ralph king anderson, jr. - mcleod health — the … honorable ralph king anderson, jr., a retired...

Ralph King Anderson, Jr.

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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:Jenna Falls Cox, 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.

©2014 by McLeod Health.All rights reserved. For permission to reprint,

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

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As we look forward to a New Year, McLeod Health remainscommitted to advancements in treatment, research,technology and specialized services, offering medicalexcellence to all those who entrust us with their care.

We consider it a privilege to improve the health of ourcommunities, providing access to exceptional service andclinical excellence. Our physicians, patient care providers and healthcare professionals are dedicated to meeting theneeds of the whole person on their journey to recovery.

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.

In each issue of the McLeod Magazine, which celebrates its 30th year of publicationin 2015, we recognize and pay tribute to remarkable challenges, outcomes andvictories 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 Colones, President, McLeod Health

On the Cover:The Honorable Ralph King Anderson, Jr., a retired SC Appellate Court Judge and a cancer survivor, expresseshis appreciation to McLeod caregivers. Join him and others in these testimonials of healing and hope. Cover Photography: Doug Fraser

4 TO BE CONTINUED

8 FAMILY TIME SAVED MY LIFE

11 2014 McLEOD HEALTH CANCER REPORT

14 ANOTHER CHANCE AT A COMPLETE FAMILY

16 GOLD SEAL OF APPROVAL

17 GETTING PATIENTS BACK ON THEIR FEET

20 THE KEY TO QUALITY CARE

22 IT’S MORE THAN JUST MEDICINE

24 GETTING TO THE HEART OF CARDIAC CARE

26 ENSURING COMFORT WITH COMPASSION

28 MIGRAINE RELIEF IN MINUTES

30 “TOP NOTCH” STROKE CARE

32 CLEARING BLOCKAGES

35 McLEOD SEACOAST EXPANSION UNDERWAY

36 DETERMINED TO WIN

38 ABLE TO REST EASY AGAIN

40 McLEOD NEWS

ABLE TO REST EASY AGAINPAGE 38

ENSURING COMFORT WITH COMPASSIONPAGE 26

ANOTHER CHANCE AT A COMPLETE FAMILYPAGE 14

Inside

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

Scan the QR code towatch each touching story

Thom Anderson Bobby Holland Jerry Lee

Anna Rose Rainwater Miriam Swiler Dr. Ray Thomas

Adam Ploeg

McLeod Regional

F L O R E N C E D I L L O NT H E H O S P I T A L S O F M c L E O D H E A L T H D A R L I N G T O N L O R I S S E A C O A S T

To Be Continued...“After arriving home from church, I

felt a sudden pain in my chest and backthat I could not ignore. I was afraid itmight be a heart attack, and since it wason a Sunday, we headed to the McLeodER,” said Joe. “The EmergencyDepartment staff ran X-rays and then aCT scan to rule out an aneurysm orheart issue. The tests came backindicating my heart was fine, but therewas something in my lung.”

That “something in my lung” turnedout to be lung cancer, the same diagnosisthat led to the death of Joe’s father at theage of 63. “My father was a heavysmoker, and I was a smoker years ago,”said Joe. “I figured I’d had a good, fulllife. A marriage of 52 years, children,grandchildren, and a meaningful career.I figured ‘well, this is it’ and that cancerwas just the way it would end. But, Iguess my story wasn’t done.”

Joe’s prognosis turned out to bemuch different than his father’s, thanksto a coordinated effort of physicians and treatment options. This effort began after a serendipitous encounterwith someone intimately aware of adiagnosis like Joe’s.

Following his tests in the EmergencyDepartment, Joe was admitted to thehospital and his care transferred to thesupervision of McLeod Hospitalist Dr. William Hazelwood.

“The moment I saw the chest scan, I told Joe that I suspected the mass waslung cancer, and that it appeared to bethe same type of tumor I myself hadsurvived. We ordered a needle biopsy toconfirm the diagnosis. While a cancerdiagnosis is always frightening, I tried to assure him that my standingthere talking to him was proof he had a chance to survive it,” said Dr. Hazelwood.

Once home from the hospital, theNicholsons followed up with their family physician, Dr. Ernie Connor, at McLeod Family Medicine Center.

Dr. Connor had received the results ofthe biopsy and confirmed the diagnosisof lung cancer. He then referred them to Dr. Rajesh Bajaj at McLeod Oncologyand Hematology Associates.

“Joe had a common type of lungcancer, Adenocarcinoma,” said Dr. Bajaj.“The standard preferred treatment forthis diagnosis and stage, if lungfunctions are acceptable, is surgery toremove the right upper lobe of the lung.”

Since surgery was the best option fortreatment, Joe’s next appointment waswith McLeod Cardiothoracic SurgeonDr. Greg Jones.

“I first met Joe in my office forconsultation at the request of Dr. Bajaj,”said Dr. Jones. “He had recently receivedthe results of his lung biopsy whichconfirmed the diagnosis of lung cancer.

“He was also highly motivated toexplore his surgical options. All of Joe’squestions were well organized and askedin a way I could tell came from one whohad been drawn into a fight he did notask for, but was now determined tounderstand and defeat his adversary.”

After hearing his options from Dr. Jones, Joe was prepared to takeaction and in his mind, “the sooner thebetter.” Surgery was scheduled for thenext day.

“The surgery Joe underwent is aVATS (video-assisted thoracic surgical)

right upper lobectomy with mediastinallymphadenectomy for a completeresection of his lung cancer,” explainedDr. Jones. “This surgery means that theentire region of the lung containing thetumor was removed along with thelymph nodes in the chest to treat andaccurately stage the cancer.”

Dr. Bajaj said the stage of Joe’s cancerwas significant. “All of the lymph nodeswere free of cancer and his tumor stagewas 1A, which means the tumor is verysmall and has not spread to other areasof the lung or parts of the body. Aroundsixty (60%) percent of patients withStage 1A disease remain cured at fiveyears. Joe smoked in the distant past, buthad not smoked in 50 years. This factorprobably helped keep his lung functionacceptable for surgery. He also did notrequire radiation or chemotherapy.”

After a week of recovering at home,Joe followed up with Dr. Bajaj to seewhat the treatment plan was after hissurgery. The news that he would need no further treatment was beyond hisexpectations, to say the least.

“I believe in miracles, but I neverexpected to receive one. I could notbelieve how lucky I was, and howblessed,” said Joe. “I was blessed to havethis diagnosis at an early stage and thiswonderful team of physicians to providemy care. I was so lucky -- I should havebought lottery tickets!”

Joe Nicholson spent the morning of Sunday, July 22, 2014 the same way he has for

much of the last 50 years, attending Sunday School and worshiping at First Baptist

Church of Florence. Joe performed his regular commitment as lectionary reader,

filling the sanctuary with scripture in the same way his familiar baritone voice and

presence did as a radio announcer and television broadcaster for WBTW. After

lunch with his wife Judy, the couple returned to their home unaware of just how

different this Sunday would become from their normal routine.

by Shaw Thompson

“I believe in miracles, but I never expected toreceive one. I could not believe how lucky I was,and how blessed. I was blessed to have thisdiagnosis at an early stage and this wonderful teamof physicians to provide my care.”

– Joe Nicholson

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Joe Nicholson, pictured at left, as ayoung broadcaster and anchorman inthe 1960s, celebrates being a lungcancer survivor today.

McLeod Regional


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McLEOD OFFERS LUNG CANCER SCREENING PROGRAM

Lung cancer is the leading cause of cancer-related deaths in theUnited States, causing more deaths than breast, prostate, andcolorectal cancers combined. Results of the National LungCancer Screening Trial indicated that current and former heavysmokers who received a low-dose CT scan over a three-yearperiod reduced their risk of dying from lung cancer by 20 percent.

The McLeod Lung Cancer Screening Program is a new servicethat uses low-dose CT scans to screen high-risk individuals forlung cancer. A lung CT scan can detect tiny spots or nodules on your lungs years before they may be seen on a regular chestX-ray.

According to the National Comprehensive Cancer Network, youshould consider a lung cancer screening program if you:

• are between 55 to 74 years of age and you have smoked apack of cigarettes a day for 30 years or two packs per day for 15 years

• do not currently exhibit any symptoms of lung cancer

• are currently smoking or have quit smoking within the last 15 years

• are interested in being screened for lung cancer

The McLeod Lung Nurse Navigator will contact those interestedin the Lung Cancer Screening Program to review their medicalhistory and any symptoms they may be experiencing.

Participants in the McLeod Lung Cancer Screening Program willreceive:

• a low-dose CT scan*

• a professional reading and interpretation of findings by aMcLeod Radiologist who will either recommend a one yearfollow-up or further testing

• free smoking cessation counseling

• results sent to your primary care physician

• a letter informing you if your scan was normal or a follow-upcall from the Lung Nurse Navigator

• referrals to a pulmonologist or cardiothoracic surgeon ifanything of concern is detected on the scan

* Please note that CT scans to screen a person withoutsymptoms for lung cancer are not covered by Medicare ormost insurance companies. The cost of the screening CT scan is $200.

If you are interested in learning more about the McLeod LungCancer Screening Program, please contact McLeod Lung NurseNavigator, Summer Bryant-Cook, at (843) 777-5640.

The word “lucky” comes up oftenwhen Joe describes his journey withcancer, but good fortune is only part ofstory. As the saying goes, “you make yourown luck -- luck is when preparationmeets opportunity.” The key to Joe’ssuccessful treatment lies in the earlydetection of his tumor, his choice to seekprompt treatment for the pain he couldnot explain and the tests that led thephysicians to his diagnosis.

“There is never a good time to have acancer diagnosis, but early in its course isobviously best,” said Dr. Jones. “Joe hadno symptoms, which is usually the casewith early stage lung cancer.

“In fact, Joe’s tumor was found quiteincidentally when he had a chest CTscan for an unrelated complaint. Thismay sound unusual to most people, but

in my experience it is actually commonto see patients with small lung tumorsfound by X-rays taken for otherreasons.”

Joe’s awareness and resolve in dealingwith his cancer contributed to theeffectiveness of his treatment, andimpressed Dr. Jones as well. “I continueto be humbled and inspired by patientslike Joe. It is a tremendous test of theircharacter and fortitude to be confrontedwith a major illness like lung cancer andnot to quit or run away but to turn andrun toward the fight.”

Just a few weeks following hisdiagnosis and surgery, Joe returned tofull activities and work. Since leavingradio and television broadcasting in the

1990s, Joe has enjoyed a successful careeras an insurance representative. Seated athis desk at John Floyd Insurance, hereflects on a story that has a newrelevance to his own life:

“Broadcasting was my first love andalways will be. I remember once doing astory for television about the CancerSurvivors Celebration at McLeod. Oneby one the folks in the room were askedto stand as one-year survivors, two-yearsurvivors, five-year survivors, and soforth. Finally, they got around to onelady who was a twenty-year survivor andshe received a standing ovation. At thetime I didn’t fully appreciate what thepeople in that room had experienced.Now, I’m a member of the club.”

Surrounded by Dr. Rajesh Bajaj,at left, and Dr. Greg Jones, at

right, Joe Nicholson believes hewas placed in the best hands

when he received his diagnosisof lung cancer.

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McLeod Pulmonologist Dr. Vinod Jona directs patients

to Lung Nurse NavigatorSummer Bryant-Cook to review

their appropriateness for the Lung Cancer

Screening Program.

FAMILY TIME“I would love to say that my yearly

mammogram or monthly breast self-exams, saved my life,” explained Marilyn.

“Being a registered nurse, I’ve alwaysbeen an advocate of mammograms and self-exams. In March of 2013, I underwent my second mammogram. I received my results and they werenormal. I breathed a sigh of relief andreturned to my busy routine. Havingtwo normal mammogram results undermy belt gave me a false sense of securityto skip my monthly breast self-exams.”

Marilyn also vividly recalls speakingto women in her congregation inOctober 2013 on Go Pink Sunday aboutthe importance of breast self-exams.Although, she admits that she was onlyoccasionally performing her own.

In December of 2013, a week or sobefore Christmas, Marilyn said she wasenjoying quality time with her family.“This is the time of year when I stepback, slow down and relax. While manypeople become entangled in the hustleand bustle of the holidays, I focusprimarily on my family and friends. I was sitting with my family at thedinner table, not eating but actuallytalking, laughing and listening. Whileleaning on the dinner table, I suddenlyfelt a lump in my right breast.

“In my mind I wanted to enjoy myfamily time. I didn’t have time to worryabout a lump. However, if I had nottaken the time to enjoy my family onthat day, I don’t know how long it would have been before I would havediscovered the lump in my breast,” said Marilyn.

After the holidays, Marilyn followedup with her family physician regardingthe lump in her breast. After a biopsy

confirmed Marilyn had breast cancer, she traveled to Florence for anappointment with McLeod OncologistDr. Sreenivas Rao.

“After that first day when I learned I had breast cancer, I didn’t cry anymore -- I chose to live. When I came to all of my appointments I madesure I dressed up, heels and all. I wasdetermined that I was not going to looklike what I was facing.”

Marilyn learned at her firstappointment with Dr. Rao that herdiagnosis was Stage 2B breast cancerwith metastasis to the lymph nodes. “Dr. Rao explained that I had a fastgrowing cancer and a mammogramwould not have detected it because ofthe thickness of my breast tissue.

He recommended that I see McLeodGeneral Surgeon Dr. Amy Murrell forsurgery because he thought she wouldbe a good fit for me.”

Marilyn first met Dr. Murrell prior tostarting chemotherapy. Following anexamination and review of Marilyn’s testresults, Dr. Murrell explained to Marilynthat she was performing a new breastsurgical technique and Marilyn was agood candidate.

“The first goal is to do an operationthat removes the breast cancer,” said Dr. Murrell. “The second goal is to givethe patient a good cosmetic outcomethat leaves the breast looking as good asit can and as much like it did before thesurgery or even better in some cases.”

The new procedure Dr. Murrellrecommended to Marilyn is a BilateralTherapeutic Reduction Mammoplasty.During a lumpectomy, a breast surgeonand plastic surgeon perform a breast liftand reduction, providing the patientwith a better cosmetic outcome.

“Today, breast cancer treatment nowincludes a focus on oncoplastic breastsurgery,” explained Dr. Murrell. “Thepurpose being to perform an excellentcancer operation, but at the same timeensuring as good of a cosmetic result ascan be achieved.

“The best candidate for this surgeryis a woman with a single tumor which isrelatively small and who has a moderateto large size breast. It also depends onthe features of the cancer as well as thesize and shape of a woman’s breast.

“I perform this surgery with Dr. Gerald Conner, a McLeod PlasticSurgeon. We pre-operatively plan how tobest approach the tumor removal as wellas the reconstruction of the breasts,” Dr. Murrell said.

Dr. Conner explained, “With thisprocedure, we are able to remove thetumor while reconstructing a new breastsize and reducing the other breast tomake them symmetrical.” He adds that itnormally takes six months for women tosee the full effect of the reconstruction.

“Recovery is more involved than astandard lumpectomy, but much lessthan a mastectomy. Patients usuallyspend one night in the hospital and gohome the following morning. Theytypically fully recover in four to sixweeks,” added Dr. Murrell.

Dr. Murrell recommended thisprocedure to Marilyn who said she didn’tthink twice about it. “Dr. Murrell wasawesome. She and Dr. Conner explainedeverything thoroughly and prepared mefor what to expect after surgery.”

Marilyn said the surgery in May of2014 took her from a 44DD breast size toa 40C. “The surgery not only removedthe cancer, but it also enhanced myappearance.”

As a nurse, Marilyn McDonald of

Hartsville understood the importance

of annual mammograms and breast

self-exams. She even preached it to

other women during Go Pink Sunday

events at her church during Breast

Cancer Awareness Month. However,

after two clear mammograms Marilyn

relaxed a bit and said she slacked off

on her monthly self-exams.

Marilyn McDonaldbelieves spendingquality time with herfamily saved her life.

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“This experience has made my family and I stronger, and it made me step backand truly realize what matters most in life -- family time.”

– Marilyn McDonald

by Tracy H. Stanton

S A V E D M Y L I F E

McLeod Regional


The McLeod Cancer Center is fully-accredited by theAmerican College of Surgeons’Commission on Cancer as aComprehensive CommunityCancer Program. We are also oneof ten accredited breast cancercenters in the state by theNational Accreditation Programfor Breast Centers and the only

one in our immediate region. Every year, we publish aCancer Report designed to build community awarenessof our cancer services. This report provides an overviewof the cancer program, as well as specific data on one ofour top five cancer tumor sites.

As you explore the information included in ourCancer Report on the various aspects of our cancerprogram, you’ll quickly discover that McLeod offers alevel of technology and medical expertise that rivalsnearly any “big city” cancer center. But, what patientsalso experience here is a deep-rooted and personal levelof commitment and compassion that we challenge anyother hospital to match. This is what sets us apart --

advanced cancer care provided by specialists who are asskilled at treating the person as they are at treating thedisease.

In 2013, we diagnosed and treated a record numberof patients with cancer at McLeod -- 1,384. The top fivesites diagnosed include cancers of the Breast, Lung,Prostate, Colorectal and Urinary System.

Learning you have cancer can trigger an avalanche ofemotions and questions. Our highly skilled team ofprofessionals and ancillary staff are here to partner withour patients on their journey. We offer research-basedcare as well as a team approach, allowing our patients toreceive state-of-the-art compassionate treatment close totheir family and support systems.

I would also like to acknowledge the hard work andgenerosity of the staff and volunteers at McLeod. Theyare dedicated to improving the lives of our patients andtheir families. Programmatic growth and new facilitiesare essential to maintain the vibrancy of this institution,however it is the people who ensure its vitality andfuture. And, it is our patients who provide theinspiration for everything we do.

O U R M I S S I O N

L E T T E R F R O M T H E C H A I R M A N O F T H E M C L E O D C A N C E R C O M M I T T E E

O U R P H I L O S O P H Y

Rajesh Bajaj, MD

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Four weeks later Marilyn and herhusband Trevor went away on a cruise.When they returned she met withMcLeod Radiation Oncologist Dr. Rhett Spencer to begin the finalphase of her cancer journey -- 34radiation treatments.

Dr. Murrell is pleased with Marilyn’ssurgical outcome. “Reaction to thisprocedure from our patients has beenvery positive. Women who had very largebreasts prior to surgery have reported asignificant decrease in back and neckpain and tell me that their clothes now fitbetter. They call this surgery the silverlining to their diagnosis of breast cancer,”Dr. Murrell said.

“God graced me with theopportunity to discover the lump in mybreast as I was enjoying time with myfamily,” said Marilyn. “He has graced meto enjoy more family time. Prior to mydiagnosis, I was so busy that I was notenjoying life and family to the fullest. I always knew that family was and alwayswill be important, but this processilluminated the fact that family is a giftfrom God. Now I am taking the time tocherish each smile, each hug, each sillylittle quirk.

“This experience has made my familyand me stronger, and it made me stepback and truly realize what matters mostin life -- family time,” added Marilyn.She credits her whole family forsupporting her through her journey,

especially Trevor and their threedaughters.

Marilyn recently turned 43. She andTrevor celebrated their 20-year weddinganniversary on October 22, 2014, with asecond cruise after she completed herradiation treatments. She also gave herGo Pink speech this year to youngpeople, including the staff and studentsof Lee County Pee Dee Math/Science &Technology Academy where she serves asthe school nurse.

“I can’t say enough about mywonderful medical team of physiciansand nurses. Dr. Rao, Dr. Murrell, Dr. Conner and Dr. Spencer were allgreat -- taking time to sit down andanswer all of our questions. Everyonetreated me like family and that meant so much.”

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McLeod Plastic Surgeon Dr. Gerald Connor and McLeod Breast Surgeon Dr. Amy Murrell perform a new breast surgery to provide patientswith better cosmetic outcomes.

2014 McLeod Health Cancer ReportMcLEOD CENTER FOR CANCER TREATMENT & RESEARCH

We believe that each person is a unique individual, entitled to clarity, dignity, honesty and respect. As part of our commitmentto quality, we conduct clinical research and reach out to the community we serve. We recognize the intricacies of a cancer

diagnosis, and understand that an individual with cancer is not only being treated for the disease itself, but is a complex humanbeing whose diagnosis impacts the whole person, physically, emotionally and spiritually, as well as the entire family and supportsystem. Our goal is to provide care, education, and avenues of support to address these complex needs in a professional, yetcomforting, environment. We are dedicated to compassionately serving all those who come to us and believe not only in the power of knowledge, but also in the power of perseverance and hope.

T he mission of McLeod Cancer Services is to provide holistic, high-quality and service-oriented care, education and research tooncology patients and their families in a safe and efficient manner.

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At the Center of Hope2014 McLEOD HEALTH CANCER REPORT BASED ON 2013 STATISTICS

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10 Most Prevalent Cancer Sites Source: American Cancer Society “Cancer Facts and Figures 2013”

Breast

Lung

Prostate

Colorectal

Bladder

NH Lymphoma

Corpus Uteri

Melanoma

Leukemia

CervixUSASCMRMC

19.9% 13% 14.1%

18.6% 15.9% 13.7%

15.8% 15.1% 14.4%

8.9% 8.5% 8.6%

3.5% 3.9% 4.4%

2.3% 3.8% 4.2%

2% 2.8% 3%

4.8% 4.6%

2.8% 2.9%

0.7%0.8%0.7%

1.6%

1.4%

The McLeod Center for CancerTreatment & Research is the region’sonly center approved as aComprehensive Community CancerProgram by the Commission onCancer of the American College ofSurgeons. This is a distinction thatMcLeod has maintained for more than 35 years.

In addition, the McLeod BreastHealth Center is accredited by the National Accreditation Program of Breast Centers (NAPBC). TheMcLeod Radiation Oncologydepartment also earned nationalapproval of its program by theAmerican College of Radiology (ACR)in 2013.

Annually, the McLeod CancerRegistry Department produces aCancer Report containing up-to-datestatistics of various cancers diagnosedat McLeod Regional Medical Center

during the previous year. This dataprovides the Cancer Center withinvaluable information to track and trend outcomes for patients and the public.

In 2013, more than 1,300 newcancer cases were diagnosed atMcLeod. Cancers of the breast, lung,prostate, colorectal areas and urinarysystem accounted for more than 70%of all cancer cases diagnosed in 2013.

The following page provides astatistical analysis of the cancer casesby distribution of the five leadinganalytical sites diagnosed at McLeod,distribution of incidence by countyand a comparison of the ten mostprevalent cancer sites diagnosed atMcLeod, in South Carolina and in theUnited States based on the AmericanCancer Society’s Cancer Facts andFigures 2013.

If you would like to receive a copyof the 2014 McLeod Health CancerReport, please call the McLeod PublicInformation Office at (843) 777-2592.

Five Leading Cancer Sites

Diagnosed at McLeod in 2013

Site Cases

Breast 276Lung 258Prostate 219Colorectal 123Urinary System 93

Total Cases: 969

ChesterfieldMarlboro

Kershaw

DarlingtonDillon

MarionLee

Sumter

Florence

Clarendon Williamsburg

Horry

7%

2%

17%8%

38%2%

0.4%3% 8%

4%

1.5%

6%

Highest Percentage of NewCases in our Service Area

Water, the symbol of life and renewal,

is an integral part of the design of our

Cancer Center. It reminds us of strength,

direction and hope. The motif of a gently

flowing stream, with no beginning and no

end, connects the radiation oncology unit

with medical oncology. The infinity of the

stream symbolizes the continuous journey,

the ebb and flow, of cancer treatment and

recovery. A break in the stream represents

the sometimes rocky and challenging

pathway to survivorship. Waterfalls

continuously replenish the stream.

The Theme of a River of Life

Another Chance ata Complete Family

McLeod Regional

F L O R E N C E D I L L O NT H E H O S P I T A L S O F M c L E O D H E A L T H D A R L I N G T O N L O R I S S E A C O A S T14

However, the decision to have a babywas more complicated for the Buckssince Jill had undergone a tubal ligation,or sterilization procedure, eight yearsearlier which prevented her fromconceiving. Most women refer to thissurgery as “having their tubes tied.”

“At the time of my tubal ligation, my husband and I had three beautifulchildren, our newborn Maryclair, 4-year-old Halee and 8-year-old Jay,” explainsJill. “We believed our family wascomplete and never expected thosefeelings to change, but they did.”

Jim and Jill consulted herGynecologist Dr. Charles Tatum ofMcLeod OB/GYN Associates about thepossibility of a tubal reversal.

“Because of the complex nature ofthis procedure, I counsel each of mypatients considering a tubal reversal,”says Dr. Tatum. “This procedure isperformed on an outpatient basis using a microsurgical technique. Themicrosurgery is a technical success 90 percent of the time, but has a takehome baby success of only 50 to 60percent. Patient selection and counselingare keys to success.”

Dr. Tatum also carefully reviews thepatient’s health history to determine ifthe patient is healthy enough to carry a pregnancy as well as any previoussurgical procedures performed in theabdomen. The method of prior tuballigation affects the success of reversal.

“In some cases, too much of thewoman’s fallopian tube has beendestroyed,” explains Dr. Tatum.

“Also, there are certain methods of tubalsterilization, such as Essure, that cannotbe reversed with microsurgery andrequire other options such as in vitrofertilization (IVF).”

Much to the Bucks’ delight, Jill madea great candidate for the procedure.Several factors worked in Jill’s favor,particularly her age -- she was 37 yearsold -- and good health.

In May 2009, Jill underwent her tubalreversal.

“This procedure lasts only a couple of hours with little down time for thepatient after the surgery,” says Dr. Tatum.

The surgery itself sometimes seemsthe easiest part of the journey. The daysand months following the procedurewaiting for results often becomes thetrue challenge for families.

“Dr. Tatum prepared us well,” recallsJill. “He explained that it could takesome time to conceive and that weshould just ‘let it happen.’”

Just two short months later, ithappened.

“We were surprised, yet grateful, thatwe conceived so quickly,” continues Jill.

The following year, Jill gave birth to a healthy baby girl, Amelia, whom thefamily affectionately calls ‘Millie.’

Little did they know that they were infor another surprise -- eighteen monthsafter the birth of Millie, Jill becamepregnant with their son, A.J.

“Some couples face many obstaclesafter this procedure or never conceive at all, but we were blessed to conceivetwice,” says Jill.

“Looking back, Jim and I are glad webegan this journey, despite the risks weknew were involved. We could notimagine our lives without Millie or A.J.They make our family complete.”

“I am pleased for Jill and her family,”says Dr. Tatum. “It is always rewarding tosee happy endings for my patients.”

In 2009, Hartsville residents Jim and Jill Buck had an inkling that something was

missing in their family. Soon, they realized that “something” was a baby.

Five years ago, Jim and Jill Buck began a journey to complete their family. Today, they celebrate their happy endingwith the addition of their two youngestchildren, A.J. and Millie (front).

“We were surprised, yet grateful, that we conceivedso quickly.”

– Jill Buck

by Jessica Wall

Dr. Charles Tatumhas been caringfor patients in theFlorence areasince 1988. He isthe senior memberof McLeod OB/GYNAssociates.

Dr. Tatum received his medical degreefrom the Medical University of SouthCarolina in Charleston, South Carolina. Healso completed an Internship in Obstetricsand Gynecology at the Naval RegionalMedical Center in San Diego, California aswell as a Residency at the National NavalMedical Center in Bethesda, Maryland.

After his residency, Dr. Tatum continued toreceive advanced training in microsurgeryat the Naval Hospital Camp Lejeune inCamp Lejeune, North Carolina, where heserved as Chief OB/GYN.

Dr. Tatum specializes in infertility andtubal reversals, which he has performedsince 1983.

Dr. Tatum and his wife, Marilyn, have five children.

Charles Tatum, MD

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Tom McLaughlin moved toCalabash, North Carolina, fromSyracuse, New York, to enjoy anactive lifestyle of being outdoors.Having been the owner of agunsmith business for 23 years,Tom was used to being on the go.When Tom developed rheumatoidarthritis in his right hip, he wanteda solution to ease the pain and getback on his feet.

Cindy and Tom McLaughlin enjoy a walkalong the Intracoastal Waterway afterTom’s hip replacement procedure.

GETTING PATIENTSBACK ON THEIR FEET

by Jenna Falls Cox

1716

Through a collaborative team effort,the staff of Orthopedics, Surgery,Rehabilitation, and Home Health, andphysician champion, Dr. Pat Denton of Pee Dee Orthopaedic Associates,demonstrated the McLeod commit -ment to providing the highest level ofcare for joint replacement patients.

“Only three to five percent ofhospitals that perform jointreplacement surgery are a JointCommission Center of Excellence,” said Dr. Denton.

“We are proud of our program, ourpeople, and the advancements we havemade since our first joint-specificcertification two years ago. Thiscertification is the gold stamp ofapproval that we are providing safe,quality medical care for our patients.”

“This is a re-certification of ourrecognition as a Joint CommissionCenter of Excellence in Hip and KneeReplacement Surgery,” said Beki Cooley,Associate Vice President of McLeodOrthopedic Services.

“With Joint Commissioncertification, we are making asignificant investment in quality on aday-to-day basis. Achieving JointCommission certification in total hipsand total knees is another step towardmaintaining excellence and continuallyimproving the care we provide atMcLeod.”

The teams involved were challengedto elevate the standard of care and fine-tune the clinical practices performedeach day. The primary focus is onsurgery and rehabilitation with anemphasis on patient education andpost-surgery barriers.

The comprehensive on-site survey was performed by The JointCommission in May of 2014. Theoriginal certification by The JointCommission was received in June of 2012. Hospitals undergo the re-certification process every two years.

McLeod Regional Medical Center isone of nine hospitals in South Carolinacertified as a Joint Commission Centerof Excellence in Total Hip and TotalKnee Replacement Surgery. In additionto The Joint Commission Disease-Specific Certification, McLeod RegionalMedical Center is also a BlueDistinction Center for Knee & HipReplacement and Spine Surgery.

Gold Sealby Kristie S. Gibbs

McLeod Regional Medical Center has earned The Joint Commission’s Gold Seal of

Approval for total hip and total knee replacement surgery. The certification award

recognizes McLeod as a Joint Commission Center of Excellence in Hip and Knee

Replacement Surgery.

Dr. Pat Denton of Pee Dee Orthopaedic Associates along with the McLeod teams of OrthopedicNursing, Rehabilitation, Home Health, and Surgical Services, underwent a disease-specific re-certification survey recently by The Joint Commission. McLeod Regional Medical Center hasagain been recertified as a Joint Commission Center of Excellence for Total Hip and Total KneeReplacement Surgery.

McLeod Regional

F L O R E N C E D I L L O NT H E H O S P I T A L S O F M c L E O D H E A L T H D A R L I N G T O N L O R I S S E A C O A S TMcLeod Regional


Approvalof

1918

An appointment with OrthopedicSurgeon Dr. Eric Heimberger withMcLeod Orthopaedics Seacoast and aMRI determined the next course ofaction to get Tom back to being activeagain. His case required a total hipreplacement surgery. After consultingwith Dr. Heimberger, Tom and his wifeCindy learned about the Total JointReplacement Program at McLeodSeacoast, and decided with Dr. Heimberger’s guidance that thiswould best prepare Tom for hisupcoming surgery.

“The preparation that the classprovided made all the difference,” saidTom. “By being a part of this program, I was prepared mentally, physically andemotionally for what to expect beforeand after surgery.”

The Total Joint ReplacementProgram at McLeod Seacoast isdesigned to prep patients for surgeryand recovery through assessment,treatment and rehabilitation. The goalis simple: to restore the normal routinefor patients quickly and as safely aspossible. As part of the program,patients participate in a class whichprepares them for the entire process.

“During the class, I met the staff that would be caring for me during my stay at the hospital. From theanesthesiologists to the pharmacists, arepresentative from each departmentwas available during the class for me toask questions and to get to know thembefore my surgery. I also met the teamof physical therapists who would beassisting me after surgery to develop myrehabilitation plan.”

As part of the class, each participantis asked to bring a coach to accompanythe patient through the pre-operativeeducation and post-operative therapysessions, as well as assist them at homeas needed throughout recovery. ForTom, that person was his wife, Cindy.

“Going to the class made theexperience so much easier,” said Cindy.

been replaced, but they also startedplanning for the second hip procedurewith exercises.

“My therapists targeted eachmovement and helped me work tostrengthen my other hip as well. Theypaid attention to my technique andwere always very observant to ensurethat I received the maximum benefitout of the exercises. I continue to dothose exercises at home in preparationfor the next surgery.”

Tom, who has several hobbies,continues on the path to being activeagain and enjoying his favoritepastimes. An avid golfer, Tom isdetermined to start hitting the fairwayssometime very soon.

“I walked two miles yesterday,” hesaid. “I know what is in store for mewith my upcoming hip replacement,and anticipate a good outcome andrecovery. This program and myexperience at McLeod Seacoast wereamazing thanks to a team of greatnurses, doctors and therapists.”

“As his coach, I received information onwhat to expect during his recovery formy preparation. I was even shownwhere to report the morning of surgery,and where to wait during the surgery.”

“During the class, I participated in atour of the hospital,” said Tom. “Thishelped ease my fears for the day of theprocedure. This process also providedme with the knowledge I needed to feelcomfortable about the procedure. Forany questions I had, they had answers.”

After successful surgery at McLeodSeacoast, Tom began his physicaltherapy at the hospital. His nurses andtherapists knew exactly what to do toget him on the path to a quick recovery.“My therapists and the nursing staffmade a personal connection with me. It made my physical therapy sessionsmore enjoyable, because I knew mytherapists on a personal level, and theyknew me.”

Tom is now preparing to have hisleft hip replaced. During physicaltherapy sessions, he and his therapistsnot only focused on the hip that had

Tom McLaughlin works with Physical Therapy Assistant Hailey Hymas on hip strengtheningand range of motion exercises. Physical Therapist Shelley Szabo evaluates Tom’s technique while he exercises on the

stationary bike.

The McLeod SeacoastJoint Replacement

Program

“My therapists and the nursing staff made apersonal connection with me. It made myphysical therapy sessions more enjoyable,because I knew my therapists on a personallevel, and they knew me.”

– Tom McLaughlin

The McLeod Seacoast JointReplacement Team consists oforthopedic surgeons and physicians,nurses and rehabilitation specialists,all dedicated to getting patients backon their feet through a cutting edgeapproach to prevention, assessment,treatment and rehabilitation. Thesehighly trained medical professionalswork together with patients and theirprimary care physician to develop anindividualized treatment plan for eachpatient’s specific rehabilitation needs.

THE TOTAL JOINT REPLACEMENT CLASSES INCLUDE:

• Assessing the patient’s condition

• Preparing the patient and familyfor surgery

• Managing the patient’s progressbefore, during and after theirhospital stay

Patient education classes are freeand available to total jointreplacement patients. A physicianreferral is required.

PATIENTS WILL LEARN:

• What to expect prior to, during andafter surgery

• How to manage pain after surgery

• Why rehabilitation is so importantand what can be done to preparebefore surgery

• How to prepare your home for thehealing process

For more information on the program,please call (843) 390-8355.

McLeod Dillon was recognized forattaining and sustaining excellence inaccountability measure performance forheart failure and pneumonia as part ofThe Joint Commission’s 2014 annualreport “America’s Hospitals: ImprovingQuality and Safety.”

“The high quality healthcare apatient receives in Dillon is equitable toany larger facility,” said Dr. Phil Wallace,Medical Director of ClinicalEffectiveness. “In fact, we stand outamong other hospitals in efficiency.

“Over the past years, as evidence-based, best practices have evolved, wehave implemented them at McLeodDillon. We adopt these practices becauseour patients deserve the highest level ofcare. As a result, we achieve betteroutcomes, such as a decrease inmortality,” continued Dr. Wallace.

“The implementation of this workmust be a goal of each employee andphysician. One person cannot do it. Ittakes everyone involved having the samegenuine concern and commitment. AtMcLeod Dillon, our team is receptive,supportive and proud to make thatcommitment to each patient that wecare for at our facility.”

The Top Performer programrecognizes hospitals for improvingperformance on evidence-based

interventions that increase the chancesof healthy outcomes for patients withcertain conditions, including heartattack, heart failure, pneumonia,surgical care, children’s asthma, stroke,venous thromboembolism andperinatal care, as well as for inpatientpsychiatric services and immunizations.

“Delivering the right treatment inthe right way at the right time is acornerstone of high-quality health care.I commend the efforts of McLeodMedical Center Dillon for their excellentperformance on the use of evidence-based interventions,” said Mark R.Chassin, M.D., FACP, M.P.P., M.P.H.,president and CEO, The JointCommission.

“We understand what matters mostto patients at McLeod Dillon is thequality and safety of the care theyreceive. That is why we have made it atop priority to improve positive patientoutcomes through evidence-based careprocesses,” said Debbie Locklair,Administrator of McLeod Dillon.

“McLeod Dillon is proud to benamed a Top Performer as it recognizesthe knowledge, teamwork anddedication of our entire hospital staff.

“The pursuit of qualityimprovement at McLeod Dillon is unending,” said Locklair.

“There is much to achieve as the staffseeks to improve the health of thepeople living within South Carolina andeastern North Carolina.”

Dr. Michael Sutton, OrthopedicSurgeon and Chief of Staff at McLeod Dillon, commented, “AtMcLeod Dillon, quality is a focused,relentless pursuit to improve thedelivery of care to patients and theirfamilies. I am proud to be a part of anorganization that is being recognizednationally for quality. Improving thequality of life for patients is the reasonphysicians choose to practice medicine,and we are accomplishing that each dayat McLeod Dillon.”

In the healthcare improvementprocess, McLeod Dillon follows theMcLeod Health model of quality thatengages physicians, staff and leadershipin processes to improve quality.Throughout the McLeod Healthorganization, there is a commitment tocreate a patient care experience that issafe, timely, patient-centered, effective,efficient and equitable for every patient,every time.

“Collectively, we take pride in this accomplishment,” said Dr. Benjamin Mitchell, MedicalDirector of Hospitalists at McLeod Dillon. “It is a positive step inour quality journey, yet we recognizethat you can never stop improving carefor patients. Healthcare is constantlybecoming more complex andchallenging, but our team is committedto providing the best care possible toour patients now and in the future.”

McLeod Medical Center Dillon has been honored as a 2013 Top Performer on

Key Quality Measures® by The Joint Commission, the leading accreditor of health

care organizations in the United States. McLeod Dillon is among the top one-third

of hospitals in the United States to achieve the 2013 Top Performer distinction.

The Key to Quality Care

Dr. Benjamin Mitchell, left,and Dr. Phil Wallace, right,are dedicated to improvingquality care and safety atMcLeod Dillon.

by Rachel T. Gainey

2120McLeod Regional


“Healthcare is constantly becoming more complexand challenging, but our team is committed toproviding the best care possible to our patients now and in the future.”

– Dr. Benjamin Mitchell

McLeod Choice PharmacyChoice Pharmacy

2322

It’s Morethan JustMedicine

by Tammy White

After a stay in the hospital,

whether long or short,

there are often many

instructions to guide a

patient’s care and recovery

upon their return home.

To ease the transition from

hospital to home, patients

of McLeod Regional

Medical Center now have

access to a new program,

McLeod Choice Plus.

As part of the McLeod ChoicePharmacy, now open to the public onthe McLeod Concourse, the McLeodChoice Plus program is available toassist all eligible patients who are beingdischarged home with new medications.

The program involves TransitionSpecialists, certified pharmacytechnicians, who collaborate withphysicians, nurses, case managers andpharmacists to assess the patient’sdischarge needs. They work with the patient to enroll them in thiscomplimentary program andcoordinate their needs for a successfulrecovery, once they are discharged from the hospital.

For patients whose discharge needsinclude medications or over-the-counter products, the TransitionSpecialist provides a personalizedconsultation to assess cost-effectivesolutions to the discharge instructions.They ensure patients leave McLeod withtheir medication order filled and inhand.

Andrew Adams is a McLeodTransition Specialist, who also serves asthe Site Manager for the program. “As aTransition Specialist, I’m an advocate forthe patient,” said Adams.“For example, ifthe medication the physician hasprescribed is not covered by the patient’sinsurance, then I work with the physicianto obtain another prescription that willbe covered.

“Additionally, if a patient requirescounseling on any of their medications, I can arrange it with one of our McLeodPharmacists,” added Adams.

Prior to the day of discharge from thehospital, the Transition Specialist visitsthe patient in their hospital room todiscuss their medication needs.Arrangements for purchase and paymenttransactions can be made right at thebedside and medications are delivered tothe patient’s room before they leave forhome.

Implementation of the McLeodChoice Plus program is occurring inphases. Phase One, which began in midNovember, started with the TransitionSpecialist visiting the Orthopedic Unit.

“In 2015, we will roll in each of the Nursing Units, the EmergencyDepartment and the Outpatient SurgeryServices,” said Sal Morana, McLeodCorporate Vice President of PharmacyServices. “The long-term plan calls toexpand components of this program toall of our five hospitals.

“We are also adding a web applicationand mail order for prescription re-fills,”said Chuck Rozak, Director of Pharmacyfor McLeod Regional Medical Center.

“Prescription re-fills will be availablethrough the McLeod Health website andthen held for pick-up at the McLeodChoice Pharmacy or mailed directly tothe patient’s home. This service will beavailable after the new year in 2015.”

With the opening of the McLeodConcourse this past summer, theMcLeod Choice Pharmacy moved to a new location more convenient forvisitors and patients to access. It islocated on the west side of the Concourseadjacent to the McLeod Center forCancer Treatment and Research.

In its new location, the pharmacyoffers a large selection of over-the-counter medications and personal careitems. For convenience, designated

pharmacy parking spaces are alsoavailable near the pharmacy entrance.

In addition to offering a full servicepharmacy, McLeod Pharmacists are alsocertified to provide immunizations. The immunizations available include:Flu, Pneumonia, Tetanus, Pertussis,Whooping Cough (Tdap), HPV,Meningitis, Shingles, and Travel Vaccinesupon request.

During the months ahead, theMcLeod Choice Pharmacy will also offer compounding. Compounding ispreparing customized medications forpatients to meet their specific needs.Patients may be allergic to preservatives,dyes, or sensitive to standard drugstrengths.

With a physician’s consent, thecompounding pharmacist can changethe strength of the medication. They canalso alter the flavor of a medicine forchildren or the delivery system from apill to a lozenge, lollipop, or atransdermal gel or cream that can beabsorbed through the skin.

The McLeod Choice Pharmacy is openMonday through Friday, 7:00 a.m. to 8:00p.m., and Saturday 9:00 a.m. to 1:00 p.m.Most major insurances are accepted,including the Medicare Part D plans.

Above: The McLeod Choice Pharmacy is located on the concourse.

Left: As a Transition Specialist, Andrew Adams visits with patients intheir hospital room to discuss their discharge medication needs.

McLeod Regional


G E T T I N G T O T H E

HEARTby Tammy White

OF CARDIAC CARE

Dr. Brian Wall, InterventionalCardiologist, performs a heartcatheterization.

For anyone diagnosed with heart disease, a

key player in their care is the cardiologist.

Understanding the significance of heart

disease in this region, McLeod and

Pee Dee Cardiology are dedicated to

recruiting new physicians, delivering

heart care close to home and using new

technology to help heal the heart.

Dr. Wall is an InterventionalCardiologist, also in the Florence office.“When a patient arrives experiencing anacute myocardial infarction, (a heartattack with a heart blockage), it is my jobto open the vessel, restore blood flow tothe heart and prevent further heartdamage,” said Dr. Wall. “It is my honorand privilege to be able to save apatient’s life by performing thisprocedure.”

A cardiologist in the Sumter practice,Dr. Lang finds that helping patientssuccessfully make lifestyle changes is themost rewarding aspect of his career. “It isgratifying to care for patients who returnto the office eager to let me know howmuch weight they have lost, share thatthey have quit smoking, or let me knowthey are exercising more regularly.Knowing that my work with the patienthas helped prevent further progressionof their heart disease is inspiring.”

Pee Dee Cardiology is also helpingMcLeod Health pioneer advancementsin heart care. McLeod is one of theleading hospitals in South Carolina tooffer the CardioMEMS HF System, thefirst and only FDA-approved heartfailure monitor, proven to significantlyreduce heart failure hospital admissionand improve quality of life.

Heart failure is a condition where theheart muscle is unable to pump enoughblood to meet the body’s need for bloodand oxygen. Physicians typically manageheart failure by monitoring symptoms,body weight and blood pressure. TheCardioMEMS system allows patients totransmit this information daily, via animplanted monitoring device, from theirhome to a secure website for physicianreview.

“Being able to receive criticalinformation using this technology allowsus the opportunity to make anintervention that may prevent a patientfrom hospitalization, or moreimportantly, save a life,” added Dr. Blaker.

Pee Dee Cardiology currently hasfour locations to serve patients: Florence,Sumter, Loris and Seacoast. However,they also recognize that for somepatients in smaller communities, it is notalways easy to travel to these offices.

“It is our goal to make sure patientswho are in need of cardiac care haveaccess to receive that care,” said Dr. Alan Blaker, Pee Dee CardiologyManaging Partner and ExecutiveMedical Director of the McLeod Heartand Vascular Institute.

“To ensure this level of care, we havepartnered with other physician practicesto provide care to patients in Marion,Cheraw and Sumter. Additionally, Dr. Rajesh Malik, an Electrophysiologist,offers a monthly clinic forelectrophysiology patients at ourSeacoast office in Little River, SouthCarolina. Starting in January of 2015,

Electrophysiologist Dr. Prabal Guha willalso offer this same type of service in ourSumter office.”

Pee Dee Cardiology also recentlyadded three cardiologists to their group bringing the total number ofcaregivers to 15. The new physicians are Dr. Brian Wall, Dr. John Patton and Dr. Dennis Lang.

Dr. Patton is a cardiologist who cares for patients in the Florence office. “I chose cardiology as my specialtybecause it has a broad spectrum oftreatment options and offers theopportunity for me to get to know mypatients, follow them over time, andshare in their victories and successes,”said Dr. Patton. “I get to see themthrough their cardiac episode and helpthem resume living a full and active life.”

Dr. Dennis Lang Dr. John PattonMcLeod Regional

F L O R E N C E D I L L O NT H E H O S P I T A L S O F M c L E O D H E A L T H D A R L I N G T O N L O R I S S E A C O A S T24 25

Palliative Care focuses on relievingsuffering and improving quality of lifein any stage of a progressive, incurableillness. These chronic, life-threateningconditions include Congestive HeartFailure, Stroke, Kidney Disease, Cancer,Diabetes, Chronic Obstructive

Pulmonary Disease, Alzheimer’sDisease and Multiple Sclerosis.

Working with the patient’s primarycare physician, the McLeod PalliativeCare Team provides care to patientswho are near the end of life, but alsotreats patients who have serious

illnesses and wish to continue evidence-based, aggressive treatments. This formof medicine allows for less pain andimproved control of symptoms whichoffers the potential for continuedtreatments.

Dr. Mark Fox is the MedicalDirector of the McLeod Palliative CareTeam. “Our team’s expertise supportsall patients who have concerns abouttheir plan of care and symptommanagement. Our objectives reflect onthe needs of the patient, whether thoseneeds are for pain and symptomcontrol, counseling, spiritual needs, orcoordinating links to other communityservices. By listening to the concerns ofour patients and families, we considerand prioritize specific, goal-centeredcare plans in conjunction with the artof medicine and the love of humanity.”

Dr. Fox explains that evidenced-based medicine suggests the besttreatments for diseases health care thatprovides for the greatest benefits andoutcomes. “These outcomes usuallyreflect survival and quality of life. As webecome seriously ill, opportunities toimprove quality of living take a priorityrole over discussions related to survival.

“It is at this moment that the art ofcommunication and support becomespivotal. We are innately aware thatholding an honest discussion about endof life care with a patient and familyoffers challenges. However, when wetake the time to really listen and heartheir wishes, it leads us to adjust ourefforts toward patient directedtreatment plans. This is the heart ofPalliative Medicine,” said Dr. Fox.

In addition to caring for patients inthe hospital, McLeod has expanded itsPalliative Medicine program to care forthose patients who are home boundand have a life-threatening illness with a life expectancy of 12 to 24 months. Dr. Fox and Nurse Practitioner Amanda Rogers provide care to thesepatients.

“Understanding that it wouldrequire a considerable and taxing effortfor these patients to leave their home orassisted living facility to come to thedoctor, we make ‘house calls’ to providesymptom management and medicaltreatment,” said Dr. Fox. “This level ofcare also allows us to improve thepatient’s quality of life and reduce visitsfor emergency care. Additionally, wework closely with the patient’s primarycare physician to positively influencethe course of care with appropriate useof procedures and therapies.”

Led by Dr. Fox, the McLeodPalliative Care Team includes Dr. Vipul Shah; Dr. Shawn Charest; Dr. Paul DeMarco; Dr. Ed Behling;Program Coordinator Marilyn Reaves,RN; Amanda Rogers, NP; Karen Clark,RN; Michelle Dorsey, RN; Niki Hill,RN; Counselor Clint Scott; andChaplains Tom Pietila and StuartHarrell.

Marilyn has served as theCoordinator of the inpatient PalliativeCare team at McLeod Regional MedicalCenter for ten years. “Modern medicinehas made many advances to cure a widevariety of diseases,” said Marilyn.“However, there comes a point in timewhen the goal shifts from curing illnessto ensuring comfort -- enabling thepatient to be free from pain andsuffering. Our team often begins thediscussion of end of life issues withpatients and their families. Weunderstand how to gently andcompassionately help patients andfamilies accept and embrace this finalstage of life by introducing Hospicecare.”

“In today’ s fast paced world,Palliative Care reminds us that livinglonger is important, but living well maybe most significant,” added Dr. Fox.

Today, thanks to progressive medical therapies, people are living much longer.

Yet, eighty (80%) percent of older adults are living with one chronic illness and

fifty (50%) percent have at least two, according to the Centers for Disease Control

and Prevention. Often, these chronic conditions can be managed successfully for a

number of years. However, when symptoms begin to affect a person’s quality of life,

a transition to Palliative Care may be beneficial.

McLeod Regional

F L O R E N C E D I L L O NT H E H O S P I T A L S O F M c L E O D H E A L T H D A R L I N G T O N L O R I S S E A C O A S T26

Dr. Shawn C. Charestjoined the McLeodPalliative MedicineTeam in Septemberof 2014. Dr. Charestcomes to McLeodfrom Mercy MedicalCenter of Springfield,Massachusetts. At Mercy Medical Center,he served as a Hospitalist and as Directorof Inpatient Palliative Care ConsultServices. Dr. Charest was also thefounding Medical Director of MercyHospice, a community-based hospice andeventual outpatient palliative care programassociated with Mercy Medical Center.

A graduate of the University of VermontCollege of Medicine, Dr. Charest completedan Internal Medicine Residency atBaystate Medical Center in Springfield,Massachusetts.

Board Certified in Internal Medicine and Hospice and Palliative Medicine, Dr. Charest joins Dr. Ed Behling, Dr. Paul DeMarco, Dr. Mark Fox, and Dr. Vipul Shah in caring for McLeodPalliative Medicine and McLeod Hospicepatients.

McLeod Palliative Medicine Physiciansoffer specialized comfort care services atthe end of life for both the patient andfamily in the McLeod Hospice House andMcLeod Regional Medical Center. They are available to referring physicians forPalliative Medicine consultations and pre-hospice referrals.

Shawn Charest, MD

27

Dr. Charest Joins McLeodPalliative Medicine TeamEnsuring Comfort

with Compassion

The McLeod Palliative Care Team includes from left to right: Clint Scott, LBSW; Karen Clark, RN; Marilyn Reaves, RN; Dr. Vipul Shah; Michelle Dorsey, RN; Dr. Shawn Charest; Dr. Mark Fox; Dr. Ed Behling; Dr. Paul DeMarco; Amanda Rogers, NP; Reverend Stuart Harrell and Niki Hill, RN.

by Tracy H. Stanton

MIGRAINE RELIEFby Jessica Wall

Migraines are no ordinary headaches; they are the cause of

recurrent throbbing, pulsing pain in a certain area of the head

and often accompanied by nausea, vomiting, and sensitivity to

bright light and loud noises. The debilitating pain can last hours,

days, even weeks, interfering with an individual’s quality of life.

McLeod is now offering a breakthroughmigraine treatment option using the

SphenoCath® device, as shown by Dr. Monty Smith, a McLeod Radiologist.

2928McLeod Regional


sphenopalatine ganglion. Afterconfirming the targeted nerves, hedetaches the syringe with contrast andconnects another syringe to deliver thenumbing medication. Then, he repeatsthis same process on the other nostril.

Total procedure time lasts only 10 to15 minutes; however, the patientremains lying down for an additional20 minutes which allows the nervebundles to fully absorb the numbingmedication.

During this time, Dr. Smith observesthe patient for any side effects that mayoccur. Most patients’ eyes will tear upwhile the numbing medication is beingadministered, but this is a commonresponse. Other possible side effectsinclude a slight drop in blood pressure,a bitter taste in the back of the throat,or nausea.

“It is important to emphasize thatthe SphenoCath® procedure is not acure, and each patient will experiencedifferent results,” added Dr. Smith.“Studies have shown that the averageheadache-free period following thisprocedure is 90 days, so it is likely thatpatients may need to repeat it in thefuture. However, once repeated, theresults are typically prolonged.

“Despite the risk of multipleprocedures, SphenoCath® is abreakthrough in the treatment ofmigraines,” says Dr. Smith. “I encourageanyone who has received a chronicmigraine diagnosis to talk with theirdoctor and consider SphenoCath® as an option.”

Migraines affect 36 million people,more women than men, in the UnitedStates, according to the AmericanHeadache Society. This number doesnot account for the numerousindividuals suffering from otherheadache disorders and facial pain.

Decades ago, researchers identified abundle of nerves located behind thenose, the sphenopalatine ganglion, asthe major cause of head and facial pain.As a result, they developed a procedureknown as a sphenopalatine ganglion(SPG) block, which uses an anesthetic,or numbing medication, to block nerveimpulses and alleviate pain.Unfortunately, the procedure wasinvasive and uncomfortable forpatients. Until now.

McLeod Regional Medical Center isone of only a few hospitals in the stateoffering a needleless, non-invasivesphenopalatine ganglion blocktreatment option for individualsdiagnosed with chronic migraines andheadache pain.

“Using a small, plastic catheter -- theSphenoCath® -- we can achieve moreeffective results in a simpler, safermanner,” explains Dr. Monty Smith, aMcLeod Radiologist. “The beauty ofthis treatment is that we are essentiallydripping an anesthetic directly onto thenerve bundles causing migraine andheadache pain, and gravity does therest.”

During the SphenoCath®procedure, patients lie down on anexamining table with their head slightlytitled back, and Lidocaine is used tonumb both nostrils. Guided byfluoroscopy, an imaging technique thatuses X-rays, Dr. Smith inserts theSphenoCath® device into one nostriluntil reaching the back of the patient’snasal cavity.

Extending the device reveals acurved inner catheter, and Dr. Smithattaches a syringe with contrast, or dye, to accurately identify the

Dr. Monty Smith demonstrates how he uses fluoroscopy, an imaging technique that uses X-rays, to accurately identify the correct position of the SphenoCath® device once insertedinto the patient’s nasal cavity.

by Tammy White

These are the symptoms JosephFarley from Manahawkin, New Jersey,suffered while traveling from Florida toNew Jersey. Joseph and his brothers,John and Ed, had been visiting theirother brother Jim in Florida. On theway back home, Joseph beganexperiencing symptoms of a stroke. His brothers immediately checked the GPS for the nearest hospital on I-95 and brought Joseph to McLeod Regional Medical Center.

McLeod Stroke Alert Nurses CindyDrew and Natasha Poston were notifiedof Joseph’s condition and reported tothe Emergency Department.

“A Stroke Alert Nurse is an expert instroke,” said Vickie Pigate, RN, McLeodStroke Coordinator. “They are trainedin the rapid recognition, assessment,treatment and management of strokecare. They take control of the care of

the stroke patient, and never leave theirbedside until the patient is relocated tothe Stroke Unit.”

In the Emergency Department, Dr. Joseph Kearney confirmed thatJoseph had suffered a stroke andprescribed Tissue PlasminogenActivator (tPA), the clot dissolvingmedication necessary for stroke care.

“This is a medication that dissolvesblood clots, which is why it iscommonly referred to as the ‘clotbuster,’” said Dr. Kearney, a boardcertified Emergency Medicinephysician,.

“Approximately eight out of tenstrokes are ischemic strokes. These arestrokes that are caused by blood clotsblocking blood flow to the brain. tPA is

given to help dissolve the clot quicklyand restore the blood flow.

“The other type of stroke is ahemorrhagic stroke, which is due tobleeding from a blood vessel into thebrain. tPA is not used with this type ofstroke because it could increase theamount of bleeding. A CT scan of thebrain is used to confirm there is nobleeding before tPA is given,” explainedDr. Kearney.

After Joseph’s evaluation and CTscan, he was administered tPA. “As soonas I received the medication I started tofeel better,” said Joseph. “I came toMcLeod on Saturday and, by Monday,my symptoms were completely gone. I could eat. I could walk. I had nodeficits. It was a miracle. Tuesday,

Members of the McLeod Stroke Team who cared for Joseph Farley are (from left to right):Cindy Drew, RN; Dr. William Boulware, Dr. Timothy Hagen, Natasha Poston, RN; Dawn Spivey,Director, McLeod Stroke Unit; and Vickie Pigate, McLeod Stroke Coordinator.

In addition, The Joint Commission,in conjunction with The AmericanHeart Association / American StrokeAssociation, recently recognized McLeod Regional Medical Center withAdvanced Certification for Primary StrokeCenters. Achievement of Primary StrokeCenter Certification signifies anorganization’s dedication to fosteringbetter outcomes for patients. Thiscertification also demonstrates thatMcLeod meets critical elements ofperformance to achieve long-term successin improving outcomes for stroke patients.

Stroke Centers achieve certificationthrough a rigorous on-site review. A Joint Commission expert reviewed the compliance of McLeod with the requirements for The JointCommission’s Disease-Specific CareCertification program as well as PrimaryStroke Center requirements, such ascollecting core measure data and using itfor performance improvement activities.

“McLeod is thoroughly committed toproviding our patients with the highestquality stroke care based on currentscientific research to ensure continuedimprovement in treatment,” said Dr. Boulware. “In addition to The JointCommission accreditation, the PrimaryStroke Center Certification has given usthe opportunity to highlight the

exceptional stroke care we provide forour patients, and improve care overallfor our community.

“It is a team effort beginning withEmergency Management Services(EMS). EMS pre-alerts the EmergencyDepartment so the Stroke Team can bewaiting on the patient when they arrive,”added Dr. Boulware.

“EMS providing pre-notificationsaves lives,” said Pigate. “There is a smallwindow of opportunity when patientscan benefit from the tPA medication.This is why it is so important that apatient is quickly identified as a tPAcandidate. Everyone from theEmergency Department, Radiology, Lab, the physicians and the nurses allmust work together to do their part in a timely manner.”

Dr. Timothy Hagen, a McLeodNeurologist, added, “McLeod is seriousabout the care of stroke patients. Lastyear, we treated more than 700 strokepatients at McLeod. As a Neurologist, it is the number one consult I receive. The potential disability from stroke is aterrible fear for patients to face. TheMcLeod Stroke Team will continue tomonitor the quality metrics that allow usto demonstrate that we can and willcontinue to take care of stroke patientsat the highest level.”

“I came to McLeod on Saturday and, byMonday, my symptoms were completelygone. I could eat. I could walk. I had nodeficits. It was a miracle. Tuesday, I wasdischarged to travel back home to NewJersey .”

– Joseph Farley

Ed Farley (at left) and John Farley (middle) were quick to get their brother Joseph (at right) life-saving treatment at McLeod RegionalMedical Center when he began experiencing stroke symptoms while they were traveling on Interstate 95 from Florida to New Jersey.

30 31McLeod Regional


“Top Notch”StrokeCare

You feel dizzy and can not

talk. The left side of your

body is unable to move.

If you experienced any of

these symptoms, would you

recognize it as a stroke?

I was discharged to travel back home to New Jersey.

“I was very impressed with the care I received in the McLeod Stroke Unit,”added Joseph. “Both of my children arenurses. They came as soon as theyreceived word of my stroke. They alsobelieve the treatment I received was top notch.”

Stroke is a significant problem inSouth Carolina, with stroke rates amongthe highest in the nation. Stroke is thenumber three killer in South Carolina,according to the American HeartAssociation.

“Raising awareness is important,”said Dr. William Boulware, MedicalDirector of McLeod Clinical StrokeServices. “The brain can not go withoutblood and oxygen for very long. Peopleexperiencing a stroke need to get to theEmergency Department quickly. Strokeis a life-threatening event that requiresimmediate attention.”

Committed to the care of the stroke patient, McLeod opened the firstStroke Unit in the region in 2000. It isdedicated exclusively to the treatmentand care of patients who have suffered a stroke. The 16-bed unit is staffed byspecialty trained nurses who recognizeeven subtle changes in their patients’condition.

McLeod Vascular Surgeons Dr. Gabor Winkler (left) and Dr. Christopher Cunningham (right) are boardcertified in vascular surgery. They also have additionaladvanced interventional fellowship training.

32

The McLeod Vascular Program is ledby two board certified vascular surgeons,Dr. Christopher Cunningham and Dr. Gabor Winkler. They are supportedby a dedicated vascular surgical teamand the technology of the region’s onlyVascular Hybrid Surgical Suite thatprovides the surgeons the flexibility ofperforming both diagnostic and surgicalprocedures in one location.

Vascular services include the latesttechnologies and approaches to treatcarotid artery disease for strokeprevention; venous disease; repair ofabdominal aortic aneurysm; peripheralvascular disease or poor circulation ofthe legs; and varicose vein surgery.

“Vascular disease is a result ofcontrollable risk factors and our lifestylechoices,” said Dr. Winkler. “Therefore, ifyou are at risk, modification needs tostart today. Most patients are able tomodify their risk factors to the pointwhere they can either prevent theirsymptoms from happening or stop themfrom becoming worse.

“The Vascular Surgical Societystresses the importance of the vascularsurgeon’s involvement in all aspects ofvascular care. Sometimes the symptomspatients present with are verynonspecific. It is up to the vascularspecialist to pinpoint whether thesymptoms are in fact related to vasculardisease or to other causes.

“Once we complete the diagnostictesting and determine that the patientdoes indeed have vascular disease, wethen consult with the patient andtogether decide the best treatmentoption. We stress the importance of riskfactor modification and recommendnoninvasive treatments such asmedication or medical therapy first,when possible.

“In advanced stages of the disease, wewill recommend the most effective andleast invasive intervention or procedureto help the patient with theirsymptoms,” added Dr. Winkler.

The treatment of vascular disease is a spectrum of therapies. It starts withmodifying risk factors, medication,minimally invasive procedures such asballoon angioplasty, and/or stents, all theway up to more invasive procedures,such as a bypass operation.

Aneurysm RepairDr. Cunningham and Dr. Winkler are

highly experienced in minimally invasiveprocedures such as endovasculargrafting for abdominal aortic aneurysmrepair.

An aneurysm is an enlarged, balloon-like bulge, and weakened section of ablood vessel. Most aneurysms occur inthe aorta, the largest blood vessel thatcomes out of the heart and providesblood to the rest of the body.

Endovascular grafting involves acatheter through a groin artery into theabdominal aorta. The graft, via thecatheter, is inserted into the aneurysm toprotect it from rupturing or continuingto grow. Most patients are up andwalking the evening of their surgery and go home the next day.

When an aneurysm is left untreatedthere is a threat of it rupturing. Thisdanger increases with the size of theaneurysm and high blood pressure.Ruptured aneurysms are frequently fataland are a leading cause of death in theUnited States.

“We repair aortic aneurysms whenthey grow to a certain size orconfiguration and become a higher riskfor rupture,” said Dr. Winkler. “Aorticaneurysms start as a normal size aortaand grow slowly over time. The risk ofrupture begins around five centimeters.Once you get beyond that, the risk goesup very quickly.”

Blood vessels are similar to roads. They serve as highways to carry blood quickly

from the heart to every region in the body and back again. However, when there is a

bump in the road, like an intersection closed as a result of a car accident, the road

has to be reopened for cars to get through. In the body, these bumps are commonly

blockages preventing the blood from flowing. When vessels are unable to perform

their duty the skill of a vascular surgeon is necessary to repair the damage and open

the blockage.

CLEARING BLOCKAGES

“Preventing further blockage of arteries is just asimportant as removing the initial blockage.”

– Dr. Christopher Cunningham

33

by Tammy White

McLeod Regional


34

Aortic Emergency Care ProgramWhen it comes to disease and

conditions affecting the arteries of thecirculatory systems, every second toappropriate intervention is critical. TheMcLeod Vascular Team is leading theregion with initiatives to improve thecare of all vascular emergencies with anAortic Emergency Care Program. Thisprogram will streamline the care forvascular patients with abdominal orthoracic (chest) aortic emergenciesoffering resources and treatmentmodalities many outlying hospitals donot have readily available. This rapidresponse program will deliver timelytreatment and life-saving care forvascular emergency patients.

Aortic emergencies are treatedthrough a rapid triage and coordinated team approach betweenDrs. Cunningham and Winkler and thephysicians of the McLeod Heart andVascular Institute.

“We can deliver the care the patientneeds on an emergent or urgent basis.Most frequently, tears of the aorta can betreated endovascularly from an artery inthe leg. Using X-ray imaging to guide usto the tear, we use a catheter wire to

place a stent graft where the tear hasoccurred. A stent graft is a cloth tubesupported by a metal conformingstructure that seals the tear and stops the bleeding,” explained Dr. Cunningham.

Carotid Artery StentingMcLeod has been an approved

facility for Carotid Artery Stenting forstroke prevention since 2001.

“Carotid stenting is a procedure toclean out blockages in the vessel to thebrain that if left untreated could lead toa stroke,” said Dr. Cunningham.

“It is also an endovascular proceduremeaning the surgery is performed fromthe artery in the leg. There are no nervesinside the arteries so patients cannot feelthe wire. We then stent the artery open,which is a wire cage specifically made forthis area. Most patients come in the dayof the procedure, we perform thesurgery in about an hour and they gohome the next morning.”

Peripheral Arterial Disease (PAD)Peripheral arterial disease occurs

when fatty material (plaque) builds upin the arteries that carry blood to the

limbs, usually affecting the arteries in thelegs. This causes hardening and/ornarrowing of the arteries and limits theblood flow through the body.

On October 10, 2014, the U.S. Foodand Drug Administration approved thefirst drug-coated balloon used to re-open narrow or blocked arteries in thethigh and knee as a result of peripheralarterial disease.

On Friday, October 17, 2014, Dr. Cunningham, with the assistance of Dr. Winkler, performed the firstangioplasty procedure in South Carolinausing the new drug-coated balloon.

The balloon used to re-open thearteries is coated on its outer surfacewith a drug, which is designed to helpprevent recurrent narrowing of thearteries.

“Peripheral arterial disease can bequite serious,” said Dr. Cunningham.“Preventing further blockage of arteriesis just as important as removing theinitial blockage. This new therapy isanother major step forward in thetreatment of PAD. We are fortunateMcLeod has this cutting-edgetechnology available for our vascularpatients.”

In the Diseased Vessel (1) the artery has a build up of fatty material that limits the blood flow. The Drug Coated Balloon (2) is deployedin the vessel, inflated for a minimum of 30 seconds, deflated and removed. It leaves behind a therapeutic dose of medicine (3) on theinner surface of the artery, which helps prevent the artery from becoming blocked again.

McLeod Seacoast Expansion Underway

For this reason, McLeod Seacoast isexpanding its Emergency Department,the largest hospital growth project todate, which is now in the beginningphase. Concurrent enhancements to thefacilities and services are: Day Hospital(Outpatient Services) expansion, a newenergy plant, a new central sterile unitand a new Procurement warehouse. The most visual renovation for thepublic will be the Concourse addition. This will change the appearance ofMcLeod Seacoast and will offer a publicthoroughfare at the hospital entrance for

ease of navigation to services and access. “A large percentage of our

admissions come to our hospitalsthrough the Emergency Department,”said Dick Tinsley, Administrator ofMcLeod Loris Seacoast. “This is theirfirst impression of our efficiency, quality,and service. This project is underway toaccommodate the healthcare demandsof our growing area and to providequality healthcare when emergencyservices are needed.”

The Emergency Departmentexpansion project will allow

McLeod Seacoast to grow its 11 examrooms into a total of 24 exam rooms,including three state-of-the-art traumabays. The exam rooms will be private,with the latest technology and amenitiesin emergency care. In addition, there willalso be a Fast Track area to rapidly treatless complex emergency cases, which willease congestion and lower wait times.

At the completion of theseenhancements, McLeod Loris Seacoastwill continue in its mission as an integralpart of a state-of-the-art medical systemto meet the region’s medical needs.

McLeod Health is pleased to announce that expansion plans are underway at

McLeod Seacoast. As the community grows, so do the health care needs of residents

of all ages and medical issues. McLeod is committed to the provision of quality

treatments, services and programs in Horry County and surrounding areas.

McLeod Regional

F L O R E N C E D I L L O NT H E H O S P I T A L S O F M c L E O D H E A L T H D A R L I N G T O N L O R I S S E A C O A S T 35

by Jennifer Hulon1 2 3

McLeod Regional


At 76 years of age, Merlee is as activetoday as she was 42 years ago when shefirst picked up a tennis racquet. Shecontinues to play tennis for two hours,three times a week and hikes whenevershe gets the chance.

Diagnosed with breast cancer inAugust of 2000, Merlee underwent amastectomy followed by chemotherapyfor six months. She played her favoritesport throughout her treatments. “I wasable to handle my diagnosis by stayingactive and positive.”

Two years after Merlee’s diagnosis,34-year-old Susan mentioned to hermom that she was going to thegynecologist for her annual check-up.Merlee suggested to Susan that she ask

her physician if she should have amammogram given Merlee’s diagnosis.Susan’s physician agreed -- consideringthe family history. Susan’s firstmammogram revealed a tumor.However, she was fortunate that it wascaught early. Following surgery, she didnot require any further treatment.

“Since my mom had already beenthrough this journey, she helped me rise above it. After the initial tears,

I took her advice and turned it over tothe Lord,” said Susan.

Merlee adds that she doesn’t thinkcancer changed her life. “I wasdetermined not to let this defeat me. I like to win -- just ask any of my tennispartners. Cancer was just another matchto be won.”

Merlee Shumpert and her daughter Susan Hill share more in common than the

color of their eyes or their love for tennis. Merlee and Susan are also breast cancer

survivors for more than 12 years each.

“Since my mom had already been through this journey,she helped me rise above it.”

– Susan Hill

36 37

by Tracy H. Stanton

McLeod for Health Florence Open

In October, McLeod Health partnered with the City of Florence to raise awareness of breast cancer and physical activity as thepresenting sponsor of the McLeod for Health Florence Open, a USTA women’s professional tennis tournament benefittingSusan G. Komen Lowcountry.

Net proceeds from the tournament are going to Susan G. Komen Lowcountry to help in the fight against breast cancer in theregion. Over the past several years, Komen Lowcountry has provided major grants to the McLeod Health Foundation forMcLeod Regional Medical Center to support mammograms, follow-up diagnostic procedures, patient navigationservices, and survivor support services, including transportation and child care.

More than 2,000 people attended the McLeod for Health Florence Open duringthe nine-day event at the Dr. Eddie Floyd Florence Tennis Center. Several McLeodPhysicians also supported the tournament by attending the matches, openingtheir homes to players and participating in the Pro Am tournament andCommunity Day. These physicians included: Dr. Amy Murrell, Dr. Vinod Jona, Dr. Rodney Alan, Dr. David Horger and Dr. Nicolette Naso.

Mother and daughter,Merlee Shumpert (at right)and Susan Hill are eachbreast cancer survivors ofmore than 12 years.

38 39

“The injection helped relieve thepain temporarily,” said Geraldine. “I exercised at home to help as well.”

“Geraldine’s rotator cuff was thesource of her pain,” said Dr. Sutton. The rotator cuff is a group of musclesand tendons that cover the shoulderjoint. These muscles and tendons holdthe arm in the ball and socket shoulderjoint, and they help move the shoulderin different directions. However, thetendons in the rotator cuff can tearwhen they are overused or injured.

Geraldine had medical appoint -ments with Dr. Sutton several moretimes that year. “Geraldine and Iwanted to explore other options beforedeciding on surgery,” said Dr. Sutton.

“When we visited Dr. Sutton in theoffice, he was very compassionate andconcerned about the pain my mom was experiencing,” said Mecoe.

“I remember him telling her that hewanted to get to the root of the painbecause he could tell she was hurting.Dr. Sutton always communicated in away that we could understand.”

As 2013 progressed, Geraldine’s leftshoulder pain increased. “By the end of the year, she could not lift her armabove 90 degrees,” said Dr. Sutton. “We then began discussing the need foran arthroscopy procedure.”

Shoulder arthroscopy is a surgicalprocedure that uses a tiny camera,called an arthroscope, to examine orrepair the tissues inside or around theshoulder joint. The arthroscope isinserted through a small incision in the skin and is connected to a videomonitor in the operating room.

“As Geraldine’s pain increased andfunction decreased, we made the

decision to proceed with thearthroscopic procedure in April of 2014. During this procedure, I inspected all the tissues of hershoulder joint and the area above thejoint -- the cartilage, bones, tendons,and ligaments. A tear in a muscle,tendon, or cartilage can sometimes befixed. In Geraldine’s case, I found thatthree of the four tendons were torn,leaving only one useable tendon. I wasalso able to remove bone spurs andsome of the damaged tissue,” said Dr. Sutton.

Following this procedure, Geraldine began physical therapy atMcLeod Dillon. “After an arthroscopicprocedure, physical therapy can help aperson regain motion and strength inthe shoulder and provide additionalpain relief,” said Philip Verjans, PT,MPT, Director of RehabilitationServices at McLeod Dillon, and one ofthe physical therapists who workedwith Geraldine.

“I saw some relief from theinjection, procedure and therapy, butthe pain was never fully relieved. I stillcouldn’t rest,” said Geraldine. “Our goalwas to decrease the pain, and it seemedthat surgery was the next option. Dr. Sutton was my choice for surgery,because I felt comfortable with him.”

“Geraldine and I discussed reverseshoulder replacement surgery. This istypically best for older patients that arelooking for decreased pain,” said Dr. Sutton.

Reverse shoulder replacement is atype of shoulder procedure performedon patients who have developedarthritis of the shoulder joint as a resultof a massive rotator cuff tear that is no

longer repairable. It is called reverseshoulder replacement because theposition of the ball and socket arechanged. The ball is on the socket sideof the joint and the socket is on the ballside, according to Dr. Sutton.

While in surgery, the condition ofGeraldine’s joint could finally be trulyassessed by Dr. Sutton. He determinedthat the condition of Geraldine’sshoulder was not appropriate for areverse shoulder replacement as a resultof her severely torn rotator cuff tendonsand arthritis.

“Instead, I performed a procedurecalled a hemiarthroplasty, where thehead of the humerus bone is replacedwith a metal ball and stem,” explainedDr. Sutton.

Geraldine, who has returned tophysical therapy at McLeod Dillon,said, “After the surgery, I experiencedimmediate relief from the pain. Best ofall, I am able to rest. I can now sleep atnight and have gotten more rest than I have had in a long time.”

McLeod Regional


Able to Rest Easy Againby Rachel T. Gainey

Having lived most of her life in Lake View, South Carolina, Geraldine Floyd often

reflects on a past of working hard on a farm and in her garden. One of her greatest

joys has been cooking fresh grown food for others.

“My mom doesn’t know how tocook for just a few people,” explains herdaughter, Mecoe Jones. “She has alwayscooked in large pots, enough to feed acrowd.”

Following years of hard work, thewear and tear incurred by her leftshoulder started causing Geraldinediscomfort. “The pain started in early2013. It was a constant, stabbing painthat would not ease up. The worst time

was at night. I just couldn’t get a goodnight’s sleep,” said Geraldine.

Geraldine first visited OrthopedicSurgeon Dr. Michael Sutton withMcLeod Orthopaedics Dillon, in May of 2013. He was recommended by her daughter, an employee atMcLeod Dillon that knew the quality of his work. Dr. Sutton also serves asChief of Staff for McLeod Dillon.

“Geraldine explained that she hadbeen having pain for four to fivemonths in her left shoulder and thatanti-inflammatory medications were

not helping ease the pain,” said Dr. Sutton. After an initial evaluation,Dr. Sutton gave Geraldine a cortisonesteroid injection to help provide relief.

Geraldine Floyd (left) and her daughter Mecoe Jones(right) describe Dr. Michael Sutton as a compassionatesurgeon who provided Geraldine with relief from herpain and the ability to rest easy again.

Geraldine Floyd of Lake View, SC, underwenta surgical procedure on the rotator cuff inher left shoulder.

“Our goal was to decrease the pain….Dr. Suttonwas my choice for surgery.”

– Geraldine Floyd

40 41

McLeod News

Dr. John Charles,who served asChief MedicalOfficer at GrandStrand MedicalCenter in MyrtleBeach, SC for 11 years, has beennamed Vice

President of Medical Affairs and ChiefMedical Officer at McLeod Loris Seacoast.

“I have great respect for the McLeodsystem and its dedication to patient qualityand patient safety,” said Dr. Charles.“McLeod has excellent resources, and itsvalues and culture are very appealing tome. At McLeod Loris Seacoast, I have theopportunity to build upon two alreadyoutstanding organizations and take them

to the next level by integrating McLeod’sextraordinary culture, resources, andpatient quality and safety standards.”

A graduate of the medical school atGeorge Washington University inWashington, DC, Dr. Charles completedhis residency in Emergency Medicine atthe Georgetown University Hospital and The George Washington UniversityHospital, and is board certified.

At Grand Strand Medical Center, Dr. Charles practiced in the organization’sEmergency Department for more than a decade, and then served as ChiefMedical Officer.

“We’re extremely pleased to have Dr. Charles on McLeod Loris Seacoast’sleadership team,” said Dick Tinsley,Administrator of McLeod Loris Seacoast.

“He has an extraordinary track record asboth an emergency physician and amedical administrator and is well-knownthroughout the Grand Strand region.”

As Vice President of Medical Affairsand Chief Medical Officer, Dr. Charles isresponsible for enhancing relationshipsand communications with the medicalstaff and providing assistance to areaphysicians.

He oversees the McLeod Loris SeacoastHospitalist Program and assures thatappropriate physician education, peerreview and quality assurance systems are in place to fulfill the goals of McLeod Health. He also assists in patientcare, facilitates admissions, and works toimprove the quality of safety, science andservice at McLeod Loris Seacoast.

Dr. C. Dale Lusk has been appointedto the position of Vice President ofPhysician Development for McLeod Health.

Dr. Lusk will assume overallresponsibility for the organization’sphysician development initiatives, whichare designed to develop physicianleadership and support collaboration.

Dr. Lusk will serve in this leadershiprole as well as continue his work at hisOB/GYN practice with AdvancedWomen’s Care.

Dr. Lusk is a graduate of The Citadel.He received his medical degree from theMedical University of South Carolina.

He completed his OB/GYN internshipand residency at the USAF MedicalCenter Keesler Air Force Base in Biloxi,Mississippi. Dr. Lusk remained in the AirForce until 1993, when he began caringfor patients at Advanced Women’s Care inFlorence.

Dr. Lusk served as the Chief of Staff ofMcLeod Regional Medical Center for2012 and 2013. He is involved in theQuality Operations and Credentialscommittees for McLeod Regional MedicalCenter, and has served as Chair of theMedical Executive Committee. Dr. Luskhas also served as a member of theMcLeod Health Board as well as the

McLeod RegionalMedical CenterCommunityBoard. He is amember of theSouth CarolinaMedical Association, Florence CountyMedical Society, and the South CarolinaOB/GYN Society. He is also a Fellow ofthe American College of Obstetrics andGynecology, a Diplomate of the AmericanBoard of OB/GYN, and a member of theAmerican Association of Pro LifeOB/GYNs, Christian Medical and DentalAssociation, and American Association ofGynecologic Laparoscopists.

Dr. Lusk Named Vice President of Physician Development

Dr. Charles Joins The McLeod Loris Seacoast Leadership TeamAs Vice President of Medical Affairs & Chief Medical Officer

McLeod NewsMcLeod Breast Health Center Becomes First in the Region toAchieve Breast Imaging Center of Excellence

Members of the McLeod Breast Health Center team recently achieved the status of Breast Imaging Center of Excellence by the AmericanCollege of Radiology. From left to right: Becky Watts; Ginny Edwards; Beth Kurilla, McLeod Breast Imaging Diagnostic Supervisor; Dr. NoelPhipps, McLeod Radiologist; Sheila Lewis, Deborha Sheppard, and Susan Jones.

The McLeod Breast Health Center is the first in the region to achieve aBreast Imaging Center of Excellencedesignation by the American College of Radiology (ACR).

By awarding facilities the status of aBreast Imaging Center of Excellence,the ACR recognizes breast imagingcenters that have achieved accreditationin all of the College’s voluntary breast-imaging accreditation programs andmodules, in addition to the mandatoryMammography Accreditation Program.

“Our patients can be assured thatour staff and facility meet nationalstandards in the diagnosis andtreatment of breast cancer,” said Dr. Noel Phipps, McLeod Radiologist.“This accreditation is a demonstrationof our commitment to the patients weserve.”

“A priority of the McLeod BreastHealth Center is providing the highestlevel of imaging quality and radiationsafety to our patients,” explains Beth Kurilla, McLeod Breast ImagingDiagnostic Supervisor.

The breast imaging services at theMcLeod Breast Health Center are fullyaccredited in mammography,stereotactic breast biopsy, breastultrasound and ultrasound-guidedbreast biopsy. Peer-review evaluations,conducted in each breast imagingmodality by board-certified physiciansand medical physicists who are expertsin the field, have determined thatMcLeod has achieved high practicestandards in image quality, personnelqualifications, facility equipment,quality control procedures, and qualityassurance programs.

When breast cancer is diagnosed atan early, localized stage, it has a veryhigh cure rate of greater than ninetypercent. Yearly screening mammogramscan also help to detect breast cancerearly when it is very treatable.

For more than 20 years, the McLeod Breast Health Center hasserved the region in the fight againstbreast cancer, the second leading causeof cancer-related deaths for women inthe United States. In 2013 alone, therewere 276 cases of breast cancerdiagnosed at McLeod.

ABOUT THE ACRThe ACR, headquartered inReston, Virginia, is a nationalorganization serving more than32,000 diagnostic/interventional radiologists,radiation oncologists, nuclear medicine physicians,and medical physicists with programs for focusingon the practice of medical imaging and radiationoncology, as well as the delivery of comprehensivehealth care services.

C. Dale Lusk, MD

John Charles, MD

42

McLeod NewsMcLeod Health Honors Three Extraordinary Individuals

Celebrating with his immediate family, Dr. James Craigie is pictured with his portrait which will be displayed with future McLeod Loris Seacoast distinguished staff.

Jeannette Glenn and Margaret Saverance share a moment in frontof their portraits which will hang in perpetuity among otherhonorees at McLeod Regional Medical Center.

Celebrating their years of dedicationand service to others, McLeod Healthrecently recognized Dr. James Craigie,Jeannette Glenn and Margaret Saverance.Family members, colleagues and friendswere in attendance at events to honorthese three inspiring individuals as theirportraits were unveiled.

Jeannette Glenn was recognized as anurse, leader and educator. Glennbegan her career with McLeod in 1966as a staff nurse. She was promoted toserve in many other capacitiesincluding Surgical Clinical Coordinator,Director of Staff Development,Associate Vice President and SeniorVice President of Human Resources,Education and Training. Glenn retiredfrom McLeod in 2011 after nearly 45years of service, yet remains active as amember of the McLeod RegionalMedical Center Community Board.

She is well known as a passionateteacher and trainer, inspirationalspeaker and mentor, both professionallyand in the community.

Margaret Saverance was honoredfor serving patients and staff as aMcLeod Volunteer and Chaplain.Margaret has volunteered with McLeod Health since 1998 in severaldifferent areas. She has been recognizedfor giving more than 16,000 hours inservice to others by any volunteer in thehistory of the program, renderingpastoral care at all hours of the day,night, week or weekend.

Today, she averages more than 15 hours a week volunteering for themedical center in various locations andas a Chaplain. In her unwaveringdevotion to others, Margaret is alwaysready to comfort, counsel and care,serving with a quiet strength in time ofneed.

Dr. James Craigie was recognized atMcLeod Loris Seacoast with a portraitunveiling to commemorate his 52 yearsof service and dedication in bringingquality healthcare to citizens of theLoris, North Myrtle Beach and thesurrounding areas. Dr. Craigie joined

the medical staff of Loris CommunityHospital in 1962 when he establishedhis practice, Loris Surgical Associates.He served as Chief of Surgery at LorisCommunity Hospital from 1962 until1991 and was selected Physician of theYear by medical staff and employees, aswell as Citizen of the Year by LorisChamber of Commerce in 1998.

Retiring from private practice in2004, Dr. Craigie made the decision toleave the operating room but not thehealthcare system. He assumed the role of Vice President of MedicalAffairs; a position he held with McLeod Loris Seacoast until hisretirement in 2014.

Dr. Craigie has also been very activethrough the years with numerousboards, committees and civicorganizations.

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