Adena News and Press Releases

Adena Health System has been named to the Forbes list of Best-In-State Employers 2021. The recognition is presented by Forbes and Statista Inc., the world-leading statistics portal and industry ranking provider.

America's Best-In-State Employers 2021 were identified in an independent survey based on a vast sample of approximately 80,000 workers for companies with more than 500 employees. Across 25 industry sectors, 1,329 employer brands were ranked among the top employers.

“Adena values its culture of finding talented and compassionate healthcare providers and caregivers and fostering their development and well-being to serve our region as a trusted partner for their healthcare needs,” said Jeff Graham, Adena President and CEO. “We realize that to be successful in caring for our patients and their families, we also need to care and support each other. This has been especially important during these critical and stressful times throughout the COVID-19 pandemic and recent Delta variant surge. Adena is over 4,100 caregivers strong serving more than 400,000 people in nine counties across southern and south central Ohio. We understand Adena is not just about our hospitals and clinics, but what makes us Adena is the individuals inside caring for their communities and each other.”

The Forbes evaluation was based on direct and indirect recommendations from employees who were asked to rate their willingness to recommend their own employers to friends and family. Employees were also asked to evaluate other employers in their respective industry and state that stood out either positively or negatively. The full list of best employers in each state can be viewed on Forbes website.

Have a passion for caring for others? Adena is hiring. To find all career opportunities available at Adena, visitAdena.org/careers.

(image) A diagnosis of breast cancer is never easy, but for Darlene Smith it became particularly challenging. As she was just coming to grips with the news of her cancerous breast lump, she began to feel sick, weak, and drained of all energy. After further examination by her Adena doctors, they discovered that Darlene also had Stage 4 Non-Hodgkin lymphoma (NHL). “I felt overwhelmed,” recalls Darlene, “and being on my own, I was really at a loss for what might come next – thankfully, the team at Adena gave me hope and guided me through a plan for treatment.”

Darlene’s lymphoma was discovered in January, and in February she began chemotherapy. The plan was to first treat her NHL and then have breast surgery in June followed by radiation treatments which would last until mid- to late-September. Darlene’s illness and the physical toll of chemotherapy forced her leave her Head Cook position at the Ross County Senior Center. Without a current job and insurance, Darlene was faced with the extra stress of how to pay her bills. “I was able to reduce my monthly costs to just the essentials, basically covering my rent, food and car,” says Darlene.

But even covering the basics proved to be difficult for Darlene. That’s where Adena’s Social Worker Mary Brown was able to help. Through Mary and the team at Adena, Darlene applied for and was able to receive financial support through three different grants: the Breast Cancer Fund of Ohio, The Pink Fund and the Women’s Cancer Research Fund. They helped her make ends meet. Additionally, the Adena team helped Darlene navigate her health bills, providing a significant reduction and then helping her apply for Medicaid. “A real blessing to me was Mary Brown,” says Darlene, “if it wasn’t for her, I don’t know what I would have done.”

Throughout her health issues, Darlene has worked to remain positive. It hasn’t been easy. In May, Darlene was hit with an even greater tragedy, the loss of her 38-year-old son. “It has been so difficult at times,” says Darlene, “some days I just didn’t have the energy to face anything.” But Darlene has been focusing on her health and putting into practice some of the wellness counseling she’s received at Adena. She attends a regular stress class at Adena to help her manage through her challenges. “The staff at Adena has been great,” explains Darlene. “They encourage me to live strong and stay active.”

Darlene values the support and guidance she’s received from Mary and her Adena healthcare family. She’s looking forward to getting back to work and to having a better 2022. “It has to be better than 2021,” she comments. As Darlene continues to recover and get back on her feet, she recognizes that Adena has been there to help make it all possible and that they will continue to be with her throughout her health journey.

(image) Adena Health System is expanding its care for patients with the addition of three specialty providers, across multiple service lines. These incoming physicians are delivering even more options for comprehensive, close-to-home care for our patients throughout the region.

Adena is pleased to welcome:

Xiaogang Jiang, MD, PhD is now seeing patients in Chillicothe for interventional pain management at the Adena Orthopedic and Spine Institute. Dr. Jiang has multiple degrees earning his medical degree from Shandong Medical University in Jinan, China. He completed his residency at Eastern Virginia Medical School in Norfolk, VA and his fellowship at the Cleveland Clinic in Cleveland, OH.

Thomas Kellam, MD is welcomed to the team of AOSI sports medicine providers seeing patients in Waverly. A board-certified physician, Dr. Kellam earned his medical degree from the University of South Carolina and completed his residency at Wake Forest Baptist Health in Winston-Salem, NC before returning to Columbia, SC for his residency at Prisma Health.

Rakesh Vadde, MD is now accepting new patients with Adena Pulmonary, seeing patients in Chillicothe. Dr. Vadde is board-certified and received his medical degree from Rajiv Gandhi University of Health Sciences in Bangalore, India. He completed his residency in Internal Medicine and fellowship in Pulmonary Medicine at Interfaith Medical Center in New York. Dr. Vadde completed his fellowship in Critical Care Medicine at the Memorial Sloan Kettering Cancer Center in New York.

For more about Adena Health System and its full range of health care providers, visit us at adena.org, or follow us on Facebook,Instagram, or Twitter @adenamedical.

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Calling it a project Greenfield-area residents need and deserve, Adena Health System officials broke ground Thursday on a new 8,500-square-foot Medical Office Building at Adena Greenfield Medical Center (AGMC) that will allow for future growth in providers and services for patients in Highland County and surrounding areas.

The $3 million project will be attached to Adena Greenfield Medical Center, marking the first expansion to the hospital building itself in the last 30 years. It offers several benefits, including new technology and equipment, spacious exam rooms, improved access to sub-specialty services, enhanced patient privacy and convenience, additional patient parking, a more efficient layout that decreases patient wait times, a pharmacy and the type of flexibility inside the hospital that will allow for future growth in providers and services. A new mobile pad for imaging services is already in place.

The new space and technology will enhance existing services in cardiology, general surgery, neurology, OB/GYN, pain management, podiatry, sports medicine, urology and wound care. They also will allow the Health System to explore adding new services in the future in areas such as ear, nose and throat, gastroenterology, pulmonology, psych services and others.

“We plan to open this up in the summer of 2022,” said Josh McCoy, AGMC Senior Operations Executive Officer and Vice President for Adena’s Western Region. “I’ve had the opportunity to talk with a lot of our providers and caregivers in the last couple weeks and you can see the excitement in their faces.”

McCoy said the project, once completed, will increase patient access dramatically, with the ability to handle three times the current number of visits.

Several of the presenters at Thursday’s ceremony noted the special role Greenfield’s hospital has played in Health System’s growth and its ever-increasing ability to provide specialty care close to home in the nine counties it serves.

“Greenfield became the very first hospital to join us in that journey,” said Adena President and CEO Jeff Graham. “It was Greenfield, along with Adena Regional Medical Center, that really brought the culture together and the strategy together and then executing what it means to not have people travel for care, as well as the importance of these hospitals in our communities.”

Adena now serves more than 400,000 people across nine counties with four hospitals and six ambulatory care centers. Graham said Greenfield’s new Medical Office Building will provide yet another tool in making sure patients and their families in Highland County will not have to travel for the specialty care they need and deserve.

Adena’s investment in the project will not only create and support the jobs needed to construct the new facility, but the expected growth in patient visits will generate increased commerce opportunities for the community and support additional job creation tied to clinical program growth and development.

The Health System’s critical access hospitals in Greenfield, Washington Court House and Waverly have played crucial roles in Adena’s response to the COVID-19 pandemic, helping handle larger-than-normal patient volumes to ensure the Health System could safely care for COVID positive patients and maintain the ability to continue offering its extensive array of essential, non-pandemic related services. 

“That is why I am so excited to see facilities like this growing and getting the added resources they need to continue meeting all those local care needs,” said Adena Chief Operating Officer Kathi Edrington.

Dr. Richard Mizer, a longtime Greenfield physician who serves as Chief of Staff at AGMC and Physician Executive Vice President of Adena Medical Group, said the expansion project reaffirms Adena’s commitment to expanding specialty health services in Highland County as the county continues to grow.

“Next year, we’ll have a brand new, bigger space with bigger efficiencies,” Dr. Mizer said. “It’s going to make it easier to recruit doctors into the facility. The staff that works here deserves that space and a better facility to work in and, most important of all, the community and patients – many of whom have come here for years and years – deserve that as well.”

As with any large project, several entities come together to make it happen, and this is no exception. AGMC Board Chair Ron Coffey recognized the numerous donors who have contributed to an Adena Health Foundation fundraising drive in support of the project, as well as the Community Foundation Council, AGMC Employee Committee, Adena leadership team, the village of Greenfield, community and business partners and the providers and caregivers at AGMC.

“When this project was discussed by the board, we immediately knew it was the right thing to do because we had kind of outgrown our facility somewhat,” Coffey said. “We want to meet the healthcare needs of the people of Greenfield and the surrounding area because we do have growing demands here, and they deserve the best healthcare available.” 

Those interested in contributing to the project can find more information and a donation button online through the Adena Health Foundation.

If you’ve been putting off your annual breast screening exam due to COVID-19, wait no longer! It is estimated that one in every eight women will develop breast cancer within her lifetime. Early detection is the best way to successfully treat breast cancer. Mammograms can detect lumps before you feel them and can show potentially precancerous clusters called micro-calcifications. Studies show that mammograms can reduce breast cancer deaths by nearly 50 percent, and delaying your mammogram screening only increases your cancer risk. Adena Radiology has enhanced procedures to make a welcoming, safe and sterilized environment for women to receive their mammogram screenings. There is no need to delay!

Adena additionally offers digital mammograms to give our patients the fastest and most accurate results possible. Digital mammograms are electronically based and use about a quarter less radiation, on average, than traditional X-ray film mammography. The resulting digital images can then be electronically stored and reviewed. This provides a clearer and easier image to analyze and potentially share for consultation and second opinions. Studies show that digital mammograms appear to provide greater accuracy for younger women and women with dense breasts.

Currently, Adena offers digital mammography at the following locations:

• Adena Regional Medical Center
• Adena Fayette Medical Center
• Adena Greenfield Medical Center
• Adena Health Center – Western Avenue
• Adena Health Center – Jackson
• Adena Health Center – Waverly 

Adena also offers 3D mammography, also known as tomosynthesis, at all our mammography locations (except Fayette) and through our Adena Mobile 3D Mammography Unit. Like digital mammography, it uses electronically captured images, but it additionally uses multiple images at multiple angles to help create a 3D view of the breast tissue. 3D mammography is a clinically proven, innovative screening technology that allows for better, more accurate breast cancer detection.

Screening mammograms should begin at age 40 for women of average risk. Screenings should continue annually as long as the patient is in good health. Women considered higher risk should start screenings earlier and may benefit from supplemental screening options. Your Adena Primary Care Provider (PCP) can help you determine your risk of breast cancer, but it is not necessary for patients to have a mammogram referral. Mammograms can be self-scheduled directly by the patient. Adena Radiology follows the guidelines of the American College of Radiology (ACR) and Society of Breast Imaging (SBI) for best imaging.

Warning signs of breast cancer are:

• New lump in the breast or underarm (armpit)
• Thickening or swelling of part of the breast.
• Irritation or dimpling of breast skin.
• Redness or flaky skin in the nipple area or the breast.
• Pulling in of the nipple or pain in the nipple area.
• Nipple discharge other than breast milk, including blood.
• Any change in the size or the shape of the breast.
• Pain in any area of the breast.

So, don’t delay. Schedule your mammogram. Whether you might have a warning sign or if it’s just time, breast cancer is highly treatable if caught in early stages. October is a great reminder to take care of your breast health. Call Adena at 740-779-7711 or visit Adena.org for more information.

Adena Regional Medical Center has received the American Heart Association’s GoldPlus Get With The Guidelines®-Stroke Quality Achievement Award for their commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.

Stroke is the No. 5 cause of death and a leading cause of adult disability in the U.S. On average, someone in the U.S. suffers a stroke every 40 seconds, and nearly 795,000 people suffer a new or recurrent stroke each year. Early stroke detection and treatment are key to improving survival, minimizing disability and speeding recovery times.

Get With The Guidelines-Stroke was developed to assist health care professionals to provide the most up-to-date, research-based guidelines for treating stroke patients. Adena’s GoldPlus status recognizes the hospital’s 24-month performance in treating stroke, and its commitment to ensuring stroke patients receive safe, quality treatment.

“Adena is honored to be recognized by the American Heart Association for our dedication to helping our patients have the best possible chance of survival and outcomes after a stroke,” said Neurologist Dr. Muhammad Akhtar, who leads Adena’s stroke program. “Get With The Guidelines-Stroke makes it easier for our teams to put proven knowledge and guidelines to work on a daily basis to improve outcomes for stroke patients.”

Each year program participants apply for the award recognition by demonstrating how their organization has committed to providing quality care for stroke patients. In addition to following treatment guidelines, Adena also provides education to patients to help them manage their health and rehabilitation once at home.

“We are pleased to recognize Adena for their commitment to stroke care,” said Lee H. Schwamm, MD, national chairperson of the Quality Oversight Committee and Executive Vice Chair of Neurology, Director of Acute Stroke Services, Massachusetts General Hospital, Boston, Massachusetts. “Research has shown that hospitals adhering to clinical measures through the Get With The Guidelines quality improvement initiative can often see fewer readmissions and lower mortality rates.”

For more information on Adena’s nationally recognized stroke program, visit adena.org/stroke.

(image) Have you been considering trying to turn back the clock with Botox treatments? Adena Dermatology can help! We are now offering Botox consultations and treatments at Adena Dermatology in Chillicothe. Botox is a very safe procedure when administered by a board-certified dermatologist, like those at Adena Dermatology who have a deep understanding of facial and skin anatomy.

Over the last 20 years, the popularity of Botox® Cosmetic treatments has skyrocketed. It is the number one non-surgical cosmetic treatment available for reducing wrinkles and fine lines. “Our patients are increasingly requesting this simple, satisfying treatment and we feel we are best equipped to safely deliver it with subtle, natural results as your local experts in all things skin related,” states Kelly Gallina, MD. Botox is FDA approved for cosmetic application and other medical treatments including conditions such as migraines back/neck pain, temporomandibular joint (TMJ) conditions, and hyperhidrosis. For cosmetic use, tiny amounts of the Botox neurotoxin are injected into facial muscles. Results vary but typically last three to four months. There is no down time associated with the procedure and discomfort is minimal to nonexistent. 

It typically takes multiple Botox units to treat certain areas or lines on the face, so, Adena recommends an initial consultation to discover a patient’s area(s) of interest and devise a treatment plan. Currently, Adena is offering Botox units at $12 per unit and offering initial Botox consultations at $40. Typical treatments cost anywhere from $250-$500 and the consultation fee will then be applied to future treatments if a patient chooses to get Botox applications at Adena. There is no harm in stopping treatments. Since cosmetic treatments are not covered by insurance, patients will need to pay for treatments using cash or credit card at the time of their visit.

If you, a friend, or family member are considering Botox, talk to our Adena Dermatologists about planning a safe and healthy treatment approach. Call Adena Dermatology at 740-779-8580.

Same Visit COVID-19 Vaccinations Also Available

Avoiding the flu this season takes one simple step, getting an influenza vaccine. Adena Health System offers many flu shot clinics, making it easy for you and your family to get vaccinated.

Adena is offering flu shots by appointment at any of its Family Medicine, Primary Care and Pediatric locations. Flu vaccinations are also available at all Adena Urgent Care locations in Chillicothe, Circleville, Hillsboro, Jackson and Waverly. 

Adena is also offering curbside flu shots at a number of its clinics on selected dates. For curbside services, credit/debit cards will be accepted for self-pay and insurance cards taken for others. No scheduling is required.

Individuals 18 years of age and older wishing to receive a free COVID-19 vaccination as well may do so safely during the same primary care or pediatric visit as their flu shot.

Due to the impact of COVID-19 and the Delta variant, it’s more important than ever for people to get their flu shot. Adena experts recommend getting flu shots as soon as possible in order to prevent contracting the flu which could leave people more susceptible to additional Coronavirus infection and serious illness. A flu shot not only protects the individual, but it protects others by limiting the chances of flu virus contraction and spread.

For children older than six months and adults, the flu shot can prevent them from getting sick, prevent flu-related hospitalizations and potentially lessen symptoms or length of illness should they get a strain of the flu. The Centers for Disease Control and Prevention (CDC) recommends that everyone six months of age and older, including the elderly and pregnant women, receive an annual flu shot. Flu shots taken by pregnant women can protect their babies from the flu after birth. 

Most insurance companies cover the cost of a flu shot, but patients may want to check with their insurance provider if they are unsure.

Together, we can protect ourselves and each other against the flu by getting a flu shot today. To learn more, visit Adena.org/flushot.

Adena Health System will be offering a drive-thru option for people seeking to be tested for COVID-19 starting Monday, September 27.

 Adena’s PACCAR Medical Education Center, located at 446 Hospital Rd, Chillicothe, opens next week to best serve patients in need of a COVID-19 test. Hours of operation are Monday through Friday from 8:30 a.m. to 4:30 p.m. 

“Our Emergency Departments and Urgent Cares continue to see record volumes,” said Adena President and CEO Jeff Graham. “By opening this drive-thru COVID testing site, this will help decrease the influx of those individuals seeking only testing services at those locations and be a more convenient option for them. At the same time, this will decrease wait times for patients with other care needs in our ERs and Urgent Cares and provide much needed relief and support for our providers and caregivers.”

No appointments are needed.

The drive-thru testing site will offer the rapid testing platform as well as the polymerase chain reaction (PCR) nasal swab test for asymptomatic patients. Patients will be called with their test results and results will also be available through their Adena online Patient Portal. COVID-19 tests will be billed to a patient’s insurance.

Those coming to the drive-thru site are reminded to please be sure to have a mask or face covering on before pulling up for testing.

Anyone experiencing COVID-19 symptoms should first contact Adena’s dedicated Hotline at 740-542-SAFE (7233) prior to visiting any healthcare facility to receive instructions regarding their care.

For more about Adena Health System and its services, visit adena.org or follow us on Facebook, Instagram, or Twitter @adenamedical. For COVID-19 specific information, visit adena.org/COVID19.

Adena Family Medicine Circleville offers comprehensive medical services from experienced and caring providers. Three of our newest providers, Yemi Olatunde, MD, Thomas Schorr, CNP and Tiffani Strange, CNP are all dedicated health care professionals who are passionate about their practice and helping area residents with their healthcare needs. They are currently accepting new patients. Here are their unique perspectives that unify them in serving the Circleville community.

Yemi Olatunde, MD specializes in internal medicine and helps many of her patients with weight loss and with achieving healthy lifestyle habits. “Many of the issues we see, hypertension, diabetes, and COPD [chronic obstructive pulmonary disease] are comorbidities of being overweight, this inspired me to get my board certification and work with patients to improve the health of our community,” says Dr. Olatunde. As a member of the Obesity Medicine Association (OMA), Dr. Olatunde is continually educating herself on dietary influences and ways to help patients regain weight control and better health. Through her efforts, Adena Family Medicine Circleville just opened a weight management clinic. There, Dr. Olatunde and the staff help patients find ways to improve, develop and retain healthy eating habits. They also partner with The Ohio State Wexner Medical Center in helping Bariatric patients manage their post-surgery lifestyle.

Dr. Olatunde, her husband Adena Cardiologist Sunday Olatunde, MD, and their three children moved to the Chillicothe area from New Jersey looking for a quieter, less hectic way of life. They love the area and enjoy being outdoors, playing basketball, swimming and biking together. They also like taking road trips and just recently enjoyed a fun trip to Washington, DC.

As part of the community, Dr. Olatunde is passionate about having a positive impact on patients. “We know that weight loss can be a challenge, that is why we are working together as a team to support patients medically in achieving positive lifestyles and better health,” explains Dr. Olatunde. 

Thomas Schorr, CNP is “extremely proud” of their Adena Family Medicine Circleville practice. “It is a great experience, every day,” says Tom, “and this team is fantastic.” As a Certified Nurse Practitioner, Tom sees his own patients and helps see other patients when they can’t get in to see their regular primary care physician. Although he was born in Lancaster, Ohio, Tom’s father was in the military, so Tom grew up in different cities across the world. After having his own child, he and his wife decided to move from Kansas back to central Ohio because they loved the area so much. Tom started as an ER Nurse, returned to school for his CNP and then trained with Adena where he was “lucky enough to hired.” “I really love it here,” says Tom.

One of the things Tom is proud of is Adena’s achievement as being named an NCQA Patient-Centered Medical Home™ (PCMH). PCMH organizations are held to high standards, committing to continuous quality improvement and a patient-centered approach in everything they do. “It shows that we’re dedicated to constantly improving the quality of patient care,” explains Tom. “It requires a lot of effort behind the scenes to make care and continuity of care seamless for our patients.”

Tiffani Strange, CNP works hard at being the “best prepared” when seeing patients. “It’s my goal to continue my education and reach the highest level possible in order to best treat patients,” says Tiffani. She is currently working toward her Doctorate in Nursing Practice (DNP). Tiffani has been with Adena for over ten years, increasing her responsibilities as she has advanced her education. Originally from South Carolina, Tiffani moved to Chillicothe with her family when she was in high school. It was there she met her husband and started her career. Tiffani and her husband have two children and a golden doodle. They love the outdoors, traveling, and Tiffani enjoys photography, reading and spending time with family. She also enjoys seeing the range of patients in family practice, young to old, and is particularly passionate about screenings and wellness, making sure patients get their proper screenings as they get older. “I like being able to see the patient as a whole, seeing it all come together and putting the patient first,” says Tiffani. “They are like our family and if they need specialty care we remain involved, so we are always their hub for care,” says Tiffani.

All three providers are accepting new patients. To schedule, call (740) 420-3000.

(image) CHILLICOTHE, OH (September 00, 2021) – Adena Health System is expanding its care for patients with the addition of six specialty providers. These incoming physicians and an advanced practice provider are delivering even more options for comprehensive, close-to-home care for patients throughout the region.

Adena is pleased to welcome:

Jennifer Jeng, DO joins the growing group of providers with Adena Gastroenterology seeing patients in Chillicothe. Dr. Jeng received her medical degree from Lincoln Memorial University – DeBusk College of Osteopathic Medicine in Harrogate, TN. She completed her residency at Genesys Regional Medical Center in Grand Blanc, MI and fellowship at Arnot Ogden Medical Center in Elmira, NY.

Mark Lesh, MD comes to the Adena Orthopedic and Spine Institute team as a board-certified orthopedic surgeon caring for patients in Chillicothe. He earned his medical degree from Pennsylvania State University College of Medicine in Hershey, PA, where is also completed his residency. He is fellowship trained from the Virginia Sportsmedicine Institute in Arlington, VA.

Michael Loy, DO is now caring for patients in Greenfield and Hillsboro at the Adena Orthopedic and Spine Institute. A board-certified sports medicine physician, Dr. Loy earned his medical degree from The Edward Via College of Osteopathic Medicine in Blacksburg, VA and completed his residency at Saint Barnabas Medical Center in Livingston, NJ. He is fellowship trained from UPMC Harrisburg in Pennsylvania.

Veronica Heitsch, MD is accepting new patients with Adena Rheumatology in Chillicothe. Dr. Heitsch earned her medical degree from Jagiellonian University Medical College in Krakow, Poland and completed her residency in Greenville, NC at Vidant Health and fellowship at the Ohio State University Wexner Medical Center and Nationwide Children’s Hospital.

Regina Tolliver, Certified Nurse Practitioner is welcomed to the team of interventional pain management providers at the Adena Orthopedic and Spine Institute seeing patients in Chillicothe. Tolliver has over a decade of experience, which including caring for patients in Washington Court House and Waverly throughout her career. She earned her Family Nurse Practitioner degree from Walden University in Minneapolis, MN.

Meaghan Tranovich, MD joins the Adena Orthopedic and Spine Institute team as an orthopedic surgeon seeing patients in Chillicothe. She earned her medical degree from the Marshall University Joan C. Edwards School of Medicine in Huntington, WV and completed her residency at the University of Toledo Medical Center and fellowship at the University of Iowa. Dr. Tranovich is also fellowship-trained in Sports Medicine.

For more about Adena Health System and its full range of health care providers, visit us at adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

Since 2018, Heather Nickel, CNP, has treated a wide range of patients at the Adena Family Medicine Woodlands, formerly a company sponsored primary care facility affiliated with the nearby papermill to treat employees and their families. The Adena practice is now open to the public, providing broader access to better serve the surrounding Chillicothe community. From infants to the elderly, Heather enjoys helping area patients feel better and improve their health.

“One of the great things about our location is that it’s a ‘one stop shop’ for our patients,” says Heather. The full-service facility not only has physician offices, but also offers onsite laboratory testing and a pharmacy so patients can generally get all their medical needs taken care of in one location. Although it is not an urgent care facility, the Adena Woodlands staff can most often accommodate patients with same day appointments, explains Heather.

Heather’s background in rheumatology gives her great experience in treating joint and muscle pain patients. Additionally, she sees and treats many acute patients, those with sudden short-term health issues, along with newborns, children and adults. “I enjoy doing lots of different things,” says Heather, “and giving patients the attention to help them understand their health.” Heather works with many of her patients on the importance of healthy lifestyles, screenings and prevention. “We see many people who only come in if they are having problems,” says Heather. “We want people to understand that with screenings and preventative measures, they may avoid other health issues altogether.”

Heather says she is “really proud” of their Adena Family Medicine Woodlands practice. “We have a great staff and great relationships with our patients,” says Heather. “We’ve seen kids who are now adults and then they bring their kids here -- we just love that!”

To schedule an appointment at Adena Family Medicine Woodlands, call (740) 775-6119.

Ashton Fields, DO, applies a slightly different perspective to her treatment of patients. As one of the few doctors of osteopathy (DO) in the area, Dr. Fields has been trained to treat the “whole person” and combine physical treatments to support self-healing and regulation, along with medication treatments to provide the best combined approach to help patients feel better.

“As an osteopathic physician, I look at finding the root cause of issues, and look at ways to prevent future issues and improve patients’ health,” says Dr. Fields. Osteopathic medicine differs from allopathic, a more conventional medicine approach, in that osteopathic physicians can use manual manipulation through hands-on therapy of joints, fascia, muscles and tendons to facilitate healing and diagnose underlying illness.

 “Dr. Fields is pleasant, great with our staff, and her patients love her,” says Melody Waters, Clinic Manager, Adena Family Medicine Chillicothe. Dr. Fields sees patients young and old. She particularly loves seeing the newborns and babies, being a new mom with her own one-year-old at home. “I really enjoy seeing patients of all ages and full families, from babies to grandparents,” says Dr. Fields. “It truly is a community here and I am excited to help patients improve their health.”

Dr. Fields is originally from Western Kentucky and moved to the Chillicothe area where she began her Adena residency over five years ago. She’s now been an attending physician with Adena as a DO for two years and she and her husband love the area. In her limited spare time, Dr. Fields enjoys running, spending time at home with the family and their dogs, and taking her daughter to the local farmer’s market on the weekend. She is currently accepting new patients. To schedule an appointment with Dr. Fields, call (740) 779-4060.

(image) Although it may not appear in obvious ways, the COVID-19 pandemic has likely impacted your children. According to the U.S. Department of Education, the COVID-19 pandemic has impacted our youth at every level of education, especially having negative impacts for our “marginalized and underserved” children. This means that many kids who were already struggling in school have likely been doing worse during the pandemic.

As a local health care leader dedicated to serving our communities, Adena Health System is working with area schools and families to care for children and their education -- providing potential and promise for our next generation. Our health care providers are looking at children’s mental and physical well-being, working to address any changes that could seem troubling. Adena is also dedicating resources like John A. Gabis, MD, Adena Medical Director of Community Partnerships and Family Physician to work with community leaders, health care partners and school systems to best serve our local youth.

Early Results

Although it’s still a little early to determine what the full impact of the pandemic might have had on students, most health care professionals agree that 2020 brought with it changes in students’ behavioral health. “Through this pandemic, we definitely saw a lot more adolescents for anxiety or depression,” says Adena Pediatrician Amy Maggard, DO, “which was kind of new for that age.” As  pediatricians, Dr. Maggard and her team have interest in their patients’ behaviors and ask about school and social life. “We often heard it was a ‘difficult year’,” says Dr. Maggard, “some kids struggled because they didn’t have their socialization, ability to see friends, didn’t do well learning online, or couldn’t play sports.” They also worried about themselves or their loved ones getting sick. These changes often left kids feeling isolated and anxious.

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For younger children, the early development years are important. Because of COVID-19, they may have had limited interaction due to closed or reduced capacity in preschools or childcare. This could have a negative impact on some of their learning, communication, and socialization skills. “For early learners, sharing, playing together, pretend play, those things are all beneficial to child behavioral development,” she says.

School: An Important Building Block

From pre-school to college, school is a valuable resource that provides stability for many students. Some families rely on school and pre-school for regular meals, therapeutic or behavioral services like speech therapy or counselling, childcare, and basically the structured framework of learning. When the pandemic disrupted this, it likely disrupted student learning capabilities as well as what was “normal” for students. “For students who have been required to learn from home, some of their situations may not be very safe or very encouraging, possibly exposing them to more trauma,” says Dr. Gabis. “We want to provide additional resources to teachers so that when these kids come back to school, these teachers will have a better understanding of how to recognize additional traumas or how to intervene on behalf of the child.”

Adena: Taking Notes… and Action

In talking to local school administrators, they say their two toughest challenges are student literacy and behavioral health. Disruptive behavior, lack of focus or interest in lessons are tough learning hurdles for students and teachers. And often, just the “speed of life” can cause anxiety and depression for students.

To help, Adena is partnering with the Advisory Board, a national health care consultant, and with Nationwide Children’s Hospital to provide interventional training sessions for teachers. The trainng will focus on helping teachers better understand returning students’ issues and concerns and guide teachers through appropriate responses. It will also provide insights to supportive resources for their students that may need extra help. “We’ll be using the expertise of Nationwide Children’s Behavioral Health Specialists to provide what they see as problems to expect from this pandemic,” says Dr. Gabis. “The idea is to have a strong referral system, both in and outside of school, so that students, their families, and teachers can get the support they need.”

Making the Grade

There are also influences beyond school that impact students and young behavioral development. Reduced exercise or time outdoors, escalated family issues, and extensive screen and social media time have all been factors during the pandemic. “We recommend that parents limit screen time and stick to those limits,” says Dr. Maggard. “Work to spend face-to-face time together with planned meals or games, that can help children engage more.”

“Wherever we have a presence, we want to be a positive force for change and health improvement,” says Dr. Gabis. If your child is experiencing behavioral issues, anxiety or depression contact your Adena Pediatrician or Primary Care Provider for guidance. You can also contact the Adena Counselling Center at 740-779-4888.

Effective Wednesday, September 15, Adena Health System is rescheduling its elective surgical procedures for a later date that require an overnight stay in the hospital through next week. This temporary change is being made out of an abundance of caution due to a significant increase in COVID-19 hospitalizations and record-high patient volumes.

Adena leadership is making this decision in order to continue providing safe, high-quality care to the influx of patients requiring hospitalization due to both COVID-19 and unrelated serious medical issues.

“We have carefully evaluated different avenues where we can make operational adjustments that will be best for the short term to relieve some of the pressure off of our hospital inpatient census, provide needed beds and give support to providers and caregivers,” said Adena President and CEO Jeff Graham. “Taking these steps will allow us to care for our patients and staff in the optimal way. This is a thoughtful approach to make sure those patients who don’t need to be in the hospital right away are not.”

The number of community members hospitalized at Adena’s four hospitals as a result of COVID-19 has continued to rise. COVID hospitalizations for Adena stood at a high mark of 74 this morning, with 55 of those patients being unvaccinated. In addition, inpatient census for Adena Regional Medical Center today was over 200 hospitalizations across all medical conditions, which strains hospital capacity. 

“These adjustments and what is going on with high patient volumes is not just with Adena,” Graham added. “Similar operational adjustments in order to provide the best care possible are happening all over. What has been great about our organization is being able to handle situations as we’ve done so well over the past 19 months and this is just another situation that we need to address.”

Adena will continually monitor this fluid surge and will resume elective surgeries requiring a hospital stay as the situation improves. Adena is working closely with its medical group to ensure that patient care is prioritized as best as possible. Affected patients will be contacted by Adena to work through rescheduling and help answer any questions.

Adena, and other health care organizations across the region and beyond, continue to strongly urge everyone to get vaccinated. The COVID-19 vaccine is free and readily available. The vaccines are our best defense against further spread of the virus and effective in preventing serious illness and death. The Delta variant spreads faster than earlier forms of the virus that causes COVID-19, so getting vaccinated is the most important thing you can do to protect yourself and others.

(image) If you’re the parent of a teenager, you know that getting them to talk about anything can many times seem impossible. So, when you consider trying to talk to them about sexually transmitted diseases (STDs) or more typically referred to today as sexually transmitted infections (STIs), forget it! STIs are a tricky subject even if your teenager is great at communicating. Although it might be awkward, it is an important conversation to have with your teenager, and the healthcare professionals at Adena can help.

“Parents shouldn’t be naïve,” says Dr. Emiley Blake, DO, Adena Obstetrician-Gynecologist (OB-GYN). “And it’s not that we think they are, but we often hear ‘Oh, that’s not necessary for my son or daughter’ and those parents could be surprised.” According to the Centers for Disease Control (CDC) over half of U.S. teenagers have sex before they turn 18 years old. It is also more likely that teens in low-income households have sex during their teenage years and on average at younger ages then other teens.

Y Now?

The U.S. has seen record highs in the rate of teen STIs—most commonly gonorrhea, chlamydia, and syphilis— over the last decade. According to the National Center for Biotechnology Information (NCBI), approximately half of the 20 million new sexually transmitted infections (STIs) each year in the United States occur among adolescents ages 15-24. “The most common STI we see is chlamydia among the teens,” says Dr. Blake. “About 25% of sexually active females will have chlamydia in the 14- to 24-year-old range… and when I tell patients ‘you realize that’s one in four’ to put it into perspective for them, they are shocked.” Female chlamydial infections can lead to serious consequences including pelvic inflammatory disease (PID), tubal factor infertility, ectopic pregnancy, chronic pelvic pain and even blindness or death in newborns. In males, chlamydia can lead to further infection near the testicles or prostate gland, pain, infertility or sterility, and potentially stricture — a narrowing of the urethra due to inflammation or infection.

Warning Signs

Many patients with STIs are asymptomatic, meaning they don’t show signs or symptoms of having an infection, so they don’t get treated. This is why screenings are so important once a person is sexually active. If a person experiences any of the following, they should contact their Adena physician or OB-GYN:

• unusual discharge from the vagina, penis or anus
• pain when peeing
• lumps, warts, blisters, sores or skin growths around the genitals or anus
• a rash near genitals or anus
• unusual vaginal bleeding
• itchy genitals or anus

Pandemic Dilemma

Although not all the data is in, there is common thinking among clinicians that the COVID-19 pandemic will likely spark a surge in STIs – many of which have gone unreported. In 2020, visits to healthcare providers and clinics were down in general, likely due to reduced hours, closed offices, quarantine requirements, and fear of catching the COVID-19 virus. Items to help protect sexually active teens such as free screenings, condoms, and birth control were also impacted by the pandemic, making those resources more difficult to access. Smaller healthcare facilities and clinics often diverted resources, like personnel, personal protective equipment (PPE), swabs, tubes and reagents to address the urgent needs of COVID-19. A recent study published by the National Academies of Sciences, Engineering, and Medicine (NASEM), called out that the “COVID-19 pandemic has exposed weaknesses in public health preparedness”¹ especially in regard to treating STIs. “Screening for and treating for some of the STIs at family health clinics or free clinics have been greatly impacted by the COVID-19 pandemic,” says Dr. Blake. “For this reason, we think there will be an uptick in cases as testing and screening resume.”

Teens Should Screen

If your teen is sexually active, it is essential they get regular screenings for STIs. The Centers for Disease Control and Prevention (CDC) recommends that sexually active women 25 and younger get tested for gonorrhea and chlamydia every year. Screening is the key to detecting any STI early, and in taking measures to treat and prevent spreading STIs to others. “We are highly confidential with our patients based on their preferences and never discuss their activity outside of our office doors,” says Dr. Blake. “We know that teens may have difficulty talking to their parents about their sexual activity, but we encourage open and candid conversations with at least one parent to best promote the health and screening of patients.” Although a patient’s visit is strictly confidential, tests or screenings are generally reported through insurance. This should not keep patients from getting needed screenings. Dr. Blake and the Adena OB-GYNs are here to help and can support discussions about screenings with parents or help teens find possible alternative options for testing.  

Is the Time Right?

Teenage girls can be especially susceptible to STIs due to the fact that biologically they don’t have a lot of cervical mucus protection from STIs. Moms often question when their daughters should first see an OB-GYN? That answer can vary. Sometimes OB-GYN visits become necessary when patients have trouble with their period, but that is not the case for every patient. “Ideally, I like to see young women before they are sexually active,” says Dr. Blake. This helps establish their baseline and gives Dr. Blake, or one of the other Adena OB-GYNs, the opportunity to discuss understanding sexual activity with patients and provide guidance on safe practices and contraception. Although it may seem uncomfortable, the key is education and candid discussion.

STIs are serious. Parents and teens need to know their potential dangers and the risks of STIs if teens are sexually active. Adena OB-GYN and Primary Care Providers (PCP) can help support that conversation between parents and teens and guide patients on safe sex practices and essential screenings. Although the conversation may seem difficult, prevention, screening and safety are key factors in staying healthy. Talk to your Adena healthcare professional and let them help you protect your teen. Call Adena OB-GYN at 740-779-7201, your Adena PCP, or call 740-779-FIND (3463) if you are looking for an experienced physician.

For the family of Chuck Stump, nurse Laura Friend is aptly named. (image)

With Chuck facing what would eventually become an end-of-life situation, Laura became a friend to both patient and family, providing them with the desperately needed compassion, empathy and strength that are the hallmarks of a profession dedicated to helping others.

For her efforts, the nurse on 3A at Adena Regional Medical Center was presented the quarterly Daisy Award Thursday recognizing extraordinary nursing care provided to patients and their families every day.

Laura said she was surprised and honored to win the award.

“It means a lot to me,” she said. “I’d never met Chuck and I didn’t know the family, but I came in here and could relate to the situation because I had lost family members to cancer and we just seemed to click.”

It didn’t take Laura long to make an impact at Adena, having just started with the Health System in March.

“This is actually the first time I’ve ever done bedside nursing at all,” she said. “I worked at the VA for a while and did long-term care and I came over here and really feel like I found my calling. I feel like I belong here, and I’m glad to be part of the Adena family.”

Robin noted that one of Laura’s compassionate acts provided comfort in her brother’s final days.

“She ordered my brother a blanket that he absolutely loved,” Robin said. “When he was readmitted to the hospital, he brought that blanket back in and he was here for more than two weeks. When he passed, we tucked that blanket around him when we said goodbye to him.”

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Chief Nursing Officer Molly Grooms said Laura’s efforts were emblematic of the nursing spirit at Adena.

“The empathy, the compassion, the kindness, it’s the extra that goes beyond the clinical component to really connecting with the patient and, in this case, the family as well,” she said. “This was definitely one of those situations in which you’re making the best of an outcome that might not be what you thought it was going to be, so how do you bridge that gap and make sure you’re meeting maybe a different kind of need? Nurses are really able to form those relationships with patients and their families and then provide the type of care they’re looking for.”

The Daisy Award is recognized internationally as a mark of extraordinary nursing care and has been adopted by health systems around the globe as a way of honoring their caregivers. For her selection, Laura received a special pin for her employee badge, a hand-carved Healer’s Touch sculpture signed by the artist in Zimbabwe, a bouquet of daisies and a box of cinnamon rolls to share with her colleagues on 3A. A recognition banner will also be hung in her unit throughout the quarter until the next Daisy Award recipient is selected.

Beyond that, though, and perhaps even more important, she received the affection of a grateful family. 

“Words are hard to find to genuinely express my gratitude for the loving care she provided,” Robin said. “Thank you, Laura, for being a nurse who has the best interest of the patient in mind. You make me proud to be a part of the Adena family and you will forever hold a special place in my heart.”

(image) Adena Health System is expanding its care for patients with the addition of five specialty providers all practicing in the new Adena Orthopedic and Spine Institute (AOSI) opening September 1, 2021. These incoming physicians are delivering even more options for comprehensive, close-to-home care for patients throughout the region.

Adena is pleased to welcome: 

Gustavo Barrazueta, MD joins the AOSI team as an orthopedic surgeon. He earned his medical degree from Jefferson Medical College in Philadelphia, PA and completed his residency at Tufts Medical Center in Boston and fellowship at the Ohio State Wexner Medical Center. 

Steven Barrientos, DO is now caring for patients in Circleville. A board-certified sports medicine physician, Dr. Barrientos earned his medical degree from Rowan University in Stratford, NJ and completed his residency at the same school before completing his fellowship at LECOM Health Medical Associates of Erie in Pennsylvania.  

Clinton Hartz, MD comes to AOSI’s sports medicine team seeing patients in Chillicothe. Dr. Hartz is board-certified and earned his medical degree from St. Matthew’s University in Grand Cayman, Cayman Islands. He completed his residency at the Ohio State University Wexner Medical Center and fellowship at ProMedica Health System in Toledo. 

Mara Kennedy, DPM is accepting new patients with Adena Podiatry in Chillicothe. A board-certified podiatrist, Dr. Kennedy earned her podiatric degree from Temple University in Philadelphia, PA and completed her residency at Saint Barnabas Medical Center in Livingston, NJ.   

Blake Walker, MD joins AOSI’s growing physician group providing Neurosurgery services specializing in disorders of the spine in Chillicothe and Circleville. Dr. Walker earned his medical degree from Wayne State University in Detroit, MI and completed his residency at Detroit Medical Center.

In addition, Adena has a physician transferring her services to a new location expanding patient access across the region. 

Kristen White, MD brings dedicated pediatric care to Highland County and the surrounding communities by now caring for younger patients at Adena Specialty Clinic – Greenfield.

For more about Adena Health System and its full range of health care providers, visit us at adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

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Calling it a “game changer” in patient care across southern Ohio, Adena Health System’s leadership was joined Friday by several local and federal officials to celebrate the pending September 1^st opening of the Adena Orthopedic and Spine Institute (AOSI) with an official ribbon cutting.

Situated on the campus of Adena Regional Medical Center in Chillicothe, the five-story, 111,000-square-foot AOSI will be the new home to Adena’s nationally accredited orthopedics program and specialized care for orthopedics, spine, sports medicine, neurology, podiatry and interventional pain management.

Nearly 40 physicians and advanced practice providers from across the six specialties will be housed within the building, along with associated testing services, coming together to create a unique combination in patient convenience and provider collaboration.

“This group is first class, and now they have a facility that’s going to allow them to continue to expand and bring the future of healthcare to our communities today,” Adena President and CEO Jeff Graham said. “But this building, in all its splendor, is just a tool. It’s the people inside that make it special. We’re very blessed to have the caregivers, providers and physician specialists who call Adena their home, bringing the very best to all of us who live in this region.”

Dr. James Fleming, Jr., Medical Director for the AOSI, expressed appreciation to physicians and caregivers across the entire Health System and the people in the communities Adena serves for their support over the years and promised a quality, patient-centered healthcare experience in both the clinical care and the customer service provided in the new facility.

Within the building, special design attention to detail was paid in many areas, ranging from special infection prevention measures within the surgical suites to creating a comfortable, home-like feel within its inpatient rooms and throughout the facility to aid in patient recovery.

That feeling will be supported by a concierge-style level of service from those providing care within the AOSI. One of the most notable names in hospitality, Ritz-Carlton, has been training AOSI staff throughout the summer on providing a five-star level of service that enhances the care experience for patients and their families and will make the facility a destination for care across the region, state and beyond.

“When this project was presented to the board, we knew immediately this was going to be a game changer for the communities we serve,” said Joe Watson, Chair of the Adena Board of Trustees. “Providing quality healthcare in this region for more than 125 years, this latest project is a testament to Adena’s commitment to bringing comprehensive healthcare close to home. At our core, we are neighbors caring for neighbors.”

Adena Chief Operating Officer Kathi Edrington said those stepping into the building will definitely notice it’s something truly different and thanked everyone who played a role in making that vision for the AOSI a reality.

“We asked our communities and our providers what they needed and wanted, and we used that feedback and the voice of our patients to create it,” she said.

The patient is at the heart of Adena’s mission, and while the AOSI will enhance the patient experience within the building, its impact will be felt beyond its walls.

“It will not only give us the space we need for orthopedics, it’s going to continue to help us grow as a Health System,” Edrington said. “We have many other specialties in many other areas that we need to grow in order to meet the needs of the communities that we serve, and this will help us do that.”

During Friday’s ceremony, Dwight Garrett, chair of the Ross County Board of Commissioners, touted the AOSI as “another jewel in the crown of Adena Regional Medical Center”, while U.S. Congressman Brad Wenstrup said the building and its vision was the product of true leadership in rural healthcare and an example of the spirit of the region.

“The people of southern Ohio – and this is a great example today here in Chillicothe – roll up their sleeves and say, ‘We can take care of this, we can fix this, we can provide for ourselves,’” Wenstrup said.

Graham said the AOSI is the latest move building on the legacy and vision of Adena’s original founders for the role the Health System plays in the health of our communities.

“It is family, friends and neighbors caring for our families, friends and neighbors,” he said. “We have been doing that for more than 125 years and Adena is stronger than ever. This new facility is just another step in the continued development of our regional Health System.”

Members of the community can experience the AOSI by attending a Community Open House planned for Saturday, August 21, from 10 a.m. to 2 p.m. This family-oriented event will include: Mighty Children’s Museum activities, a teddy bear clinic, exclusive building tours, free COVID-19 vaccinations (18+), music, food and drinks, giveaways and more. The Community Open House is free and open to all.

For more information on the Adena Orthopedic and Spine Institute, visit Adena.org/AOSI

The Adena Health Foundation is hosting the 2^nd Annual Adena Greenfield Medical Center Autumn Gala in October, and you’re invited to attend.

The celebratory evening full of activities will raise funds to assist with the Adena Greenfield Medical Center expansion project, which will enhance patient convenience and overall experience while at the same time lay the groundwork for future growth of healthcare services in the community.

Date: Saturday, October 16^th

Time: 6 to 10 p.m.

Location: Hillsboro Orpheum, 135 N. High St., Hillsboro

The evening will include:

• Dinner
• Silent auction
• Live auction
• Music
• Valet parking available

Other details: Tickets with open seating are available for $100 each. You also may show support by donating at one of five sponsor levels, with a variety of benefits accompanying each level.

Tickets and sponsorships are available online at Adena.org/greenfield-gala. They also may be obtained by expressing interest in tickets or a sponsorship level and mailing a check for the appropriate amount made out to the Adena Health Foundation. Checks can be sent to the Adena Health Foundation, 9 South Paint Street, Chillicothe, OH 45601. Tickets and sponsorships are also available by contacting Robin Berno at 740-542-4483. The deadline is October 6^th.

We hope you will join us in the celebration.

When it comes urinary tract infections or UTIs, don’t try to DIY. Consult a health professional for how to treat these common infections.

According to the American Urological Association, urinary tract infections (UTIs) are the second most common infection type in the U.S. UTIs are considered infections in any area of the urinary system: the kidneys, bladder and urethra. While UTIs are a very common and very treatable, they can also be annoying, painful, and potentially harmful if they are a chronic, reoccurring condition. For most UTI cases, Adena Primary Care

Providers (PCPs) can treat and help guide patients back to good urinary tract health.

How Common is Common?

(image) It is estimated that there are over eight million UTIs each year in the U.S. Generally, UTIs are more common in women than men with approximately 10 in 25 women and three in 25 men having UTI symptoms during their lifetimes. Although less common, children can also get UTIs. These generally occur in children under the age of five years. “If your child needs to go more than normal, is “dancing” a lot, experiences pain when going, you should contact your Adena Pediatrician or PCP,” says Heather Nickel, Certified Nurse Practitioner at Adena Family Medicine -  Woodlands. Other symptoms of UTIs include:

• Strong and frequent urges to urinate
• Cloudy, bloody, or strong-smelling urine
• Painful or burning sensation when urinating
• Passing frequent, small amounts of urine
• The feeling of constant bladder pressure
• Nausea and vomiting
• Muscle aches and abdominal or back pains
• Fever or mental confusion (severe)

“We often see UTIs impact our middle-age and elderly patients,” says Heather. “This may be the result of the inability to go to the bathroom as often, medications, lifestyles, or other comorbidities like diabetes or other chronic disease.” Urinary tract infections are usually caused by bacteria that enter the urethra and bladder, causing inflammation and infection. Because women’s urethras are shorter, there is more chance for bacteria to develop there. Conditions that can potentially trigger a UTI are:

• Not cleaning or urinating after sex (women)
• Wearing damp undergarments like swimsuits or workout shorts/pants for too long
• Over cleansing yourself using chemically harsh or fragrant soaps
• Not drinking enough water
• Not urinating enough
• Not wiping front to back (women)

Working the System

It is generally easy to test for and treat a UTI. The most common treatment is antibiotics, although it is standardly thought that 25 to 50 percent of uncomplicated UTI infections can clear on their own within a week. This is one way to avoid the overusing antibiotics and possibly reducing their effectiveness. “The good thing about Adena Health Center – Woodlands is we can test for UTIs at our on-site lab fairly quickly,” Heather adds. “That way, if it isn’t a UTI we aren’t erroneously prescribing an unneeded antibiotic.”

Don’t Freak if Frequent

It is important that if you have frequent or lengthy UTIs to see a doctor. “Left untreated, the infection can spread to your kidneys, causing sepsis which can be life-threatening, or permanent kidney damage,” says Heather. If you are getting frequent or reoccurring UTIs, don’t get discouraged. Talk to your Adena Primary Care Provider who can either recommend the right low dose of antibiotics, or possibly refer you to Adena Urology for further testing.

“What we mainly want people to know is that UTIs are common. They can run their course, but they shouldn’t be ignored if frequent or if symptoms escalate,” she says. Patients can easily call their Adena PCP for guidance if they think they have a UTI, or schedule an appointment to make sure they are addressing any potential issues. New patients can call 740-779-FIND (3463) to help find a physician near you, or learn more about the many ways Adena serves the health of our community by visiting Adena.org.

Community Open House Scheduled for Saturday, August 21

CHILLICOTHE, OH (August 13, 2021) – While the physical presence of the Adena Orthopedic and Spine Institute (AOSI) continues to move toward its September 1st opening, the operational vision that will make it more than just another health care facility is becoming clear as well.

Situated on the campus of Adena Regional Medical Center in Chillicothe, the five-story, 111,000-square-foot AOSI will be the new home to Adena’s nationally accredited orthopedics program and specialized care for orthopedics, spine, sports medicine, neurology, podiatry and interventional pain management. This group of physicians, advanced practice providers and caregivers, collectively known as Adena Bone and Joint, will be called Adena Orthopedic and Spine Institute as well starting next month.

“Adena Orthopedic and Spine Institute is comprised of close to 40 of the region’s top health care providers and continues to grow,” said Dr. James Fleming, Jr., AOSI Medical Director. “Having the AOSI as our group’s name signifies our diversified service offerings all under one roof keeping patients and their families close to home for their care. Our commitment to our patients has never been stronger and more secure. Everything in AOSI’s new home, provided by this multi-disciplinary team, is designed for the patient and their experience to get them back to the activities they love.”

For patients, that means that when they come to the AOSI, they’ll be able to take advantage of the full range of services they need without ever having to leave the building. Everything from the convenience of on-site registration to office consultations, testing and imaging services, pre- and post-operative care, surgeries, pain management, inpatient recovery and rehab rooms – even their morning coffee from the café – all can be found inside the AOSI’s doors.

The AOSI also includes:  

• 80 clinical exam suites;  
• Six operating rooms;
• A 20-bed inpatient recovery unit;
• 22 pre- and post-recovery bays; and
• Ross County’s only parking garage adding 300 free parking spaces.

“We understand that the best healing experience is the one you get at home,” Dr. Fleming added. “That is why we have created an atmosphere in the AOSI that optimizes your healing. You don’t feel like you’re in a hospital, you feel like you’re home. We’ve considered every detail to bring home to you during your stay with us. All creating an environment to help you heal. And, since family plays such a significant role in the healing process, the AOSI has amenities for them as well.”

In terms of the patient experience, Adena has enlisted some of the best national consultants available to look at how it could better serve patient needs, not just clinically, but in terms of customer service. One of the most notable names in hospitality, the Ritz-Carlton, has been training AOSI staff this summer to deliver a concierge-type level of service that enhances the experience of patients and their families.

Dr. Fleming concluded, “Health care is about more than just treating a condition. It’s about treating the whole person in a calming, professional environment focused on service and safety, giving you an overall experience that is comforting and inspires confidence. What truly makes AOSI special, though, is the skilled, compassionate and patient-focused providers and caregivers inside dedicated to serving our region’s care needs.”

To celebrate the opening of the AOSI, a Community Open House is planned for Saturday, August 21 from 10 a.m. to 2 p.m. This free event will feature – Mighty Children’s Museum activities, a teddy bear clinic, exclusive building tours, free COVID-19 vaccinations (18+), music, food and drinks, giveaways and more.

Till then, the public can get a sneak peek through several newly released behind-the-scenes videos highlighting different features of the AOSI at Adena.org/AOSI.

(image) During this year’s Junior Fair King & Queen Contest at the Ross County Fair, Adena President and CEO Jeff Graham accepted the Friend of 4-H Award on behalf of Adena Health System.

The Friend of 4-H Award is designed to honor individuals and businesses that have made outstanding and sometimes extraordinary contributions to the Ross County 4-H Program. Nominations are submitted to the Ross County 4-H Advisory Committee and reviewed with a rubric for selection. Depending on nominations up to one individual and one business Friend of 4-H Award may be presented each year. Adena was the only award recipient this year.

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In their recognition, the Ross County 4-H Program stated “Our 2020 Ross County Friend of 4-H Organization began in a small brick house in downtown Chillicothe and is now known to us as Adena Health System. From this modest beginning, they have grown tremendously to provide state-of-the art medical care within nine Ohio counties. Many 4-H advisors and families are employed through, or under the care of, Adena Health System. Beyond health care for Ross County residents, Adena Health System, proactively invests in the health and wellness of our community in numerous ways. They have been a strong supporter of the Ross County 4-H program for years, financiallydonating over $23,000. This sponsorship has been used to provide educational materials in the form of 4-H project books for all enrolled members. In so doing, our 4-H families have not had the financial burden of having to purchase the project and resource books necessary for their enrollments which can cost from $6.00 to $19.00 each. The sponsorship dollars have also been used to further educational events such as Livestock Skillathon, a hands-on activity involving livestock production topics and Quality Assurance, a training focusing on responsible livestock production practices. For years, Adena has also stepped up to support youth through our Jr. Fair livestock sales. 

We are thrilled to have a local health system so invested in our youth development program. Congratulations and many thanks to Adena Health System, the Ross County Friend of 4-H, now and into the future!”

(image) At Adena Health, it really is all about you – the patient.

That’s why multiple Adena primary care locations are recognized as an NCQA Patient-Centered Medical Home™.

Quantifying Quality

The National Committee for Quality Assurance (NCQA) is a private, not-for-profit organization dedicated to improving health care quality. Since the early 1990’s, the NCQA has used measurement, transparency and accountability to highlight top performers and drive improvements in health care. It is the most widely adopted PCMH evaluation program in the U.S. The patient-centered medical home (PCMH) model puts patients at the forefront of care. Its certification requirements help health care systems build better relationships between patients and their clinical care teams. PCMH organizations are held to high standards, committing to continuous quality improvement and a patient-centered approach in everything they do. This approach has proven to improve quality, the patient experience, increase staff satisfaction, and reduce health care costs. Adena has been consistently awarded the PCMH designation since receiving their initial certification in 2014. They are one of 34 health care providers in the state of Ohio to have received this distinction.

Because We Care

To achieve the NCQA Patient-Centered Medical Home certification, Adena must meet a lengthy set of quality standards, collect data and solicit feedback from patients. It’s a rigorous process for the Adena teams to pull all of this criteria together to continually verify their quality commitment.

“We do it because we care,” says Adena Family Medicine Certified Nurse Practitioner Thomas Schorr. Thomas has been with Adena for over three years and works at Adena Family Medicine – Circleville. “Everyone I work with is exceptional. Anyone can say that, but because of our PCMH certification, we can also show it.”

Even though he has a commute to and from the office, Thomas says he has a “great experience every day” and that he wouldn’t want to work anywhere else. Thomas explains that this is part of the Adena PCMH approach, “We each perform our role which allows us to focus on patient care, continuity of care and help patients now and in the future as we work together to help improve and prevent potential health issues.”

It’s Like a Duck

As Adena teams work hard each day to deliver patient-centered care, their seamless efforts of operation likely go unnoticed by patients. “Ease and efficiency mean we’re doing our jobs well,” says Thomas, “with quality processes in place, we can stay focused on the patients.” He compares their daily operations to a duck; above the water it’s floating calmly, but below the water’s surface the duck’s legs are moving at a rapid pace to propel and guide its direction. “There is always a lot happening behind the scenes, but our patients only see a caring and attentive staff helping them through their health journeys.”

No Place Like Home

Being recognized as a Patient Centered Medical Home means that we treat our patients like family, and strive to address their needs even when they aren’t in the office.  We are proud to see that 93% of the patients who have had a primary care visit this year, rated our services a 9 or 10 on a 10 point scale.  To keep our patients happy and well, Adena’s Primary Care clinics offer appointments outside of normal business hours, hospital follow-up visits to help manage chronic diseases, medication management consults, and population health programs aimed to keep patients out of the hospital by getting all of the support they need at home.  We look at the whole patient, physically and emotionally, and address each patient’s unique needs.  That’s what being part of the Adena family is all about. 

We hope you will consider bringing your family to our Adena family of experienced and caring providers. We are proud of our staff and their commitment to putting patients first, thus earning Adena the quality certification of an NCQA Patient-Centered Medical Home. If you’re new, call our Find a Physician line at 740-779-FIND (3463) or visit adena.org./FIND. If you are already part of our Adena family, we’re happy that you know and value the patient-centered care we provide.

Recognized Locations

• Adena Internal Medicine
• Adena Chillicothe Family Physicians
• Adena Pickaway-Ross Family Physicians
• Adena Family Medicine - Chillicothe
• Adena Family Medicine - Residency Clinic
• Adena Family Medicine - Circleville
• Adena Family Medicine - Washington Courthouse
• Adena Family Medicine -   Greenfield
• Adena Family Medicine - Hillsboro
• Adena Family Medicine - Waverly
• Adena Family Medicine - Piketon
• Adena Family Medicine - Jackson
• Adena Family Medicine - Oak Hill
• Adena Family Medicine - Wellston

(image) For Dr. Richard Mizer, caring for the health of rural communities is a passion born out of watching his mother provide care as a registered nurse during his childhood and enhanced by a lifetime of experiences in the field.

Shortly before celebrating 35 years of practicing family medicine in Greenfield August 4th, he learned that passion has been recognized by the Ohio Academy of Family Physicians, which recently named Dr. Mizer its 2021 OAFP Family Physician of the Year.

“As the world of medicine has changed and, in many ways, left behind the idea of a family physician who ‘does it all,’ there have been vital leaders who have maintained our collective scope and our rich legacy,” said Dr. Valerie Good, who nominated Dr. Mizer for the honor. “Dr. Mizer is one of these family medicine champions.”

The OAFP presents the award annually to an individual who meets and exceeds the criteria of being an outstanding family physician. Other criteria include maintaining high professional standards and service orientations, providing high quality and family-centered continuing health care and being active in the community.

During an interview with OAFP that is available on YouTube, Dr. Mizer recalled the influence his mother had on his future career path. She worked an overnight shift in a local hospital in the eastern Ohio town of Cadiz so she would be available for her children in their after school activities, became a “go-to” person for neighbors in helping with some of their healthcare needs and later serving families as a home health nurse.

He also recalled a particular night during a winter term at Oberlin College while taking advantage of a learning opportunity to spend some time in the Emergency Room of a local hospital.

“One snowy night, a doctor came through and had a patient in labor and he said, ‘Hey, why don’t you come along?’” Dr. Mizer said. “I was a sophomore in college and I got to be available for that labor and delivery that family doctor did and I thought that was pretty cool. Delivering babies and being the family doctor is pretty cool.”

Dr. Mizer graduated medical school at the Medical College of Ohio in Toledo and performed his residency at Grant Medical Center, serving as chief resident and developing a wide range of skills that included everything from obstetrics to palliative care. That broad-based learning approach would prove to be a real benefit to him and his patients while practicing in rural areas and is something he encourages today’s residents to consider in their education. (image)

A three-year National Health Service obligation landed him in Greenfield at a time when family doctors in rural areas not only provided the full range of services caring for several generations of a family’s life -- from delivering babies to providing care in nursing homes -- but also had to read their own X-rays and EKG’s and perform several other services when specialists weren’t available.

He said he found it a pleasure and privilege to do the work and he fell in love with the community where he has now lived and served for 35 years. In that time, he said he has learned a lot from his patients, including the importance of the trust they place in their physicians to help lead them through their health care process.

“I think it’s important for physicians, and particularly family physicians, to know that we are leaders in our community because we are family physicians – whether we like to be a leader or not, we are leaders by default,” he said. “We can set examples and standards, show respect and give great health care to everyone. The COVID-19 pandemic is a testament to that, and we can certainly make a lasting impact by championing vaccinations.”

Dr. Mizer has been a leader in other ways as well. In addition to being a practicing family physician at Adena Family Medicine Greenfield, he also has served as chief of staff at Adena Greenfield Medical Center, served as Highland County Health Department medical director and, until 2017, had been the team physician for Greenfield McClain High School for more than 30 years. In February of this year, he was named Physician Executive Vice President of Adena Medical Group, responsible for leading more than 300 physicians and advanced practice providers within the Adena Health System family.

In addition, he has served in many community organizations, including the Highland County Community Action and the Rotary Club, and supports the pipeline of family medicine by serving as volunteer faculty at the Ohio University Heritage College of Osteopathic Medicine while also regularly mentoring medical students.

He said he appreciates the love and support of his patients, colleagues, office staff, mentors and, especially, his family, in helping him live his passion for all of these years.

“I am humbled by this honor and I think about the people who have had this honor before me and the people who have had such a huge impact and touched my life in so many different ways,” he said. “They know I love what I do, and I’m very blessed to be a family doctor.”

The Ohio Academy of Family Physicians is a statewide, professional association with more than 5,200 members, including practicing physicians, family medicine residents and medical students.

Two specialties, one difficult decision. (image)

That was what faced Greenfield-area native and McClain High School graduate Kristen White, MD, when she found herself torn between her love of pediatrics and her enjoyment of the delivery room experience and nursery work involved with obstetrics. The answer to her quandary was found on an entirely different continent.

“I did a spring break trip to Peru, a pediatric medical mission trip, and that really solidified that this was the route I wanted to go,” said Dr. White, now a pediatrician with Adena Pediatrics. “The trip was all pediatrics, so we worked with different HIV-positive orphanages, we did some routine health screenings there, we did health and wellness for teen pregnancy centers. I just loved that in pediatrics you got to take care of a kid from infants all the way through teenagers and see that growth.”

Soon, that turn of events in her career path will lead her back to the portion of southern Ohio where she grew up. Beginning August 16, Dr. White will bring dedicated pediatric care to Greenfield and the surrounding communities with the opening of Adena Pediatrics-Greenfield in the Adena Specialty Clinic-Greenfield, 536 Mirabeau St. The opening will mark the fourth location for Adena Pediatrics, joining offices in Circleville, Waverly and at Adena Regional Medical Center in Chillicothe.

Her arrival will further enhance available healthcare options for children in communities like Washington Court House, Greenfield, Hillsboro, South Salem and others, building on the efforts of an established network of primary care providers that Dr. White said have done a great job serving children across Adena’s service area.

Pediatricians specialize in children’s physical, mental and social health, while primary care physicians are board-certified to treat people of all ages, including children.

Dr. White has been with Adena Pediatrics working out of Chillicothe for nearly the past year, but returning to serve the Greenfield area has been a goal of hers since completing medical school at Wright State University and her residency at Dayton Children’s Hospital. 

“Coming back to Adena, coming back home, has always been the plan and, when I first signed on, that was the goal to have some office hours in Greenfield to serve that community and Highland County and Fayette County and some patients in Ross County,” she said. “It’s a great central location for a lot of smaller communities to allow them to have dedicated pediatric care that’s a little bit closer to home. I remember as kids, we traveled for everything – for the grocery story, the movie theater, a lot of different things – so having this service there will be very helpful to a lot of different people.” 

When she makes the move to Greenfield, she will bring a “whole family” approach to her treatment.

“I try to make every encounter very personal, finding out what families’ concerns are, finding out what’s going on at home and what it is that keeps you up at night because I think that’s different for everybody,” Dr. White said. “Especially for new moms, it’s overwhelming, and you need to make sure that from the mom’s or dad’s or caregiver’s standpoint that they’re getting enough support because you have to take care of yourself so you can take care of a baby. We look at how we as an office and a community can support them.”

Several of those community connections already exist for Dr. White, who is personally involved with the 4-H program, whose mother serves on the McClain school board and whose husband teaches and coaches basketball at McClain. She has been busy developing others prior to the opening of the new office, taking part in a couple of office walkthroughs and meeting with representatives from Community Action, Head Start and the WIC program in Highland County.

“It’s been exciting to get to meet those people who also have the same goal and mindset of helping kids in that region do their best,” she said. 

Dr. White also is looking forward to being a partner in that effort with children and their families. 

“What I love about kids is they want to get better, they want to do things you tell them to that help them get better and their parents want their kids to get better, so I think everyone has that same goal and mindset,” she said. “You see those kids get better, and I think that’s really rewarding to see improvement, see changes and get to see their personalities evolve. You also see parents grow from that first newborn visit and see how they enjoy the development of their own kids, and that is really fun.”

The new office opening is the latest move by Adena to expand dedicated pediatric care close to home in the communities within its nine-county service area. This year began with the launch of a pediatric hospitalist program done in partnership with Nationwide Children’s Hospital that allowed more children to receive care locally for conditions that previously would have required their transport elsewhere.

Those having existing appointments with Dr. White through August 14 will see her at the Adena Pediatrics office in Chillicothe. Those with appointments at any time after August 14 may keep the same appointment date and time, but will see Dr. White in the new Greenfield office. 

Existing patients of Dr. White’s who prefer to continue receiving their pediatric care at Adena Pediatrics’ Chillicothe location may work with that office’s staff to get established with one of the office’s other pediatric providers.

Those looking to make an appointment with Dr. White moving forward can continue to call 740-779-4300 and request to be seen at the Greenfield location.

 In a world in which social media discourse, political upheaval and an ongoing global pandemic seem aimed at tearing people down, Betty Anderson isn’t just a breath of fresh air, she’s a whirlwind.

It’s impossible to spend even a few minutes with the 85-year-old Piketon resident without feeling a renewed sense of the good that exists in people – and she makes sure you remember that.

“People can lift you up, and when people lift you up, you pass that happiness on to other people,” she said while receiving one of her weekly IV infusions at Adena Pike Medical Center (APMC). “I believe I was born with a happy heart, if that means anything. For me, it means that it doesn’t take much to make me happy.” (image)

That’s saying a lot for someone who has had to spend a couple hours every week for the last five years in a bed hooked up to an IV at APMC. She brings that happy heart with her each time she comes in, however, because she gets to spend time with hospital staff who have become far more than simply health care providers to her. With each visit, she also has taken it upon herself to try and pass that happiness along to others by adding her own personal touch to a table in the hospital’s main reception area.

“I have many beautiful books and I have many beautiful flower arrangements in my house, artificial ones, and I just saw that table looking so stark with nothing on it,” Betty said. “I remembered when there had been things on it before COVID hit, and finally on the Fourth of July, I had had it.”

Many of those artificial flower arrangements had been sent to her upon the December death of her husband of 67 years, Norm. Because of the impact of the pandemic on air travel, the funeral and burial of Norm’s cremains had to be postponed until the coronavirus relaxed its hold a bit. As a result, she had received enough flowers to make her home “look like a funeral parlor.”

Those flowers, along with her extensive collection of coffee table books, came to mind over that Fourth of July holiday and she decided to place a patriotic silk floral arrangement along with a book filled with images and words about America on that table in the reception area for others to enjoy.

“I just thought I’d take that to the hospital and put it on that table so it wouldn’t look so stark,” she said. “It was the Fourth of July and when I got here, nobody was immediately available in the front, so I just slipped in and put them on that table and I got out of there.

 “About three days later, I got a thank you card from Dave (Zanni, APMC Senior Operations Executive Officer) and two others. That bowled me over, it really did. I figured, if anything, I would come back the next week and they would throw them at me. But no, they said to me if you want to do that, please do it as long as you want to.”

(image) She took that to heart, and now every Thursday when she comes in for an infusion, she changes the floral display and places a different book next to it. It’s become one of the ways she has expressed her appreciation for the providers, caregivers and staff who have become a second family over her years-long relationship with the hospital.

That she remains as positive and uplifting as she does is remarkable enough given her medical history. At one point, she said her priest actually came to administer last rites when she was in APMC fighting a losing battle with a sepsis infection until one of the hospital’s physicians found a way to save her life.

Her current regimen of weekly infusions to replenish needed nutrients started in the aftermath of four surgeries for a cancer that started in the wall lining of her stomach. While obviously disheartening for her health, the situation created cherished relationships with the nurses and others at APMC whom she unabashedly declares she loves.

“I’ve got to meet so many wonderful people in this place, it bowls me over,” she says with emotion in her voice. “I am lifted up by so many people, especially the people here who have worked on me and kept me alive. My husband was in this hospital, too – he had a fall and was in here two weeks and he got to know the nurses like I did and they were like our family. 

That’s obvious in speaking with her, as she can quickly rattle off the names of the caregivers she’s had, tell you what makes them special and knows what’s going on with their own families.

Her feelings are obviously reciprocated by hospital staff. During her weekly visits, several pop their heads in to check on her, and before Betty leaves following her infusion, she makes sure she is wheeled by everyone who helped her that day so she can thank them.

“I don’t know how to describe it, but Betty’s not a patient to us,” said nurse Donya McClurg. “She’s prayed with us, prayed for us, we’ve cried, we’ve laughed. It’s a true friendship. Several of us who take care of her wish we didn’t ever have to leave her because the conversation is always so nice.”

Betty couldn’t agree more.

“I always pray for you,” she responded to McClurg, speaking of the entire APMC staff, the depth of her feelings again surfacing in her voice. “This is my hospital, that’s what I always say.”

You, too, can become part of the APMC family in several ways. Career and volunteer opportunities can be found by visiting Adena.org/careers. Volunteer applications – APMC has volunteer needs primarily for its front desk and gift shop -- may be picked up at the hospital’s front desk or requested by calling Tory Walker at 740-947-6311.

To understand the health needs of people living in Fayette County, Adena Health System and Fayette County Public Health are partnering to conduct a Community Health Needs Assessment (CHNA) survey. The survey is conducted every three years and is a requirement of the Affordable Care Act. The results help local health care providers and agencies identify the most prominent health needs of people living in the county.

To make participation as simple as possible, Fayette County residents attending the Fayette County Fair can stop by the Fayette County Public Health’s booth in the Enterprise Building to complete the survey. People who are not able to complete the survey in-person can take it online at adena.org/chna. The survey will be open through August 27, 2021.

“The heart of Adena’s mission is to serve our communities,” said Kim Jones, Adena Director of Community Health and Development. “By getting input from the community, we and our partners will have a better understanding of the health-related needs of the people who live here.”

The Community Health Needs Assessment survey also helps to identify the health priorities of those living in the county; recognize barriers to achieving good health; and helps officials learn where need is the greatest. Results will be used to update strategic plans for community health, in work with community partners, and will serve as a guide for community health programming.

“I encourage every adult living in Fayette County to take the time to complete the Community Health Needs Assessment,” said Leigh Cannon, Deputy Health Commissioner. “This is your opportunity to tell the health care providers and community agencies what you and your family need in order to achieve the best health possible.” 

The anonymous surveys are easy to complete and focus on the respondent’s perception of the health issues facing their community, as well as their own health and conditions. It should take no longer than five minutes to complete. Results will be analyzed later this year, with a report expected to be complete in early 2022. Once released, the report will explain the survey findings, and ways in which Adena and other local agencies plan to address those community needs.

The Fayette County Community Health Assessment is available online through August 27 at www.adena.org/chna.  

Paper copies are available at Adena Fayette Medical Center, Adena Family Medicine – Washington Court House, and Fayette County Public Health.

(image) Adena Health System is expanding its care for patients with the addition of six specialty providers. These incoming physicians and advanced practice providers are delivering even more options for comprehensive, close-to-home care for patients throughout the region.

Adena is pleased to welcome:

Brooke Galloway, Certified Nurse Practitioner comes to Adena Occupational Health serving patients at the Fluor-BWXT Clinic in Piketon. She holds 13 years of nursing experience practicing throughout southern Ohio. Galloway earned her Family Nurse Practitioner degree from Walden University 

Jennifer Ganzhorn, MD is a 2021 graduate of Adena’s Family Medicine residency program, staying with the Health System as a core faculty member for the Graduate Medical Education program and joining the team of providers at Adena Family Medicine – Main Campus Clinic in Chillicothe. She earned her medical degree from the University of Medicine and Health Sciences in St. Kitts, West Indies 

Cody Horn, DO joins Adena Infectious Disease following his fellowship and residency training in Florida. Dr. Horn returns to southern Ohio having earned his medical degree from the Ohio University Heritage College of Osteopathic Medicine and his undergraduate degree from Shawnee State University in Portsmouth, OH.

Sarah Hull, Certified Nurse Practitioner is accepting new patients with Adena Podiatry in Chillicothe at the Adena Orthopedic and Spine Institute. Hull has been with Adena since 2015 as a registered nurse and quality accreditation resource specialist. She earned her Family Nurse Practitioner degree from Indiana Wesleyan University.

Sandip Patel, MD is now caring for patients at the Adena Cancer Center. He earned his medical degree from the M.P. Shah Medical College in Jamnagar, Gujarat, India, and completed his residency in Brooklyn, NY and fellowship at the Ohio State University Comprehensive Cancer Center – James in Columbus, OH.

Sara Singer, MD is welcomed to the growing team of oncologist at the Adena Cancer Center. She earned her medical degree from the Oakland University William Beaumont School of Medicine in Rochester, MI and completed her residency and fellowship at The Ohio State University.

For more about Adena Health System and its full range of health care providers, visit us at adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

(image) Summer reading programs are underway in our communities in an effort to get students and adults engaged in good books. This summer, Adena Health System has teamed up with public libraries in four south central and southern Ohio counties to promote reading and activities that support overall health. In total, nearly three thousand children and youth are served by the libraries within Fayette, Highland, Pike and Ross Counties.

Whether you are a student, a family member reading to a baby or toddler, or an adult reader, the enjoyment of books can enhance lifelong learning, and provide meaningful and enjoyable experiences for everyone. Those participating in summer reading programs can also take part in the 2021 Adena Healthy Kids Summer Activity Challenge for a chance to win prizes, including a new bicycle.

“Getting lost in a good book can be one of life’s simple joys,” said Adena’s Director of Community Health & Development Kim Jones. “Summer Reading programs are an opportunity for children and adults to relax, learn and develop good habits. Adena is proud to participate each summer by offering the Adena Healthy Kids Summer Activity Challenge, which encourages readers to take a break to do simple activities to get them moving and closer to building healthy habits.”

Adena has hosted the Summer Activity Challenge with Chillicothe-Ross County Public Library since 2013, and the program continues to grow throughout the region. The collaboration was also featured in American Library Association literature, as a model for incorporating better health with organized children’s reading programs. The Challenge was adopted by Pike County libraries about five years ago. This year, Highland and Fayette County libraries are also joining.

The Challenge includes activities such as:

• Playing outside for 30 minutes;
• Going a day without playing a video game;
• Drinking eight cups of water in a day;
• Doing a silly dance; or
• Eating three servings of fruits and/or vegetables.

While each reading program and activity challenge has begun, there is still time to sign-up. Participants can sign-up at the nearest branch of their county’s public library, or on their county library’s website. Activities may be completed in any order. Participation is free.

What kind of difference can quality orthopedic care make in a person’s approach to life? (image)

Just ask Jeri Flowers-Roberts, whose mother, Janet Flowers, recently underwent surgery with Adena Bone and Joint Center orthopedic surgeon Dr. Neel Patel. Janet, while socializing with neighbors May 2, fell and broke her hip after a misstep onto some uneven concrete in her driveway. 

During recovery at Adena Greenfield Medical Center shortly after surgery, Jeri shared her surprise at how rapidly her mother was responding.

“Truthfully, with all of the pain she’s been in with the broken hip, she looks better than I have seen her in some time,” she said at the time. “My mom has done remarkably after the broken hip. I just talked to her (while in recovery at AGMC) and she said she got to play cornhole tonight and beat Mary’s (AGMC caregiver) butt. She told them to leave it out and they’re going to practice tonight.”

Cornhole is one thing, the ability to return to all of the favorite activities of everyday life – particularly those involving a wide range of pain-free motion – is another. 

“Mom is extremely active,” Jeri said. “She golfs on Thursdays, loves to work in her flower beds, enjoys the fresh air and sunshine. She lives life to the fullest and has never met a stranger.”

Shortly after the surgery, however, Jeri said Janet was feeling up to that greater challenge as well, not wanting anyone to have to stay all night with her upon her return home.

Jeri admitted being a bit apprehensive about the procedure, but said the experience on both the Adena Regional Medical Center and Adena Greenfield Medical Center campuses was exceptional.

“Everybody from nurses, physicians, cleaning staff, the guy who wheeled her into surgery and Dr. Patel were amazing,” Jeri said, adding that her mother also had high praise for the food.

Jeri and Janet were particularly impressed with Dr. Patel, who joined Adena Bone and Joint last fall and who Jeri said was “unbelievably down to earth and caring.”

“After surgery, he stayed with mom during recovery,” she said. “Afterwards, he met with me for her update for 15 to 20 minutes. I was totally impressed and I will recommend him to each and every person. Unbelievable.” 

(image)

Dr. Nancy Myers, DDS, who underwent surgery to repair damaged ankle ligaments in early May 

with Adena Bone and Joint, was so impressed with her care that she wrote a letter to Adena President and CEO Jeff Graham the very same day as her surgery praising all of the staff members involved with her care.

“I began this journey several months ago, seeing Dr. Bradley Strauch for the initial consultation to start the surgical process,” Myers wrote. “He and his staff guided me through the process to get me to this day and I could not be happier. … I cannot speak highly enough about the professionalism of that department, and they will do well moving forward.”

After thorough evaluations conducted by the non-surgical side of the practice, Dr. Caleb McFerren performed her procedure, and Myers praised his “thorough explanations of surgical options, his excellent bedside manner and the obvious knowledge he possesses.”

She also offered kudos to the entire staff involved with her procedure, beginning with the receptionist and including those involved with pre- and post-operative care and those involved with the procedure itself. Because of them, she said, she will be able to get back to one of her favorite activities – hiking with her dog.

The Adena Bone and Joint Center features expert orthopedic physicians and sports medicine providers offering high-quality orthopedic care, helping residents of south central and southern Ohio stay close to home for care. Its physicians and staff are guided by a goal to get patients the care they need quickly to help them get back to work and the activities they enjoy and that surgery should only be a last resort after non-invasive treatments are utilized. Services are offered in orthopedics, neurology, pain management, physiatry, podiatry, spine and sports medicine.

In September, Adena Bone and Joint will move into it new five-story 111,000-square-foot home in the Adena Orthopedic and Spine Institute being completed on the Adena Regional Medical Center campus in Chillicothe, raising the bar on its clinical care and patient experience even higher. 

For more information about the Adena Bone and Joint Center, visit Adena.org/ortho  or call 740-779-4598 to schedule an appointment.

HealthcareSource, the leading provider of talent management solutions for the healthcare industry, recently announced that Lean Human Capital selected the winners of its 2021 Elite Honor Roll program, which included Adena’s talent acquisition team.

This is the 11th year Lean Human Capital has recognized excellence in healthcare recruitment. All winners have been selected based on quantifiable evidence that they perform within the top 10% of healthcare recruitment teams across the U.S.  

Among the awards named, Lean Human Capital recognized Adena’s recruitment team with a Raving Fan Award for excellence in talent acquisition based on candidate experience.

Adena’s Candidate Experience Raving Fan Award was based on:

• Overall score in top decile across survey dimensions: Career website, HR/recruitment, hiring manager, service/support in hiring process and onboarding;
• Demonstration of a strong commitment to using Voice-of-the-Customer (VOC) Assessments for implementation of continuous improvement initiatives;
• Participation in at least one VOC assessment within the past 12 months; and
• Sustained improvement in performance during the past 12 months

"This past year was and still remains incredibly challenging for many healthcare recruitment teams across the country, but despite those challenges these organizations have risen to the top, performing at an elite level compared to the industry", said Lean Human Capital Managing Director Carla Gold. "They demonstrated consistency with best practice strategies, have a strong commitment to continuous improvement, and implemented innovative solutions to improve key metrics and outcomes while pivoting to meet the changing needs of their health systems. We are thrilled to recognize these elite performers."

(image) Being the parent of a child with ADHD (attention-deficit/hyperactivity disorder) can be overwhelming at times. But with the right information and guidance, your parenting can be as important as any other part of ADHD treatment.

The 411 on ADHD

ADHD is classified as a mental health disorder that often begins in childhood and can last into adulthood. It can result in above-normal levels of hyperactive and impulsive behaviors and make it difficult for children and adults to focus or keep their attention on a single task for long periods of time. ADHD has been shown to contribute to low self-esteem, troubled relationships, anxiety, and difficulty at school or work.

ADHD and ADD (Attention-deficit disorder) are essentially the same condition. They reflect the clinical changes overtime to include hyperactivity which often accompanies attention-deficit disorder. There are three types of ADHD: inattentive, hyperactive/impulsive, and combination inattentive/hyperactive. Although ADHD can change overtime, people rarely outgrow it. There is no conclusive science as to what causes ADHD, but it is generally thought to be linked to genetics.

According to the Centers for Disease Control and Prevention (CDC) a child with ADHD might:

• daydream a lot
• forget or lose things frequently
• squirm or fidget
• talk too much
• make careless mistakes or take unnecessary risks
• have a hard time resisting temptation
• have trouble taking turns
• have difficulty getting along with others 

ADHD S.O.S.

Kristen White, MD, a pediatrics specialist who has been with Adena since August 2020, says she and the other Adena pediatricians make it a standard part of annual well-checks to talk to children and parents about school and any attention/behavior issues. When a child is struggling in school, there could be any number of reasons that factor into the cause. “We work with the parents, the child and the school to help determine why they are struggling – whether it’s a learning disability, a challenge related to autism, anxiety, an environmental factor or another condition, we work together to best determine what it might take to help a child succeed in school,” says Dr. White, who sees pediatric outpatients from their first newborn visit to young adults in their 20s.

Dr. White is passionate about providing children, and their parents, the tools to succeed in life. She knows that each child is different and that children diagnosed with ADHD (Attention-deficit/hyperactivity disorder) need individualized treatment plans.

Often, children with ADHD may be able to compensate and not have issues in the first and second grades, but once they have longer, more focus required tasks in third grade and beyond, they may see a drop in grades or trouble completing assignments, Dr. White says. Trouble focusing may not just be related to school but can also show up in other circumstances such as sports, church and completing tasks at home. “This is one of the reasons why yearly well-checks are so important,” says Dr. White, “so we can monitor a child’s progress and catch issues as early as possible.”

If concerns do arise about a child’s focus and impulsiveness, Dr. White and Adena Pediatrics will send an assessment form to parents and teachers to help identify where a child has issues and that they are consistent between school and home. This can help pinpoint where and how the child might be having trouble. “Often time when kids have trouble at school, it could be more of a learning disability where they need extra help in tutoring rather than ADHD,” says Dr. White. She will often get direct examples from teachers to help in the evaluation process.

Adena = Focused Help

Dr. White and the Adena Pediatrics team take a holistic approach to ADHD evaluations and treatments. “ADHD is not one size fits all,” she says. They look at the child’s overall health -- eyes, ears, organs -- to ensure they explore all options for underlying issues.

If a child is presenting ADHD concerns younger than seven years old, Dr. White will often refer them to an Adena behavioral health specialist. She feels that younger children can benefit from behavioral testing, training, and counseling to better identify issues and seek a non-prescription-based course of action. As children get older, Dr. White continues to recommend counseling to help control impulses and improve focus along with any treatment she may prescribe. She also recommends school psychologists as an option to better understand the student’s environment and return them to classes quickly.

For ADHD diagnoses, Dr. White will also work with the child and family to find medication(s) that can help. There are two types of ADHD medicines, stimulants and nonstimulants. Typically, stimulant medications work in 70-80% of ADHD cases. Finding the right medication, or combination of medications, can take some testing and patience. Since each child is different, Dr. White and the team at Adena Pediatrics take a methodical, measured approach to determine what works best for your child. “It can often be a combination of steps that best help a child, maybe it’s special tutoring or counseling -- we often write letters to the school to help children get an IEP or 504 plan,” says Dr. White. Additionally, Dr. White might recommend a quiet place or more time for tests and help parents find the right resources to navigate specialized plans, emphasizing that “everybody has to work together to make the best outcome.”

ADHD Long Term

“ADHD is an all year around condition, it doesn’t happen one day and not the next,” says Dr. White. If a child is taking a medication, Dr. White recommends a regular medication routine without “holidays” or times where they stop taking it. Learning to live with ADHD and working through coping mechanisms is the best plan for the patient. As the patient becomes older, is it best to give them more responsibilities for self-care so they continue developing skills to help them cope, focus and stay organized. With training, patience and practice, patients can often reduce or eliminate the need for medications as they get older, but it also depends on each individual child.

If you have concerns about your child and ADHD or any issues they may have learning or coping, contact Adena Pediatrics at 740-779-4300. Dr. White is currently accepting patients in Chillicothe and is expanding services to Greenfield in August. It takes a team to help a family navigate ADHD. Fortunately, Adena Pediatrics has the experience and caring professionals to be a strong ally in helping your child succeed.

(image) Chillicothe’s Carver Community Center has long been a neighborhood hub for people of all ages, with a variety of needs. The Center is located at 165 W. 4^th Street, housing a childcare center, a preschool program, and a Youth Development Program for school-age children. The Center also operates a free, weekday lunch service for anyone in the community who needs a meal.

For years, community leaders with Carver, and those living in the neighborhood, expressed concerns about an abandoned house that sat outside the center’s front door. The house was an eyesore and a safety concern for people living nearby, and for the children and families who utilize Carver’s services. The house has been removed, opening up the now vacant property for Carver to literally - grow its services. 

With its responsibility to provide for people young and old, Carver’s board, community partners and volunteers began discussing how a garden could provide healthy meals for the children as well as its daily lunch program. The leaders also decided to involve the children in the caretaking process, generating excitement at all levels.

“There are many benefits to gardening, it’s a great way to get children outside and it gives them a better sense of where food comes from,” said Carver’s Executive Director Justine Smith. “Gardening is a huge science and math project. Our children learn why plants need sunlight, what makes them green, and how many hours of sunlight does each plant get each day. This is a project where the children are learning as well as having fun! 

Thanks to donations, including $5,000 from Adena Health System’s Office of Community Health & Development for materials and plants, along with planting and gardening guidance from Way Farms, the garden is taking shape. Volunteers gathered recently to move and level pea gravel for the garden’s foundation, built and set up raised bed boxes, and loaded each section with soil.

With a shovel in hand, Dr. John Gabis, a family physician with Adena Pickaway-Ross Family Medicine, and the Health System’s Medical Director of Community Partnerships, joined volunteers working to make the garden a reality. “Every action toward good health within our community creates a deeper culture of wellness for all of us,” Dr. Gabis said. “We know that fresh vegetables are part of a well-rounded and healthy diet, and teaching children how to care for their garden is a great first step. As they begin to see the fruits of their labor, we are helping them build a lifelong love for not only gardening and providing for oneself and family, but in also developing a taste for healthy foods and good habits to last a lifetime.”

Thirteen-year old Nehamiah is a youth leader at Carver who jumped in to help build the garden. When asked why he felt it was important to volunteer, Nehamiah said, “It’s fun!” He also likes the garden’s purpose, explaining, “It’s going to be helpful for people if they don’t have vegetables.”

A variety of vegetable and herb seedlings have been being planted by Nehamiah and other volunteers. Throughout the summer, children enrolled in the summer programs and local volunteers - including those from Adena, Way Farms, and more will work to help the plants grow into food that the Community Center will use in meals for the children and its weekday free lunch menu.

To learn more about Adena Health System’s Community Health services, visit adena.org/community-health. For more information about Carver Community Center’s activities and services, search and follow Carver Community Center on Facebook. 

Your home is supposed to be a safe haven. A place where you can feel secure and protected while surrounded by loved ones.

But for victims of domestic violence, the concepts of home, security and even love can get turned upside down.

What is Domestic Violence?

Domestic violence occurs when someone within a patient’s inner circle, be it a partner, ex-partner, immediate family member, relative or close friend, abuses that person either physically, emotionally, psychologically or sexually. According to the Centers for Disease Control and Prevention (CDC), each year more than 10 million women and men experience domestic violence. One in three women and one in four men have experienced some form of physical violence by an intimate partner. This includes a range of behaviors (e.g. slapping, shoving, pushing).¹ Forms of domestic violence include child abuse, senior abuse, and all forms of abuse by a partner, including psychological abuse and stalking.

“We often see domestic violence occur with boyfriends and girlfriends,” says Janelle Randolph, a SANE (Sexual Assault Nurse Examiner), . “The first time they come in, the patient might have a small injury, but typically there will be a second, third and potentially more visits to the hospital where the injuries continue to multiply or get worse. Abusers often dominate their victims by controlling their money and not letting their victim have a job, friends or any social outlet.”

Randolph knows from personal experience the importance of having an advocate for survivors and their children. She has been with Adena for 16 years, successfully navigating nursing school and her Adena career where she began as an Emergency Department secretary.

Here to Help 24/7

Should you, or someone you know, be experiencing domestic violence, Adena can help. “We have 24 hour, 7 days a week crisis advocates that primarily respond to the Emergency Department, but can also respond to Adena Urgent Care, Adena Primary Care offices or anywhere within the health system if it’s a crisis situation,” says Heather Welshimer, Adena’S Advocacy Program Manager. . Adena refers to domestic violence patients as “survivors” and the Adena Advocacy Program is there  to help survivors and their families find help and safety.

How We Help

Although many patients may be afraid to call out abuse for fear of further violence, Adena Survivor Advocates know how to get survivors to safety quickly and help them achieve long-term freedom from their abusive situation. Adena Survivor Advocates can help those suffering abuse get to a safe shelter and get them a “shelter pack” with needed clothing and hygiene products for themselves and any children. Adena Advocates help survivors plan next steps and engage SANE nurses, like Randolph, for any forensic examination and evidence collection that might be needed. They can connect survivors to law enforcement or legal resources who know how to help and protect victims.

Once a survivor has made the decision to exit  their abusive situation, Adena provides After Care Coordinators who follow-up with the patient, helping them navigate and find resources to help them live independent lives free of violence.  For 12 months and beyond, Adena Survivor Care Coordinators can help survivors:

• Find shelter
• Work with Law Enforcement
• Get protection orders
• Help protect children and keep them with the survivor parent
• Find new housing
• Increase home security
•  Apply for benefits and/or find employment opportunities.
• Access legal resources

After Care Coordinators do as much as possible to ensure the survivor has the means to successfully break the chain of violence and succeed in life. Should a survivor be unsure or remain in an abusive situation, Adena Care Coordinators will follow-up periodically, providing patients easy contact information and predetermined “safe words” to support them until they are ready to exit.

Leaving seems easy to people who aren’t in a domestic violence situation, explains Welshimer, but statistics show that when a survivor decides to leave their abuser,  it is the most lethal time and it takes an average of 8 attempts for a victim to successfully and safely exit. .

The Impact of Adena

Welshimer has been a dedicated advocate for over five years, working with Adena patients who have suffered from sexual assault and domestic violence.  When she started with the Adena Survivor Advocate Program, many of the advocates were volunteer based. Thanks to grant funding and local support, Heather now has a team of seven healthcare professionals helping survivors navigate their difficult circumstances. In 2020, the Adena Survivor Advocate Program helped nearly 450 patients of which:

• 27% were under the age of 18
• 12% were male and 88% were female
• 38% of the adults had experienced family/domestic violence
• 18% of the adults had experienced sexual assault such as rape
• 96% of the minors served were seen for sexual violence
• 15% of the population received services and resources focused on human trafficking

Unfortunately, these startling numbers likely only reflect a portion of local area abuse cases.

What Survivors Should Know

What Heather, Janelle and the entire Adena team would like victims of domestic violence to know the most? There is help! Those suffering abuse can break the cycle and have a life of independence and safety. “We want survivors to realize that they can reach out to anyone at Adena and we can get them help,” says Heather. “Our experienced healthcare professionals know the importance of discretion and keeping the patient safe above all else.” Adena offers confidential help and support as survivors work through their plans. The Adena Advocacy  Program has helped many patients which has led to many success stories. “We work with schools and communities in educating people about abuse and stopping violence and getting help,” says Heather. “We want survivors to know we understand and that they have a trusted partner in helping them escape abuse.”

If you or a loved one are experiencing domestic violence, you can do any of the following to get help:

• Call Adena Regional Medical Center's help line at 740-779-7263
• Visit any Adena Urgent Care or Emergency Department, or tell your Adena provider
• Visit Adena.org/advocacyprogram for more information

Heather Welshimer is the Adena Advocacy  Program Manager. She has been a dedicated advocate for over five years, working with Adena patients who have suffered from sexual assault and domestic violence. Heather works with Janelle Randolph, a SANE (Sexual Assault Nurse Examiner), who knows from personal experience the importance of having an advocate for survivors and their children. Janelle has been with Adena for 16 years, successfully navigating nursing school and her Adena career where she began as an Emergency Department secretary.

Arica Donini is an Adena Certified Nurse Practitioner (CNP) who has had advanced training to function as a mid-level practitioner. Arica is passionate about patient healthcare access and preventative healthcare. She has a long history of working with diabetic patients and understands that patients with diabetes need lifelong care. She has recently transferred between Adena clinics about a mile apart to Adena Pickaway-Ross Family Medicine in Chillicothe where her patients will enjoy increased healthcare access, an expanded staff, a larger updated facility and the convenience of a nearby corner bus stop. “We want patients to feel at home as they transition to our other facility,” says Arica. "Pickaway-Ross Family Medicine provides a multi-disciplinary team of caregivers, including providers, medical assistants, nurses, a social worker and population health coordinators who work together to provide comprehensive patient care."

Arica has been a Nurse Practitioner for over 13 years and has worked for Adena for the past seven years. She sees patients of all ages, babies to elderly. Her undergraduate degree in Sociology helps Arica have insights into patients’ perspectives and how to best help patients when trying to improve their health. Arica grew up in Portsmouth, Ohio, so she feels at home in Chillicothe and loves the city/rural combination lifestyle. She also served in the National Health Service Corps (NHSC), helping serve people who have limited access to healthcare. This has instilled in Arica a real need to help underserved patients, making sure they get access and the support they need so that they can realize their best health.

“I’m excited that at Adena Pickaway-Ross Family Medicine our patients have access to a social worker,” says Arica. This will help patients navigate the health system, learn coverage options and hopefully help them remain active in their family’s healthcare. Arica often sees patients who need extra help either logistically, financially or with other barriers, so providing them with resources and options to help cover their health needs is a big benefit. “We also have two patient care coordinators,” says April Dollison, a 13-year Adena professional who for the past seven years has been the Adena Pickaway-Ross Family Medicine Clinic Manager. “This will also help patients overcome health barriers and provide them access to even more Adena professionals who can help them navigate their health needs.”

Arica helps patients of all ages with any number of health issues. She is particularly interested in preventative care, getting patients scheduled for appropriate screenings like mammograms, colonoscopies, screenings for diabetes, anything that can help keep patients out of the Emergency Department with unforeseen issues. Arica’s interest in diabetes also has her excited to be working with Adena endocrinologist Dr. John Seidensticker, MD, Internal Medicine, at the Pickaway-Ross location.

“What we love about Arica is that she is invested in her patients and in her patients’ well-being on every level,” says April. “Just yesterday, a patient brought in a homemade cake for Arica and the staff as a thank you.” April explains how Arica had seen a pediatric patient with chronic ear infections who was in need of a more powerful and somewhat expensive antibiotic. The patient’s parents were unprepared for the expense and had not met their insurance deductible to be able to apply coverage. Thanks to Arica and office staff, they did some investigation and found a local pharmacy willing to highly discount the antibiotic for the family. “When we see and treat whole families, we can understand their needs and better care for them,” says Arica. “And that’s what patient-centered care is all about.”

If you or your family have health concerns or just need to establish a primary care provider, call Adena Pickaway-Ross Family Medicine at 740-779-4500. Arica is seeing new patients in her role as Nurse Practitioner. Or you can schedule an appointment online.

Immunizations, or routine vaccine shots, are essential for children in preventing certain infectious diseases. They protect children by strengthening their immune systems against devastating diseases, like measles, mumps, rubella, polio, whooping cough, and more. Immunizations also protect others by helping decrease the opportunity for disease spread, so it is important that children receive their age-appropriate vaccines.

Unfortunately, right now, child immunization rates are down across the U.S. due to the impacts of COVID-19. Parents have been cautious over the last sixteen months about taking their children into the doctor for their well-check exams and routine vaccines. This could be a dangerous trend. Adena Pediatrics and Adena Family Medicine practices want to strongly encourage our local families to schedule their children’s well-check appointments and get them updated on any needed immunizations.

Why are immunizations so important? They protect our children from potentially deadly diseases. Diseases that once were more common around the world, like measles, diphtheria, polio, pertussis (whooping cough), rubella (German measles), mumps, tetanus, and rotavirus are now generally prevented by vaccination. In fact, smallpox, one of the world’s most devastating diseases, has been basically eliminated as a disease threat thanks to its vaccine. According to the Centers for Disease Control and Prevention (CDC), vaccines have prevented countless cases of disease and saved millions of lives over the years.

Immunizations work by helping support a child’s immune system with the extra ability to help fight specific germs. Children are born with a natural immune system of cells, glands, organs, and bodily fluids. When a germ enters the body, the immune system recognizes it as a “foreign invader” (called an antigen) and produces proteins called antibodies to help fight the antigen. When a child has had a specific vaccine, like for measles, the antibodies produced by that vaccine “remember” that antigen and help fight any future exposure to measles. This is what gives children, and adults, protective immunity.

As we head into summer, now is a great time to make an appointment. Adena Pediatrics and Family Medicine offices are taking extra precautions to ensure safe visits and have expanded hours to accommodate working parents. It’s also a great way to make sure your child has all their needed shots before the next school year begins.

Call Adena Pediatrics at 740-779-4300 for an appointment at our Chillicothe, Waverly, Circleville or Greenfield locations or schedule an appointment at one of our Adena Family Medicine convenient locations: Chillicothe, Circleville, Greenfield, Hillsboro, Jackson, Piketon, Washington Court House, Waverly, or Wellston. You can call our offices directly or find a physician by calling 740-779-FIND (3463).

Questions about the COVID vaccine for children? Visit gettheshot.coronavirus.ohio.gov or call 1-833-4-ASK-ODH (1-833-427-5634). 

Life just never seems to slow down. Whether it’s family or work, or both, people are always on the go. To help our busy friends and families, Adena Health System is trying to give patients a little time back with the convenience of the Adena Clinic Based Patient Portal, now with easy online co-payment acceptance.

The Adena Clinic Based Patient Portal allows patients access to their secure health information conveniently at any time. It coordinates and sends timely provider updates and reminders to patient’s personal email. The online Patient Portal is easy, allowing patients to access:

• Appointments - request and keep track of appointments
• Test Results - view test results*
• Medication - request prescription refills
• Billing – pay Co-Pay
• Education - receive educational materials
• Messages - send and receive messages from staff
• Reminders - receive health reminders
• Demographic Information - update personal information
• Referrals - view referrals
• Health Record – access visit summaries

With just a few simple clicks, patients can make appointments, track shots and medical records, and pay visit co-pays. Simply access your Patient Portal account and set-up your information.

You can also access the Clinic Based Patient Portal through your phone or other devices by downloading the healow™ app.

At Adena, we are always working to benefit patients. Making your healthcare accessible and convenient to review and keep track your healthcare is just one more way we support our mission of serving our communities. To start using the Adena Patient Portal, call your Adena Primary Care Provider to help you get set-up or visit Adena.org/Portal-Signup. Or, for Patient Portal Assistance, call 740-542-4YOU (4968).

 As many parents and young athletes know, it’s a standard requirement to get a sports physical before starting any new school sports season. Whether your student is in grade school or college, sports physicals are necessary to reduce sports-related injuries, discover underlying health issues, and help prevent any existing conditions that could lead to serious or even fatal physical issues.

To help student athletes and parents, Adena offers convenient opportunities for sports physicals and wellness exams through Adena Pediatrics and Adena Family Medicine and sports physicals are also available at Adena Urgent Care locations. If a child is due for an annual wellness exam, a sports physical can be included at the same time at all Adena Family Medicine and Pediatric locations. Most insurance will even cover this under one wellness visit, with no expense to you.

Getting a sports physical helps to set a baseline for young athletes. As students get older, their bodies change. Tending to or awareness of early potential issues, like changes in metabolism, aches from bone growth or joints, can allow Adena physicians to take preventative measures. Young athletes, knowing they may have an issue, weakness or sensitivity, can train to help overcome or avoid certain physical conditions.

Adena’s sports physicals are comprehensive exams, not just basic screenings. Patients will be examined by a physician or advanced practice provider who are specifically trained in assessment techniques used during these examinations such as:

• Complete history and physical examination
• Discussion of the child’s weight, height and body mass index
• Nutrition, sleep habits, physical development and activity
• Risks to health and safety, as well as preventive health recommendations
• Status of chronic conditions
• Immunization updates

There is also the opportunity to discuss important issues such as avoiding drugs, tobacco and alcohol. It helps develop an open, trusting relationship with the parents and patient so they can turn to their provider with questions or concerns when needed.

For more information and ways to schedule an appointment, visit www.adena.org/sportsphysicals.  

As many parents and young athletes know, it’s a standard requirement to get a sports physical before starting any new school sports season. Whether your student is in grade school or college, sports physicals are necessary to reduce sports-related injuries, discover underlying health issues, and help prevent any existing conditions that could lead to serious or even fatal physical issues.

Getting a sports physical helps to set a baseline for young athletes. As students get older, their bodies change. Tending to or awareness of early potential issues, like changes in metabolism, aches from bone growth or joints, can allow Adena physicians to take preventative measures. Young athletes, knowing they may have an issue, weakness or sensitivity, can train to help overcome or avoid certain physical conditions.

To help student athletes and parents, Adena offers convenient opportunities for sports physicals through their well-checks at Adena Pediatrics and Adena Family Medicine. Simply bring in your school sports paperwork and your Adena physician will review and sign it as part of your child’s wellness exam. It’s easy and most insurance will cover this under one annual wellness visit, meaning no extra fees!

If your child has already had their annual well-check within the last six to eight weeks, Adena Pediatrics and Adena Family Medicine can often sign off on the sports physical paperwork after their wellness exam. Contact your Adena pediatrician or family medicine office to see if your timing is eligible.

If a sports physical is all you need, Adena has you covered so your health is update-to-date and ready for action! Adena Pediatrics, Adena Family Medicine and Adena Urgent Care clinics all offer quick, convenient comprehensive sports physicals for only $25. Call or go online to schedule an appointment. Adena Urgent Cares also accept walk-in appointments.

We want our student athletes to play it safe and get their needed sports exams quickly and conveniently. Visit www.Adena.org/sportsphysicals to learn more and schedule your appointment online. Adena’s easy and convenient sports physicals will keep your child ahead of the game!

Cancer is the second leading cause of death in the United States and around the world. Locally, nearly 70,000 new cases of cancer are reported each year in Ohio. Although its impact is significant, many types of cancer can be treated or prevented if early signs are detected. This is why it is important for men, women and anyone at risk to get regular screenings, especially as they get older.

The five most common types of cancer are breast, lung, colorectal, prostate and skin cancer. These cancers are also considered some of the more preventable cancers if detected early.

General risk factors for cancer are older age, personal or family history of cancer, tobacco use, obesity, alcohol, certain types of viral infections such as human papillomavirus (HPV), exposure to specific chemicals, radiation or ultraviolet radiation from the sun. It is best to discuss all risk factors and any that apply to you with your Adena Primary Care Provider. They will guide you through needed screenings and help you make healthy lifestyle choices to potentially reduce risks. To help you determine risk concerns, Adena offers convenient online health risk assessment tools you can access from the convenience of your computer or mobile device.

In addition to our online assessment tools, and in-office guidance and screenings, Adena also helps patients by providing free annual lung cancer screenings and free mammograms for underinsured or noninsured women in Ross and several other surrounding counties who meet specific age requirements. Adena wants patients to realize the importance of regular screenings and that early detection can save lives. If you don’t get screenings for yourself, do it for the ones you love!

Ask your Adena Primary Care Provider about scheduling your next screening, find a physician by calling 740-779-FIND (3463) or visit Adena.org/findout to use the Adena online health assessment tools and learn more about cancer and early detection.

If you are pregnant, or hoping to become pregnant, Adena Women and Children’s Center is here as your partner and maternity resource! We deliver more babies than any other hospital in the region, taking special care of each mother, family, and new family member. Adena is where precious hearts meet caring hands.

To showcase our wonderful Adena maternity care services, patients can now visit our online maternity tour! It’s an easy and quick way to peek inside all the care and comfort we provide to moms, newborns, and families. From our spacious and private labor, delivery and recovery (LDR) suites to our family-sized postpartum care rooms, Adena guides our patients through every part of your baby’s arrival.

Adena has earned national and award-winning recognition. We have received the Gold Seal of Approval® for Advanced Perinatal Care (one of four providers in Ohio) by the Joint Commission, one of the oldest and largest accrediting organizations that evaluates and accredits leading health care organizations across the U.S. We have also received the Anthem Blue Distinction Center for Maternity Care designation.

Adena Women’s Health OB/GYN providers are highly trained and experienced with many care specialists certified in their area of expertise. We have two onsite dedicated surgical suites for scheduled cesarean deliveries or if an unplanned c-section delivery becomes necessary. Our friendly staff are the same faces you’ve known throughout your pregnancy. We have direct access to collaborative specialists from Nationwide Children’s Hospital and The Ohio State Wexner Medical Center, ensuring we can take quick action should any issues arise.

Adena Maternity offers many opportunities for guidance and for comfort to reduce stress and be a positive force for mothers and their families. We have a wide range of classes educating patients in every aspect of pregnancy. Classes include topics such family planning, childbirth readiness, breastfeeding, baby care and more – and they are free to all Adena patients! From your annual OB/GYN exams to ultrasounds and education, the comfort of our labor, delivery and recovery suites to the joy of holding your precious newborn, Adena is here for you. Because Adena is where hearts meet hands.

For more information about Adena and how we can help your family grow, visit Adena.org/Women, and watch our new online Adena Maternity Tour!

Over the past year, COVID-19 likely has you a little tired of the household routine. You’re sick of trying to find something new to stream, done with chores you wouldn’t touch if there were other things to do, running out of ways to rearrange the furniture in a hopeless quest for something different.

Enter the Adena Health Foundation, in conjunction with Adena Sports Medicine, with an answer to your COVID fatigue while at the same time offering the chance to help local high school athletes as they look ahead to college.

Community members this summer are invited to take part in the inaugural IM-PAC Virtual Challenge, an event designed to keep you and your family busy all summer long.

“This year, we wanted to do something different that would encourage people to get outside, enjoy the outdoors and just kind of get away from COVID,” said Melissa Richendollar, Director of Rehabilitation Services. “This gives them some structured things to do.”

Those who may be interested in participating can visit www.adena.org/IMPACChallenge to learn more and to sign up. They will then receive an email from Adena Sports Medicine with additional instructions that will include how to get the challenge app.

The event, a fundraiser for the annual Athlete of the Year scholarships awarded by the organization to local high school athletes, will take the place of the Paint Creek Palooza fundraising event that was held for three years prior to COVID-19’s arrival last year. According to Richendollar, the IM-PAC Virtual Challenge is an exciting offering because while the Paint Creek Palooza was enjoyable for participants over the course of a day, this latest offering spans the entire summer and can involve entire families.

The virtual challenge, running from May 28 through September 10 with registration available through July 5, is guided by a smartphone application that participants will receive a link to after registering. The app provides information on 14 activities designed to improve body, mind and soul. Included among them are such things as visiting the Hopewell mound sites or other National Historic Parks, participating in an outdoor fitness activity, playing an outdoor game, completing a fitness trail at a park or other outdoor fitness area, volunteering in some capacity, enjoying an evening campfire and several others.

Participants will have to submit photos of themselves taking part in the activities and, in some cases, accompany the photo with a few details of what they did while completing the particular challenge. The app also may have some interactive features including short videos of encouragement from the team that created the event or special pop-up challenges that will be optional.

Even though the activities list in the app mentions activity locations that are local to participants from the counties Adena serves, they are generic enough that where participants perform a specific challenge is not important.

“It can be done from anywhere,” Richendollar said. “We can reach people who are family members who are in another state and literally they could do this from anywhere. We embedded some of our local parks and things like that as ideas, but you really could do this anywhere, you just have to send us a picture showing you completed the challenge.”

The challenges may be completed in any order.

To take part, an individual scholarship donation of $30 per person is required, although donations of $50, $100 or other custom amounts will be accepted. Any family or team of up to four participants at $100 each will receive a medal as a token of completion. Incentive prizes are being planned in several categories, as well as other giveaways.

Because the challenge runs the entire summer, those not already registered by the May 28 start date will still have the opportunity to register until July 5, allowing ample time to be able to complete all 14 activities.

So put down the remote, deal with that cluttered closet a little longer and leave the living room sofa where it is. The I Matter-Personal Activity Challenge (IM-PAC) and the summer of fun it promises await.

Anyone with questions about the IM-PAC Challenge may call 740-779-4891 or email adenasportsmed@adena.org.

Sign Up Today

Adena Health System announced that beginning today it has moved its COVID-19 vaccination administration to a number of its primary care clinics across its nine-county service region. Adena has been administrating COVID-19 vaccines for five months having successfully vaccinated over 10,000 community members and Adena caregivers.

With the shift to COVID-19 vaccinations being done in its primary care clinics, Adena has closed its mass vaccination clinic at the PACCAR Medical Education Center in Chillicothe.

“Adena and our healthcare partners across the state have been successful in getting shots in arms of those wanting to receive the COVID-19 vaccine,” said Adena Chief Clinical Officer Dr. Kirk Tucker. “We have now reached a point though where those still needing to be vaccinated may have concerns or questions, where we feel having those important conversations with their primary care provider can help ease any fears and hesitation about getting the vaccine and provide factual and trusted information.”

Adena primary care locations offering no-cost COVID-19 vaccinations include: 

• Adena Family Medicine – Circleville
• Adena Family Medicine – Greenfield
• Adena Family Medicine – Hillsboro
• Adena Family Medicine & Pediatrics – Jackson
• Adena Family & Internal Medicine – Waverly
• Adena Pickaway Ross Family Physicians
• Adena Internal Medicine

Individuals eligible wishing to receive their COVID-19 vaccination through Adena can contact any of the primary care clinics administrating the vaccine directly to schedule an appointment or patients can easily include a COVID-19 vaccination to an existing appointment at one of the locations. Adena’s primary care clinic vaccinations are not drive-thru or walk-in locations.

At this time, Adena primary care clinics are only administering COVID-19 vaccines for individuals 18 years of age and older. Patients are asked to bring photo identification and be prepared to wait approximately 15-30 minutes following their shot for monitoring.

For more information on Adena’s vaccination program, visit Adena.org/covidvaccine.

Adena Health System reminds all patients and visitors that system policies and guidelines requiring facial coverings and social distancing in all Adena facilities will remain in effect after many other health orders are lifted across the state on June 2nd, even if you are fully vaccinated. 

“From the onset of the pandemic, we have adhered to the guidelines and recommendations set forth by the Centers for Disease Control and Prevention (CDC) and our state health officials and that is what Adena will continue to do across all our locations,” said Adena President & CEO Jeff Graham. “The health and well-being of our patients, visitors and staff remain of upmost importance. We, too, are excited to see COVID-19 cases trending downward and vaccination rates increasing which have resulted in a number of health orders being lifted. But we understand this fight is not over, so we remain steadfast in our precautions and protective measures as recommended.”

The CDC recently updated its masking and distancing guidance for the public regarding vaccination status. As a result, the Ohio Department of Health is rescinding the majority of health orders on June 2nd with the exception of some orders for safety in congregate living and healthcare settings. These changes are targeted for the public, with minimal impact to the healthcare setting or healthcare personnel. 

Current visitor policies across Adena will also remain. Adena’s visitor policy and safety guidelines are available at Adena.org/VisitorPolicy.

(image) Adena Health System Sports Medicine is proud to announce its 2020-2021 Athletes of the Year scholarship recipients. The outstanding student athletes are recognized for making a considerable effort to maintain a higher grade point average and perform community service, while reaching high levels of athletic accomplishment.

Adena’s Athlete of the Month Program is open to all high school senior athletes in Adams, Fayette, Gallia, Highland, Hocking, Jackson, Pickaway, Pike, Ross, Scioto and Vinton counties. Monthly winners are then eligible for Athlete of the Year scholarships.

Adena Sports Medicine High School Athletes of the Year:

Tamron McCain, Oak Hill High School
Rihanna McWilliams, Wellston High School 

“After eight years of offering this scholarship, the academic caliber of athletes in our area never ceases to amaze me,” said Melissa Richendollar, Adena Director of Rehabilitation Services. “We are so proud to support these student athletes as they continue their education and represent their communities.”

Each of the Athlete of the Year winners will receive a $3,000 scholarship. The Adena Sports Medicine Athlete of the Year Scholarship is funded through activities conducted by Adena’s Sports Medicine Team, in conjunction with the Adena Health Foundation.  

Congratulations to our winners and to all our 2020-2021 Adena Athlete of the Month recipients. For more information about the Adena Athlete of the Month program, visit www.adena.org/athlete.

(image) Angela Moore, DO, is an Adena Pediatric Specialist based out of Circleville, and part of the Adena Pediatrics network with additional locations in Chillicothe and Waverly. She considers herself a “small town girl at heart,” having grown up in a one-stoplight town in Pennsylvania. She wanted to be a pediatrician since she was a little girl. She has a special interest in special needs children because her little brother is non-verbal and autistic. Her background and dedication to families reinforces her commitment to local children and helping them stay healthy and safe.

Summer is a time for fun in the sun, long careless days and a less chaotic schedule thanks to a break from school for the kids. But that doesn’t mean your concern about your children’s health and safety can go on vacation. Keep the following tips in mind while enjoying the coming months.

Don’t Get Overdone in the Sun

Kids are always on the go, especially in the summer when they are often outdoors playing and at the pool. It’s not always easy to re-apply fresh sunscreen, but it’s important, even on cloudy days. Just a few serious sunburns could increase your child's risk of skin cancer later in life.

When it comes to babies and sun, “generally we tell people with babies under six months to keep their babies out of direct sunlight,” says Dr. Moore. They should find shade for their babies outdoors either using a tree, stroller canopy, or umbrella. “We recommend the babies always wear a hat with a brim and when possible, keep the baby in cool comfortable clothing, like a long sleeve swim shirt, to protect their sensitive skin.” Dr. Moore says when adequate shade or clothing are not available, you should use sunscreen on your baby. Apply sunscreen in small amounts with an SPF of no less than 30 every two hours.

Adults and older children should try to limit long periods in direct sunlight during peak sun intensity between 10 a.m. to 4 p.m., when the sun’s rays are the strongest. They should use regular breaks in shady areas to cool off, check skin for burning and re-apply sunscreen (every two hours). If children get sunburnt that results in blistering, pain, or a fever, parents should contact us and bring their child in for further checking. “We also recommend sunglasses for everyone, even little ones.”

Out and About

It is great for kids to be outdoors in the summer, getting fresh air and exercise. The last things on their mind, and sometimes on our minds as parents, are some of the simpler precautions to ensure children’s outdoor adventures are safe and healthy. A key precaution for children is to make sure they stay hydrated. Dehydration in children can lead to dry mouth, dry skin, less urinating, headaches, muscle cramps, dizziness, fatigue, rapid heartbeat and possibly even unconsciousness if dehydration becomes too extreme. This type of dehydration over time can take a toll on a person’s body. “We recommend children drink plenty of water in the summer and when outdoors in the heat,” says Dr. Moore. “They should avoid sugary drinks like sodas and juices as a sole source of hydration – one, they contain too much sugar for continued consumption, and two, they don’t fulfill hydration as effectively as water.” If it’s hard to get your children to drink water, Dr. Moore suggests using fun drinking cups/water bottles or fruit infused water to make it more appealing for kids.

When riding bikes, all kids should wear a proper fitting helmet. “Helmets should be UPSC (US Consumer Product Safety Commission) certified, and fit the rider with appropriate snugness, fully covering the head and forehead.” If a helmet is involved in a hard fall, just once, it should be replaced. Babies, when riding with parents in a bike trailer or seat, should always wear appropriate fitting helmets.” As children get older, knee pads and elbow pads provide extra precaution against painful scrapes and cuts.

When outdoors, there’s always a chance of getting stung or bitten by an insect. Parents should read the labels of all bug repellents before applying them to your child, especially for infants. Many repellents are not safe for babies under two months of age. Read the label or purchase a repellent designed especially for children. Should your child get bitten or stung, remove the stinger from the skin and apply a cold, damp washcloth or ice pack for 20 minutes. After that, you can apply a paste of baking soda and water to reduce itchiness and help the irritation heal, or apply an antibiotic ointment. You may also give your child age-appropriate acetaminophen (Tylenol) to help with pain. If your child should show signs of allergic reaction like swelling, rash, or difficulty breathing call 9-1-1 immediately.

Rules for Pools

We all love a cool dip in the pool on hot summer days, but with children, we need to be extra cautious. Drowning is the number one cause of death for children ages 1-4 (after birth defects). “Pools and water have a powerful draw for children, even when it’s not time to swim,” says Dr. Moore. “Children, especially young children, should always be supervised and should never be near water without an adult beside them.” For residential pools, make sure general safety standards are in place with proper fencing and gates to keep children from unsupervised access. Pool alarms are a great idea if you own a pool and have little ones. With a crowd, it is easy to get distracted. If there are many people around the pool, it’s often a great idea to assign “water watchers” to just make sure children are accounted for and that no child enters the water unnoticed. Children can drown in less than two inches of water, so it is essential to always be vigilant and clear-minded when your children are anywhere near water.

At the beach, older children also need constant supervision. Things like the tides, rip currents and objects like sharp rocks under the water can all be serious dangers for children.

Catch Up on Wellness

“The Summer is an excellent time for families to schedule pediatric well-checks and get caught up on their annual exams and immunizations,” says Dr. Moore. “We know that many families may have postponed their children’s well-check visits during the height of the COVID-19 pandemic.” Adena takes every precaution to keep patients safe during their visits. If you have older school children, it is also an excellent time to get their sports physicals and beat the fall rush.

Number One: Have Fun!

Although there’s a lot to think about, summer is meant to be fun. Taking precautions and staying alert just helps ensure your kids can enjoy the outdoors safely. If your child does happen to get hurt, large cuts, scrapes, breaks, etc., Adena Pediatrics is here for you. In addition to daily scheduled visits, we have convenient after hours visits Monday through Friday from 5-7 p.m. and Saturday, 8 a.m. to noon for same day add-on appointments. These appointments are particularly useful for those unexpected pediatric injuries or concerns. Call 740-779-4300 to schedule an Adena Pediatric visit. Of course, if there is an emergency, parents or caregivers should call 9-1-1 or go directly to an Adena Emergency Department.

(image) Neel Patel, MD is an Adena Orthopedic Surgery Specialist who has been with Adena for almost a year. In that brief time, he has made significant impacts for patients. He is highly experienced in joint pain and joint replacement, using the latest techniques to improve patients’ outcomes. Originally from the east coast, his fellowship at Joint Implant Surgeons (New Albany, OH) has brought him to the Midwest and he now calls Ohio home.

A Pain in the Joint

Joint pain can occur for multiple reasons. Most commonly, as we get older, wear and tear cause joint tissue and cartilage to breakdown, which leads to inflammation or bone-on-bone joint pain. Other causes of joint pain can be injury, infection or disease-based issues like gout, bursitis, and other inflammatory conditions. Although there are more than 100 types of arthritis, Dr. Patel says the Adena Orthopedics team most often sees patients with osteoarthritis (OA), rheumatoid arthritis (RA), and post-traumatic arthritis. The difference between the three is:

• OA results from wear and tear to the joint cartilage and usually occurs in just one joint.
• RA is an autoimmune disease where the body’s immune system malfunctions and attacks the synovial membrane that protects the joints. RA usually attacks several joints at one time.
• Post--traumatic arthritis occurs after an injury and generally progresses to become worse over time.

For these and other types of arthritis, effective treatment can often consist of oral medications, topical creams and therapy. When conservative management fails and pain impacts a patient’s quality of life, surgery may serve as an alternate long-term solution.

The Hip Bone’s Connected to…

Hip replacements are one of the most common joint replacement surgeries in the United States. Each year there are more than 300,000 hip replacements performed around the country. “Patients come in unable to tie their shoes, they have pain and a diminished quality of life,” says Dr. Patel. At Adena, Dr. Patel and the Orthopedics team are here to help and are experienced in all aspects of hip replacement surgery, including the standard approaches of posterior (from the back of the hip), anterior (from the front of the hip) and lateral (from the side of the hip). Dr. Patel works with patients to determine their best approach. He has had notable success for patients by performing minimally invasive anterior hip replacements. Using this approach, Dr. Patel spares muscle by spreading it apart instead of cutting it. This enables faster recovery and helps reduce post-surgical pain for patients. All of the hip replacement approaches are effective and have been working for patients for decades, with the anterior approach, “because you’re not cutting muscles, your recovery is simply much better in the first 6 weeks,” says Dr. Patel. “Most people are on a walker or cane for that first week [after surgery]; they transition to not using anything with the anterior approach that second to third week and they’re usually walking around that second, third, fourth week.”

Hip to Your Needs

Joint pain can be difficult, negatively effecting patients’ range of motion, ability to do common things and their quality of life. Dr. Patel stresses that Adena Orthopedics looks at each individual patient holistically and always begin with non-surgical approaches when possible. “We talk about your health and becoming the best version of you prior to any surgery,” says Dr. Patel. Many times, joint pain can be addressed with activity and lifestyle modifications, topical creams, medications, or site injections. When those approaches no longer work for pain, that’s when the team looks at the possibility of surgery.

Optimizing the Relations“Hip”

At Adena Orthopedics, our goal is to have patients “have improved quality of life,” says Dr. Patel. If a patient needs surgery to reduce chronic joint pain, they go through an optimization process to best prepare themselves for hip (or knee) replacement success. Dr. Patel and the Adena Orthopedics team review patients’ cases with an Adena multidisciplinary provider team to ensure the best outcomes. They work with patients to make sure they are prepared, possibly with lifestyle changes, some weight loss or muscle therapy to have a successful outcome.

Hip to the Hype

Adena Orthopedics is a highly experienced and trusted partner in joint treatment and hip and knee replacement surgeries. Dr. Patel and the Orthopedic surgeons often perform robot-assisted surgeries to enhance precision and safety. Our Adena nurse navigators engage patients to make sure they are prepared and active in their joint health program. Adena has received The Gold Seal of Approval® from The Joint Commission, a US-based, non-profit accreditation organization that reviews healthcare programs internationally. The Gold Seal accreditation endorses Adena’s high level of quality care, use of best practices, thorough follow-up and positive patient outcomes. Adena has also received a five-star overall hospital rating by the Centers for Medicare and Medicaid Services (CMS). This rating is based on the CMS consumer-oriented website: Hospital Compare, a rating tool consumers can use to compare hospital performance. Adena is one of only 35 Ohio hospitals to receive a five-star rating out of Ohio’s 134 rated hospitals.

If you’re experiencing joint pain or hip pain, contact the Adena Orthopedics team at (740) 779-4598.

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Construction on Adena Health System’s new Adena Orthopedic and Spine Institute (AOSI) is on schedule for a planned September opening. In anticipation of its opening, the Health System is releasing four behind-the-scenes videos which offer exclusive glimpses into what patients and visitors can expect from the new facility. 

The AOSI will bring several services together under one roof to better serve the needs of patients -- including orthopedics, sports medicine, podiatry, physiatry, neurology, interventional pain management, an inpatient unit and a spine center. Constructed adjacent to the hospital on the Adena Regional Medical Center campus, the 111,000-square-foot structure will include clinical space, operating suites, inpatient and outpatient recovery rooms, imaging services, physical therapy capabilities and a three-story attached parking garage.

Leading Adena Bone and Joint into the AOSI is Service Line Medical Director, James Fleming Jr., MD, who has served in an interim capacity since October 2020. Dr. Fleming’s leadership and experience, having been with Adena as a spine surgeon since 2004, will help guide the vision for the new destination facility.

“The new Adena Orthopedic and Spine Institute is going to be a beacon for first-rate, regional care for southern and south-central Ohio,” he said. “We’re aiming for the highest expectation on every level – visually, being patient-centered, and utilizing technology the best ways we can to provide an unparalleled experience for everyone we serve.” 

Dr. Fleming explains that while the building and its amenities will be unlike anything currently in the region for patient care in these areas, it will be the skill, professionalism and patient focus of its healthcare providers and staff that will make it truly special. To complement the clinical expertise, a home-like feel is being built into the environment ranging from private inpatient rooms with private bathrooms to a concierge-type level of service for patients and their families designed to have a positive and healing effect on the entire patient experience. All of this leads him to believe that when the AOSI opens, it will mean much more to the providers, staff, patients and visitors than just another physical structure.

To view the behind-the-scenes videos of the Adena Orthopedic and Spine Institute, visit www.Adena.org/AOSI.

(image) Pat Hays has several personal reasons to raise his voice in support of Adena Greenfield Medical Center, the most prominent being the fact he still has a voice to raise at all.

“The hospital here in Greenfield saved my life, not once, but twice,” the lifelong Greenfield resident and general manager of WVNU radio said. “I had a heart attack back in 2006 and they were able to stabilize me. Then, about three years ago, I had bilateral pulmonary edema and they saved my life again.

“If we didn’t have a hospital in Greenfield, I’d just hate to imagine how many lives would be lost.”

Hays certainly understands the importance of the hospital to Greenfield and its surrounding communities. His involvement with the original Greenfield Municipal Hospital goes back to the mid-1970s when, fresh out of college and newly married while starting his own business, he was asked to serve on the hospital’s board and a capital campaign committee to expand its facilities. Now, saying he’s feeling a little bit of déjà vu, he finds himself serving on the steering committee of a new capital campaign to construct AGMC’s new $3 million medical office building.

“I just think that aside from the school, one of the most important entities and organizations in this entire area is our hospital,” he said. “That’s for a number of reasons, not the least of which is the number of employees Adena has here in Greenfield, but also it is health care – and not just for Greenfield because AGMC hits not only Highland County, but Fayette County and parts of Ross County.”

The new 8,500-square-foot expansion, which will be attached to the main hospital and contain more space and better technology, will allow for new and enhanced service offerings.

Over the next five years, the new building is expected to drive patient growth, increase health care provider access for patients and allow for future growth within the hospital through the repurposing of space. Among some of the other benefits of the project are the placement of all hospital services under one roof, improved patient and family parking options, improved patient access to specialty care, a more efficient layout for patients that decreases wait times, to name just a few.

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As the population of Greenfield and surrounding communities has grown and changed, so has its health care needs. Adena’s commitment to the area will provide specialists, which will not only help patients avoid long drives to get this care, but relieve primary care providers to take on additional patients.

Hays said he and his wife, Elaine, had a lifetime of reasons to offer their support.

“I’ve been in business in town for about 50 years,” he said. “Greenfield’s been very good to me, and my philosophy has always been to pay it forward, but now I’m trying to pay back. We believe so much in the mission of AGMC that we’re willing to put our money where our mouth is.”

Health care is very personal for Hays. In addition to surviving his own life-threatening situations, his mother lived to be almost 97 years old, thanks in part to the hospital’s services. His father was a member of the hospital’s board before passing away in 1962 and he has five close family members working in health care, including a son who worked at AGMC while in nursing school, a daughter-in-law who is a current employee of Adena in Chillicothe and a brother who worked in the X-ray department at AGMC for almost 30 years. He also served 15 years on the board of HealthSource of Ohio.

He knows that health care is very personal for others as well. From the birth of their children to end of life care and everything in between, there may be nothing more personal for many people than the care that’s available to themselves and their loved ones. An investment in that care speaks to that need.

“That’s exactly what this is for the Greenfield community, an investment not only in the community, but in the community’s health,” Hays said. “As I said, I don’t think there’s anything more important, other than a school, than the health of this community, and Adena brought that to Greenfield when it added Greenfield Municipal Hospital to their health system.

“I don’t think the Greenfield hospital would be open were it not for the efforts of Adena, and that’s why I’m so enthused to help Adena with this new project for the hospital.”

You, too, can help with that investment. More information about the project and giving options can be found at adena.org/agmcexpansion, or you can contact Rebekah Clevenger, Director of Development, Community for the Adena Health Foundation at rclevenger@adena.org or by phone at 740-637-3679.

Your support could become the difference in someone else’s life.

“I just think health care is so important,” Hays noted. “If it wasn’t for your health, what have you got?”

(image) Adena Regional Medical Center (ARMC) has received the highest overall hospital rating, five-star, given by the Centers for Medicare and Medicaid Services (CMS). The overall hospital rating is based on data publicly reported on CMS’ consumer-oriented website Hospital Compare. ARMC is among just 35 of Ohio’s 134 rated hospitals to receive a five-star rating.

Hospital Compare provides information on how well hospitals provide recommended care to their patients, becoming one tool consumers can use to compare performance measures from multiple hospitals.

“Patients and their families should use all available tools at their disposal to make informed healthcare decisions that are right for them,” said Jeff Graham, Adena President & CEO. “Adena is committed to the goal of transparency, providing accurate, meaningful information about its quality for our patients. I am so proud of everyone that calls themselves an Adena caregiver for this recognition representative of the care they provide whether in critical times such as the Coronavirus pandemic or meeting everyday care needs.” 

CMS looks at more than 50 measures that fall into five quality categories: mortality, safety of care, readmission, patient experience and timely and effective care. A hospital's overall rating is calculated using only those measures for which data is available.

“A five-star hospital rating from CMS is not easily achieved,” said Rhett Holland, Adena Vice President of Quality and Safety. “Of 4,586 hospitals CMS rated nationally, only 13.5% or 455 hospitals received five stars. It truly speaks volumes about the commitment of every provider and caregiver in our organization to provide the best care possible.”

Adena Director of Quality and Performance Improvement Seth Haynes added, “Our quality model is an integrated approach and annual focus of priority objectives, measures and plans by our committees and Quality Collaborative Teams. A five-star rating is something we have strived for since the inception of this CMS program and over the past few years we have focused on quality along the frontlines and improving safety through our Zero Harm journey of continuous improvement with every patient encounter.”

To access the Hospital Compare website, visit www.medicare.gov/hospitalcompare.

When a patient experiences a stroke, every minute matters. Know the signs and call 911 immediately and rely on Adena’s Stroke Team to help you with their many therapy and recovery options.

Each year, we recognize May as Stroke Awareness month. It’s important to call attention to stroke symptoms so that anyone experiencing signs of a stroke can recognize them and react, quickly. (image)

According to the Centers for Disease Control and Prevention (CDC), in the U.S., someone has a stroke every 40 seconds; every four minutes, someone dies of stroke. It is the leading cause of death in the U.S. and the risk of stroke varies with race and ethnicity.

A stroke occurs when there is a disruption of blood flow to the brain, preventing brain tissue from getting oxygen and nutrients and causing brain cells to die within minutes. There are two main causes of stroke: a blocked artery (ischemic stroke) or a leaking or bursting blood vessel (hemorrhagic stroke). For some people, they may only experience a temporary disruption of blood flow to the brain, known as a transient ischemic attack (TIA), that doesn't cause lasting symptoms.

Factors that put people at risk for stroke include existing medical conditions like high blood pressure, smoking or secondhand exposure, high cholesterol, diabetes, obstructive sleep apnea, history of heart or cardiovascular disease, family history of stroke or heart disease or possibly patients who have had a COVID-19 infection.(image) Additional contributing health factors, such as excess weight/obesity, lack of exercise, binge or heavy alcohol use, or use of illegal drugs like cocaine or methamphetamine, can also increase stroke risk. People over 55 are at higher risk of having a stroke and men tend to be more at risk for strokes then women.

Since a stroke can be fatal, it is important to know the signs. Strokes come on suddenly and progress rapidly, causing permanent disability quickly if not treated. A common way to remember the signs of stroke is by using the acronym BE FAST. It also helps people remember that every minute matters if they or a loved one are experiencing stroke symptoms. The symptoms representing BE FAST are:

B = Balance – is the person having trouble standing or maintaining balance?

E = Eyes – is the person experiencing blurred, double or loss of vision in either or both eyes?

F = Facial drooping – does one side of the person’s face appear droopy or seem numb? Ask the person to smile.

A = Arm weakness – has the person lost strength in one of his/her arms? Ask them to raise both arms and see if one arm drifts or they can’t control.

S = Speech – is the person’s speech slurred or they are unable to speak. Ask them to repeat a simple sentence over and over, like “The sky is blue.”

T = Time to call 911 – if a person displays any of these symptoms, call 911 and/or get them to a hospital as quickly as possible.

Remember, minutes matter. If you suspect you or another person are experiencing a stroke, call 911 and get help immediately. (image) The Stroke Team at Adena treats patients with a range of therapy options to help each patient work toward recovery. Adena Regional Medical Center (ARMC) is certified as a Primary Stroke Center and has an established protocol; providing fast treatments for patients in order to greatly reduce chances of long-term disability. Adena has been recognized by the American Heart Association/American Stroke Association (AHA/ASA) with the Get with The Guidelines® Stroke Gold Plus achievement award and has won The Ohio State University quarterly Door-to-Needle Challenge in October 2020,with the fastest time to respond in getting stroke patients onto a life-saving IV.

Adena’s Stroke Team includes neurologists, emergency physicians, nurses, social workers, rehabilitation experts, hospitalists, radiologists and lab technicians. They work together and sometimes with external partners, such as the physicians at The Ohio State University Wexner Medical Center, when additional consultation is required. When a stroke patient arrives at the emergency department, Adena staff work to ensure a provider sees the patient within 10 minutes. Tests and scans are taken quickly with a goal to have results read within 45 minutes.

Adena’s Stroke Team knows that each person is unique and they approach each patient’s stroke treatment with individualized care. No matter the treatment or recovery therapy (physical, occupational or speech), Adena’s dedicated providers are here for you. If you or a loved one have experienced a stroke or are concerned about risks, call Adena Neurology at 740-542-6797 or visit www.Adena.org/stroke for more information.

Dr. Dennis Mesker joins Adena Family Medicine – Washington Court House in advance of Fayette County Memorial Hospital officially joining Adena Health System May 2

(image) Sometimes we choose what we do with our lives. Sometimes, what we do chooses us.

The latter may best apply to Dennis Mesker, MD one of the newest members of the Adena family coming into the Health System in advance of the May 2 addition of Fayette County Memorial Hospital (FCMH) into that family. Dr. Mesker, a primary care physician at Adena Family Medicine – Washington Court House, brings with him a longstanding relationship with the Fayette County community.

His roots in medicine, however, were planted early on – painfully so, in fact – in the Dayton area where he grew up.

“It’s kind of a stupid story, but I can remember exactly when I thought about becoming a doctor,” he said, chuckling at the memory. “I was six years old playing on a swing set that was brand new and all the neighborhood kids were over and all were swinging. My dad had not yet put the anchors in the ground and I’m up on the A-bar and everybody’s swinging and all of a sudden this thing starts tipping over and I fall hard and break my arm.

“I was taken to the hospital and I can recall, even in all that pain, being absolutely fascinated going into that hospital. From that point on, I thought this is what I want to do.”

It wouldn’t be the last time an element of fate impacted his professional life. 

There was the time the first practice in which he worked in Washington Court House burned to the ground within two years of his start there, leading to a full-time offer from the Emergency Room group at FCMH where he ended up spending five years from 1995 to 2000. 

Then, after becoming affiliated with a couple of nurse practitioners and starting his own primary care practice and Washington Court House’s first urgent care facility – which he would be involved with over the next seven years -- the health of his parents in the Dayton area declined and they had to be placed into an assisted living facility. His twin brother, Dave, had a practice just two miles from that facility and when one of his partners happened to leave, he offered the opening in the practice to Dennis. For the next six years, Dr. Mesker commuted each day from Washington Court House to Englewood – more than two hours daily – to practice medicine so he could visit his parents frequently.

“Retrospectively, I don’t regret it at all,” he said. “I left the practice I had going here, but I’ll never get that time back and it was something I just had to do.” 

Fate wasn’t done with him quite yet. About the time the demands of the commute began wearing on him, Dr. Albert Gay, FCMH hospitalist and Fayette County coroner, tragically collapsed during rounds and later died during surgery.

“The next thing I know, I’m getting a call from the hospital wanting to know if I would be interested in the hospitalist position,” he recalled. “It seemed like moments earlier I had just been talking with my wife about how I was just so exhausted with the drive, so from that perspective at least, the offer was almost like a God-send.”

He served in both hospitalist and coroner roles until late last year, when he decided to move back into primary care and recently became a part of Adena’s growth in serving the Fayette County community.

“I’ve actually worn many hats as a physician so far – primary care, hospitalist and ER were my main ones as a physician,” he said. “Besides coroner, I was the medical director for a while at one of the nursing homes in town and I was the medical director of what was known as the Life Squad, which was our EMS service before the hospital took them over. I also was the team doctor for Washington school sports teams for 15 years and was a hospice director for many years.”

Primary care, however, has been his true love. From having delivered more than 100 babies in his days as a resident to being able to care for the full circle of life in a community he’s called home for many of his 60 years, it’s the personal relationships he’s come to cherish with his patients that make it so special.

“When you’re a physician, you are kind of instantly drawn into a family unit,” Dr. Mesker said. “You can hopefully sense some trust and welcome when you do things with families, and it happens quickly in those situations, it’s not something that needs months to build up. They’re looking to you for that help, for those kind words or hopeful words or whatever that might be.

“Primary care, that’s where you actually get to know everybody a lot better, unlike an emergency or hospitalist setting where you’re seeing people in their very worst possible situation. It’s great when you can get them home and things are going better, but the idea behind primary care is preventative care to keep stuff like that from happening and trying to keep everybody at their best to avoid those situations.” 

Dr. Mesker understands how important primary care is to families, having raised one of his own with his wife of nearly 35 years, Cherie, a retired teacher. His four sons, Adam, Jeremy, Luke and Noah, all graduated from Washington Senior High School.

As he works to grow his new practice under the Adena umbrella, he understands the excitement brought about by the announcement earlier this year that FCMH would officially be joining Adena’s family May 2. That announcement has given a community that has long supported its hospital a glimpse into its future.

“Under this agreement with Adena, one of the first things they said they were going to do is build a new hospital,” he said. “That’s exciting and something the community can look forward to because that hospital was built in the 1950s. It has been upgraded several times internally, but you can only do so much with a building.”

Personally, he is also excited to bring his welcoming smile and lifetime of experience caring for the community into his latest endeavor with Adena and getting to know a whole new group of patients in the years to come.

Assuming, of course, that’s what the fates allow. 

Dr. Mesker is now accepting new patients at Adena Family Medicine – Washington Court House, 308 Highland Avenue, Suite C, Washington Court House. To schedule an appointment, call 740-333-4950.

Adena Regional Medical Center has been recognized by Anthem Blue Cross and Blue Shield in Ohio with a Blue Distinction^® Centers (BDC) for Maternity Care designation, as part of the Blue Distinction Specialty Care program. 

“Adena is proud to be recognized by Anthem for meeting the rigorous BDC quality selection criteria for maternity care set by the Blue Distinction Specialty Care program,” said Dr. Richard Villarreal, medical director for the department. “The Adena Women and Children’s Center is committed to offering high-quality maternity care close to home for our patients during one of the most meaningful times a family will share.”

Racial and ethnic disparities are persistent and widespread across maternal healthcare, primarily driven by socioeconomic status, geographic location, and implicit provider bias. To help address these gaps in care and to help ensure the better health of mothers, The Blue Cross Blue Shield Association enhanced its quality evaluation for the Maternity Care program to address key factors driving the United States’ maternal health crisis such as preventable or treatable pregnancy-related conditions, high utilization of Caesarean sections, and racial and ethnic disparities in maternal healthcare.

Research shows that, compared to other providers, those designated as Blue Distinction Centers demonstrate better quality and improved outcomes for patients.

In 2020, the Blue Distinction Centers for Maternity Care Program was expanded beyond traditional outcome measures to include assessments of internal quality improvement, data collection and dissemination, and internal protocols that better address clinical quality and equity issues in maternity care.

“Blue Distinction designation is an important recognition of Adena’s innovative and patient-centered approach to maternity care quality,” said Barry Malinowski, M.D., Anthem Blue Cross and Blue Shield in Ohio’s medical director. “The Blue Distinction program recognizes commitment to quality and helps consumers identify high performing health care providers. I congratulate the entire maternity team at Adena for this well-deserved honor.”

For more information, or to schedule an appointment with the Adena Women and Children’s Center, visit www.adena.org/women.

Adena Health System, as part of its longstanding commitment to diversity, equity and inclusion, is joining with other community organizations to act on its further promise to open uncomfortable dialogues that can have a positive impact on any communities dealing with racial tensions, hate and unacceptable acts of violence.

This week, Adena representatives will join others from the Ross County NAACP, Ross County Health District, United Way of Ross County and area churches to actively listen, discuss and share information so they can partner together in order to bridge gaps that may exist within our local communities to affect change.

“To prevent discomfort from being an obstacle to change, we must continue down our journey one step at a time,” said Michele Valentine, Adena Director for Diversity, Equity & Inclusion. “Our journey must continue at Adena by inspecting the very fabric that has helped shape this great organization to ensure we are listening to the voices of our caregivers, as well as the communities in which we serve.”

She added, “As an African American woman and mother, I hear their voices. I feel the fear, anger and unrest. I see the frustration. It’s how we respond that will determine when we can finally break free from hate and systematic racism. Transformation happens when we acknowledge the trauma of all hate and work together to dissolve it. Being silent is part of the bondage. When we collectively join together – all human beings – we begin to make change. We commit to listen. We commit to learn. We stand up for change. We stop the violence. We will help change our tomorrow.”

In her role for almost a year, Valentine has worked tirelessly to position Adena to be part of that change. That includes implementing the Health System’s diversity and inclusion principles:      

Adena is committed to creating an inclusive environment that respects the human dignity and diversity of each member of the Adena community. Each member deserves and will be treated fairly and equitably. 

Adena is committed to equity and inclusion with all of our patients and families, our physicians, our workforce, our business partners and the communities that we serve. We will enhance our cultural competency by educating, recognizing and celebrating the value of diverse cultures, beliefs and identities. 

Adena understands each caregiver is unique and recognizes individual differences. We will not view our differences in cultures, ethnicities, beliefs and racial backgrounds as a tolerance but an inclusive organization of all individuals, as well as individuals not in the majority. We will embrace and empower each caregiver to bring their unique self forward each day in conjunction with our Vision, Mission, Values and Guiding Principle. Each caregiver will be respected, valued for who they are, and supported.  

Adena caregivers will represent the communities in which we serve and have equal access to opportunities. We are called to serve and will commit to provide the highest level of quality health services to the diverse communities and actively listen to their individual needs.

“At Adena, we are dedicated to living out our organizational values of integrity, quality, excellence and trust, for every patient, every time,” reiterated Jeff Graham, Adena President and CEO. “Adena’s physicians and caregivers represent many of our world’s cultures, beliefs and races. It is what makes us unique as individuals, and it makes us stronger as a team and organization. We firmly believe that diversity, equality and inclusion is what makes a community. Each of our individual qualities and experiences is necessary in building a culture that keeps us all moving forward. We are committed to providing the highest quality health care to anyone who needs us. Michele has shown great leadership and strength in building Adena’s diversity, equity and inclusion program. Her vision and drive is why our organization and the communities we serve can feel confident in the message and actions of our Health System.”

(image) Adena general obstetrician/gynecologist Neely Nelson Wade, MD has been practicing OB/GYN for the past 11 years (after having served as a general practitioner in the U.S. Navy for four years). She’s been with Adena for two years, serving patients throughout the week at appointments and rotating weekend coverage for labor and delivery with her Adena physician partners. She is a mother of two with a third on the way, so she understands the demands on mothers and women. She also loves the idea of moms dedicating a month to their health and wellbeing, “I know that being a mom is a challenge, but in order to be the best moms we can be, we have to take good care of ourselves.”

May We Take a Little Time for Ourselves?

May is Women’s Health Month and a great time for women to make healthy changes so we can look and feel our best. Whether you're a mother or not, focusing on self-care and your best health can revitalize your outlook, benefiting you and those close to you. As women, it's often in our nature to take care of others first. Let's make May the time to care about us.

A great place to start is by scheduling your Well Woman Annual exam with Dr. Wade and the team at Adena OG/GYN. Adena’s Well Woman Annual exams take patients’ whole health into consideration. “It is an excellent opportunity to address a women's general health,” says Dr. Wade. “We can discuss any particular concerns a woman has and also assess her smoking status, dietary choices, and exercise level—things, that if not curbed or controlled, we know can lead to health problems and can also negatively affect a women’s reproductive health.”

The Adena Well Woman Annual exam is comprehensive and looks at a number of health issues to help improve and benefit patients in the region. Among the many health items addressed in a Well Woman Annual exam, are blood pressure, screening for cancers of the cervix (Pap smear), breast exam (mammogram), pelvic exam, uterus exam (assessing any abnormal bleeding), body mass index (BMI), skin (assessing suspicious moles), discussions of substance abuse, mental health, domestic violence, sexually transmitted diseases (STDs), family planning counseling and healthy diet and exercise. “We want women to know we have numerous resources at Adena to help women achieve a healthy lifestyle,” says Dr. Wade. “If we can help our everyday caregivers (moms/women) develop healthy behaviors, it can translate into healthier behaviors for families and future generations.”

Screen Time is Important

In this case, we are talking about health screenings. Preventative health screenings are the best way to detect and treat health issues early. Below is a basic chart based on ages and key screenings, but family and personal histories also factor in. It is important to discuss all screenings with your Adena Primary Care physician or Adena OB/GYN at your annual exams.

Take Time, Make Time

For a well-balanced and healthy life, it is important for women to make time for themselves. It is often not easy or convenient and may require effort to make happen, but it is essential to maintaining your best health. Exercise is good way to take a little extra time for you and make you feel good. According to the Centers for Disease Control and Prevention (CDC), exercise can help maintain healthy bones, muscles, and joints, lower blood pressure, improve heart health, improve mental health, reduce anxiety and depression, and help control weight, build muscle and reduce body fat. You can start with taking a simple walk after dinner, doing work in the garden or out in the yard. There are also many free online and video resources that guide you through exercises no matter what level you are capable of. The key is to schedule time for it and stick with it.

Yes, You May

We know women play an important role in their families. That means it’s equally important to stay healthy and feeling well. Dr. Wade and the team at Adena OB/GYN can help. They are here to guide women throughout their lives, from the reproductive years through the elder years. “As women’s health needs change over their lifetimes, we can help them focus on the best health practices to make good transitions,” says Dr. Wade.

Adena OB/GYN has the experience, resources and counseling skills to help you transition through all the many life changes women face. For example, Dr. Wade is highly skilled in minimally invasive robotic surgery and uses a robot to perform hysterectomies. By using the robot and small incision ports, patients typically have shorter recovery times, less discomfort, reduced need for pain medications, less blood loss and minimal, if any, scarring. “We continually work to improve patient outcomes,” says Dr. Wade, “technology has helped us make a lot of advances in women’s health.”

This May, we hope women everywhere will take time for themselves and to focus on their health and wellbeing. Call Adena OB/GYN at 740-779-7201 or visit Adena.org to book your Well Woman Annual exam. Whether it’s this month, or down the road, making your health a priority will have a positive lifelong impact on you and those you love.

(image) Bradley Sevy, DO, is an Adena Board Certified Family Medicine Physician who works out of Adena Family Medicine and Pediatrics – Jackson. He has been seeing Adena families for over three years and has a unique perspective on weight loss since he personally has lost over 160 pounds. He knows that each patient’s journey is different and works with patients to help make their weight loss sustainable and part of their life-long healthy habits.

Weight, I Can Relate!

Dr. Sevy’s story is like many others. Growing up, he was always bigger than the other kids around him. He was told he’d grow out of it, but never did. Consequently, he has always struggled with being overweight, having to check chairs before sitting in them and not feeling good due the stress on his body. When he had children of his own and was starting to have weight-related health consequences, he decided to take action. He initially lost 60 pounds on his own and then opted to have bariatric surgery to help him continue to lose weight. Unfortunately, Dr. Sevy, had a rare unknown genetic blood clotting disorder which complicated his surgical outcome. He ended up losing “110 to 120 pounds in three months” which was much too fast and led to several hospital stays. “I always tell patients my story with the understanding that I am part of the rare 1% that had an adverse complication,” says Dr. Sevy. “Although there is always some risk with bariatric surgery, there is a much higher rate of success. I would go back and do it again if I didn’t have the clotting disorder.”

The Right Tool

Part of how Dr. Sevy helps patients is by helping them find the right means to a healthier lifestyle. Overcoming obesity is not easy and it’s an ongoing health issue in the U.S. According to the Centers for Disease Control and Prevention (CDC), between 1962 and 2000 adult obesity in U.S. increased over 17%. Many of the health issues patients face today, such as high blood pressure, diabetes, heart disease, joint pain, and sleep apnea, are all linked to excess weight and obesity. “We often address weight issues with patients in order to help reduce negative health consequences -- also known as comorbidities,” says Dr. Sevy.

Adena can offer patients a variety of tools to help guide them through healthy weight loss. “We typically start with diet and increased activity,” says Dr. Sevy. From there, Adena has additional levels of solutions which are designed to help patients on their individual path to reducing weight and improving health. Dr. Sevy works with patients to connect them to the right resources, such as access to Adena nutritionists and dieticians. He can counsel patients through possible drug therapies or even bariatric surgery. “What is important for patients to understand, is that these are tools, means to a healthier lifestyle,” says Dr. Sevy. “What we’re ultimately working towards for our patients is a way to change their lifestyle and develop healthier habits.”

Don’t Be an Impatient Patient

Dr. Sevy knows the weight loss journey has its peaks and valleys. “Consistency is key,” says Dr. Sevy. “We encourage patients to remain focused and persevere through weight loss plateaus -- just stick to their plan.” Dr. Sevy explains that when patients “plateau” or seem to get “stuck” at a certain weight, they often get discouraged and fall back into old, unhealthy habits. “When patients first start to lose weight, they tend to lose a lot upfront which is often attributed to losing water weight,” says Dr. Sevy. When the amount of weight loss starts to decrease, patients can get discouraged. “Really, a half a pound a week, is safe, realistic weight loss.” He adds that generally patients lose weight at different rates, so trying to target any particular number per week is not realistic.

Fad Might Not Be Fab

“When we talk to patients about diet and exercise, we talk to them about ‘weight management’ not just weight loss,” says Dr. Sevy. He also cautions patients against fad diets like low carb or high protein diets. These diets may have quick results, but they are often too difficult to maintain over time and can deny the body of certain nutrition. Ultimately, they may make dieters gain weight once they reintroduce dietary items they had cut. “If patients are really looking for a diet to follow, we will often recommend the ‘Dash Diet’ or the ‘Mediterranean Diet,’ says Dr. Sevy. They are based in making healthier food choices across the nutrition spectrum.

“My job is to help patients get ahead of health problems, to try and be preventative,” says Dr. Sevy. He coaches patients to read food labels, focus on controlling portions, lower calorie intake and increase activity to get them started. Dr. Sevy and the team of Adena Family Medicine professionals are helping patients daily take control of their health. If you have health concerns or questions about how to improve your diet, exercise, weight and general wellness, please contact Adena Family Medicine and Pediatrics – Jackson by calling 740-395-8090, or visit Adena.org to find an Adena primary care provider near you.

Adena Health System is expanding its care for patients with the addition of five specialty providers, across multiple service lines. These incoming physicians and advanced practice providers are delivering even more options for comprehensive, close-to-home care for patients throughout the region.

Adena is pleased to welcome:

Courtney Durham, Certified Nurse Practitioner, joins the growing group of providers with the Adena Cancer Center caring for patients in Chillicothe and Washington Court House. Durham has been a caregiver with Adena since 2015 serving previously as an Intensive Care Unit Registered Nurse. She earned her Family Nurse Practitioner degree from Ohio University.

Rodney Lee Holdren, Certified Nurse Practitioner is welcomed to the team of providers at the Adena Spine Center seeing patients in Chillicothe. Holdren has been with Adena since 2014 caring for patients as a registered nurse and patient care associate. He earned his Family Nurse Practitioner degree from Ohio University.

Anna Huffman, Certified Nurse Practitioner is accepting new patients with Adena Pediatrics, seeing patients in Chillicothe and Circleville. Huffman earned her Pediatric Primary Care Nurse Practitioner degree from The Ohio State University.

Mariya Larson, Certified Nurse Practitioner has been with Adena since 2012. She has served in various roles within Adena Regional Medical Center as an ICU Nurse and Labor and Delivery Nurse. Larson received her Family Nurse Practitioner degree from Ohio University and is now seeing patients in Chillicothe with Adena Urology. 

Dennis Mesker, MD is now caring for patients at Adena Family Medicine – Washington Court House. He joins Adena having provided primary care services in Fayette County for over 30 years. Dr. Mesker earned his medical degree from Wright State University.

In addition, Adena has several of its providers transferring their services to new locations expanding patient access across the region.

Theresa Barnett, Certified Nurse Practitioner has joined Adena Family Medicine – Piketon. 

Madison Mercer, Certified Nurse Practitioner is welcomed to Adena Family Medicine – Ironmen Clinic in Jackson.  

Paige Smith, Certified Nurse Practitioner now sees patients at all Adena Urgent Care locations.

It’s something we all take into consideration as we begin to think about our lives and the lives of our loved ones. Should something happen to us, what do we leave behind?

Many times, when we consider these deep thoughts, we find ourselves contemplating what we want our legacy to be – whether through strength of deeds or family or giving back to the community. For Mart De Waard, that answer was found through giving, and the Adena Health Foundation was the perfect partnership to make that legacy a reality.

“I wanted to make sure my estate, should something happen to me, it was not going to get caught up in probate,” said Mart, who joined Adena more than two years ago in Home Health and now works as a manager in Business Development for the Health System. “I just decided to put a donation in my will for Adena Health Foundation and added them as a beneficiary designation to my retirement.”

“The main reason for that was really peace of mind for myself. If something happens to me, I’d be at peace knowing that the money saved for my retirement would go to good use in the community. Adena Health Foundation is close to home, it’s close to my heart, it serves the local community right here, and I thought that was the right thing to do.”

While a planned gift may not always be the first thought that comes to mind for your estate, Mart said it should definitely be a consideration. Personal experience has led him to that opinion.

To begin with, he has seen what he called an “absolute mess” that can occur when the correct paperwork for distributing an estate is not in place. When his parents died, there was no written road map for their estate and, with himself and another of his three siblings living abroad outside his native Netherlands, things did not go smoothly.

Then, during eight years working in hospice care, he saw several “horror stories” of what happened with people who didn’t have their estate plans in order. That hospice experience also served as a reminder that nobody is immune from dying – himself included – and that it may be time for him to consider where his money should go if he wasn’t able to enjoy it himself during his lifetime.

“My situation is a little more unique,” Mart said. “I’m not married and I don’t have any children. My family is all overseas, so I wanted to do my planning right so that if something happens to me, it doesn’t get caught up in probate.”

Mart became involved with the Adena Health Foundation shortly after beginning work with Adena, originally helping out as a volunteer for the Annual Scioto Valley Golf Classic and donating to the annual employee giving program for the organization. As he got a better look at how the foundation helps – both through support and outreach in the community and within the Health System providing for needs that enhance patient experience and care – the idea for a planned gift emerged.

“I chose the Foundation specifically because it is close to the community,” he said. “I live here, I work for Adena, and I felt that this was a really valuable opportunity. The other reason I made the choice is that healthcare affects us all indiscriminately. It doesn’t matter who you are, each and every one of us can get sick and each and every one of us can find ourselves in a situation where it is difficult to get help. I find that’s a really peaceful thought that Adena can do something local to help and that gives me a good feeling. I can see that being a good motivator for somebody else thinking about that.”

Calling Adena “one of the best kept secrets” in the region and pointing to a wide array of national recognitions various service lines and the system as a whole have received for their care. Mart said there is a quality to the organization embodied by the physicians, specialists, leadership and other caregivers that the community can count on for years to come.

Community is key to that statement.

“I think the Adena Health Foundation is a great place to keep in mind for a planned gift of your estate, to keep it in mind as a beneficiary because the Foundation works for the whole community,” Mart said. “It is not one group of people singled out -- that’s not to say there’s not organizations that do great work while focusing on a smaller group of people – but for me, it was important that I had the feeling this was going to be of good use for nobody in particular but for everybody.

“I think if you have a feeling like that, you should definitely keep the Adena Health Foundation in mind.”

HOW YOU CAN MAKE AN IMPACT

Planned giving is just one of many ways you can support the Adena Health Foundation’s mission.

For answers to questions and more information on how you can make an impact that will transform the work of the Adena Health Foundation for generations to come, please call 740-779-7528.

Tax-deductible donations also may be made online www.adena.org/foundationfocus

Adena Greenfield Medical Center (AGMC) now provides services to patients reporting to its Emergency Department following a sexual assault. Adena Sexual Assault Nurse Examiners (SANE) are available 24 hours a day, seven days a week to provide care, support and aid to these patients.

“Providing patients affected by sexual assault the best possible trauma-informed care has always been our top priority,” said Julie Fairchild, SANE/Forensic Nursing Coordinator. “By not having to be transferred to another facility to see a SANE nurse, or having to tell their story one more time can mean the difference between a patient seeking additional services or not.”

Previously, patients arriving at AGMC with a report of sexual assault were transferred to Adena Regional Medical Center, located in Chillicothe, for an examination by a specially trained SANE nurse. Trauma-informed services now being provided at AGMC can include medical examination; sexual assault evidence collection; prophylactic treatment of sexually transmitted infections; appropriate testing; forensic photography, and documentation of injuries. Additional services to help the patient in her/his recovery includes advocacy; resource linkage; referral to safety services, including safety planning and shelter placement.

Adena’s Sexual Assault Nurse Examiners are qualified forensic nurses who have received special training to conduct sexual assault evidentiary exams for sexual assault victims. SANE nurses are specially trained in the medical, psychological, and forensic examination of a sexual assault victim. They collaborate with the health care team, law enforcement and community members to provide the best response to the needs of the community concerning interpersonal violence.

For more information about SANE and Adena’s Sexual Assault Survivor Advocate Program, visit www.adena.org/sane.

(image) Cassidy Simmons, Adena Advocacy Program’s After Care Coordinator, and Julie Fairchild, Sexual Assault Nurse Examiner (SANE)/Forensic Nursing Coordinator, are two special caregivers. They are dedicated to caring for sexual assault victims who come to Adena for treatment and help. They share a tremendous compassion for their patients and want anyone who has experienced any kind of abuse to know “that Adena is here is help and that victims are not alone.”

A History of Support

This April marks the 20th anniversary of Sexual Assault Awareness Month (SAAM). Originally coordinated by the National Sexual Violence Resource Center (NSVRC), Sexual Assault Awareness Month raises awareness and educates communities and individuals on how to prevent sexual violence. The color teal and wearing teal ribbons shows support for victims and serves as a reminder that sexual assault continues to be a serious and widespread violation of human rights.

The Shocking Reality

According to statistics presented by the Ohio Alliance to End Sexual Violence (OAESV), nearly 1 in 5 women in the U.S. have experienced rape in their lifetime; nearly half of all women have experienced sexual violence other than rape; 1 in 71 men in the U.S. has been the victim of rape in their lifetime; and 1 in 5 has experienced sexual violence other than rape. Roughly 1 in 2 transgender individuals have experienced rape or sexual assault in their lifetime.

In general, sexual violence:

• Is suffered disproportionately by women of color, individuals with disabilities and individuals who identify as LGBTQI.
• Is one of the most underreported crimes.
• Is associated with numerous negative health and economic outcomes for survivors.

In Ohio in 2011, 61% of reported rapes were committed against juveniles. ; The average age of victimization was 15 (Ohio Incident-Based Reporting System). ¹

There is Help

(image) Julie Fairchild has been an Adena SANE/Forensic Nursing Coordinator since 2014. She helps manage a group of 11 SANE nurses who can perform a forensic exam on patients and provide holistic nursing care for the victims of abuse. SANE nurses need to have a minimum of one year as a Registered Nurse (RN) before being eligible to take the specialized SANE nurse training. At Adena, our SANE nurses care for both adult, adolescent and pediatric patients. This specialized care requires extra training, which gives  SANE nurses a broad insight into cases. Training includes orientation on cases, a shadowing experience at the child protective center, court proceedings experience and a tour of the Bureau of Criminal Investigation. This helps our SANE nurses understand the various processes involved in a sexual assault/abuse case.

“When a patient comes into the Emergency Department for sexual assault, one of our SANE nurses will complete an examination and collect of evidence as long as the patient consents and it is within the allowed timeframes. Adults have 96-hours or four full days and children have 72-hours or three full days for sexual assault evidence collection to be done.” She adds that each patient scenario is different and that Adena works with each patient individually to get them the help they need. “What’s most important to us is that the patient is safe, and that the patient’s body is safe. Collecting evidence is secondary, but it can help the patient in obtaining justice and regain control of the situation”. 

In 2020 at Adena Regional Medical Center, the SANE nurses saw 134 sexual assault cases come into the hospital; 46 of these cases were adults and 88 were adolescent/pediatric. The SANE nurses operate out of three Adena Emergency Departments at this time. Services at Adena Greenfield Medical Center’s Emergency Department began this month. Fairchild stated she is proud to be expanding their trauma informed SANE services to more Emergency Departments. The Adena Sexual Assault Advocates follow-up care work out of the majority of Adena locations.

There is Hope

(image) Adena After Care Coordinator Cassidy Simmons helps counsel and provide sexual assault to others who have experienced interpersonal violence with connections to resources beyond the Emergency Department as victims begin their path to survivors. “After a person comes into Adena who has experienced some type of Interpersonal Violence, it’s my role to connect with that person to see how we can continue to help. After they leave the Emergency Department, I call and assess their situation and see what other needs they might have to get back on their feet or to help end their exposure to violence.” Simmons says she often helps victims with things like getting a protection order, navigating the criminal justice system, applying for public benefits, becoming economically independent, finding an attorney, help with child care, locating temporary shelter or a place to live, and providing ongoing emotional support. Cassidy works with each survivor to develop a self-driven goal based advocacy plan based off their needs to live a safe independent life free of violence.

After  a patient comes into Adena for treatment with signs of abuse or reports interpersonal violence, Simmons will  call to engage that patient  to help with additional resources. Shejoined Adena in 2017, after escaping her own abusive relationship, so she can relate to the struggle of abuse and “feeling like there’s no way out.” All interpersonal violence victims are offered a Crisis Response Advocate while at the hospital, receive a resource folder, and are offered an Aftercare follow-up with Simmons. Simmons will continue follow-up and provide regular check-ins to see how that patient is doing. This is typically for a year as the survivor continues to heal from their trauma.

“I have some patients who meet with me as much as once a week for ongoing support and some that reach out much less frequently,” Simmons says. We work with some survivors who are in pretty bad situations, dealing with sex trafficking, addiction, mental health issues, and homelessness – at times I serve as the only social service provider they are maintaining contact with. “I think it’s just important for them to realize that they have an advocate who can help support them, without judgement, no matter what their situation is.”

Simmons is very passionate about her work and about helping victims. “Helping and empowering survivors to realize they don’t have stay in their situation of abuse, helping them find their independence, helping them realize they can flourish like I did, that’s what I love about my work. I want to help patients realize their potential – empower them from victims to survivors to thrivers.”

Help End the Cycle

Both Simmons and Fairchild want to let sexual assault and abuse victims know that what they’ve experienced is not their fault and that Adena is here to help. Unfortunately, statistics show that during COVID-19, while people were forced to stay home, abuse and sexual assault instances rose on a global level. There are many opportunities for people in our area to take action and help victims free themselves from a cycle of abuse.  Adena Advocacy Program Services are always free of charge and funded by the Ohio Attorney General’s Victims of Crime (VOCA) Grant. The Advocacy Program is always looking for volunteers to help with projects, crisis response, outreach activities, or follow-up with patients. If you are interested in helping, know someone who needs help or are a victim of abuse, visit Adena.org/advocacyservices, call 740-779-7263, or email survivoradvocates@adena.org. Help is always available.

1 National Sexual Violence Resource Center. 20 Events That Shaped Sexual Violence Prevention in the Last 20 Years. Harrisburg, PA: National Sexual Violence Resource Center, 2020. https://www.nsvrc.org/blogs/20-events-shaped-sexual-violence-prevention-last-20-years.

(image) As announced by Ohio Governor Mike DeWine earlier this month, Adena Health System will serve as one of 15 mass vaccination clinic sites throughout Ohio significantly expanding regional access to COVID-19 vaccines. Adena is set to receive the one dose Johnson & Johnson vaccine to begin administration as a mass vaccination clinic site on Wednesday, March 31 at the PACCAR Medical Education Center, located on the campus of Adena Regional Medical Center in Chillicothe. 

Each regional mass vaccination clinic will be locally operated with support from the Ohio Department of Health and Ohio Emergency Management Agency. Adena’s clinic will be equipped to administer thousands of vaccines a day depending on supply and demand. 

“As a rural health system with a mission of being called to serve our communities, it is a tremendous honor to be asked by the Governor and assist our state officials as one of Ohio’s mass vaccination clinic sites,” said Jeff Graham, Adena President & CEO. “Vaccines are our best defense against COVID-19, and it is a privilege to collaborate with our healthcare partners across the region and state in this coordinated effort to ensure all individuals have an opportunity to receive the vaccine as it becomes available.” 

Adena’s mass vaccination administration is by appointment only. 

Vaccination appointments can be made by individuals 18 years of age and older by calling 1-833-4-ASK-ODH (1-833-427-5634) or visiting gettheshot.coronavirus.ohio.gov. 

The vaccine is being offered at no cost.

WHERE:          PACCAR Medical Education Center

                        446 Hospital Rd

                        Chillicothe, OH  45601

                        Parking - FREE

WHEN:            Starting Wednesday, March 31, 2021

                        Tuesday – Friday

                        8 a.m. – 5 p.m. 

Individuals with appointments to receive their vaccination through Adena are asked to bring photo identification and be prepared to wait approximately 15-30 minutes following their shot for monitoring. This is not a drive-thru vaccination location.

Certified Nurse Practitioner Kara Roof is a caring health care professional who puts patients of all ages at ease.

Kara Roof, CNP, is a powerhouse in the world of Adena health care. Her skills, versatility and relatable manner make her invaluable to patients and to Adena Health System. Although she currently spends most of her time caring for patients at Adena Family Medicine and Pediatrics – Jackson, she can, and has, served patients throughout the area; filling in where needed to make sure patients receive timely health care. 

Kara is dedicated to serving patients with quality health care and by making them feel comfortable. Her approachable nature and engaging smile put patients at ease. She grew up in Oak Hill and now lives in Jackson with her husband so they are close to local family members.

Kara is very thorough and likes the ability to develop care plans and follow-up with patients. “She wants patients to be as healthy as they can be,” says Anita “Kay” Davis, Manager, Adena Family Medicine and Pediatrics – Jackson. “She is comfortable seeing all range of patients, from newborns to the elderly.” Kara is fully credentialed to cover all patient needs from examination to prescriptions.

Kara stays busy during her 10-hour workdays. Although she does most of her patient care in Jackson, she also helps manage and see patients one day a week at the Adena Health Center – Oak Hill. “Her experience and compassion make Kara a great patient advocate,” says Lynsey Chapman, Manager, Adena Clinic Staff and Operations – Oak Hill. Some patients have even followed her from previous practices because they enjoy her pleasant attitude and value her attention and quality of care.

If you are in the Jackson or Oak Hill area, have health concerns, or just need a check-up, call Adena Family Medicine and Pediatrics – Jackson at 740-395-8090. You’ll know Kara when you see her, she’ll be the one making you feel right at home.

Adena Health System practices have again received the prestigious NCQA Patient-Centered Medical Home recognition.

For the sixth time in a row, Adena primary care practices have received the designation as a Patient-Centered Medical Home™ from the National Committee for Quality Assurance (NCQA). This notable distinction means that Adena meets the high-quality standards of patient care recognized as important by a committee of industry leaders and peers. The Patient-Centered Medical Home recognition means that Adena practices operate in “the way patients want it to be,” emphasizing accessibility, health information technology and coordinated care focused on patients.

As a Patient-Centered Medical Home, Adena health care professionals work to create ongoing partnerships with their patients, focusing on total health instead of just addressing single health issues one at a time. Each patient’s care is overseen by clinician-led care teams that coordinate treatment across the Adena health care system. Research indicates that health care practices recognized as “medical homes” can lead to higher quality care, lower health care costs and ultimately improve the patient/provider experience.

In addition to the patient-centered continuum of care, Adena strives to make health care more convenient for its patients. Our Adena Urgent Care and Walk-In Clinics are designed to treat patients quickly with same day treatment and extended hours. To reduce time in the waiting room, patients can use our online appointment system to select a time at any of the Adena seven clinics located throughout the region, including convenient locations inside the Chillicothe Walmart and Jackson Middle School. Many of our Urgent Care and Walk-In Clinics are open 7-days a week, but check our online listing to check hours and see the clinic locations nearest you.

The NCQA Patient-Centered Medical Home program reflects the input of the American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP) and American Osteopathic Association (AOA) and others. It was developed to assess whether clinician practices are functioning as medical homes and recognize them for these efforts. The NCQA Patient-Centered Medical Home standards emphasize the use of systematic, patient-centered, coordinated care that supports access, communication and patient involvement. As a private, nonprofit organization dedicated to improving health care quality, NCQA is helping raise the bar for patient care. *

Jackson City Schools and Adena Health System reopen the Adena Family Medicine-Ironmen Clinic at Jackson Middle School to provide primary care services conveniently to area students.

On Monday, February 22, Jackson School district students and staff welcomed the return of the Adena Family Medicine - Ironmen Clinic back to school grounds at Jackson Middle School. The Ironmen Clinic, named after the school mascot, provides convenient primary care services to school students, staff and is open to area residents.

During the height of our COVID-19 response, the clinic’s services were temporarily suspended in order to address pandemic demands. But now, our Adena-employed certified nurse practitioner Madison Mercer is back onsite and ready to serve the school and public.

The exterior entrance makes it easy for community members outside of the school to visit the clinic, while also keeping students and staff safe and secure. The onsite clinic means easy healthcare access to school students with no need for transportation or having a parent miss work, although the clinic staff likes to see parents if they are able to accompany their student.

The clinic is open for appointments or walk-ins: Monday through Thursday from 8 a.m. – 12 p.m. Beginning April 9, it will be open 8 a.m. – 12 p.m. on Fridays too. The Ironmen Clinic provides services consistent with primary care, including:

• Treatment of acute illness such as ear/sinus infection, cold, flu, cough, sore throat;
• Chronic disease management including diabetes and asthma;
• Behavioral health treatment such as anxiety, depression and ADHD/ADD;
• Comprehensive annual wellness exams and sports physicals;
• Immunizations and disease prevention;
• On-site testing for blood sugar, strep throat, flu, hearing, vision and more;
• Lab specimen collection (including blood draws); and
• Reproductive health needs.

The Adena Family Medicine – Ironmen Clinic accepts self-pay, Medicaid as well as most forms of insurance. For more information, or to request an appointment, call 740-286-7869 or visit www.adena.org/ironmen.

Teresa is a homegrown nurse practitioner who is passionate about caring for members of her community.

If you’ve ever gone to Adena Family Medicine - Piketon or Jackson, you may have encountered nurse practitioner, Teresa Barnett. You may not remember her, but she likely will remember you. Teresa is a long-time dedicated nurse who loves to get to know her patients. She is invested in her patients’ health and often looks beyond what they came in for.

“One of the greatest compliments I ever received was when a son told me I took care of his mom as if she were my mom,” says Teresa. That pretty much sums up Teresa’s attitude and approach to patients, taking care of each one as if they were a family member. “Teresa likes to look at the whole person,” says Nicole Stiver, Adena Family Medicine Piketon Clinical and Operations Manager. “She genuinely wants to make a difference and help people.”

Since January 2021, Teresa has been working from the Adena Family Medicine - Piketon office only. She says she likes getting to know the patients and practicing in the community where she grew up and now where she and her family live. “I identify with the community and know the community challenges,” says Teresa. “I like the community feeling. We often might treat one family member, and then as time goes on, start seeing more family members come in because they’ve heard it’s a friendly, caring and important health experience.”

Teresa likes to talk to patients about preventative care and is passionate about coaching patients regarding diet and exercise. “Even small changes in weight and activity can make a patient feel better,” says Teresa. She takes extra time to help empower patients with resources to make lifestyle changes. Teresa also knows the value of patient follow-up. She frequently follows up with high risk patients to check on their condition and with patients she knows might need extra encouragement.

If you have health concerns, or it’s been a while since your last well-check, call Adena Family Medicine - Piketon at 740-947-6480 and make an appointment. If you see Teresa during your visit, make sure you say ‘hi.’ Chances are you’ll have a new health advocate to help look out for you.

Adena Health System announced that it has adjusted its visitor policy effective today in an effort to loosen restrictions due to declines in regional COVID-19 cases.

To ensure a safe environment, all visitors are still required to maintain social distancing, follow hand hygiene guidelines, and must wear a mask or face covering throughout their visit, including while inside patient rooms.

“We recognize how important family, friends and support persons are to a patient’s recovery, and we’re pleased to be able to welcome more people back into our facilities,” said Chief Clinical Officer Kirk Tucker, MD. “As we continuously review all available data, we felt like this was the right time to loosen some of our visitor restrictions as our hospitalizations related to COVID-19 decrease and more people in our communities are being vaccinated.”

He added, “While these are good signs, it does not signal an end in our fight against Coronavirus. I urge everyone to continue to push for adoption of the precautions we all know work – like masking, hand hygiene and social distancing – and push for high rates of vaccination so we can overcome this virus.”

Highlights to the new visitor policy guidelines include:  

Inpatients: Non-COVID patients may have two visitors. Visitation is still restricted for COVID positive or suspected positive patients. 

Outpatient/Ambulatory: One support person allowed per patient. Limits may be necessary based on clinic/department’s space allowing for social distancing.

Inpatient Maternity/Labor and Delivery/Pediatrics: Patients may have three visitors throughout duration of each day. 

Behavior Health: One visitor per patient between the hours of 5-6:30 p.m.

Hospital visiting hours have also expanded to 8 a.m. - 8 p.m., seven days a week. 

Adena’s full visitor policy is available at Adena.org/VisitorPolicy. 

A type 2 diabetes diagnosis can seem devastating, but with careful monitoring and updates in diet, you can keep on the “sunny-side” of life.

Many people may think that type 2 diabetes is caused by an unhealthy diet or being overweight, and while those things can increase the risk of getting type 2 diabetes, every day people who are at a healthy weight and that are eating a well-rounded diet are diagnosed with diabetes. According to the Centers for Disease Control (CDC) roughly 1 in 10 Americans have some form of diabetes and 90-95% of those Americans have type 2 diabetes.

After we turn 45, our chances of getting type 2 diabetes increases because:

• Our cells become more resistant to insulin (a hormone that transports the sugars we eat into our cells so that our cells can use the sugar for energy)
• The pancreas does not produce as much insulin as it did when we were younger
• People with a family history of diabetes are also at an increased risk for getting the disease

Symptoms of diabetes include fatigue, increased hunger or thirst, unexplained weight loss, increased urination, or blurred vision. Other symptoms include frequent skin infections or slow healing cuts and bruises. Some people with diabetes don’t realize they have it because the symptoms start slowly and can be mistaken for other problems, or even ignored. However, if diabetes is left untreated it can cause serious problems like heart attack, stroke, kidney disease, blindness and even amputations.

A key indicator of diabetes is A1C level. The A1C test is a simple blood test that measures the average blood sugar level over the past three months. Your Adena primary care provider can make sure you get this test, especially if you have concerns, or risk factors. According to the American Diabetes Association, up to 70% of people who have prediabetes will eventually develop diabetes.

            A1C levels

            5.6% or less – Normal

            5.7% - 6.4% - Prediabetes

            6.5% or higher – Diabetes

Diabetes is not hard to manage, but it does require a change of habits. People newly diagnosed with diabetes will need to monitor their blood sugar several times during the day. Your Adena primary care provider can help you plan how to best monitor your sugars. Thanks to newer technology, there are many options for monitoring your blood sugar that now include phone apps or wearable monitors that can keep track of blood sugar constantly. This not only helps people keep track of their own sugars, but can also help keep track of other family members who struggle with their own testing such as elderly parents.

People with diabetes can help lower their blood sugars with diet and exercise. Some people with diabetes can actually improve their A1C so much that they will no longer need medications. Adena has a team of nutritionists who can help people with diabetes adapt to new eating habits, plan for monitoring and lifestyle changes. Your primary care provider can refer you to a nutritionist so you can make the most of this service. The key is to stay alert, monitor sugars, improve diet, exercise and work with the team at Adena to make sure you receive regular A1C tests and follow up visits.

Talk to your Adena primary care provider about A1C screenings and the steps you can take now to improve your chances against getting Type 2 Diabetes. Call your primary care provider’s office, or if you need a new primary care provider call 740-779-FIND (3463) or go to Adena.org to schedule an appointment.

Feeling blue from the impacts of the COVID-19 pandemic? You aren’t the only one. Here’re tips that can help!

Have the effects of COVID-19 got you feeling down? Fear of illness, death, limited social interaction, restricted travel, business closings, mask wearing, home schooling, changes in virtually every aspect of life – it can all be overwhelming. According to the JAMA (Journal of the American Medical Association) Network, depression in U.S. adults has basically tripled since the COVID-19 pandemic began. Those who had previous financial worries have been particularly hard hit. Now, more than ever, we need to pay attention to our mental health and make sure we are taking steps to help keep it in check.

Strongly linked to our mental health is our physical health. Making good decisions about food and exercise are great places to start in effort to help keep “the blues” away. According to the Centers for Disease Control and Prevention (CDC), physical activity can reduce your risk of depression and anxiety and help you sleep better. It doesn’t need to be intense activity, just a brisk walk can be beneficial. Regular exercise releases endorphins and other natural brain chemicals that can enhance your sense of well-being. Generally, it is recommended that you exercise at least 20 to 30 minutes a day, three days a week. If you’ve been inactive for a while, take it slow to start out, and then build up to more frequent and longer or more intense exercise. Try not to make exercise a chore by possibly making it a break from work, or by joining a friend or group that can safely exercise together.

Eating habits can also impact mental health. Consuming a balanced diet full of vegetables and fruits while limiting sugary or processed foods can help. People who follow extremely low carbohydrate diets can run the risk of feeling depressed because brain chemicals, like tryptophan and serotonin that promote a feeling of well-being, are triggered by carbohydrate-rich foods. That doesn’t mean to load up on carbohydrates which can add weight, but cutting them out completely could have a negative impact. Vitamins are also important in your diet. Vitamin deficient diets have shown to be more common in patients diagnosed with depression and anxiety. Including vitamin rich foods like fruits and vegetables in your everyday eating habits and/or taking vitamin supplements will help your body perform and feel at its best. Improving your diet and physical health can have a positive impact on your mental outlook.

Another suggestion to help your mental health during COVID-19 is to volunteer or take an active community role to feel more connected. There have been many studies to suggest that volunteering can help counteract mental stress, anxiety and depression. Researchers have found that being helpful to others can induce a feeling of happiness and satisfaction. It can give people a sense of purpose and boost their feelings of social connection. Particularly for older individuals, volunteering can help alleviate loneliness and create a support structure and sense of belonging. The people you help can also benefit and feel better from your kindness and connection. Although volunteering may seem a little difficult during times of COVID-19, there are a number of safe ways for folks to get out into the community to help those less fortunate. A few starter ideas are:

• Donate to or help volunteer at a local food bank
• Deliver Meals on Wheels to shut-ins or those who can’t go to the store
• Donate blood
• Bake treats and drop them off for front line workers (EMTs, Firefighters, Paramedics, Hospital staff)
• Volunteer at a clothing donation charity or thrift store
• Make phone calls for a local church or community center to check on the elderly and neighbors
• Tutor a student virtually

You can also check local churches, government groups and community centers for volunteer opportunities. Chances are there is a group that would love your help and that you could benefit from helping.

If you find yourself still struggling with depression, anxiety, stress, tell your Adena Primary Care Provider, or contact the Adena Counseling Center at 740-779-4888.

If you’re experiencing a more serious mental health crisis and need immediate support, contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or text #4HOPE to 741-741.

(image) Penicillin: Not a Villain

Board-certified allergists and immunologists Rekha Raveendran, MD and Dana Esham, MD, are well familiar with the treatment of seasonal allergies. Dr. Esham is the Medical Director for ENT and Allergy and has been with Adena for over nine years. Dr. Raveendran joined Adena in 2020 after having worked at The Ohio State University and in private practice. They both enjoy their work at Adena where the “inclusive, welcoming environment allows for more collaboration and great patient care.”

Are You Sensitive?

Dr. Raveendran and Dr. Esham have noticed a concerning trend. It’s the trend to move away from common penicillin-based prescriptions, like Amoxicillin and Augmentin, in favor of other antibiotics secondary to many patients having a history of penicillin allergy.

“Part of what the medical community sees happening is that people’s medical records have them marked as having a penicillin allergy, when that is not the case,” says Dr. Raveendran. “They may have had a rash when they were younger that was thought to be a reaction to penicillin, but wasn’t, or they did have an allergy, but at this point no longer have a sensitivity to penicillin.” The result is that many people are thought to have a penicillin allergy which leads them to taking alternative antibiotics that are more expensive, possibly less effective and more likely to cause antibiotic resistance.

Penicillin is Your Friend, Don’t Resist It

According to the Centers for Disease Control and Prevention (CDC), about 10% of the U.S. population reports a penicillin allergy but <1% of the whole population is truly allergic.  And approximately 80% of patients with  a penicillin allergy lose their sensitivity after 10 years.¹  We would like for penicillin allergic patients to be aware that they have a 90% chance of not being allergic now.  We recommend to contact Adena Allergy to get penicillin tested.” says Dr. Raveendran. “That way, if we can take penicillin off of their allergy list, they can take a penicillin-based antibiotic which is likely more effective, less expensive, have less side-effects and reduce the risk of contributing to these resistant ‘super-bugs’ we hear about.”

Antibiotic resistance happens when germs and bacteria develop the ability to resist the drugs intended to kill them, hence the nickname of “super-bug.” That means the germs can continue to grow and cause infection. In many cases, antibiotic-resistant infections require extended hospital stays, additional follow-up doctor visits, and more costly, and potentially more severe side effects.

Penicillin Can Make a Diff-erence

“One of the biggest concerns, especially for patients admitted to the hospital, is that some antibiotics are more prone to cause you to develop C. difficile, or C. diff,” says Dr. Esham. C. diff is a dangerous, highly contagious bacteria that can cause severe diarrhea and colitis [an inflammation of the colon] and can possibly lead to death if not treated aggressively. “With penicillin-type medications, patients have less of a risk of acquiring C. diff,” says Dr. Esham. “Penicillin based antibiotics are generally well tolerated while some of the alternatives can have more severe side effects.”

Patients who have or suspect they have a penicillin allergy can contact Adena Allergy and Immunology at 740-779-4393 or visit Adena.org to schedule an appointment online. Dr. Raveendran and Dr. Esham can initially screen patients using a virtual visit or an in office visit to make sure a penicillin -test is appropriate. If a patient is a good candidate, they would next come to the Adena offices for a simple penicillin allergy skin test. The test usually takes two hours, so that the Adena team can carefully monitor any potential negative reactions. If there are no reactions, the patient will no longer be penicillin allergic, and that can benefit the patient with more and potentially better options for fighting infections.

¹ Centers for Disease Control and Prevention. Evaluation and Diagnosis of Penicillin Allergy for Healthcare Professionals. Atlanta, GA: Centers for Disease Control and Prevention, 2017. https://www.cdc.gov/antibiotic-use/community/for-hcp/Penicillin-Allergy.html

When you bring a loved one in for a doctor’s appointment, an Emergency Department visit, a surgical procedure or hospital stay, you expect your local healthcare heroes to provide top-quality, compassionate care.

The commitment to provide that level of care is core to Adena providers and caregivers as they embody the ideals of those called to serve our communities. That commitment – the one that truly earns them the designation of healthcare heroes – has always been on full display at Adena but was highlighted to an even greater degree with the onset early last year of the COVID-19 pandemic.

Facing difficult odds, seemingly endless hours and double shifts, rising patient counts and the emotional and physical demands of battling a pandemic while maintaining quality performance in all service lines across the Health System, Adena’s healthcare heroes have worked tirelessly to ensure that the needs of patients, their families and each other were met.

While they remain busy providing the best possible care for those across the counties served by Adena, however, who’s caring for the caregivers? Thanks to a fund created through the Adena Health Foundation, the answer could be you.

While some Health Foundation money is used to support the efforts of the Health System’s frontline workers in a variety of ways to better serve patients, the Healthcare Heroes Fund was created to help meet a specific set of needs for caregivers who have always been there for their communities. It makes money available to our healthcare heroes upon special request to help alleviate the many burdens they may face which, in turn, helps them better serve you as they continue to care for you and your loved ones.

Through generous support in 2020, the Healthcare Heroes Fund supplied the means to create Wellness Rooms inside Adena’s hospitals in Chillicothe, Greenfield and Waverly. The rooms offer staff a place of solace with dimmable lighting and massage chairs to provide a few minutes of respite from the stresses and long hours associated with the work – particularly during a pandemic. While that use of the fund benefited all hospital staff, specific individual requests may be made for personal mental or physical care, massages or therapy, meals, childcare or other items that may help alleviate some of the burdens your caregivers may face.

Those heroes need heroes, too, and you can become one with your donation to the Adena Health Foundation. When you contribute, 100% of your donation will be distributed to individual funds according to your wishes, and since Health Foundation expenses are covered by Adena Health System, you can be sure that anything you give is going directly to the fund you wish to support.

More information about making a donation to the Healthcare Heroes Fund or other Adena Health Foundation projects is available:

• By mail at Adena Health Foundation, 9 S. Paint St., Chillicothe, OH 45601
• By phone at 740-779-7528
• Make a tax-deductible donation online

Prostate cancer is a common cancer, second only to skin cancer for men. According to the American Cancer Society, there are roughly 248,000 new cases of prostate cancer diagnosed in the U.S. each year with approximately 34,000 of those cases resulting in death. It’s the second leading cause of cancer death for men behind lung cancer. “Although the incidence of prostate cancer is high, with the standard treatment options of surgery or radiation therapy, outcomes are very successful,” says Matthew W. Christian, MD, Adena Urologist.

The prostate is a walnut-sized gland that produces seminal fluid in men. If cancer cells develop, this could lead to an elevated prostate-specific antigen (PSA) level which may be an indicator of potential prostate cancer.  Symptoms can include difficulty urinating, blood in urine or semen, bone pain, unexplained weight loss, or possibly no symptoms at all. This makes PSA screening critical for men ages 55 and older, and possibly sooner if a patient has symptoms, or risk factors like family history or African American race. Dr. Christian and the Adena Urology team will likely recommend further testing or a biopsy for patients with a PSA level of 4 ng/mL or above. “Each patient is different,” says Dr. Christian, “Fortunately, most prostate cancer is relatively slow growing.   If we find we do find cancer in the biopsy, we assess the grade of cancer, patient health, age and other risk factors in order to set the best treatment course.” In some cases, treatment may just mean active surveillance, or it may require more aggressive therapies or surgery.

Once a diagnosis of prostate cancer is confirmed, the Adena Urology and Oncology teams work together to quickly set a course of treatment. They present the patient’s case to the Adena Multidisciplinary Tumor Board which meets weekly to thoroughly evaluate and assess the best treatment options for patients. Adena also pairs each prostate cancer patient with an Adena nurse navigator. The nurse navigator is the immediate “go to” person for the patient and helps guide patients through appointments, x-rays, insurance – anything that is needed to help the patient through their treatment and making sure they receive the appropriate follow-ups.

The standard treatments for prostate cancer are either surgery (radical prostatectomy) or radiation therapy. Dr. Christian often performs a robot-assisted laparoscopic radical prostatectomy in order to increase precision, reduce blood loss and improve recovery time compared to traditional open surgery. A patient’s hospital stay is usually one to two days. After surgery, most patients will require no further treatments. 

Some patients will opt for primary radiation therapy to treat prostate cancer.  The radiation oncologists at Adena utilize the latest technology to precisely treat prostate cancer and avoid toxicity to other organs.  Surgery or radiation therapy are equally effective in treating prostate cancer which provides patients the ability to make a personalized choice in their care.  Finally, surgery or radiation are not always required for prostate cancer which is why the Adena Urology and Oncology teams work together to determine the best care path for their patients. Many patients can be followed with just periodic surveillance.

“As for many types of cancer, screening for prostate cancer and early detection is key to effective treatment and long term outcomes,” says Dr. Christian. Adena Urology offers leading, comprehensive care for regional patients with all types of urological needs. Adena physicians are accessible to patients and dedicated to the mission of serving our communities. Should you experience symptoms or be a candidate for screening, tell your primary care provider or call Adena Urology at (740) 779-4370.

One in eight women will be diagnosed with invasive breast cancer in her lifetime; and the American Cancer Society says one in 39 women will die from the disease. Screenings and consistent treatment are proven to increase the chance of survival, though many people face other challenges while in the fight for their life. These can include job loss, mounting utility bills, housing insecurities, or a lack of transportation or childcare that may be keeping a patient from getting to their breast cancer treatment.

There is help.

Adena Health System is proud to be a 2021 Breast Cancer Fund of Ohio (BFOhio) grant recipient. BCFOhio makes emergency funding available to any Ohio resident who is currently fighting breast cancer, and meets program criteria. The applicant does not have to be a patient of Adena Cancer Center to be eligible for this assistance.

Each year, BCFOhio funds go to Ohio organizations that manage the emergency financial assistance to help breast cancer patients meet essential living needs, making it easier for them to get the quality health care and treatment they require.

The Breast Cancer Fund of Ohio is a statewide, independent, nonprofit organization established by breast cancer survivors. Help provided by BCFOhio is funded by the sale of Ohio's Breast Cancer Awareness License Plate and other contributions.

To learn how you can apply for BCFOhio Emergency Assistance, contact Adena Cancer Center Social Worker Mary Brown by email at mbrown3@adena.org, or by phone at (740) 542-3061.

(image) The Adena Regional Medical Center (ARMC) Laboratoryhas again received a two-year accreditation from the Accreditation Committee of the College of American Pathologists (CAP). The accreditation is based on results of a recent on-site inspection.

“As far as lab accreditations go, CAP is the highest accreditation a laboratory can receive,” said Adam McGonigle, Director of Laboratory Services. “There are thousands of regulatory requirements that we are held to. By going through CAP, we know that we are providing the best quality service we can for our patients and providers.”

With this recognition, ARMC’s Lab – which during the 2020 portion of the Coronavirus pandemic added about 4,300 COVID-19 tests each month to its usual heavy patient test load – remains one of only about 8,000 CAP-accredited facilities worldwide. 

The CAP accreditation process is designed to ensure the highest standard of care for all laboratory patients. During an inspection, laboratory’s records and quality control of procedures for the preceding two years are inspected. CAP inspectors also examine laboratory staff qualifications, equipment, facilities, safety program and record, and overall management.

The stringent nature of the accreditation process is why Adena chooses to pursue the designation. Since the early 1960s, the federal government has recognized the CAP Laboratory Accreditation Program as being equal to or more stringent than the government’s own inspection program.

Adena Health System Laboratories provide testing in chemistry, COVID-19, hematology, microbiology, pathology, molecular, and transfusion services. Adena’s CAP-accredited labs are located at Adena Regional Medical Center in Chillicothe, Adena Greenfield Medical Center and Adena Pike Medical Center in Waverly. Adena also offers lab specimen collection sites in Chillicothe, Circleville, Greenfield, Jackson, Washington Court House, Waverly and Wellston that work directly with its accredited labs. For more information, visit Adena.org/lab.

While Adena Health System, like many other organizations administering COVID-19 vaccinations to state-designated members of the public, looks forward to more widespread vaccine availability in the future, it is successfully continuing to maximize the number of shots in arms it is administering with the vaccine it receives.

“We’ve had little to no waste, which is our number one priority – not wasting any vaccine and staying within the parameters the Ohio Department of Health has given us,” said Seth Haynes, Adena Director of Performance and Quality Improvement who has also been involved with state and regional discussions regarding the vaccine rollout. 

Currently, those state parameters permit vaccination of those 65 and older and any Ohioans born with or who have early childhood conditions that carried into adulthood which put them at higher risk of serious illness due to COVID-19. A list of those conditions can be found on Adena’s and the Ohio Department of Health’s respective websites. 

During a recent day of appointment-only vaccine administrations at Adena’s PACCAR Medical Education Center in Chillicothe, that connection to other health issues was cited by Linda Cozad and Karen Butterbaugh as key reasons why they chose to be vaccinated. Butterbaugh, after praising the professionalism and ability of the caregiver administering her shot, stated that she was there because she didn’t want to “catch something and die.”

“I’m serious, because I have diabetes and asthma and I know I wouldn’t make it, especially when it affects your lungs like it does,” Butterbaugh said.

Don and Linda Cozad had different reasons for coming down together for their vaccinations – Linda due to concerns over COVID-19 in connection with her other health issues and Don because of his work around other people in a church pantry with which he’s involved – while Terry and Sheryl Morris said that concern over the seriousness of the disease and a desire to do their part to get everyone through the crisis and back to normal life drove their decision to vaccinate.

As of the middle of last week, Adena had vaccinated around 2,800 members of the general public off a list of more than 5,000 names who at that point had expressed a desire to be vaccinated since January. While the Health System has the processes in place to be able to handle more vaccinations, the limiting factor is the amount of available vaccine it is being provided.

Haynes said Adena has, on average, been receiving between 200 and 600 weekly doses of the Pfizer vaccine to be administered as first doses to those on the list. It also receives the appropriate number of second doses for those returning at the appointed time for those to be administered.

While vaccine availability continues to be a concern nationwide during the initial stages of the public vaccination rollout, there is reason to hope for a significant improvement heading into the spring and summer months. In early February, Moderna announced that it should have its first 100 million U.S. doses delivered by the end of March with a second 100 million in May. The U.S. government also has purchased a third batch of 100 million doses from the company. Pfizer, meanwhile, plans to have 200 million doses of its vaccine delivered as soon as May. Both vaccines require two shots spaced nearly a month apart for maximum benefit.

A third vaccine from Johnson & Johnson received emergency use authorization from the U.S. Food & Drug Administration late last week and cleared its final hurdle over the weekend to start putting shots in arms. While availability of that single-shot vaccine will initially be limited to around 4 million doses until production is ramped up following its approval, Biden administration officials indicated Sunday that around 16 million doses may be available by the end of March. 

To take advantage of the expected expanded availability, Adena officials continue to encourage residents of any age older than 16 -- regardless of whether they regularly receive care from an Adena medical provider -- to visit Adena.org/covidvaccine and fill out an online form to be added to its list of those interested in being vaccinated. The Pfizer vaccine has been approved to be administered to those 16 and older while the Moderna and Johnson & Johnson vaccines have been approved for those 18 and older. Clinical trials are currently ongoing regarding those younger than 16 so those in that age range should not be signed up for vaccinations at this time.

Haynes reiterated that Adena is following state guidelines regarding who is eligible to be vaccinated, which as of Monday were those older than 65 or those with one of the state-approved conditions. During a press conference Monday afternoon, however, Governor Mike DeWine announced a new phase 1C of eligibility beginning Thursday that will include individuals working in child care services, funeral services and law enforcement and corrections officers, as well as those with type 1 diabetes, pregnant women, bone marrow transplant recipients and those living with ALS. DeWine also said Thursday will mark the beginning of Phase 2 eligibility, meaning anyone age 60 and older will be eligible to be vaccinated. A timeline has not yet been set for future age reductions.

Toward that end, Haynes has a request for those who can’t make it to scheduled appointments.

“I would encourage anybody who is not able to make it to their scheduled appointment for whatever reason to please contact our Hotline at 740-542-SAFE (7233) to let us know because that will allow us to get somebody else scheduled,” he said.

(image) Bennie Upchurch, MD, FACP, AGAF, FACG, FASGE is an Adena Gastroenterologist who joined Adena Health System in 2020 after years of serving patients in private and institutional practice throughout central Ohio. As a physician certified by the American Board of Internal Medicine, Dr. Upchurch treats all ranges of and all ages with gastrointestinal issues. He can’t stress enough the importance of age- and history-appropriate colonoscopies to help save the lives of patients.

Don’t Vent, PRE-Vent

There are around 140,000 of cases colorectal cancer (CRC) diagnosed each year in the U.S. CRC can occur in the colon or rectum when abnormal cells appear in a tissue growth or polyp. Polyps are often initially noncancerous and occur in nearly half of average-risk men and women age 50 and older. But if left untreated, the polyps can develop the abnormal cells that lead to cancer.

“Colorectal cancer is preventable cancer,” says Dr. Upchurch. “It’s one of only a few preventable cancers because by following advised screening practices, patients get any potentially harmful polyps removed during their colonoscopies.” So why would patients not get their prescribed colonoscopies? There could be a few excuses why patients don’t get their regular colon screening, but typically, once a patient has a colonoscopy, they realize it’s generally simple, painless and the definitive way to prevent colorectal cancer.

“Some patients have anxiety over getting their colonoscopies – they’ve heard the prep is unpleasant, the procedure is uncomfortable or risky, or they might have an adverse reaction to the anesthesia,” says Dr. Upchurch. “But there have been a lot of improvements to colonoscopy procedures, and our Adena Gastroenterology (GI) team uses innovative techniques.” The Adena GI team screen and assess patients before their visit. Currently, patients are required to have a pre-colonoscopy COVID-19 test to ensure their health safety. Once patients are cleared and ready for prep, the Adena GI team works with them and walks them though every step of the process.

Watch Your Back

Generally, as with many cancers, as people get older, their risk of getting colorectal cancer increases. Women 50 and older have an increased chance of getting cancer of the proximal colon, or first and middle parts of the colon, than men of the same age.* Other commonly found risks that increase chances or colorectal cancer are existing medical conditions such as a bowel disorder (i.e. Crohn’s, ulcerative colitis) or personal/family history, or a lifestyle habit such as: lack of exercise, poor diet (low fiber/high fat), obesity, or regular use of alcohol or tobacco. To know what factors may put you at personal risk, visit the Adena colon cancer health risk online assessment tool.

Early colorectal cancer may often appear without symptoms, which is why it is so essential to get proper screenings. If a patient does have symptoms, they could be:

• Bleeding from the rectum
• Blood in the stool or in the toilet after having a bowel movement
• Dark or black stools
• Decreased appetite
• Unintentional weight loss
• Weakness/fatigue – shortness of breath

Don’t Poo-Poo the Prep

One thing Dr. Upchurch always stresses to his patients, “Understand the importance of bowel prep.” The better the prep works, the easier it is for the doctor to see everything and make sure that any polyps are removed. “There have been lots of changes to preps over the years to make them more tolerable for patients,” says Dr. Upchurch. The Adena Gastroenterology team can help patients choose a prep method/product that will work best for them. “Proper prep basically ‘washes the grass clippings from the sidewalk’,” says Dr. Upchurch, “and it is key for a successful colonoscopy.”

Adena Primary Care Providers will refer their patients 50 years and older, or sometimes sooner if they have certain risk factors or history, to receive a colonoscopy. Most insurance companies and Medicare will cover a patient colonoscopy after age 50 and follow-up colonoscopies every five to ten years. Patients can also call Adena Gastroenterology directly at 740-779-8530 to schedule their colonoscopy or visit Adena.org. Having your colonoscopy can prevent colorectal cancer. It’s an important health milestone you can’t afford to neglect. If you’re due for a colonoscopy because of age or risk factors, call you doctor or Adena Gastroenterology today!

* American Cancer Society. Colorectal Cancer Facts & Figures 2020-2022. Atlanta, GA: American Cancer Society, 2020. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/colorectal-cancer-facts-and-figures/colorectal-cancer-facts-and-figures-2020-2022.pdf.

The American College of Surgeons (ACS) Commission on Cancer (CoC) has granted the Adena Cancer Center another three-year, full accreditation. The status recognizes the Adena Cancer Center – designated as a comprehensive community cancer program that is the only one of its kind in southern Ohio – among the nation’s best facilities for improving survival and quality of life for cancer patients, using cancer prevention, research, education, and comprehensive, quality care.

Adena has received the accreditation every three years going back about three decades. During the last three-year review period, Adena was able to create a medical oncology clinic in Fayette County, add a thoracic surgeon and achieve radiation oncology accreditation from the American College of Radiology for the first time. Roughly 70 percent of all cancer programs nationwide choose to go through the voluntary Commission on Cancer national accreditation process, and Adena Radiation Oncologist Dr. Gregory Thompson said the process utilizes strong benchmarks to help ensure the Health System is providing the highest standards in cancer care delivery.

“We are going on probably around 30 years of accreditation, which is remarkable,” Dr. Thompson said. “There’s a lot of people who work really hard to maintain that accreditation. It’s a huge investment of resources that really pays off in terms of quality and delivering the best care to the community.”

The CoC survey assesses Adena’s cancer program on a number of standards including: quality, research, continual goal setting and improvement, and survivorship. The CoC accreditation is a measure that shows Adena is delivering quality care across the spectrum of a cancer diagnosis. This includes the program’s continued growth and adaptation to the ever-changing landscape of cancer care.

With this accreditation, Adena Cancer Center will be listed on CoC’s website in the, "Find a CoC-Accredited Program" section, making it easier for patients to find close-to-home, comprehensive cancer care. A CoC designation helps the public immediately recognize Adena’s commitment to patient-centered cancer care and quality. 

If you or a loved one are in need of cancer care, contact the Adena Cancer Center at (740) 542-3030 or visit Adena.org/cancer.   

(image) Quit the Smoke – No Joke!

Fred Yingling, RPh, MBA, Health System Director of Pharmacy Services and Michael Johnson, PharmD, Ambulatory Pharmacy Director are two hard working Adena pharmacists. They’ve both been with Adena for nearly ten years, of which, almost six of those years have been dedicated to creating and overseeing Adena’s Smoking Cessation program. The program initially started at the request of a local company looking to improve their employees’ health by helping them to quit smoking. The program was such a success that Adena Health System offered it to their own employees, and now it is available to anyone who wants to quit smoking.

The “Why” in Try

Cigarette smoking is the number one cause of preventable disease and death worldwide, according to the American Lung Association. It claims over 443,000 American lives each year. According to the Centers for Disease Control (CDC), Ross County, Ohio, has a significantly higher rate of lung cancer (94.7) compared to the state of Ohio (69.3) and the U.S. (54.6). Ross County also has considerably higher death rates due to cancer (196.2) than state (176.2) and national (159.4) levels, of which, the leading occurrence is lung cancer. In addition to the high death rate due to lung cancer, Ross County has higher than state and national rates of heart disease, stroke and chronic lower respiratory diseases*. These are all conditions that can be brought on or have an increased risk from smoking.

To lead by example and create a healthy environment for our patients, visitors, employees and volunteers, Adena Health System follows a 100% smoke- and tobacco-free policy at all its facilities. This policy applies to all visitors, patients and employees on all areas of Adena properties including green spaces and parking lots. The Adena tobacco-free policy sets a positive example for community members and helps those wanting to quit know they have a safe and healing environment at Adena.

“We show smokers there are immediate and long-term health benefits to quitting,” says Michael Johnson. Some of the immediate benefits are improved taste and smell, improved breath, less yellowing of teeth, fingers and fingernails, and less being “winded” by daily activities such as walking or climbing stairs. Healthwise, smokers who quit, experience:

• After 20 minutes: drop in heart rate and blood pressure
• After 12 hours: the carbon monoxide level in blood drops to normal
• In 2 weeks to 3 months: improved circulation and lung function
• In 1 to 9 months: reduction of coughing and shortness of breath
• After 1 year: risk of coronary heart disease reduced to half that of a nonsmoker
• After 5 years: risk of mouth, throat, esophagus and bladder cancer cut in half; stroke risk can fall to that of a nonsmoker after 2-5 years
• After 10 years: risk of dying from lung cancer reduced to half
• After 15 years: risk of coronary heart disease is that of a nonsmoker

In addition to better health, smokers who quit can also realize some significant cost savings by not purchasing cigarettes or other tobacco products. Michael and Fred have detailed cost saving scenarios showing patients they can save thousands of dollars a year by quitting.

The “It” in Quit

Tobacco, like other addictive substances, is not easy to quit which is why Adena is here to help. Studies show cessation programs that combine counseling and medications significantly increases a participant’s success rate. “We typically use nicotine replacement or drug therapy to help patients reach their goal of quitting,” explains Fred Yingling, “And we are often able to help supply patients with initial over-the-counter medications.”

At Adena, the Quit Clinic helps patients take the appropriate interventions based on their willingness to quit. “We work with patients to determine their best cessation pathway,” says Yingling, “Each person requires an individual approach. We use the five A’s: Ask, Advise, Assess, Assist, and Arrange, to guide our patients through their tailored cessation program.”

The Adena Quit Clinic is a 12 week, in-person (or via online) clinic, designed to help people quit smoking. Program participants have a scheduled visit every two weeks in order to discuss and assess their challenges and progress. During a patient’s first visit, an Adena Quit Clinic pharmacist works to evaluate the participant’s tobacco habit and develop a cessation plan that is achievable. They help patients find the right tools to enable success, including over-the-counter nicotine replacement therapies and/or prescription drugs depending on the patients’ needs. The Adena Quit Clinic operates out of the Adena Chillicothe Rehab & Wellness location and from the Adena Medical Centers in Jackson, Waverly and Greenfield.

The How is Now

“We partner with patients through each step of the program to help them reach their goal of quitting,” says Johnson. Part of the program entails identifying “triggers” that entice smokers to light up. Sometimes, just the habit of lifting a cigarette to mouth just needs to be broken. “We talk to patients about their triggers and work to find healthy replacement options, such as taking a walk when they crave a smoke or drinking a glass of water.”

Quitting is hard. The Adena Quit Clinic pharmacists know how to help smokers use a variety of means to get them through the difficult times. “We often tell patients to let all their friends and family know they are quitting,” says Yingling, “this keeps them accountable to themselves and helps others be supportive.” Other tips include setting a quit date, knowing that a craving lasts six minutes to try and avert lighting up with another activity and realizing that the first 72 hours will be the most difficult. Patients may also experience restlessness, frustration, anger and difficulty concentrating along with other temporary withdrawal symptoms. But each day without smoking is a step in the right direction.

If you or a friend or family member want to quit smoking, talk to your Primary Care Provider for a referral or call the Adena Quit Clinic program at 740-779-8745. The experienced program pharmacists can provide smokers with the resources, tools and confidence to quit smoking, for good.

* Adena Health System. Ross County Community Health Needs Assessment. Chillicothe, OH: Adena Health System, 2019. https://www.adena.org/files/resources/ross-county-chna-2019-final.pdf.

(image) Adena Health System and Fayette County Memorial Hospital (FCMH) finalized their agreement for FCMH to become a member of Adena, officials from both organizations and Fayette County Commissioners announced in a signing event held earlier today. Financial terms of the deal were not disclosed.

The 25-bed critical access hospital, located in Washington Court House, will officially become part of Adena Health System on May 2, 2021, and operate under the name Adena Fayette Medical Center. Adena will assume operation management of the hospital today. 

“In today’s healthcare landscape, strong, regional networks are vital, and we are excited about Fayette County Memorial Hospital becoming part of our Adena family,” said Adena President & CEO Jeff Graham. “By adding FCMH, we ensure close to home access to critical medical services for the residents of Fayette County and further advance our delivery of care across the region. Our goal is to grow the care here and not to have people leave the county.”  

Graham also set a vision for what the future of healthcare in Fayette County will look like in the coming years, “A key component of this agreement is what the future holds for the physicians, advance practice providers and caregivers at Adena Fayette Medical Center and the residents of Fayette County. Through the course of our due diligence, we looked at the investment needed for the current hospital and it really changed our discussions about the future. And that future involves building a new critical access hospital on the current site. We understand the impact localized healthcare has on a community and how a new hospital drives the local economy. Having facilities that allow new services for patient care.”

Further details around Adena Fayette Medical Center’s construction project will be announced at a later time.

The new agreement deepens a collaboration between the two organizations and builds on an existing partnership established in 2018.

“The mission of Fayette County Memorial Hospital, since its founding in 1950, has been to improve the health of our community through high-quality patient care and education,” FCMH CEO Mike Diener said. “That mission and the desire to be our community’s first choice for healthcare has been the foundation for our decision to initially partner with and now join Adena Health System. Adena has already proven their commitment to providing access to valuable care right here at home. Adena’s desire to come along side us and invest in our caregivers and our campus will ensure our original mission continues in a new hospital that will enhance our ability to deliver quality patient care with advanced medical technology and increased training opportunities for our caregivers. We are eager to take this next step with Adena Health System and look forward to what the future holds for the residents of Fayette County and our surrounding communities.” 

Adena and FCMH received approvals to move forward with all agreements in unanimous votes by the FCMH Board of Trustees on Jan. 25 and the Adena Board of Trustees and Fayette County Commissioners on Feb. 1.

“Fayette County Commissioners are very pleased to come to this agreement with Adena Health System,” explained Jim Garland, President, Fayette County Board of Commissioners. “Adena’s commitment to keeping healthcare local and their demonstrated years of partnership in providing specialty care in Fayette County, we believe presented the best possible outcome for our residents. We look forward to a long, successful relationship.”

Based in Chillicothe, OH, Adena Health System is an independent, not-for-profit and locally controlled healthcare organization founded by nine area churches serving the needs of people in nine counties of south central and southern Ohio for over 125 years. It employs nearly 4,000 people. Adena provides specialty services typically found in larger markets keeping patients close to home for their care. Driven by a mission of “Called to serve our communities”, Adena Health System now includes four hospitals, six regional clinics and multiple primary care, specialty clinics and urgent care locations.

Have you had to miss some of life’s best moments due to abdominal pain, nausea or worse, after eating? It could be a sign of gallstones or gallbladder disease. Fortunately, Adena Health System can help!

The gallbladder is a small pear-shaped organ located under the liver. It stores and concentrates bile produced in the liver that gets released into the upper small intestine and aids in the digestion of fat. When the duct to the small intestine gets blocked with either gallstones or bile build-up, the resulting irritation causes inflammation that leads to abdominal pain, discomfort and often gallbladder disease.

Gallstones are caused by a chemical imbalance in the bile that leaves excess cholesterol to form small “stones” in the gallbladder and the hepatic duct (which leads to the small intestine). Gallstones are very common and not problematic until they start accumulating. It is thought that an excess in high-fat foods may trigger the gallstones. Foods such as fried foods, highly processed foods like cakes, pies and cookies, whole-milk, cheese, ice cream, butter and fatty red meat should be avoided if a person has gallbladder issues. Symptoms of gallbladder disease include abdominal pain, nausea, vomiting, chills, fever, chronic diarrhea, jaundice and irregular stools and urine.

Although medicines can be used to relieve discomfort, the definitive treatment for gallbladder issues is to remove the gallbladder surgically. Removing the gallbladder often has little impact on the digestive system and the procedure is regularly done minimally invasively to reduce pain and recovery time.

The risks of not treating gallstones can include unpredictable attacks of gallstone pain, gallbladder rupture, episodes of inflammation or serious infection of the gallbladder, bile ducts or pancreas. Jaundice and discomforts like gas, vomiting, and diarrhea can occur and diminish quality of life.

The bottom line? You don’t need to live with the disruption of gallbladder pain and discomfort. Call Adena Surgical for a consultation at 740-779-4550, so you don’t have to leave your date at the table!

(image) Adena Health System took several steps closer to adding Fayette County Memorial Hospital (FCMH) to its family of hospitals, with the approvals on several agreements by the Adena Board of Trustees and Fayette County Commissioners. 

The Adena Board of Trustees, in a unanimous vote on Monday, agreed to move forward on all transaction agreements for Adena to acquire the 25-bed critical access hospital. Last week, in another unanimous vote, the FCMH Board of Trustees adopted a motion to move forward with the agreement as well. Under the approved agreement, Adena would begin a management agreement of FCMH operations on February 15, with targeted completion of the transaction April 1.

Additionally, the Fayette County Commissioners agreed yesterday to move forward with the transfer of real estate and Emergency Medical Services (EMS) management agreements to Adena. Because FCMH is currently county-owned, Commission approval of the agreements was needed.

“Having FCMH formally become part of the Adena network is the welcome next phase in making sure people across our region have continued access to quality health care, right in their own back yard,” said Adena President and CEO Jeff Graham. “The partnership we have had with FCMH has been successful for them, for Adena and most importantly for the patients who don’t have to travel far from home to receive the specialty care they need.”

Graham added, “When we reengaged with the Fayette County Commissioners and FCMH Board about taking on FCMH, we decided it was the right thing to do for each of our organizations; as well as an important opportunity to keep care local for those in the communities we serve. This is exciting news for the growth our Health System and rural healthcare across southern and south central Ohio.”

In a statement released by the Fayette County Commissioners, “The Fayette County Commissioners are happy to report an agreement is being finalized to bring Fayette County Memorial Hospital into the family of Adena Health System. As Commissioners we are pleased that the many conversations that have been held with both the Fayette County Memorial Hospital Board of Trustees and Management from have brought us to the point of continuing to provide local health care. Adena Health System provides the opportunity with many specialists to allow our families, friends and neighbors to get care close to home.We look forward with great anticipation to working with Adena Health System to provide great health care right here in our community.”

Adena has been providing a wide range of primary and specialty care services to residents in Fayette County since 2012. Adena and FCMH partnered on a formal clinical affiliation agreement in September 2018, expanding the volume of specialty care being offered on the hospital’s Washington Court House campus. 

Adena Health System currently includes Adena Regional Medical Center, located in Chillicothe; Adena Greenfield Medical Center; and Adena Pike Medical Center, located in Waverly. FCMH, which will be rebranded as Adena Fayette Medical Center, will be Adena’s fourth hospital in its system.

(image) John Keller, MD is an Electrophysiologist who has been with Adena Cardiology for eight years. During that time, he and the Cardiology team have brought many new procedures to Adena Health System to not only help treat patients, but also give them a chance at a cure. He takes pride in advancing the cardiac treatment of patients locally so they can be cared for close to home.

The A to Z on Afib

Atrial Fibrillation, commonly called Afib or AF, occurs when the heart's upper chambers (atria) beat irregularly, out of coordination with the lower chambers (ventricles). “Afib is caused by disorganized electrical impulses in the atria,” says Dr. Keller, “ultimately, we don’t know what causes these disorganized charges, but we know that conditions such as obesity, hypertension (high blood pressure), coronary disease and sleep apnea can all lead to risk of developing Afib.”

Often patients will present no symptoms of Afib, but when symptoms do occur, they can include heart palpitations, shortness of breath and fatigue. “Forty percent of patients are asymptomatic,” explains Dr. Keller, “but having Afib can put them at risk for some dangerous things, such as a heart attack, stroke or heart failure.” The erratic heartbeats in the atria can lead to blood clots which can then move to other parts of the body, causing stroke (brain) or heart attack. This is an important reason for people to get appropriate screenings and regular check-ups. “The longer that a patient has Afib, the harder it is to get rid of,” says Dr. Keller.

Keeping You on Rhythm 

If a patient shows signs of Afib during a check-up or screening, their Primary Care Provider will generally refer them to the Adena Cardiology team where specialists like Dr. Keller perform thorough case reviews to assess the patient’s risk factors for heart attack, stroke and heart failure. This helps determine the best Afib treatment plan. There are two approaches in getting a patient’s heartbeat back into regular rhythm – one, is rate control and the second, is rhythm control. “The approach we take depends on the patient’s history, age, general health and symptoms,” says Dr. Keller. “Each case is very individualistic, so we need to tailor a treatment to the complexity of the patient’s condition.”

 A rate control treatment is generally a medication-based approach using blood thinners or beta blockers, while rhythm control is treated with medication, cardioversion (shock treatment), ablation or surgery (or a combination of these) with the intent to end or cure a patient’s Afib. Dr. Keller says that he’s been treating Afib patients more and more with AF ablation that uses a burning or freezing technique to create scar tissue in the atria that disrupts the erratic electrical impulses. Dr. Keller quite often uses cryoablation (freezing technique) which is a relatively fast and simple and has repeatable outcomes. Once the procedure is over, a patient usually stays in the hospital one to two days for observation. Ablation cure rates for Afib are around 70-75% says Dr. Keller, although in some cases it may take more than one Afib ablation procedure.

How Not to Clot

Not every patient is a candidate for ablation, shock therapy or surgery. In these cases, doctors often use blood thinners to help prevent clotting to reduce risk of strokes or heart attacks. When blood thinners aren’t an ideal solution due to a patient’s risk factor of blood loss through a fall or injury, Adena Cardiologists often use an advanced, minimally invasive, implantable deviceto help avert blood clots. “This implant is what’s known as a left atrial appendage occlusion device,” says Dr. Keller, “and it can be highly effective in preventing clots for patients who can’t go on blood thinners.” 

We’ll Treat You Right

Dr. Keller wants patients to know that Adena Cardiology offers comprehensive Afib treatments with options for every patient – “right here where they live.” The Adena Cardiology team helps patients manage their Afib through a number of therapy options, and partners with them to help them control and often reverse atrial fibrillation. If you’ve experienced Afib symptoms, or have heart concerns, contact your Adena Primary Care Provider, Adena Cardiology at 740-779-4570 or visit Adena.org to schedule an appointment. There are options for treating and even curing Afib – Adena can treat you with a comprehensive care approach close to home.

(image) In recognition of February being American Heart Month, let’s focus on the body’s wonderful workhorse, your heart! Your heart is at the center of it all, continuously pumping around 2,000 gallons of blood through the body each day. It delivers oxygen and nutrients to the cells while also removing waste. It’s comprised of four chambers: two upper chambers called the right and left atria (singular: atrium) and two lower chambers called the right and left ventricles. The heart is an amazing vital organ!

To help you with heart care, Adena Cardiology has a range of advanced services and strategic relationships with the area’s top cardiac professionals. Adena can check patients’ heart health with a Cardiac Calcium Scoring test. Cardiac calcium scoring can determine if you’re at risk of a heart attack or heart disease and is recommended for women over 50 and men over 40 who have risk factors including:

The cardiac calcium scoring exam is a simple, painless computerized tomography (CT) scan that can be completed in minutes. It determines the amount of calcium build-up in the heart’s coronary arteries which can indicate a patient’s risk for a heart attack. The exam can detect early stage heart disease even when a patient shows no symptoms.

Adena Cardiology offers comprehensive treatment for heart disease and related cardiac issues. They have a strategic partnering relationship with the Heart and Vascular Center at The Ohio State University Wexner Medical Center. “Our partnership with OSU’s Heart and Vascular team is a great benefit for our patient’s,” says Adena’s Jarrod Betz, MD, “together, we are able to take a holistic approach to our patients that may need heart surgery.” Dr. Betz is an interventional cardiologist who often treats patients for aortic stenosis, a leaky heart valve, one of the most common and serious heart valve diseases. Aortic stenosis occurs when there is a narrowing of the valve in the large blood vessel (aorta) branching off the heart. This narrowing keeps the valve from opening fully, reducing blood flow and putting additional stress on the heart. Symptoms of aortic stenosis can be shortness of breath, chest pain or tightness and/or chronic fatigue.

“When a patient comes to us with aortic stenosis, we do thorough work-ups with CT scans and tests to understand the range of their condition,” says Dr. Betz. He then engages the team from the Heart and Vascular Center at The OSU Wexner Medical Center to determine the patient’s best care path, including options for surgery. “We meet regularly as a ‘heart team’ to discuss the best plan for our patients,” says Dr. Betz. “Most often, we have to replace the aortic valve and we’ve had a lot of success in treating our aortic stenosis patients with a transcatheter valve replacement (TAVR) procedure.” The TAVR procedure has really become the standard of care over the last 15 years for aortic stenosis, explains Dr. Betz. Prior to that, patients would typically have open-heart surgery to replace the aortic valve, which is harder on the body and often requires a four to eight week recovery time. “With the TAVR procedure, we access the valve through the femoral artery or through small incisions in the chest which makes the replacement less invasive and usually means a quicker recovery time,” says Dr. Betz.

(image)

“The strategic alliance with The Ohio State University Wexner Medical Center’s Heart and Vascular team means that our Adena patients get comprehensive expert care with all their planning and follow-ups happening close to home,” says Dr. Betz. “The team approach promotes individual assessment and continuity of care and that’s what makes it such a benefit to our patients.”

Patients who feel they may be experiencing heart disease symptoms such as general tiredness, chest pain or tightness and/or shortness of breath, should check with their Adena Primary Care Provider to assess their risk and determine next steps through either a calcium scoring test or other examination. Annual health exams are highly recommended by Dr. Betz as an important means of discovering heart issues. Fortunately, the Adena Cardiology team can address and treat patients for a full range of cardiac issues, so they can help you start the journey to heart health.  

If you have heart concerns, call 740-779-4570 or visit Adena.org/cardio to see how Adena Cardiology can help!

Adena Health System is expanding its care for patients with the addition of six specialty providers, across multiple service lines. These incoming physicians and advanced practice providers are delivering even more options for comprehensive, close-to-home care for our patients throughout the region.

Adena is pleased to welcome:

Brenda Mershon, Certified Nurse Practitioner joins Adena Kidney Specialists caring for patients in Chillicothe. Mershon earned her Family Nurse Practitioner degree from Marshall University in Huntington, WV.  

Kirk Rankine, MD is now accepting new patients with Adena Kidney Specialists, seeing patients in Chillicothe, Circleville, Jackson, Washington Court House and Waverly. A board-certified nephrologist, Dr. Rankine earned his medical degree from the State University of New York Upstate Medical University 

Emily Reynolds, Certified Nurse Practitioner is now seeing patients at Adena Urgent Care locations throughout the region. Reynolds has been with Adena for eight years previously working as a staff registered nurse and patient care coordinator. She earned her Family Nurse Practitioner degree from the Chamberlain College of Nursing.

Matthew Weaver, Certified Nurse Practitioner, is welcomed to the growing team of providers at Adena Urgent Cares. Weaver returns to Adena having cared for patients with Adena Occupational Health during his clinical rotations. He earned his Master’s degree in Nursing from The Ohio State University.

Brittany Weeks, PsyD is now caring for patients at the Adena Counseling Center. Dr. Weeks is a graduate of Marshall University in Huntington, WV, where she earned her doctorate degree in Clinical Psychology.

Laura Wells, Certified Nurse Practitioner comes to Adena Cardiology caring for patients in Chillicothe. Wells earned her Adult-Gerontology Acute Care Nurse Practitioner Specialty degree from the Mount Carmel College of Nursing.

(image) Meet Seth Haynes, Director of Quality and Performance Improvement at Adena Health System. Seth, who has been very active working with other regional and local organizations in connection with COVID-19 vaccine distribution, unfortunately has personal experience with Coronavirus after contracting the virus shortly before Christmas. Here, he shares his story of being hospitalized during the holidays to provide another perspective to area residents considering whether to wear masks, socially distance, practice good hand hygiene, avoid large gatherings and get vaccinated when the vaccine becomes available to them.

On discovering he tested positive for COVID-19

“I tested positive for COVID December 16. I’m a healthy 37-year-old and I’ve never been hospitalized in my life. I’ve actually only been to an Emergency Department once in my life, nothing serious. During the first five days after testing positive, I had very severe, flu-like symptoms and I had all COVID symptoms minus losing my taste and smell that you’ve heard of. After day five, though, I went to the ED here in Chillicothe because I started to have really bad shortness of breath. It really progressively got worse until Christmas morning when I woke up about 5 a.m. – I was really trying to make it to watch my 3-year-old and 7-year-old open Christmas presents – but I couldn’t make it any longer because my oxygen level had dropped to about 85 percent and I was really gasping to try and breathe. I probably waited a day longer than I should have before going back to the ED. I was admitted on Christmas Day and I was hospitalized for five days.”

On his hospital stay

“I was very scared for the first 48 hours because at one point my oxygen had dropped below 70 percent and I was put on very high-flow oxygen to maintain my level at 90 percent for several hours with nurses constantly monitoring me. Honestly, I thought I might die in the place I was born in 1983 without any family by my side and not being able to watch my kids grow up. That still, just to think about it right now, just kind of upsets me.”

On the road to recovery

“I received the best care and treatment from our Adena 2NE team. I received the full regimen of treatment – plasma, steroids, Remdesavir – and then I was able to go home after five days. I still have bilateral pneumonia and other lingering COVID symptoms but I’m feeling much better now. I really want to thank my family, friends and everyone who was praying for me in the community. It really meant a lot, and I think that helped me get through this.”

 A message to the community

“Our family has really taken everything with COVID very seriously with masking and social distancing, but I hope my story that I’m sharing puts into perspective that this virus is unbiased to who gets it, how it might impact you – no matter your age or how healthy you are – and also who you might unknowingly pass it to. I’m urging you to sign up on our website to get the vaccine and when it’s your turn to come get it and to also encourage others in the community to do the same. The vaccine and continuing good hand hygiene, masking and social distancing is the path to ending 

(image) Meet Laura Arnett, a nurse practitioner at Adena Health System who has both worked with patients suffering from COVID-19 and dealt with being infected herself. She has experienced self-quarantining in the basement of her home away from her family for a time and the frustration of being unable to respond when her baby was crying while pregnant with she and her husband’s second child. Despite her best efforts, her husband, baby and mother-in-law, Valerie – who ended up having to be hospitalized -- contracted the virus.

Here, she and Valerie share some of their thoughts -- both from the front lines and as those who have battled the virus -- for members of the community to consider when deciding whether to mask, social distance, practice vigorous handwashing and avoid large gatherings. 

On being infected and trying to protect her family:

“I quarantined away from my husband and baby and they still caught it a few days later. I’m pregnant and my symptoms included dizziness, shortness of breath, fever, chills, body aches, sore throat, cough, loss of taste and loss of smell. I still can only smell at random times three months out now, and I regained my taste a month and a half after having COVID. Even after my 10 days of quarantine, I was still short of breath and dizzy intermittently for a couple weeks after. We tried and tried and tried to avoid (contracting the virus), especially when I was in my first trimester, but couldn’t.”

On the toll hospitalization can take on family members:

“I think the biggest thing that people need to remember is if their family member’s in the hospital, they won’t be able to be there with them. Think about the toll that’s going to take on the family member trying to heal and the toll it’s going to take on the family as well. A lot of these patients can’t handle being away from family.”

Valerie on being in the hospital without family:

“It’s very difficult. You can talk to them on the phone, but it’s not the same. We had to double up beds because they were so crowded (during one of the significant patient surges) and they split the room. My first thought – I’m a very non-social person – was ‘Oh, no!’, but I found myself needing that human contact and having someone else in the room, even though they were sick, too, it was kind of comforting just having someone there. … You think about a lot of things – your priorities and how you want to handle things. It’s really scary and you don’t know if you’re going to die, you really don’t.”

On any similarities to the flu:

“I worked ER for five years before I went to what I’m doing now and this is not the flu. I think it’s hard for people to see that because COVID is so much more contagious – they see just how easily it can transmit without people being symptomatic. Also, people do not realize the long-term effects COVID has on the body in comparison to the flu. It is much different in that sense, in addition to how much more contagious it is.”

On some of the frustrations in offering treatment:

“You try to hold up the morale as best as you can, but you have so many people who don’t take it seriously still. Then, to come in (to work), it’s hard to juggle that.”

On how people should approach stopping the spread:

“I think my biggest thing is people still need to wear a mask, they still need to care about one another, care about your neighbor.”

You can find more stories from the frontlines by visiting Adena’s healthcare heroes page

Your Wellness Journey

People often use the word wellness, but what does it truly mean? Wellness likely means different things to different people. What might be wellness for you, may look completely different for your neighbor or your friend. From a health care perspective, wellness is actively engaging in healthy habits to enable your best physical and mental outcomes. Wellness can be attained, but it must also be maintained in order to achieve a person’s best health. The following tips are presented to help you on your personal wellness journey.

The COVID-19 Detour

When talking about wellness, it’s hard to ignore this past year and the health challenges brought on by the COVID-19 pandemic. But even amidst the health care upheaval, Adena teams have been on the front lines preparing for your office visits. We know the importance of wellness and want patients to know that our Primary Care Physicians (PCPs), Pediatricians and all of our health care specialists are here for you. We are taking extra precautions so you can continue your wellness journey.

In addition to wearing a mask and maintaining six feet of distance between you and others, we also strongly encourage all patients to get their seasonal flu shots. The flu shot is designed protect a person from getting the flu or lessen their flu symptoms. If someone gets the flu without having had a flu shot, they may be more vulnerable to contracting COVID-19. Adena offers flu shots at most of its locations, including Adena Urgent Care facilities (Chillicothe, Circleville, Hillsboro, Jackson and Waverly), the clinic at Walmart in Chillicothe and at all Adena Primary Care and Pediatrician offices.

Adena also recommends that all persons 65 or older or those with a chronic condition such as lung, liver or heart disease, diabetes, alcoholism or smoking, should talk to their PCP about getting a pneumococcal vaccination (pneumonia vaccine). Many COVID-19 patients have struggled with the extra burden of pneumonia in addition to COVID-19. This puts them at greater risk of respiratory failure. Your Adena PCP can help you determine if a pneumonia vaccine may make sense to reduce this health risk.

Taking precautionary measures, getting your flu shot and practicing safe COVID-19 guidelines, are all proactive steps you can initiate on your path to wellness.

The Highway of Lifestyle

Healthy lifestyle habits, including a balanced diet, regular exercise, maintaining a healthy weight, not smoking and reducing stress, can help you on your path to achieve and maintain wellness. If a person is used to living a certain way, it’s not always easy to adjust. But there is help. Adena offers counselling and guidance from physicians and diet/education specialists who can advise patients in making lifestyle changes. The key is starting gradually, making incremental changes you can control and plan for. For example, a newly diagnosed patient with Type 2 Diabetes will likely need changes in their diet, weight, exercise and medications in order to help control their blood sugar. Adena Diabetes & Education specialists are available to guide patients in this new territory. Making small initial changes like eliminating soda, tea or energy drinks from a person’s diet can make a big difference. When a patient starts taking control of their wellness they are working to feel their best.

Along the Way

People, especially as they get older, should envision wellness as a destination, not just a side trip. To help them navigate, it is important for patients to visit their PCP or pediatrician to receive annual wellness checks, vaccines and to get age appropriate health screenings. Adena Family Medicine professionals are committed partners in guiding patients through health risks and for knowing when screenings are necessary. Adena also has convenient online health risk assessment tools. Our PCPs are recognized by NCQA,  a private, non-profit organization dedicated to improving health care quality, as a Patient-Centered Medical Home. This means our PCPs educate, diagnose and treat all basic health needs, including physicals, immunizations, health screenings and disease prevention. Screenings enable early issue detection and early detection can be lifesaving. This chart is a quick guide for when certain screenings are appropriate for adults*:

Because wellness can look different for each person, Adena is here to help. Adena health care professionals are experienced, skilled and caring. They are committed guides in your journey to wellness. If you are due for an annual well-check, or have health questions or concerns, call us to connect you to, or help you find a doctor at 740-779-FIND (3463). At Adena.org, you can find a physician, schedule an appointment and visit the Adena online Wellness Library to or find more wellness tips and information.

(image) On January 4, 2021, the Adena Family Medicine - Jackson Walk-In Clinic will become the latest Adena Urgent Care location! The new Jackson Urgent Care will provide extended hours seven days a week, 8 a.m. to 8 p.m., giving patients more convenient access to the Adena services and health care professionals they trust.

The Urgent Care is located at the Adena Health Center – Jackson, 1000 Veterans Drive. The newly converted Urgent Care will be open 12 hours daily for your urgent health needs. They will treat patients with a wide range of issues including sudden pain, rashes, sinus infections, bronchitis, flu, asthma, burns, fractured bones, sprain/strains, cuts/lacerations, bites, earaches, UTI, sports physicals, flu vaccines, lab tests, imaging services COVID testing and more! *The onsite lab support provides physicians and patients with convenient in-house access and the ability to review results quickly. The Adena Urgent Care - Jackson professionals will continue delivering the quality care that patients know and expect and that has been supporting the Jackson community for years.

To make your visit as efficient as possible, you can walk-in or reserve your appointment online to minimize your wait time.

For even more convenience, your visit and results will link into your Adena medical records. Your Adena Primary Care physician and Adena health care team can easily access your records for secure continuity of care.  

The Adena Urgent Care - Jackson caregivers are committed to get you in, treated and back to life as quickly as possible. And now, they can do that with expanded hours and comprehensive care.

Visit the Adena Urgent Care - Jackson -- when your medical needs can’t wait.

Adena Urgent Care - Jackson
1000 Veterans Drive
Jackson, OH 45640
phone: 740-395-8050

*IMPORTANT FOR PATIENTS WITH COVID-19 SYMPTOMS: If you are experiencing flu-like symptoms, including fever, cough, headaches, please do not visit our urgent care facility. If you, or your family member, have symptoms related to COVID-19, please call our Adena COVID-19 Hotline at 740-542-SAFE (7233). Our 24-hour hotline representatives can help guide your next steps.

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Xequiel Hernandez, MD has been with Adena Family Medicine – Washington Courthouse for three years. He enjoys working in family medicine and wants to help patients understand some of the ins and outs of managing this unusual cold & flu season. Dr. Hernandez is also dedicated to giving back to the community through two regional substance abuse programs that provide local help to those in need.

The Ins and Outs of Upper Respiratory Infections (URIs)

Although upper respiratory infections (URIs) occur year round, they occur more commonly in colder months during the fall and winter. URIs include nasal obstruction, a common cold, sore throat (including strep throat), influenza (flu), tonsillitis, bronchitis, pneumonia, pharyngitis, laryngitis, sinusitis and ear infections. For adults and children, a cold is the most common upper respiratory infection. It’s usually indicated by congestion, runny nose, sneezing, and possibly a sore throat and fever. Right now, as the world battles the coronavirus (COVID-19), it’s not always easy to know if your URI symptoms might be a cold or coronavirus? This chart of typical symptoms can help you compare:

Short on Breath? Could be Bronchitis

Bronchitis is a common URI caused by a virus or by breathing in something that irritates the lungs such as tobacco smoke, fumes, dust and air pollution. The irritation causes inflammation of the bronchial tubes—the major airways into your lungs – and often results in forming a thick mucus. The inflammation and mucus can limit air exchange in the lungs. It can often be confused for coronavirus. “Signs of bronchitis might be excessive coughing, back pain, chest tightness, low fever or fatigue from poor breathing,” says Dr. Hernandez. “When a patient calls our office with symptoms, we have a thorough question-based screening process to distinguish their URI cause.” Once a patient comes into the office and it’s determined they have bronchitis, they are generally treated with anti-inflammatory drugs and analgesics and required rest and fluids. With proper care, cases usually subside after a few weeks. More chronic cases, such as Chronic Obstructive Pulmonary Disease (COPD), may require oxygen, bronchodilator medications, pulmonary rehabilitation, antibiotics, steroids, vaccines, or in severe cases, surgery.

Signs of Sinusitis

Sinusitis, or sinus infection, is another common URI that occurs when your nasal cavities become infected, swollen and inflamed. A sinus infection is usually caused by a virus or bacteria and often persists even after other upper respiratory symptoms are gone. Symptoms of a sinusitis include headache, facial pain, runny nose, bad breath, fatigue, congestion and a reduced sense of smell and taste. Some of these symptoms may lead to its confusion with coronavirus. Again, proper screening and patient history review can help determine if the patient should come into see their Adena Primary Care Provider or call the Adena COVID-19 Hotline at 740-542-SAFE (7233). An acute sinus infection can often run its course in around 10 days without treatment. Patients can take over the counter decongestants, penicillin, cough medicine, antihistamines, nonsteroidal anti-inflammatory drugs or analgesics to help alleviate pain and pressure. If your pain is severe or your sinus infection lasts longer than 10 days, patients should schedule an appointment with their Adena Primary Care Provider or Adena ENT. Chronic sinus infections can last over three months and should be treated with antibiotics. If a patient has more than four sinus infections in a year, they need to see their Adena provider to check into any underlying cause.

Behind the Screen

“Our phone and pre-visit screening process is proven to be effective in determining how best to direct our patients,” says Dr. Hernandez. “Although there is some gray area in these different URI symptoms, we are always cautious, meaning we advise patients to get a COVID-19 test if there is any question.” Dr. Hernandez explains his office can order a COVID-19 test for patients to visit an Adena Urgent Care or other testing location. Patients can also call the Adena COVID-19 Hotline at 740-542-SAFE (7233) any time if they have any questions. “Our priority is to keep our patients safe and take the best approach in guiding them back to good health as soon as possible,” says Dr. Hernandez.

If you have URI symptoms and would like to speak to an Adena health care provider near you, call 740-779-FIND (3463) or visit Adena.org.

(image) Reggina W. Yandila, DO is a Primary Care Provider with Adena Internal Medicine who wears many hats. She has been with Adena Health System for almost 15 years. While she still sees patients, she also connects with the greater community by serving as a member on the Adena Board of Trustees and serving as the Adena Central Regional Medical Director. As Medical Director, Dr. Yandila meets with Adena colleagues to constantly improve patient care using education, technology and feedback from the communities they serve, such as the ECF (Extended Care Facility) Coalition – a group dedicated to elder & long-term care patients and reducing their hospital admissions. Through her many roles, Dr. Yandila helps bring the Adena mission of serving our communities to life.

Push, Don’t Lift

According to the National Safety Council, roughly 100 people die each year from shoveling snow with an average of 11,500 injuries that occur and require a trip to the emergency room. People need to be thoughtful and take precautions when going out to shovel their driveway. “Don’t just ‘get it done’,” says Dr. Yandila, “there are things to consider before exerting yourself out in the cold weather.” The cold causes your blood vessels to constrict, this can lead to decreased oxygen to the heart.  When you are out shoveling the snow or using a handy snow blower, this can cause your blood pressure and heart rate to suddenly increase. This action can cause clots to form and clog up vessels of your heart. So, what can you do? Take steps to best adapt and prepare for winter snow shoveling:

1. Stretch for 10 minutes before going outside – this increases blood flow and breathing and warms up the muscles before doing the hard work of shoveling.
2. Dress appropriately – wear shoes/boots with good traction, hats, gloves and dress in layers.
3. Plan breaks – don’t try to do the work all at one time. Take your time and plan small breaks where you can come inside, warm-up and drink some water.
4. Stay hydrated – drink water before, during and after your time shoveling snow.
5. Push snow versus lifting it – this will help by not putting extra strain on you back, neck and arms. Using a snow blower or a neighborhood teen is even better.
6. Tell someone what you are doing – so they can periodically check on your wellbeing while you’re shoveling.
7. Pay attention to your body – are you experiencing tightness in your chest, heart racing, shortness of breath, abnormal cold sweat or sharp pain, dizziness? Don’t overdo it. Listen to the signals your body may be sending and stop or take a break if something is not right.

Winter Fashion Do’s

Dressing appropriately for cold weather doesn’t mean being fashionable, it’s all about keeping you safe. “Most of us probably remember as kids our parents or an adult telling us to wear a hat when we went outside – and there’s really something too that,” says Dr. Yandila. “The truth is you can lose heat from other areas of your body, it is just sometimes we forget to cover our heads.  “Body heat rises and escapes from your head -- wearing a hat reduces that heat loss. It is also a good idea to cover your nose and mouth when you are outside in the cold to help you breathe in warm air and decrease the chances of irritating your nasal passages and lungs.” Dr. Yandila explains that layering your clothes is a good idea so that if you do start to get hot, you can peel off outer layers so you can remain comfortable. Wearing a moisture wicking underlayer can help keep you dry and reduce the risk of feeling chilled from damp material against your skin. If you have sensitive eyes, you may want to consider investing in a good pair of sunglasses to protect your eyes from the glare of the snow. And of course, it’s always a good idea to have warm gloves, socks and boots. Your extremities (hands and feet) are where frostbite can initially occur so it’s important to keep them warm. Hand and foot warmers can be a great addition for times of extended outdoor exposure.

Travel Advisory

It’s often best to stay in during bad winter weather, but if you need to venture out, here are a few precautionary tips to keep your travels safe. First, try to give yourself plenty of time to get where you’re going. Slippery streets and potential black ice already make for extra hazardous driving, so don’t be in a rush. Try to keep your gas tank close to full. It adds a little weight for stability, and should you get delayed in traffic, you can stay warm and keep your car running. You should always keep a car emergency kit in your vehicle, but it can be especially important in the wintertime. “Another good idea is to pack extra blankets in your car,” says Dr. Yandila, “just in case you get stranded. And we always tell folks to make sure they have their medical information with them should they happen to get into an accident.”

Watch for ice getting in and out of the car and wear shoes/boots with good traction to help keep you upright.

Although winter weather can be challenging, by taking extra precautions, it can also be beautiful, enjoyable and safe. Folks age 55 and older, should listen to their bodies and not overdo it. If you do experience pain or injury, contact your Adena Primary Care Provider, an Adena Urgent Care or the Adena Emergency Department for the appropriate treatment.

Adena Health System, along with other statewide partners, will begin offering COVID-19 vaccinations to the public this week as part of the state’s Phase 1B vaccination program. At this time, Ohioans age 80 and older are the first group eligible.

The Health System is set to receive 300 doses of the Pfizer vaccine early this week in preparation to begin administration on Wednesday, January 20 at the PACCAR Medical Education Center located on the campus of Adena Regional Medical Center in Chillicothe.

Adena’s vaccination administration will be by appointment only. The Health System has begun contacting its patients that meet the eligibility requirements to set appointments. Vaccination appointments can also be made by eligible non-Adena patients by calling Adena’s COVID-19 Hotline at (740) 542-SAFE (7233). Those who cannot get an appointment can be placed on a wait list by visiting www.adena.org/COVIDvaccine. At this time, Adena is offering the vaccine at no cost.    

WHERE:             

PACCAR Medical Education Center

446 Hospital Rd

Chillicothe, OH  45601

WHEN:            

Wednesday, Jan 20, 12–5 p.m. 

Thursday, Jan. 21, 8 a.m. – 5 p.m. 

Friday, Jan. 22, 8 a.m. – 5 p.m. 

Individuals with appointments to receive their vaccination through Adena are asked to bring photo identification and be prepared to wait approximately 15-30 minutes following their shot for monitoring. All vaccination recipients will be asked to schedule and receive their second of the two doses required from the same location at the appropriate time. 

In the early stages of COVID-19 vaccine distribution, doses will be available in limited supply for specific critical populations as a part of phased approach. As supply increases, COVID-19 vaccines will be available to all Ohioans who choose to be vaccinated.

The Ohio Department of Health has launched a tool on coronavirus.ohio.gov where Ohioans can select their county or ZIP code to see a list of providers that received the vaccine. Community members are encouraged to check the state’s website for additional vaccine administration locations. In most counties, vaccines are being made available through area health systems, hospitals, county health districts, local pharmacies and other locations. Each provider manages its own schedules and appointments. Due to the limited supply of vaccines at this time, please do not make appointments at multiple locations.

(image) For months, the approval of vaccines to stop the spread of the Coronavirus has been seen as a critical next step in the eventual return to normalcy. As approval of two vaccines thus far – produced by Pfizer and Moderna – has become reality and administration of initial doses has begun, it continues to be met with questions and uncertainty among some as they consider whether to take the vaccinations once they become generally available.

Whether their hesitance has been brought on by the uncharacteristic speed at which the vaccine was developed and approved, worries about potential side effects, misinformation circulating on social media or simply a desire to wait and see how others handle the vaccinations before agreeing to take the two-shot dosage, it has become apparent that clear communication regarding the vaccine is a must.

Adena board-certified allergists and immunologists Dr. Rekha Raveendran and Dr. Dana Esham – both having already taken the first dose of the Moderna vaccine and heartily encouraging others to do so when it becomes available to them -- have been doing extensive research on the various COVID-19 vaccines. Recently, they took some time to address many of the questions surrounding the Moderna vaccine.

SPEED OF VACCINE DEVELOPMENT

While vaccines traditionally are years in the making, there have been several factors that have contributed to the shorter time frame with this virus, including the fact that earlier last year, scientists received the genetic makeup of COVID-19, which made vaccine development easier. This circumstance, coupled with the fact that mRNA vaccines have been in development over the past decade in response to other viral diseases, have also helped speed the process along, as did the amount of funding made available to push COVID-19 vaccine development and manufacturing forward.

HOW THE VACCINE WORKS

One of the common concerns Dr. Esham hears from patients is that it will have a negative impact on their genetic makeup, which is not the case. The vaccine utilizes a small piece of mRNA that is picked up by the cells in the body to create the spike protein contained on the outside of the COVID-19 virus. The body’s immune system then recognizes the spike protein as an intrusion and destroys the cell while creating antibodies against that protein. Those antibodies will then attack the virus immediately if exposed to it in real life before illness can set in.

Addressing another related concern the two physicians have heard, a person cannot contract COVID-19 through the vaccine because there is no active virus within the vaccine.

“When you get the vaccine, you are getting mRNA that encodes for just a piece of the virus (the spike protein),” Dr. Raveendran said. “By getting this information, your body can make very specific antibodies to the spike protein which can neutralize the virus and protect you should you come in contact with it.”

VACCINE EFFECTIVENESS

In clinical trials, Moderna’s vaccine was shown to be 94.5% effective in preventing COVID-19 infection seven weeks after trial participants received the second dose, with just five people out of 13,934 who received the actual vaccine contracting COVID-19 versus 90 out of the 13,883 participants who were given a placebo. In the trials, the vaccine was 100% effective in the 65-and-older demographic and 93.4% effective in the 18-to-64 demographic, as well as 100% effective against severe infections. The trials also revealed that it can be administered to immunocompromised patients, but its effectiveness may be diminished for them, as well as for any patients who take the first dose but fail to receive the second.

Dr. Esham said those who receive the first dose are, at best, 50 percent protected – making that second dose essential to reach that 94.5% effectiveness. Additionally, it may take 10 to 14 days after the first shot to reach even that 50 percent protection as the body reacts to the vaccine.

She added that even after taking the second dose, people still need to take public safety precautions such as mask wearing and social distancing until enough people take the vaccine to build up more of a herd immunity.

SIDE EFFECTS

While there have been no significant side effects or allergic reactions reported out of the Moderna trials, Dr. Esham and Dr. Raveendran have fielded questions about the few reported serious allergic reactions being investigated from the Pfizer vaccine – the ingredient polyethylene glycol (PEG) is being looked at as the most likely trigger for those reactions but further investigation is still being done into the cause of those reactions. Both vaccines contain the ingredient, but the allergists noted serious allergies to it are fairly rare and that PEG can be found in many everyday products including laxatives, lubricants, toothpaste, lotions and other items. As such, they indicated those who have PEG allergies may already be aware that they have a reaction to PEG and should consult with an allergist when considering whether to take the vaccine.

The most common side effects, however, are those similar to flu shots – some pain at the injection site following the first dose and headache, fatigue, chills and some aching joints reported by some trial participants from the second dose. Those side effects typically last anywhere from two to three days and are more common following the second dose.

VACCINATIONS WITH OTHER ALLERGIES, CONDITIONS

Dr. Esham shares the story of a patient with asthma and medication allergies who didn’t think she could take the vaccine. The fact she had those conditions – particularly for a virus with breathing difficulties as a major symptom – was exactly why she should take the vaccine, Dr. Esham said.

In fact, the doctors noted, those with common food, medication, insect or seasonal allergies are no more at risk of an allergic reaction to the vaccine than those without those conditions. Those with a known history of severe allergic reactions to PEG, however, will likely be advised to avoid the vaccine.

THE UNKNOWNS

While there’s no long-term data available as yet regarding the length of the vaccine’s protection, there is 90-day data from about three dozen people showing the titers showing protection are still there. As time passes, more data continues to be collected.

“The initial data did show that the vaccinated patients have better antibody response,” Dr. Esham said. “I think that’s an important distinction for people to know.”

While getting infections naturally can lead to immunity, this is not always the case. There have been reports of patients getting COVID-19 more than once, as well as patients not having evidence of neutralizing antibodies even after severe COVID-19 infections. 

With vaccines, the goal is targeted immune response to a part of an infectious agent, in this case the spike protein. By being able to target a specific response to a specific part of the virus, the vaccine can provide a better and more specific antibody response in the majority of recipients. 

The most recent unknown comes in the form of reports of a mutated strain of COVID-19 originally coming out of the United Kingdom and now being found in some states. Both doctors said it is too early to tell what impact that may have on the effectiveness of the vaccine, but that it shouldn’t be a factor in deciding whether to take the vaccine. 

“I still think if it’s between getting the vaccine and not getting the vaccine, I would certainly get the vaccine,” Dr. Esham said. “If a new strain becomes an issue and they have to change the vaccine just like they do with the flu vaccine, then we do that.”

Dr. Raveendran added that, on occasion, the flu vaccine doesn’t always match up exactly with the predominant strain of the virus, but that it still provides enough protection to lessen the effects on those who contract the flu. The hope, she said, is that would be the same situation with any mutated strains of COVID-19. 

Moderna recently released a statement expressing confidence its vaccine will be effective against variant strains of the virus, saying the company will continue with testing against those strains.

THE RECOMMENDATION: TAKE THE VACCINE

Both Dr. Esham and Dr. Raveendran enthusiastically encourage taking the vaccine, asking those making up their minds to consider the tragic deaths, long-term health issues, social distancing, economic impact and daily struggles we all continue to experience. They also stress that those who do take it cannot let their guard down in the near future and must continue practicing socially responsible behavior regarding the virus. 

“I want people to be excited, because I think this is the first step to getting our lives back, but we need to take a cautious step because we’re not going to be back to normal life by June,” Dr. Esham said, noting the speed with which other companies get approval for their vaccines and increase the available supply across the country could impact timelines. 

Both doctors say they welcome patients to reach out to them with any questions about the vaccine that may make their decision about taking it a bit easier.

(image) Meet Madison Francis, a float pool nurse who works throughout Adena Health System and has treated COVID-19 patients, also doing post-mortem work. She said that while performing that latter role, it was not uncommon to see a patient pass of Coronavirus on any given shift. 

Here, she shares some thoughts from the front lines for members of the community to consider when deciding whether to mask, social distance, practice vigorous handwashing and avoid large gatherings.

On beliefs held by some that COVID-19 is just a bad flu and only impacts the elderly:

“There’s 50-year-old men and women passing. These are not grandmas and grandpas at the end of their life, these are 45, 50 year olds. These are not the elderly. I think a lot of people don’t take it seriously if they are 45 and healthy and they might just have asthma or hypertension or something along those lines. I take care of patients who were working a 9-to-5 job last week and now are in the hospital requiring 10 liters of oxygen.”

On beliefs held by some that masks weaken the immune system:

“Some people who argue it weakens their immune system by wearing a mask, honestly, it really makes me laugh because I’ve worked 16-plus hour shifts. Since March, I’ve worked anywhere from 40 to 72 hours a week in either a N95 mask or respirator and I’m healthy, so I don’t understand how that would weaken anyone’s immune system. One thing we do know for sure to stop the spread is to social distance, wear masks or facial coverings and practice good hand hygiene.”

On communicating with patient families:

“I’m critically care trained, so I know that when a patient comes in and they can’t breathe on their own – not intubated but they’re on high-flow oxygen therapy or a Bipap – we know what that means. Those patients are still alert and oriented and still talking and still want to communicate with their families, so I make it a point during my shift to communicate with families. I always offer using FaceTime so they can see their family member. … It is so hard to communicate (a patient’s critical condition) to (family members), or they’ll call and say, ‘I want to talk to Dad,’ but he’s on a bipap machine and can’t talk to you on the phone. I can take the FaceTime in there, but he cannot hold a phone and talk because of the machine. … We also try to make it a point to have one person who can call the rest of the family members. It takes so much time just to be on the phone and talk to the families and do FaceTime, and you’re trying to care for these people. It’s a lot, actually.”

On protecting her own family:

“Originally, with all of the uncertainties, I was going to isolate from them. Now that we know more about the virus, after each shift I change my clothes, I shower at the hospital and then I go home. I put my scrubs in a special bag and I wash them as soon as I get home. I make sure my shoes are wiped down. I actually have more fear of getting it at the grocery store than I do of getting it at the hospital now.”

On whether hospital staff are burned out:

“I really think people think our frustration is burnout. We’re not burned out. I will take care of COVID patients every single day, it’s a privilege to be able to take care of our community that way. I see that as I am there for that person.”

To hear more about the experiences of some of Adena’s frontline workers in the COVID-19 crisis, please see the story “COVID-19 toll intense on Adena frontline healthcare workers.”

Adena Health System announced today that it will be transitioning its electronic medical records (EMR) to Epic, the most widely-used and comprehensive health record system in the country. The move to a new EMR platform is one of the key outcomes of Adena’s recent expanded affiliation with The Ohio State University Wexner Medical Center.

Through this partnership, Adena can serve as an Epic Community Connect Partner with Ohio State Wexner Medical Center. This extends Ohio State Wexner Medical Center’s electronic medical records to respective independent partners allowing Adena to leverage the expertise and resources Ohio State Wexner Medical Center invests into optimizing its own EMR platform for the sake of patient care quality. Ohio State Wexner Medical Center will assist Adena in the installation, training and utilization of its new EMR.

“Epic is the gold standard in electronic medical records and we are committed to meeting the unique needs of our region through improved clinical efficiency, health care administration and patient care," said Adena President and CEO Jeff Graham. “When I came back to Adena, I heard loud and clear from our patients and community members that our billing needed fixed. I have also heard from our Adena providers and caregivers that our current two-system EMR is cumbersome and not ideal. That is why I am excited we will be moving to a solution that will be significantly felt by our patients and staff.”  

For Adena, Epic improves care coordination by providing an integrated, single source to access and seamlessly share health information with providers, improving clinical efficiency, safety and quality, productivity and satisfaction. Enhancements to other operational areas will be significantly impacted as well where patients will benefit from improved scheduling and registration. 

“We are excited to have Adena join our Epic Community Connect program and look forward to the substantial benefits patients will experience through the shared EMR,” said Phyllis Teater, chief information officer at Ohio State Wexner Medical Center. “Now both facilities can share patient records with their complete medical history to aid in better care, better referrals and better population health management. It helps keep patient care local whenever possible and provides our partners with more affordable access to a state-of the art EMR system.”  

Patients will benefit from Epic’s intuitive one-stop patient portal for mobile, tablet and desktop applications. The robust system offers patients access to all their medical records, including lab tests, medical imaging, prescriptions, vaccinations, physician referrals, and more in one convenient location. The EMR system also leverages the medical center’s referral network and allows both organizations to share best practices for improved patient care and outcomes. 

Adena’s EMR implementation will take approximately 18-24 months, with go-live in 2022.

(image) Meet Jennifer Lower, a respiratory therapist with Adena Health System working closely with COVID-19 patients daily, performing their breathing treatments, intubating patients and trying to keep them from having to go on ventilators. She has been involved with Coronavirus patients since the beginning of the pandemic, and like many of her colleagues regularly battles mental and physical exhaustion while remaining upbeat and supportive towards her patients.

Here, she shares some thoughts from the front lines for members of the community to consider when deciding whether to mask, social distance, practice vigorous handwashing and avoid large gatherings.

On the emotional toll:

“It’s hard looking into the faces of these patients who know that they’re dying and they know that they don’t have their family there and you can see it in their face. While we sit there and we hold those patients, you try to tell them it’s going to be OK, but you know it’s not. I think that sticks with me the most. We won’t be able to get some of these memories out of our heads. … I don’t know that we’ll ever forget this, ever. There are some images that are etched into your brain that we’re never going to get rid of, and we all feel the same way.”

On the patients:

“Some of these patients come in and, overall, they’re healthy. Then, within a matter of hours or days, you’re literally fighting to keep them alive. … It is literally like your own family member laying there, and it’s every single patient because we’re with them every single day, and that’s what I wish people could understand. This is so physically and mentally draining, and to see people not wanting to wear a mask – if they could only see what this really does. It doesn’t discriminate – healthy or not healthy, it can treat you the same way. You can be healthy and you can still die from the virus, and we see that. They really need to understand it can get to you, too, and we don’t want to be in there holding your hand, we want you to wear a mask and do the right things to keep yourself healthy and keep your family healthy.”

On her colleagues:

“We’ve all come together, we help each other out, if we see each other crying in the hallway – because that does happen – we’re hugging each other. … I know the community can’t see it, but in here, we feel isolated, but we are fighting this for them. We want to be here for them and we don’t want to get sick, and that’s another reason why it’s important for them to just follow the guidelines.”

On protecting their own families:

“I think all of us have concerns about our families, that’s why we try to take the proper precautions when we’re at work. We change our clothes when we get here and we change them after, and even changing right when we get home – going straight to the shower. I don’t go home and hug my kids, and that’s hard for my youngest one to understand, but even if I change my clothes and take those precautions, I’m still scared to death because I do see what it can do.”

Advice to the community:

“If you’re not going to wear a mask for yourself, at least wear it for the person next to you for whom the virus may be deadly or for somebody who has a child at home who has an autoimmune disorder that could potentially be fatal. If you’re not going to do it for yourself, do it for your front line workers who are tired and need this to end, too.”

To hear more about the experiences of some of Adena’s frontline workers in the COVID-19 crisis, please see the story “COVID-19 toll intense on Adena frontline healthcare workers.”

(image) The birth of a baby has always been a symbol of new beginnings and fresh hope – and following what has been an unprecedented 2020, no year has probably been more in need of a positive start than 2021.

So when Cassandra and Charlie Dalton, Pike County natives who now live in Chillicothe, welcomed their new son, Rylan, as Adena Health System’s first baby of the New Year, it was a cause for excitement and optimism for the future.

“Hopefully he’s a good luck charm and makes this year better,” said Cassandra.

Rylan, at 9 pounds, 15 ounces and 22 inches long, entered the world at 3:41 a.m. New Year’s Day. He joins the couple’s four- and five-year-old daughters in the family, both of whom Cassandra said were more than ready to meet their new brother.

“They were so excited, they can’t wait for us to get home,” Cassandra said Friday evening.

Cassandra is looking forward to the return home as well and what the next few months have in store as they adjust to being a family of five.

“I’m looking forward to just spending time with my kids and my husband and seeing my babies grow up,” she said.

Per tradition, the New Year’s Baby was presented with a basket of baby items, clothes and other gifts, donated by the Adena Women’s Board.

Congratulations to the family.

For more about Adena Health System, visit us at adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

The year 2020 has been unlike any other, with a global pandemic taking hold just a few months in, disrupting life as we knew it and leaving everyone adjusting and searching for what is considered the new normal. The year for Adena Health System was no different, but the physicians, advanced practice providers and caregivers across the nine-county region that Adena serves learned to adapt, innovate and strive in the face of ever-changing conditions brought on by coronavirus. 

Across the country, the health care industry was pushed to its limits financially, balancing the care needs of those with the virus and those without while maintaining the physical and mental well-being of the health care heroes along the frontlines. Elective surgeries and procedures were even temporarily shut down at one point by the Governor to preserve valuable personal protective equipment and staffing resources. 

Despite all these challenges and demands, Adena persevered. The Health System not only kept its promise to safely care for patients across south central and southern Ohio, but it also grew its presence in local communities, expanded its technology to meet the new needs of patients and built upon existing partnerships to bring more specialized care closer to home for patients and their families.

“This has definitely been an unprecedented year, one that none of us have seen in all our years in healthcare,” said Adena President & CEO Jeff Graham. “Adena’s mission is ‘called to serve our communities’ and I am so proud of the way our providers and caregivers have answered that calling. They not only have responded, but proactively met the challenges of this virus every day to safely provide care our region can trust. It is the strengths and talents of every person who calls themselves an Adena caregiver that we are in the position we are today. We can look towards 2021, not only with hope and promise, but with a foundation of clinical and operational excellence that will lead us for years to come.” 

Adena continued to enhance how it delivers care to patients throughout the region, achieving numerous industry accolades and announcing additional growth. These included:

• Adena Regional Medical Center (ARMC), for a second consecutive year, being named one of America’s 250 Best Hospitals for 2020 by Healthgrades®;
• The Health System being named a Gallup Exceptional Workplace. Now a five-time winner, Adena was one of just 38 organizations in the world to receive this distinction in 2020;    
• ARMC’s Maternity Program being named to Newsweek’s 2020 list of Best Maternity Care Hospitals;
• ARMC being awarded an ‘A’ in the Spring 2020 Leapfrog Hospital Safety Grade;
• Adena Health Center - Woodlands and Adena Community Pharmacy - Woodlands opening to make care more accessible for Chillicothe’s downtown and east end residents;
• Expanding care in Pickaway County, with the opening of Adena Urgent Care - Circleville;
• Adena Family Medicine - Ironmen Clinic opening to the public to provide more localized care in Jackson County; 
• Adena and Nationwide Children’s Hospital expanding an ongoing partnership to now include 24/7 newborn and pediatric inpatient coverage and other expanded specialty services at ARMC;
• Continuing construction of the new Adena Orthopedic and Spine Institute, scheduled to open on the campus of ARMC in summer 2021;
• Adena Health System receiving positive news from several nationwide credit rating agencies with Moody’s Investors Service affirming the Health System’s A3 rating with a stable outlook and S&P Global assigning its A- rating with a stable outlook; and
• The addition of 29 new physicians and advance practice providers across multiple service lines delivering even more options for comprehensive care. 

“These, and so many other accomplishments over the past year, are keeping care accessible and close-to-home for our patients and families,” added Graham. “While COVID-19 created unique challenges for safe care delivery, I am so proud of our Health System’s response to this virus and many of the initiatives we have implemented as a result, such as telehealth services; curbside labs and testing; expanded specialty services and use of our critical access hospitals in Greenfield and Waverly. These moves, and more, will have lasting positive impacts beyond the pandemic as we continue to be a trusted healthcare partner for our region.”      

For more about Adena Health System, visit us at adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

(image) Amy Maggard, DO is a Pediatric Specialist who grew up in Athens, Ohio. She has been working in outpatient pediatrics for over two and a half years and is currently taking new patients at Adena Health Center - Waverly. She realized her passion for pediatrics in her third year of medical school. Since then, she has enjoyed treating children and making office visits fun. 

Resolve to Engage Jr.

Each new year, people resolve to make improvements in their lives. Whether it’s losing weight, eating better, completing an overdue house project, the new year gives many adults a fresh perspective on life. But have children experienced enough life to create resolutions? Maybe, maybe not. It’s difficult enough for adults to stick to their self-promises, so it might be more difficult for children and adolescents whose worlds are constantly evolving with new trends, technology and social media influences.

What would happen if you resolve to engage your child or children about their health? Show them by example that it’s important to eat healthy, exercise, get good rest, balance obligations and go to regular wellness check-ups. Together, you can work to improve aspects of your health, even if they are just small changes. The benefits would be three-fold: improving your health, helping your child/children and possibly spouse improve their health, and having a shared experience where you can celebrate wins help keep each other on track. 

Pediatric Well-Checks – the Foundation of Good Health

As part of your New Year’s promise, help your child or children understand the importance of well-checks.  Annual well-checks are needed to gauge and maintain good health, especially during the current times of the COVID-19 pandemic. “We’re hearing that some parents are concerned or worried about bringing their children in for non-essential check-ups due to coronavirus,” says Dr. Maggard. “But we feel it’s more important than ever for kids to have their well-checks.” 

Well-checks are important because they enable prevention, and prevention is the key to staying healthy. Well-checks also serve as checkpoints for growth, weight, diet, dental health, screenings, physical and emotional health. They help pediatricians monitor kids’ progress and intervene if adjustments should be made. Getting well-checks also teaches children that annual doctor visits are part of maintaining good health.

Important to Immunize

For children, well-checks often include a vaccination/immunization. Let your children know that this vital medicine keeps them from getting really sick and helps them to achieve good health. 

For parents of infants 0-24 months, they know it is essential for their baby’s development to follow the prescribed guidance on infant well-checks. Babies receive a number of protective immunizations in just the first 15 months of life. Immunizations protect children from birth through 18-years of age from deadly diseases like diphtheria, measles and whooping cough (the last two having made a comeback in recent years). Due to the easy transmission of these diseases, it is considered essential to get your children immunized to help protect them and others. Especially during this time of COVID-19, an outbreak of whooping cough could leave children particularly vulnerable to respiratory infection.

Now More Than Ever

With the isolation we’ve all experienced due to the impact of coronavirus, it’s important to let your children know that their well-check is also a check-up for how they are feeling. Studies have shown a rise in stress, anxiety and depression in children and adolescents since the onset of COVID-19. “We see kids feeling more isolated,” says Dr. Maggard. “The routine of sports, classes, social gatherings and daily structure have all changed. We’ve seen kids lose sleep, not eat, become depressed, retreat and display signs of chronic fatigue just because they are having difficulty adjusting to this forced ‘new normal’.” 

Well-checks can help identify problems children may be having and spot potential instances of stress and feelings of depression. “If parents have concerns or we see issues in a child’s behavior, we can work with the parent and the child in discovering triggers and trying to eliminate or minimize causes of stress and isolation,” says Dr. Maggard. If a child shows signs of stress and anxiety, Adena Pediatric Physicians are well equipped to help. Parents might be asked to limit a child’s exposure to daily news reports, or encouraged to have open conversations with their child about what’s going on in the world and with the pandemic. The Adena Pediatric staff can also refer patients to one of our many Adena counsellors for additional help.

Dr. Maggard says to help children cope with the changes brought on by the coronavirus, she suggests getting kids active and helping them develop some type of routine. Physical activities such as walking, running, online exercise, etc., can help reduce stress. In addition to getting active, reducing the time in front of the TV or on social media can also help reduce some feelings of inadequacy or feeling alone. “Plan routine family time,” says Dr. Maggard. “Game night or movie night togethercan really help a child’s perspective.”

One thing is certain, we are all in this together, so let your children know the importance of good health. Scheduling and ensuring your child’s well-checks and screenings is just one more way to help keep them structured, healthy and well-balanced in a time of uncertainty. Adena Pediatrics is here to be your partner. Call (740) 779-4300 or visit Adena.org to schedule your child’s well-check appointment today.