Medical Leader | Photo by JESSICA HOWARD
RECOGNIZED: PMC’s Wound Care Center staff received an award from Healogics, Inc., for being a 2014 Top Performer. From left to right is Hyperbaric Oxygen Technician Dave Thacker, Wound Technician Craig Staton, Office Coordinator Tab Fleming, Director Richard Davis, Nurse Kayla Tackett and Nurse Amberly Johnson.

PIKEVILLE — The Pikeville Medical Wound Care Center was recognized as one of the top performers for the 2014 Diabetes Campaign by Healogics Inc.

Healogics’ Diabetes Campaign encouraged Wound Care Centers to utilize community outreach to educate health care providers about chronic wounds caused by diabetes.

A chronic wound is one that will not heal itself over time (within two to three months). 

The Pikeville Medical Wound Care Center has been honored as one of the top five centers in the region. Their hard work and dedication to community education is valuable to patients and health care providers.

Pikeville Medical Wound Care Center Director Richard Davis said, “This award solidifies our wound care center as one of the best in the region. It takes a total team effort to grow the center and heal our patients. We are blessed to have some of the best nurses, technicians, support staff and physicians working in our clinic. Our team’s passion and love for the patients we serve is unparalleled.”

Healogics Inc.  is the nation’s largest provider of advanced wound care services. Healogics and its affiliated companies manage nearly 600 Wound Care Centers® in the nation. Leveraging its scale and experience, Healogics utilizes an evidence-based systematic approach to chronic wound healing in treating an underserved and growing patient population. 

The Pikeville Medical Wound Care Center provides specialized treatment for chronic or non-healing wounds. 

The center’s advanced technology and state-of-the-art treatment helps heal patients’ wounds and relieve their pain.  The comprehensive healing approach used by the staff has been proven to heal wounds that have previously resisted other forms of treatment, allowing patients to avoid limb loss and a recurrent infection.

The Pikeville Medical Wound Care Center is located on the fifth floor of the Elliott Building, located in the back of Pikeville Medical Center’s main campus. For more information about the Pikeville Medical Wound Care Center, call 606-218-4721.

Source:  http://woundcarecenters.org

PIKEVILLE — Nearly 30 million children and adults in the United States have diabetes, and more than eight million don’t know they have the serious disease.

An estimated 86 million Americans have pre-diabetes, which means their blood glucose (sugar) is higher than normal but not high enough to be diagnosed with type 2 diabetes, a chronic condition that affects how the body metabolizes sugar.  To bring awareness to this increasingly prevalent condition, the American Diabetes Association (ADA) has marked March 24 as Diabetes Alert Day.

Risk factors for developing type 2 diabetes include:

•Being overweight

•Living a sedentary lifestyle

•Being over the age of 45

•Being of African-American, Hispanic/Latino, Native American, Asian American or Pacific Island ethnicity

•Having a family history of diabetes

Symptoms for type 2 diabetes often develop slowly and may include:

•Increased thirst and frequent urination

•Increased hunger

•Weight loss

•Fatigue

•Blurred vision

•Slow-healing sores or frequent infections

•Areas of darkened skin

Mavis Lowe, a nurse practitioner in diabetes education and adult  endocrinology at Pikeville Medical Center (PMC), explained that many people with diabetes are not aware they have the disease.

“It is possible to have diabetes and no symptoms at all,” she said. “If you have any of the risk factors, you need to see your primary care provider and get screened for diabetes.”

Lowe stated that a Diabetes Prevention Program study in 2013 showed that people at risk for developing diabetes can prevent or delay the onset of the disease by 58 percent through lifestyle changes such as losing a modest amount of weight through diet and exercise.

PMC Pediatric Endocrinologist Dr. Arlette Soros agrees.

“The best treatment is prevention,” said Dr. Soros. “In other words, try to maintain a healthy weight and a healthy lifestyle. Primary care physicians can discuss ways to accomplish this.” 

PMC offers diabetes education classes weekly and hosts a free diabetes support group. The next support group meeting is Monday, March 30 at 6 p.m. in the Large Atrium Classroom (2nd floor, May Tower).

To learn more about the classes and support group, call 606-218-3513. For more information about the services offered at PMC, call 606-218-3500. To schedule an appointment, call 606-218-1000.



Sources: American Diabetes Association; Mayo Clinic



PIKEVILLE — Prevention is known as the only cure for Traumatic Brain Injury (TBI).

TBI is defined as an injury to the brain/skull caused by an external force, such as a strike or impact.

Motor vehicle accidents and falls are the most common causes of TBI.

According to the Brain Injury Alliance of Kentucky, “someone in the United States sustains a brain injury every 15 seconds.”

Luckily, there are many steps one can take to help prevent a TBI from occurring. Adhering to the following tips may help reduce the risk of a TBI:



Motor Vehicle Accidents

•Always wear a seat belt.

•Place small children in the back seat in the appropriate child safety seat, according to the child’s age, height and weight.

•Never drive while under the influence of alcohol or drugs.

•Keep stairs and floors clear of clutter.

•Secure area rugs.

•Use non-slip mats in the bathtub and shower.

•Install child safety gates when needed at top of stairs.

•Make sure rooms are well lit.

•Install handrails on the side of staircases.

Outside Safety

•Always wear a helmet when on a bicycle, motorcycle, scooter or other open unrestrained device.

•Play safe and wear a helmet when playing contact sports.

•Use playgrounds that have shock-absorbing materials on the ground.



Sources: http://cdc.gov

http://traumaticbraininjury.com

http://mayoclinic.org

http://biak.us

(EDITOR’S NOTE: This is the third in a four-part series on Traumatic Brain Injury)


Medical Leader | Photo by JESSICA HOWARD
RECOGNIZED: Pikeville Medical Center celebrates National Health Care Human Resources Week March 15-21. Pictured is PMC’s Human Resources staff from left to right. Back row: Brandon Osborne, Mike Davis, Anthony Ottrando, Brittany Hall, Kathleen Berlinghoff. Front Row: Brittany Tackett, Sara McKay, Misty Little, Tawnya Childers, Morgan Carver and Robin Fannin.

PIKEVILLE — This week Pikeville Medical Center (PMC) celebrates National Health Care Human Resources (HR) Week. PMC’s HR department is comprised of 10 employees who meet the hospital’s personnel needs.

Some of HR’s  responsibilities include: benefit administration, employee relations, medical leave, HR-related policies and procedures, employee events, recruitment, retention, credential verification,  pre-employment interviews, education, screenings, new employee orientation, on-boarding, employee satisfaction and performance appraisals.

“During this week, I want to personally thank each one of my employees for their hard work and dedication to this hospital and its staff,” said HR Vice President Kathleen Berlinghoff. “PMC’s Human Resources department receives more than 150 job applications and orients nearly 20 new employees each week. Everyone in this department goes above and beyond on a daily basis and works as a team to best meet the needs of this hospital’s more than 2,400 employees.”

Members of PMC’s HR team include: Vice President Kathleen Berlinghoff, Director Anthony Ottrando, Compensation/Benefits Supervisor Mike Davis, Recruiter Morgan Carver, Coordinator Misty Little, HR Information Systems Analyst Brittany Tackett, Assistants Brittany Hall, Sara McKay and Tawnya Childers, Clerk Robin Fannin and File Clerk Brandon Osborne.


Medical Leader | Photo courtesy of The Voice
ON STAGE: Louisa resident Kelsie May, right, sings “Fancy” alongside 19-year-old contestant Brenna Yaegar on NBC’s The Voice. May won this round and will move on in the competition.

An eastern Kentucky teenager moved ahead in a national competition that could land her a career as a country music singer.

Louisa resident Kelsie May, the 16-year-old daughter of Roy and Elva May, qualified to compete in the NBC talent show “The Voice” on March 2 after wowing judges in a blind audition.

Country music star Blake Shelton was the first of three judges who turned their chairs with the hopes of recruiting May for their team after hearing her perform “You’re Looking at Country” by Loretta Lynn.

On March 16, May outshined her opponent, 19-year-old Brenna Yaeger, in the show’s Battle Rounds, as she sang “Fancy” by Reba McEntire.

Shelton praised May for her tone and her confidence on stage. 

A video of the performance is available on YouTube and on the show’s website.

May taught herself to write music and play guitar and she honed her skills with PCG Nashville after competing in the Country Music Highway Road to Fame contest.

Since then, May has recorded music and played at various venues. She has opened for country music stars like Marty Stuart, John Michael Montgomery, Bucky Covington and others.

She debuted her original song “Highway 23” the second time she competed in the Country Music Road to Fame contest.

After winning the Battle Round, May will move through the Knockout round. If she excels there, she will move on through the Live Playoffs and the Live Performance shows.

For more information, follow Kelsie May on Facebook or http://nbc.com/the-voice.



PIKEVILLE — Recognizing March as national Endometriosis Awareness Month, Pikeville Medical Center (PMC) encourages the public to learn more about this disorder.

PMC provides comprehensive services for women with a team of five Obstetricians/Gynecologists — Dr. Aaron Crum, Dr. Rebecca Hobbs, Dr. Angela Maggard, Dr. Tom McGuire and Dr. Erin Mullins.

Endometriosis — a painful disorder that occurs in women during their reproductive years — is one of numerous gynecological conditions treated by this team.

It is often called the “invisible disorder” because it does not cause symptoms in every woman affected by it. In other women, however, endometriosis can be very painful and can cause infertility.

The National Institutes of Health reports that endometriosis affects at least five million women in America, but the actual number of patients with the disorder is expected to be much larger because so many women with endometriosis do not experience any symptoms.

According to Dr. Mullins, certain women are at greater risk.  “Women who have a first-degree relative [mother or sister] who has been previously diagnosed with the disease have a seven- to 10-fold increased risk of developing it themselves. Women who begin their menstrual periods before age 11, have menstrual cycles less than 27 days in length, or who experience heavy/prolonged menstrual periods may have a high risk of developing endometriosis.”

Dr. Maggard said, “While symptoms and an ultrasound may be able to detect endometriosis, the only sure way to diagnose the disease is through a laparoscopy.”

A laparoscopy is defined as a minor, outpatient procedure that places a thin tube with a camera, into the stomach to see inside one’s pelvic area. This allows the physician to determine the location, amount and size of the growth.

Once diagnosed, endometriosis is often first treated with anti-inflammatory medicine and birth control pills to control the pain and growth of the disease, before resorting to surgery to remove the endometrial implants.

What is endometriosis?

Mayo Clinic reports that endometriosis is a disorder that occurs in women. It happens when tissues that normally reside inside of a woman’s uterus (the endometrium) grow outside of the uterus. This displaced tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle — but because of where it’s located, it has no way to exit the body and becomes trapped. The pain associated with this disorder may become severe and it may also cause fertility problems.

What are the symptoms?

The most common sign of endometriosis is pelvic pain. Other symptoms include painful periods, pain during intercourse, pain with bowel movements or urination, excessive bleeding, infertility, fatigue, diarrhea, constipation, bloating and nausea.

Some women with endometriosis have extensive pain, but others who have endometriosis may have little or no pain at all. This disorder is sometimes mistaken for other conditions that cause pelvic pain.

Who will get this disorder?

The exact cause of this disorder is not known, but it more likely to occur in women who have never given birth, have other family members with the disorder, have a history of pelvic infection, or have uterine abnormalities or any other medical condition that prevents the normal passage of menstrual flow out of the body.

Will it cause cancer?


The Mayo Clinic reports that ovarian cancer does not occur at higher rates in women with endometriosis. The health care expert points out, however, that some studies suggest that having endometriosis increases the risk of ovarian cancer, but the risk is “still relatively low.”

Another type of rare cancer called endometriosis-associated adenocarcinoma may develop in some women with endometriosis. These women may also develop other types of cancer.

The National Institutes of Health reports that endometriosis is not the same as endometrial cancer. The word “endometrium,” the organization explains, describes tissues that line the inside of the uterus, and endometrial cancer affects that inside lining of the uterus. But endometriosis itself is not cancer.



What can be done?


Mayo Clinic offers the following tips as to help women with endometriosis relieve their discomfort:

Warm baths and heating pads may relax pelvic muscles to reduce cramping and pain.

Over-the-counter medicines like ibuprofen (Advil, Motrin IB and others) and naproxen (Aleve and others) can help ease pain.

Getting regular exercise may improve symptoms.



Sources: Mayo Clinic; National Institutes of Health


PIKEVILLE — Two local events will raise awareness about cerebral palsy and funds for organizations working to assist people who have it.

In Pike County, Virgie resident Bobbi Jo Childers is hosting her second Cerebral Palsy Awareness Walk/5K on March 21 at Bob Amos Park. Registration begins at 7 a.m.

Childers started the event last year in honor of her 11-year-old son, Brayden Riley Wright, who has cerebral palsy. Last year, she raised $3,500 for the Cincinnati Children’s Hospital, where her son is treated.

Saturday’s event will feature prizes for top winners, t-shirts, inflatables, a silent auction and various activities. All proceeds will once again be donated to the hospital.

“A lot of people around here, they don’t even know what cerebral palsy is,” she said. “They don’t understand what these kids have to go through, even if they have a mild form of cerebral palsy like Brayden does. I started this walk because we have kids in this community who have cerebral palsy and I want to take a stand for them.”

In Floyd County, Rodney Gardner is working with other local residents to organize the first-ever Cerebral Palsy Awareness 5K Walk/Run on March 28. Registration begins at 8:45 a.m. and is $15 for pre-registrants and $20 on race day.

Gardner, who walked in Childers’ event in Pike County last year, wanted to raise awareness about cerebral palsy. His son, Jacob Gardner, a Prestonsburg High School freshman, has cerebral palsy.

“It’s just a great thing for the community coming out to support not just Jacob, but all families who have children with cerebral palsy,” Gardner said.  “We appreciate everybody coming out to help. We want everybody to wear green and have fun.”

Floyd County Judge-Executive Ben Hale and Prestonsburg Mayor Les Stapleton each signed proclamations designating March as Cerebral Palsy Awareness Month. Those efforts come as the boys’ and girls’ basketball teams at PHS host events to raise awareness for the disorder.

Gardner said the walk will feature information about cerebral palsy, awards for race winners, T-shirts, a silent auction and refreshments.

All proceeds will benefit United Cerebral Palsy, a national organization that works to educate the public about the disorder and find ways to cure it.

Registration forms are available at Jenny Wiley State Resort Park, where Gardner works, Pro Fitness, Foxy Fitness, Prestonsburg City Hall and Prestonsburg Tourism Commission & Visitor’s Bureau.

For details about the Pike County event, visit the Cerebral Palsy Awareness Walk/5K Run on Facebook or call Childers at 606-213-3466.

For details about the Floyd County event, call Gardner at 606-434-4197.



Alan Derossett spent the last 18 years learning and growing with Pikeville Medical Center (PMC), and he hopes to continue doing so for years to come.

He started working at PMC in 1997 after seeing that PMC had a tremendous potential for growth.

“I like that the hospital is growing. It’s growing exponentially, really,” he said. “There are more things going on, more things to learn about. It’s not only good for the people in the area and the region, it’s good for the people who are employed here because working in a place like this gives you the opportunity to step out and learn something new.”

He worked his first year as a staff Registered Nurse overseeing the care of patients on the medical unit. He said the Licensed Practical Nurses he met in that role taught him his most valuable nursing lessons.

“I was a 22- or 23-year-old guy working with a lot of LPNs who had worked here for 20 years or so. I probably learned most of my most valuable lessons that year-and-a-half working with them,” he said.

He also worked several years in the Surgical Intensive Care Unit (SICU) helping open heart patients recover, and then in surgery on the open heart team. He then moved to the Cardiac Catheterization Lab, where he has worked 11 years.

On March 12, he accepted a new position that he will start this year. He will be working in a new interventional radiology area, which is currently under construction on the hospital’s second floor.

“We’ve been doing interventional radiology for a few years now, but it’s becoming its own department,” he said.

The chance to continue growing and learning is what he finds exciting about working at PMC, but Derossett is also thankful to work in such a rewarding field. “I like having a job where you can see that your efforts are worthwhile, where you can see the outcome,” he said. “You get to help people and it’s appreciated.”

He has received “thank you” letters, cards and even homemade cookies from patients and their families. “All these things let you know you’re doing something right,” he said.

One day, a grandmother came running toward him in the hallway with an infant in her arms. The baby was choking. Derossett was on his way to handle an emergency but he stopped to help the child.

“That’s the most rewarding part about it,” he said. “People put their trust in you. People come to you for help and the good part of it, the realistic part, is that you’re there to help. You’re helping somebody, and it doesn’t just stop with that patient. It goes on to the rest of the patient’s family.”



This year, Pike County resident Dedra “DeDe” Nolte will celebrate her 21st year as a Pikeville Medical Center (PMC) employee.

She was hired in 1994 to work as a respiratory therapist and continued that service for 18 years, working on patient floors, and later in the Intensive Care Unit (ICU). She stepped into her current role as a clinical specialist about two years ago.

Working in the ICU was the most memorable part of her career at PMC. “I gained a lot of knowledge in areas that I probably would have not learned without having worked in ICU and having that experience,” she said. “It was a hard place to work, but I learned a lot there.”

Nolte, an active member at the McVeigh Baptist Church, is thankful to work at a hospital with a Christian mission.

“The Lord is my first priority,” she said. “I give him first and foremost credit for everything.”

PMC employees honor the mission by putting patients first, no matter what, she said.

“One thing I can definitely say about this place is that patient care comes first here,” she said. “It doesn’t matter what your title is here. If you go by a patient room and they need something, you do what you can to help that patient.”

She’s also very thankful for her leaders and coworkers. “I love the leadership that has been in my department,” she said. And I love the group of people I work with. I’ve developed some awesome friendships with them. I’m very grateful for the leadership and my coworkers who really go above and beyond to care for patients.”

She has witnessed many changes at PMC over the years. “Years ago, more patients were transferred out of the hospital for care. Now, more patients are transferred into the hospital.”

“Seeing that makes me feel good about the place I am working,” she said. “I feel confident in that — if something happened to my own family, about having to bring my own family here for care.”

She lives in Canada with her husband, Kentucky State Police trooper Jimmy Nolte. Her sons are 20-year-old J.P. Robinette and Peyton Nolte, 11.


Prayer, at its root,  is not a way of keeping God informed about our life situation.  He already knows everything there is to know about it.

Prayer,  at its root,  is not a method of telling God what we, in our finite wisdom, think we need. He already knows everything there is to know about our needs.

Prayer,  at its root, is a willingness to let God be God.   “Pause awhile and know that I am God” (Ps. 46:10). Thus said the Lord to the Ancient Psalmist.

Prayer,  at its root, is listening for the voice of God in our inmost being.

Ask not what God can do for you. Ask what you can do for the kingdom of God.

Ask not what God can give you.  Ask what you can give to God!

The great scientist, Isaac Newton, was a man rooted in prayer  which is to say rooted in God. He once said, “I can take my telescope and look millions and millions of miles into space.  But I can lay it aside and go into my room, shut the door, get down on my knees, and see more of Heaven, and get closer to God than  I can assisted by all the telescopes and material things on earth.”

Jesus was once in a certain place praying, and when he had finished, one of his disciples said, “Lord, teach us to pray.” (Luke 11:1).

Jesus says to the disciples, “Ask and it will be given to you: search and you will find: knock and the door will be open to you. For the one who asks always receives; the one who searches, always finds.  The one who knocks will always have the door open to him.”

Prayer, at its root, is the pursuit of true wisdom.

PMC Chaplain Kaminski Robinson may be reached at 606-218-3969 or via e-mail at kaminski.robinson@pikevillehospital.org.

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