functions. She also participated in Cardiac Rehabilitation sessions at McLeod Loris three times a week whenshe returned home.

“My overall experience at McLeod wasexcellent. I could not have asked forbetter care,” said Patsy. “To all of myphysicians and nurses at McLeod Lorisand McLeod Regional Medical Center,I’ve never had such wonderful care fromany other hospital. Thank you for givingme a second chance at life.”

Patsy is grateful for the excellentcare she received from Dr. NathanAlmeida (at left) and Dr. AndrewSeJan (at right).

25

27

Growing in Her Own Timeby Jessica Wall

Five years after trying to

have a family, Jayson and

Ashlee Quesada looked

into adoption. In

December 2012, just six

months after beginning

the adoption process, the

couple was ecstatic to

learn they had been

chosen by a birth mother.

Four weeks later, on January 12, 2013,Jayson and Ashlee were in the deliveryroom for the birth of their daughter,Caydence.

“It was a beautiful moment for ourfamily as we were the first to holdCaydence,” recalls Ashlee.

Everything seemed normal untilCaydence’s two month check-up withMcLeod Pediatrician Dr. Brian Naylor,who noticed that her eyes were nottracking or focusing on objects.

Dr. Naylor referred Caydence to anophthalmologist, who diagnosed her with nystagmus, or involuntary eyemovements. He then ordered an MRI for further testing, which revealed thatCaydence had septo optic dysplasia.

“Septo optic dysplasia is a rarecongenital condition characterized by theunderdevelopment of the optic nerve,pituitary gland dysfunction and theabsence of the septum pellucidum (part of the brain connecting the twohemispheres),” explained Dr. Naylor.

While most individuals have only twoof the three components, Caydence joinsthe 30% of people who have all three,according to the National Institutes ofHealth.

“We were overwhelmed at thediagnosis,” says Jayson. “There was neveran indication that something was wrongprior to the two month check-up.”

“Caydence’s birth mother had anormal pregnancy and delivery, andCaydence weighed seven pounds,”explains Ashlee. “As new parents, wedidn’t know what to expect, but it was ablessing to know that we had the supportof our physicians.”

Soon after the diagnosis, Caydence was referred to McLeod PediatricEndocrinologist Dr. Pamela Clark, whospecializes in disorders related to growthand hormones.

“The area in which her pituitary glandand optic nerve intersect did not developcorrectly,” explains Dr. Clark. “As a result,her body was not producing enoughgrowth hormone, which is also importantfor bone density, cholesterol, and musclemass.”

At four months old, Caydencemeasured below the growth chart interms of height and weight compared toother children her age.

Caydence’s treatment consisted oflow-dose growth hormone injections,which she continues to receive six days aweek. Within a few months of treatment,Jayson and Ashlee noticed a difference inher growth.

“Caydence has grown tremendouslysince starting the growth hormoneinjections, and she will continue on thistreatment plan indefinitely,” says Jayson.“We follow up with Dr. Clark every fourto six months, which involves blood workand a cortisol stress test.”

In times of stress, a normal person’sbody naturally increases its cortisol levels,but Caydence does not have that ability.Therefore, illnesses such as the flu couldcause serious complications.

“We monitor her temperature,especially during the summer, because shecan get overheated easily,” explains Ashlee.“We keep a thermometer close by, but wehave also learned to watch for physicalsigns such as lethargy.”

If Caydence develops a fever thatexceeds 102° or gets overheated, shereceives a cortisol injection.

In addition to growth hormone andcortisol injections, Caydence undergoesoccupational, physical, speech, and visiontherapy each week.

“Caydence is a happy little girl whoalways has a smile on her face, a qualityshe models after her parents,” adds Dr. Clark. “Jayson and Ashlee have takenthis unexpected diagnosis in stride andcontinue to have a positive attitude.”

Despite her condition, Caydence is atypical two-year-old who enjoys playingoutside and dancing while her dad playsthe guitar. She is currently enrolled ingymnastics and recently learned how toroll over.

“She is a little girl with a bigpersonality,” says Ashlee. “She’s an artist,musician, and dancer.”

“If we could take this away from her,we would,” says Jayson. “But, it makes herwho she is and we know she has greatpeople in place to take care of her.”

“The highlight of this journey is seeinghow far she has come,” says Ashlee. “Wedidn’t know if Caydence would be able towalk or see, but she can do both.

“In addition, we recently learnedduring Caydence’s two year check-up thatshe is in the 25th percentile in height andweight where before she wasn’t even onthe charts.

“Caydence does things in her owntime, and we have no doubt that herstrength and determination will help herachieve anything she sets her mind toaccomplish,” adds Ashlee.

After being diagnosed with a rare congenitalcondition, CaydenceQuesada is making greatprogress thanks to thesupport of her parents,Ashlee and Jayson, as wellas her team of McLeodphysicians.

McLeod Pediatric SubspecialistsMcLeod Pediatric Subspecialists provides families in the region with pediatric cardiology,

critical care, and endocrinology services. These physicians and their staff continuously

strive for excellence in pediatric care so that patients and their families can receive highly-

specialized treatment locally.

Board Certified in Pediatric Endocrinology, Dr. Pamela Clark treats a variety of conditions,

including Type 1 and 2 Diabetes; short stature; growth hormone deficiency; precocious

or delayed puberty; thyroid disorders; adrenal disorders such as CAH, Addison’s, and

Cushing’s; calcium and bone problems; and syndromes such as Turner, Prader-Willi,

Russell-Silver, DiGeorge, Klinefelter, PCOS and hirsutism.

Dr. Pamela Clark 2726

Experience InspiresCAREER PATH

by Julia Derrick

Some folks have the

opportunity to take a

difficult experience and turn

it around to help others.

While a sophomore at WinthropUniversity, Haley Wightman began feelingnumbness and pain in her left foot thatgrew progressively worse. A player on theschool’s softball team, these symptomsmade playing particularly difficult for her.Eventually, Haley’s workouts consisted ofduct taping her feet to the pedals on astationary bike so her feet would remainon the pedals when she exercised. She was

also prescribed medication and musclerelaxers, but they did not ease the pain.

Haley’s family knew something wasseriously wrong when she came home forEaster. She had stopped driving becauseshe could no longer feel the pedals tochange gears on her manual transmissioncar. Her primary care doctor sent her to aspecialist, concerned she may haveMultiple Sclerosis.

While other Winthrop students werestudying for finals, Haley was seeingNeurosurgeon Dr. William Naso ofFlorence Neurosurgery and Spine for anevaluation. At this point, she could hardlywalk. After Dr. Naso reviewed her scans,he explained to Haley and her family thata tumor on her spinal cord on ThoracicLevels 4 and 5 would paralyze her if itcontinued to grow. Haley wasimmediately put in a wheelchair andadmitted to the hospital for surgery.

After Dr. Naso performed the surgery,Haley and her family were relieved tolearn that the tumor was benign. Haley spent ten days in the hospitalrecovering, which gave her a lot of time tothink. She explained that her faith in Godgrew even more when she reflected on thepast year of her life. “God really spoke tome during this time. He said, “You caneither continue on this path or live for meand find fullness in your life.’”

Haley’s recovery included PhysicalTherapy to help her learn how to walkagain. At first, she had to “log roll” out ofbed and maneuver with a cane until shecould walk on her own.

Once she accomplished this goal, hermother held a small party at homeinviting friends to come and celebrateHaley having a new life and a secondchance to walk.

In order to help Haley complete hersophomore year of college, her highschool Sunday School teacher DebbieClymer proctored Haley’s exams for her athome. Debbie also holds a PhD in SpeechLanguage Pathology -- a career field Haleywas interested in pursuing.

Haley began her junior year of collegea changed person.“The year before was atough year, but I would not change athing about it. Sometimes you have to gothrough the valley to get to the peak,” saidHaley. When she returned to Winthrop,she also helped establish a chapter of theFellowship of Christian Athletes.

In 1999, Haley graduated with aBachelor of Arts in Speech LanguagePathology. Following graduation, sheinquired at McLeod about a scholarship

28

for a Master’s Degree in CommunicationDisorders. At the time, McLeod did nothave a scholarship in place. After hearingher personal story, the hospital awardedHaley the very first scholarship in thisfield.

As Haley began looking at schools, shelearned that Debbie had taken a job atArkansas State University. She invitedHaley to tour the campus. After the visit,Haley decided that the school was aperfect fit for her to further her education.

During her last semester at ArkansasState, Haley completed her clinicalrotation at McLeod Regional MedicalCenter. As she was finishing her Master’sDegree, a Pediatric Speech LanguagePathologist position became available atMcLeod Regional Medical Center. Haleyapplied and was accepted.

Today, 19 years after her surgery, Haleyis the one administering the therapy andhelping other people. She lives in Florencewith her husband, Mike, and their twochildren, Aven and Brennan. She isinspired every day by her patients’triumphs, and tries to do everything shecan to make each child successful.

Looking back at a prayer journal shekept after her surgery, Haley says she wasblessed by so many answered prayers.

“I desire to give patients I treat hopethat they will be able to accomplish all oftheir goals. My passion comes from first-hand experience. One person canmake the difference in the life of a patientwho is struggling,” she explained.

Haley has also given presentations to groups, including the McLeodFoundation Angels, to explain how theirgifts have helped her patients with speechdevelopment. Additionally, she wasrecently selected to serve on the SouthCarolina Alexander Graham Bell Boardfor the Deaf and Hearing Impaired.

“I would not change a thing about myentire experience,” said Haley. “Dr. Nasoand his team are part of the reason I amblessed to do what I can to help children.It is pretty profound to think that theneurosurgeon who performed my surgeryand the therapists who assisted in myrecovery all played a role in my becominga McLeod staff member and advocate forother patients.”

29

Haley Wightman plays a game withJames Eager before his speech therapysession.

Haley Wightman is grateful for the careshe received from Dr. William Naso.

30

We could not have predicted thebreadth of knowledge that wouldcome from this well-crafted program.Exposure ranged from “scrubbing in”to observe open heart surgery tounderstanding the role of Security onhospital grounds. The coordinators ofthe program ensured that we wereaware of how intricate and complex ahospital is, both functionally andculturally.

The privilege to see how so manyhealth care providers worked togethergranted us insight into the world ofmedicine we are preparing to enter. It is with immense gratitude that wereflect on our better understanding of medical practice through thenumerous hospital staff members who illustrated professionalism andkindness while immersing us in theirindividual roles. Through theirguidance, we have found a renewedexcitement for practicing medicineand see hope, rather than the ever-present concern, in the roles ofphysicians in years to come.

One of the first experiences weencountered at McLeod wasadministrative rounds. Senioradministrators begin their morningswith rounds to greet patients andconnect with staff in an effort toidentify patient concerns. This givespatients an opportunity to speakopenly with leaders who directoperational and cultural changewithin the hospital. After rounds,

the administrators, charge nurses andother staff from the unit gather todebrief on what was found, and sharepatient concerns and suggestions. As a student, it was refreshing andencouraging to witness processimprovement in this manner.

Our focus as Fellows in the hospitalwas on the role of the physician.Something we had not consideredbefore was the involvement ofphysicians in improving patient carethrough processes that originate farfrom the bedside. McLeod Physicianswere at the heart of encouragingsystemic changes to positivelyinfluence the patient’s health oroutcome.

At McLeod, we learned that qualityimprovement is “Physician Led, Data-Driven and Evidence-Based.” We found that being part of thisrelationship early in medicaleducation promotes development evenbefore a student is practicing as aphysician. A medical stafforganization rich in physicianengagement, like McLeod, ultimatelybenefits the patients and theorganization.

Overall the involvement ofphysicians is made easy at McLeod --promoting engagement inimprovement processes and acceptingboth support and constructive inputabout current systems. We determinedthat it is critical for medical studentsto understand how influential they can

be as physicians if they are committedto evidence-based changes for moreeffective and efficient patient care.

As medical students, we have manycourses that “tell us” about the valueof teamwork, but seeing it, being therewith the physician and witnessing howit can play out, that is what sticks. Theamount to be gained by instilling thismode of action in rising physicians asearly as possible is incalculable.

One internist at McLeod inspiredall four of us by his inclusiveness ofthe healthcare team. While roundingin the mornings, he consistentlyengaged the patients and their family,sat or leaned forward to give themgreater attention and spoke slowly andfrankly. If necessary, he explained therole of some of the other providers --such as a speech language pathologist.This was often the case with us as well,being introduced as medical studentsjoining him on rounds to learn thepractice of medicine. Patients were notleft to guess what was happening orwho was doing it.

Once we were outside the patient’sroom this physician would include the nurse in what they had been doing and what they thought shouldcome next to continue the care. Hewould discuss medication options and simultaneously recommend whileasking for input from the pharmaciston rounds with us. Even if he thoughtsomething was a good idea, he still wanted it to be questioned.

In the summer between years one and two of medical school, students have at

their disposal something that did not exist during their first exposure to studying

medicine: free time. The four of us, from the University of South Carolina School of

Medicine, chose to spend six weeks of our summer at McLeod Regional Medical

Center through the McLeod Foundation Medical Student Internship Program.

Reflecting on the Future:

A MEDICAL STUDENT’S PERSPECTIVE

by Sean Christiansen, Bryan Everitt, Jessica Hoglund, Elizabeth Kelly

The medical students who wrote this article about their experience atMcLeod in the Summer of 2014 are pictured with Dr. Alva Whitehead, at left,and Dr. Michael Rose, at right. The students, from left to right, are BrianEveritt, Jessica Hoglund, Sean Christensen and Elizabeth Kelly.

At McLeod, we learned that quality improvement is“Physician Led, Data-Driven and Evidence-Based.” A medical staff organization rich in physicianengagement, like McLeod, ultimately benefits thepatients and the organization.

31

32

Pictured from left to right are the 2012 medical students who participated in the McLeod Internship program: Lauren Mozingo, Katie Rosa, Carolyn Vaught and Katie Rose.

For the past eight years, McLeod Regional Medical Center has hosted an

internship for medical students from May through July, a concept developed

by Dr. Alva Whitehead. This program for rising second year medical students

has been used as both a learning tool for physicians in training as well as

recruitment for the future of McLeod.

The medical students spend part of their summer vacation at McLeod

receiving an insider’s view of how a hospital works. This six-week internship,

funded by the McLeod Foundation, is often the first experience in a hospital

for many of these students.

The internship includes rotations through many areas of the medical center

including the Family Medicine Residency Program, Rapid Improvement Events,

a two-week Surgery segment with Dr. Michael Rose, and visits to different

areas in the hospital such as the Emergency Department, the Lab, Radiology,

Critical Care Units, and Radiation Oncology. The students also round with

physicians, administrators, hospitalists and nursing directors and attend

meetings of the Cancer Conference Board, Institutional Review Board (IRB),

and Quality and Safety during their fellowship.

To recruit students for the program, Dr. Whitehead attends the summer

opportunity fair each year at the University of South Carolina School of

Medicine to talk to first year medical students about the internship program

at McLeod.

Since 2007, the medical students participating in the McLeod Internship have

included: Nicholas Jebaily, Jessica Clarke, Jill Braddy, William Perkins, Dina

Khalil, Rick Cheek, Lauren Saleeby Barron, Sterling Jones, Zac Coward, Anna

Collins, David Braddy, Jason Heilemann, Andrew Hack, Stephanie Paolini,

Blake Hodges, Abigail Case, David Giovannini, Ashley Greeson, Roopa

Varadarjan, Brian Williams, Lauren Mozingo, Katie Rosa, Carolyn Vaught, Katie

Rose, Martha Ann DeBerry, Adam Brunson, Joseph Galloway, Lauren Wingfield,

Sean Christensen, Bryan Everitt, Jessica Hoglund and Elizabeth Kelly.

McLeod Offers Internship for Medical Students

We witnessed him using thistechnique with nearly all of themembers of the patient’s care team,including case managers and physicaltherapists.

We also experienced the work ofmany different departments. Whileeach understands their value andgoals, by moving among them wewitnessed their cohesiveness and howinfluential a physician’s proverbial penis in guiding patient care. We learnedthat the refinement and improvementin performance starts with physicians-- how they lead their team of healthcare providers, how they contribute tothe system as a whole, and how theyanticipate what their orders yield froman operations standpoint. We arecertain that any medical student, andeven practicing physician, would bebetter able to achieve this whenexposed to the many facets of patientcare that often go unseen.

Our evolving understanding of thephysician’s role and the power ofcollaboration also led us to reflect onmedical education. If medical studentswere exposed to hospital operationsfrom the ground up early in theircareer like we were, they may comeinto residency and practice with abetter understanding of the influenceof their recommendations and how toutilize the resources around them toachieve optimal patient care that isquality and value driven.

As students going into medicineduring an era of immense change, thebest outcome of our experience atMcLeod is the true excitementinstilled in each of us for thechallenges ahead.

33

McLeod Regional Medical Centerhas been designated a Lung CancerScreening Center by the AmericanCollege of Radiology (ACR). McLeod isthe only hospital in this part of SouthCarolina to achieve this designation.

The ACR Lung Cancer ScreeningCenter designation is a voluntaryprogram that recognizes facilities thathave committed to practice safe,effective diagnostic care for individualsat the highest risk for lung cancer.

In order to receive this elitedistinction, facilities must be accreditedby the ACR in computed tomography(CT) in the chest module, as well asundergo a rigorous assessment of itslung cancer screening protocol andinfrastructure. Also required areprocedures in place for follow-uppatient care, such as counseling andsmoking cessation programs.

In 2014, McLeod implemented aLung Cancer Screening Program that iscoordinated by a Lung OncologyNavigator. The screening process beginswith the oncology navigator contactingthose interested in the Lung CancerScreening Program to review theirmedical history and any symptoms theymay be experiencing. If a patient meetsthe criteria for screening, the navigatorguides them through the process andgets them to the appropriate doctor fortreatment if needed.

Participants in the McLeod LungCancer Screening Program receive:

• a low-dose CT scan*

• a professional reading andinterpretation of findings by aMcLeod Radiologist who will eitherrecommend a one-year follow-up orfurther testing

• free smoking cessation counseling

• results sent to their primary carephysician

• a letter informing them if their scanwas normal or a follow-up call fromthe Lung Oncology Navigator

• referrals to a pulmonologist orcardiothoracic surgeon if anythingof concern is detected on the scan

Lung cancer screening with low-dose computed tomography scans, andappropriate follow-up care,significantly reduces lung cancerdeaths. In December 2013, the UnitedStates Preventive Services Task Forcerecommended screening of adults aged55 to 80 years who have a 30 pack-yearsmoking history (30 pack-year isequivalent to one pack per day for 30years or two packs per day for 15 years)and currently smoke or have quitwithin the past 15 years. Lung cancer isthe nation’s leading cancer killer --taking the lives of more people eachyear than breast, colon and prostatecancers combined.

If you are interested in learningmore about the McLeod Lung CancerScreening Program, please contact theMcLeod Lung Oncology Navigator at(843) 777-5640.

McLeod NewsMcLeod Earns ACR Lung Cancer ScreeningCenter Designation

* Please note that cost of a low dose screening CT scan for a person without symptoms for lung cancer is $200. Medicare and most privateinsurance companies now cover the cost of the CT scan if you meet the criteria for a lung cancer screening. Ages covered by Medicare are 55 to 77; private insurance will pay for those 55 to 80. Lung Cancer Screening Scholarships, funded by the McLeod Foundation’s McLeod Men’s group, are available for those who are uninsured and/or unable to pay for a Low-Dose CT Screening. For information on the scholarship, please call (843) 777-5640.

34

McLeod News

McLeod Children’s Hospital recentlypartnered with Florence School DistrictOne to pilot the Docs Adopt© SchoolHealth Initiative in ten schools duringthe 2014-2015 academic year. Theproject is led by Dr. Benjamin Elder,Assistant Professor of Pediatrics withMcLeod Family Medicine Center, andHart Smith, Vice President of Women’sand Children’s Services.

The Docs Adopt© program,established in 2007, is part of a HealthySchools Initiative grant from the

Boeing Center for Children’s Wellnessfocused on helping schools establishand implement healthy practices todecrease childhood obesity.

Dr. Carl Chelen, Medical Directorof the McLeod Children’s HospitalPediatric Intensive Care Unit (PICU),has a firsthand view of how obesityimpacts pediatric patients.

“A large portion of our pediatricpopulation at McLeod suffers from diabetes,asthma, juvenile hypertension, and sickle cell disease,” explains Dr. Chelen.

“In each of these instances, obesityeither complicates or contributes to thecondition, making treatment optionsmore challenging.”

McLeod Physicians participating inthe initiative “adopt” a school and workwith a committee to set short-term and long-term goals based on theSchool Wellness Checklist©. Thephysicians then offer hands-onguidance and education in areas such as nutrition, physical activity, and stressmanagement to achieve those goals.

Patients from North Myrtle Beach,who suffer from vascular conditionsnow have access to the region’s topvascular surgeons. Dr. ChristopherCunningham and Dr. Gabor Winkler,highly-skilled surgeons with theMcLeod Heart & Vascular Institute, areoffering a Vascular Clinic at McLeodSeacoast twice a month. With surgicalexpertise and minimally invasivetechnology, Dr. Cunningham and Dr. Winkler provide treatment forconditions including stroke, peripheral

arterial disease and aneurysms. AtMcLeod Seacoast Vascular Clinic,patients can be evaluated for surgeryand treatment as well as undergodiagnostic studies in the VascularLab. The Vascular Clinic is located atthe Seacoast Medical Office Building,3980 Highway 9 East, Suite 100 inLittle River, South Carolina. Forquestions, please call 1-888-812-5143.New patients accepted by physicianreferral.

Top Vascular Surgeons Now Offering Care at McLeod Seacoast

McLeod Children’s Hospital Participates in Outreach Initiative

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Marcus Lattimore, former USC Gamecock and San Francisco 49ers Running Back, is pictured withpediatric patient Paulina Perez during his visit tothe McLeod Children’s Hospital on May 7. Lattimorealso shared his inspiring story on “OvercomingAdversity” at the Florence Civic Center withproceeds benefitting the Children’s Hospital.

Marcus Lattimore visitsMcLeod Children’s Hospital

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