I N S I D E T H I S I SS U E :Diabetes Educators

A Message from the CEO

Did You Get a Good Night’s Sleep?

America the Obese

Do You NeedA Bone Density Test?

Clinch Valley Physicians Associates

Preferred Home Health

Prostate Cancer:What Men Need To Know

Summer 2014

vol 7, issue 3

Visit: www.clinchvalleymedicalcenter.com

Diabetes Educators Play a Key Role

Peter Mulkey, CEOClinch Valley Medical Center

A Message from the CEO

Here’s ToYour Health

For many of us, life just seems to be getting busier and busier. And now, with the start of a new school year, our days are becoming even more hectic, especially for families with school-age children.

Unfortunately, as our schedules fill up, it becomes all too easy not to take care of ourselves with excuses like “Who has the time to exercise or prepare a healthy meal?” That’s the reason I encourage you to read the articles in this issue of Live Well! that focus on healthy eating, exercise and sleep.

Diet, exercise and sleep are interrelated and all are essential for a healthy lifestyle. Think about it. You need to be well rested to have the energy for a workout. And regular exercise can help to manage your stress levels and tire you out so that you sleep well at night. Being physically active also encourages you to make other healthy lifestyle choices, such as what you put into your body.

So I hope you’ll take some time to read these important articles. After all, there are few things more important for you and your family than good health.

If you have diabetes, you know how challenging it can be to manage your

disease. Healthy eating, physical activity, monitoring your condition, taking

medication and reducing risks to your health are probably part of your daily

routine. At times, all of this might seem overwhelming.

A diabetes educator can help. As a member of your healthcare team, a diabetes

educator will work with you to develop a plan to stay healthy, and give you the

tools and ongoing support to make that plan a regular part of your life. Clinch

Valley Medical Center is very fortunate to have Sally Presnell, MED, RD, CDE as its

diabetes educator.

According to Mrs. Presnell, “effective diabetes education brings about changes

in patient behavior that can be measured and quantified.”

There are 7 key behaviors that can lead to better self-management of diabetes. They include:Healthy living – Learning the effect of various foods on blood sugar and

understanding the sources of fat and carbohydrates.

Being active - Developing an activity plan for patients and talking about ways to

overcome common barriers to increased physical activity.

Monitoring - Using equipment to monitor blood sugar and blood pressure.

Educators teach how to use the equipment correctly, how often and when they

should test, what appropriate target ranges are, and how to interpret test results.

Learning about medication - How the medicines work, potential side effects,

timing and frequency of administration, and what happens if patients don’t take

their medication as prescribed.

(continued on following page)

Live What You Learn

Are You at Risk? What are some of the dangers of not

living a healthy lifestyle? Take this quick

quiz to find out.

Do you smoke?

A female smoker has five times the risk of

dying from heart disease than a non-smoker.

For men, the risk is almost four times higher.

Do you exercise regularly?

Chances are, you don’t. More than 50

percent of American adults don’t get enough

exercise that increases their heart rate for at

least two hours each week. As a result, their

risk of heart disease almost doubles. Studies

have shown that a lack of physical activity is a

contributing factor in 35 percent of deaths

caused by heart disease.

Are you overweight?

If you are, losing as little as five or 10 percent

of your body weight can lower your blood

pressure and reduce your risk for heart disease,

diabetes, colorectal cancer and sleep apnea.

Source: Circulation: Journal of the American Heart

Association, CDC, New York Department of Health, webMD

Olivia Bhutia, MDFamily Medicine

Problem solving - Helping patients develop effective coping

strategies for the variety of health-related situations that may arise

because of their disease.

Reducing risks - Teaching the importance of self-care behaviors,

such as quitting smoking, having regular eye and foot

examinations, and monitoring blood pressure and blood sugar, and

tracking personal care records.

Healthy coping - Working with patients to identify psychological

and social factors that affect their health and can help them

continue with effective self-care behaviors.

“The more patients learn about diabetes, the better they

understand the condition - and the need for them to make the

healthy changes and choices that can positively impact their

diabetes outcomes. Nobody likes to be lectured, though - including

patients with diabetes, who will have to accept the need to live

differently for the rest of their lives,” states Presnell.

Diabetes education is a recognized part of your diabetes care

and is covered by Medicare and most health insurance plans.

Diabetes may not have a cure, but you can control it and live

well. Ask your doctor, nurse practitioner or physician assistant

about working with a Sally Presnell to learn how to better manage

your disease, so it doesn’t manage you. For more information

please contact Sally Presnell at 276-596-6482.

Just Do It! You don’t have to be a marathon runner to enjoy the many health

benefits produced by exercise. Just set aside 30 minutes at least five

times a week on your daily calendar. If that’s not possible, try three

10-minute or two 15-minutes sessions. What’s important to remem-

ber is that you need at least two hours and 30 minutes of aerobic ex-

ercise each week. Do something you enjoy, whether it’s a brisk walk, a

bicycle ride or laps in a pool—anything that gets your heart pumping

faster. And make your exercise time a top priority. Consider it an im-

portant appointment you simply cannot miss.

You Are What You Eat Stay away from fast food when possible. Avoid the temptation of eating unhealthy

foods at home, too. Load up your pantry with vegetables, fruits, and other nutritious

foods such as brown rice, tuna, whole-wheat bread and beans.

Don’t Forget How Much It’s not just what you eat that’s important; it’s also how much you eat. Understand

what the right serving sizes are for different kinds of food. For example, when you’re

eating chicken or steak, the right portion size is about as big as a deck of cards.

Source: American Cancer Society, CDC

Quick. Answer these two simple questions. 1. Are you a postmenopausal woman or a man age 50 or older? 2. Have you recently broken a bone?

Do You Get a Good Night’s Sleep?

RISK FACTORS FOR OSTEOPOROSIS:

Over age 50

Female

Menopause

A family history of osteoporosis

Low body weight/beingsmall and thin

Broken bones

Loss of height

Not getting enough calciumand vitamin D

Not eating enough fruitsand vegetables

Eating too much protein,sodium and caffeine

An inactive lifestyle

Smoking

Drinking too much alcohol

Losing weight

Source: National Osteoporosis Foundation

If you answered “Yes” to both ques-tions, it’s time to talk to your doctor about having a bone density test to check for os-teoporosis. According to the National Os-teoporosis Foundation, a bone density test is the only way to diagnose osteoporosis, which occurs when your body loses bone mass. As a result, the bones become weak-er and more fragile. Women ages 65 and older and postmenopausal women young-er than 65 who have risk factors for osteo-porosis should also have a bone density test, which is painless, non-invasive and usually takes only 15 - 20 minutes.

Osteoporosis is called the “Silent Thief” because it has no symptoms. Women are four times more likely to develop the dis-ease than men. Indeed, it is estimated that half of all women will break a bone because of osteoporosis. The bones can become so weak that just bumping into furniture or sneezing can cause a break. That’s the rea-son it’s so important to determine if you are at risk.

www.clinchvalleymedicalcenter.com

For more information, call or

visit us online at:

Bone Density Test?Do you need a

You’re eating a healthy diet (most of the time). You’re exercising (some of the time). But are you sleeping well? “Sleep is a necessity, not a luxury,” says Clinch Valley Medical Centers Sleep Department Coordinator Chad Justice. “You must sleep well to be well.” Why is healthy sleep important? It promotes physical health and mental well-being. It also boosts performance and reduces safety risks. Yet millions of Americans are failing to get the sleep that their body needs. Adults typically need about seven to nine hours of regular sleep. But the CDC reports that 28 percent of adults get six hours or less of daily sleep. For most adults, six hours of sleep is not enough. Over time, ongoing sleep loss can have a dramatic impact on your health. Poor sleep is linked to problems such as obesity, high blood pressure and Type 2 diabetes.

Millions of Americans also have an untreated sleep disorder that prevents them from sleeping well. They may spend eight hours in bed but never get quality sleep. Chronic insomnia, loud snoring, obstructive sleep apnea and restless legs syndrome, these are just a few of the sleep problems that can disrupt your sleep. The Sleep Department at Clinch Valley Medical Center performs overnight testing and provides its patients with state-of-the-art equipment, a comfortable testing/sleeping environment and attentive personal service. “It’s important to understand that both the quality and quantity of sleep impact your health,” explains Justice. Be sure that you never ignore an ongoing sleep problem. You don’t have to go through life feeling tired, exhausted and frustrated. Help is available. Talk to your doctor. Ask about setting up an appointment in the sleep department at Clinch Valley Medical Center.

For more information, please contact Chad Justice, RRT, RPSGT, RST, Sleep

Coordinator at 276-596-6234.

The negative health consequences are enormous. Obesity increases the risk for heart

disease, which affects more than 26 million Americans, and high blood pressure, found in

67 million Americans. Other medical problems associated with obesity include diabetes,

stroke, sleep apnea, and bone and joint problems. Obese men are more likely to die from

cancer of the colon, rectum and prostate. Obese women are at greater risk for cancer of

the gallbladder, breast, uterus, cervix and ovaries.

It’s time to get serious about the obesity epidemic.

Step 1: Talk to Your Physician Your doctor can measure your Body Mass Index (BMI) to determine if you are obese

or overweight. BMI uses your height and weight to measure your body fat. For adults, a

BMI of 30 or higher is considered obese; a score of 25 to 29.9 is considered overweight.

BMI calculators can also be found online at www.cdc.gov.

Step 2: Start Losing Weight A combination of better nutrition and moderate exercise is usually the first step to

losing weight. Talk to your doctor before beginning any kind of exercise program.

Step 3: Consider Other Options In some severe cases, other techniques, such as behavior modification or weight-loss

drugs, may need to be considered. Another option is bariatric surgery, which reduces the

number of calories absorbed by the body.

Sources: CDC, Robert Wood Johnson Foundation

AmericatheBeautifulThere’s nothing beautiful about America’s obesity problem. Just consider these alarming facts:

• Anestimated69percentofAmericanadultsareeither overweight or obese. • Almost36percentofAmericanadultsareobese.Thatwill increaseto44percentby2030ifratesdon’tchange. • Childhoodobesityhasmorethandoubledinchildrenandquadrupled inadolescentsinthepast30years.Infact,morethanone-thirdof children under age 18 are either overweight or obese.

276-596-6764

For more information,

please call

Ariel Rodriguez, MDSurgeon

C L I N C H VA L L EY

P H Y S I C I A N S A S S O C I AT E S

At Clinch Valley Physicians Associates, we have 15 physicians and 5

nurse practitioners on our medical staff. It’s a team of physicians specializing

in pediatrics, obstetrics and gynecology, gastroenterology, family practice,

internal medicine, general surgery, cardiology, orthopedics and allergy and

pulmonology and they are ready to serve you and your family by providing

a lifetime of care.

After all, when it comes to your health and the health of your family,

seeing a physician on a regular basis and building a long-term relationship

offers many benefits.

Clinch Valley Physicians Associates (CVPA) is a reputable and estab-

lished multi-specialty physician group that has served Southwest Virginia

and Southern West Virginia since 1938. CVPA strives to maintain a firm

commitment to all of its patients to provide the highest quality medical and

surgical care in a warm and friendly setting, and in a caring way.

On July 2, 2013, Clinch Valley Medical Center purchased CVPA; the

hospital’s acquisition of this practice was consistent with the organization’s

strategic plan to work with local providers to deliver the best healthcare in

the most effective way possible.

“As part of the same organization, we can ensure the availability of high

quality healthcare services for the folks of Southwest Virginia. Since July

2013, we have been able to increase collaboration and efficiencies between

our organizations that have enhanced the level of service and continuum of

care for our patients,” said Peter Mulkey, Chief Executive Officer of CVMC.

Among the benefits of this acquisition, aligning CVMC and CVPA has

strengthened the organizations’ ability to recruit needed physicians to the

community. Since the purchase several physicians have been recruited to the

area in the fields of pulmonology, vascular surgery and family medicine.

“More and more, doctors coming out of residency are seeking employ-

ment options with a hospital or health system, as opposed to opening and

operating an independent practice,” continued Mulkey. “Working together

has enhanced our ability to recruit and retain physicians in the community.”

If you would like more information about Clinch Valley Physicians Associates or would like to schedule an appointment with one of their

physicians, please visit their website at www.cvpaclinic.com or call 276-964-6771.

Home is truly where the heart is. Home is the place that you and your family feel the most comfortable and relaxed. Whether you are recovering from surgery or illness, or living with a chronic disease like diabetes or COPD, Preferred Home Health (PHH) can make hospital visits shorter and less frequent with home-based skilled nursing, rehabilitation, and chronic disease management. Preferred Home Health has been providing the highest level of quality home care services to the residents of Southwest Virginia and Southern West Virginia for 15 years. Its mission is to help patients live more independently with a higher quality of life. Most importantly, they deliver compassionate care from the heart where you want to be cared for most - right in the comfort of home. InApril2013,PreferredHomeHealthbecame a part of the Clinch Valley Medical Center family. Serving patients in Tazewell, Russell, Bland and Buchanan counties, Preferred Home Health provides in-home nursing and personal care services, including physical, speech, and occupational therapy, as well as diabetes education.  At Preferred Home Health, your home health care team will be comprised of handpicked, highly trained medical

professionals, dedicated to getting you well. When PHH is in your home, you are the center of attention. PHH works closely with your physician to coordinate all aspects of your care, focusing on helping you recover and regain your independence. “When it comes to health care, people want to feel comfortable. Home is the place. At Preferred Home Health, we’ve been serving patients for more than 15 years. So you know we’ll always be here, offering you the ability to heal in the comfort of your own home,” said Ashley Fuller PHH Administrative Director. “Preferred Home Health is a great company known for quality care in Southwest Virginia.  Since they have become a part of Clinch Valley Medical Center, we have been very pleased with how they have grown and are continuing to meet the growing and changing home health needs of residents in Richlands, Bluefield and the surrounding areas,” said Peter Mulkey, Chief Executive Officer of CVMC.   If you would like more information about Preferred Home Health, visit their website at www.homehealthvirginia.com or call276-963-9577inRichlands,276-322-1923inBluefieldortollfree877-330-8533.

PreferredHome Health

Clinch Valley Medical Center is

pleased to welcome four new

physicians to its medical staff.

Beginning July 1st these

physicians will be available to

treat your healthcare needs.

Sami Jawad, MDPulmonology276-596-6725

Romulo Fajardo, MDInternal Medicine

276-964-6771

Olivia Bhutia, MDFamily Medicine

276-964-6771

Brian Stiltner, DOHospitalist

276-596-6000

“We look forward to

introducing Dr.’s Jawad,

Fajardo, Bhutia and Stiltner to

our patients and to the

community,” said CVMC Chief

Executive Office Peter Mulkey.

“They all bring a wealth of

knowledge that will aid our

patients in their treatments

and provide high quality,

compassionate care close

to home.”

CVMC WelcomesNew Physicians

to the Area

Sources: American Cancer Society, Prostate Cancer Foundation

Diabetes Educators

A Message from the CEO

Did You Get a Good Night’s Sleep?

America the Obese

Do You Need A Bone Density Test?

Clinch Valley Physicians Associates

Preferred Home Health

Prostate Cancer:What Men Need To Know

Important News and Helpful Advice for a Healthier Life inside:

The Bad NewsOne out of every six American men will be diagnosed with prostate cancer. 223,000 American men will be diagnosed with prostate cancer this year. A man is 35 percent more likely to be diagnosed with prostate cancer than a woman is to have breast cancer.

The Good News Prostate cancer is one of the most easily detected and easily cured forms of cancer. More than 2.5 million American men diagnosed with prostate cancer are still alive today.

When To Take ActionStarting at age 50, you should talk to your physician to determine if testing for prostate cancer is the right choice for you. African-Americans and men who have a father or brother diagnosed with prostate cancer before age 65 should talk to their physician at age 45.

Prostate Cancer:What Men Need To Know

Lawrence Bender, DOUrologist

CLINCH VALLEY MEDICAL CENTER

LiveWell is published as a community service by Clinch Valley Medical Center. It in no way seeks to diagnose or treat illness or to serve as a substitute for professional medical care. For individual guidance, consult your physician. For more information about Clinch Valley Medical Center or anything in this publication, please call 276-596-6000.

Clinch Valley Medical Center

6801 Gov. G.C. Peery Highway

Richlands, VA 24641

www.ClinchValleyMedicalCenter.com Summer 2014 vol 7, issue 3