Winter - Augusta Health

HealthMatters
fall 2012 › › www.augustahealth.com
cancer care
has a new team
on its side
leArn more on pAge 6
See
how we’re
helping our
community!
bAck cover › ›
Vital
vaccinations
Are you up to dAte?
easier
mammograms
use our self-schedule
feAture todAy!

in this issue ›
3 LIKE A GOOD NEIGHBOR
A letter from Mary N. Mannix, FACHE
4 GEttING READy tO SERvE yOu
The Heart and Vascular Center prepares
for March 2013 opening
6 PAtIENt-CENtERED CANCER CARE
8 ASK tHE EXPERt
Augusta Health physicians and professionals
answer your questions
9 tREAt yOuRSELF tHIS HOLIDAy SEASON
Let La Vie Medi-Spa take care of you!
10 A SHOt OF GOOD HEALtH
Adults need vaccinations, too
12 SELF-SCHEDuLE MAMMOGRAPHy
Removing barriers to this lifesaving exam
14
NO APPOINtMENt? NO PROBLEM
15 BRINGING ADvANCED GI CARE tO AuGuStA HEALtH
Meet R. Christopher Harmon, MD, PhD
16 SPIDER vEINS HAvE yOu FEARING SuMMER?
La Vie Medi-Spa can help
18 A MISSION OF CARING
20 ON tHE LEvEL
What your cholesterol levels mean—
and how to control them
21 A NEW vIEW
New SPECT/CT scanner provides patientfriendly,
state-of-the-art imaging
22 HAPPENINGS At AuGuStA HEALtH
Calendar of classes and groups
26 NEW HEALtHCARE PROvIDERS
28 HELPING OuR COMMuNIty GROW
Local organizations get support
through grants from Augusta Health
2 HealthMatters Fall 2012
› fall 2012
16
18
22
10
8

tHE MAGAzINE OF AuGuStA HEALtH
Serving Staunton, Waynesboro and Augusta counties
and surrounding communities
AuGuStA HEALtH BOARD OF DIRECtORS
Rev. John C. Peterson, Chairman
Charles “Mick” Andersen, MD
Stuart Crow
John B. Davis
William Faulkenberry, MD
Robert G. Knowles
Laurel Landes
Mary N. Mannix, FACHE
John “Rob” Marsh, MD
Ann D. McPherson
Beverly S. “Cheri” Moran
William L. Pfost
Joseph Ranzini, MD
Arona E. Richard
Victor M. Santos
AuGuStA HEALtH HOSPItAL StAFF
President and CEO Mary N. Mannix, FACHE
Chief Medical Officer Fred Castello, MD
Chief Financial Officer John Heider
Executive Director AMG L. Courtenay Beebe, MD
v.P. Planning and Development Kathleen Heatwole
v.P. Chief Nursing Officer Robert McWhirt
v.P. Professional Services Karen Clark
v.P. AMG Administration Ann Rubino
v.P. Operations Lisa Cline
COMMuNICAtIONS
For more information about services at Augusta Health,
please contact Lisa Schwenk, Director of
Communications and Public Relations, at
LSchwenk@augustahealth.com or (540) 245-7329.
Health Matters is published by
Augusta Health, 78 Medical Center Drive,
Fishersville, VA 22939. All rights reserved.
The information contained herein is not a substitute for
professional medical care or advice. if you have medical
concerns, seek the guidance of a healthcare professional.
Health Matters is aimed at connecting the community
with healthcare experts within Augusta Health to learn more
about issues that may be affecting your health.
if you are not receiving Health Matters,
you can view it online or request to be added to the
mailing list at www.augustahealth.com.
EDItOR/ DIRECtOR OF MARKEtING: Vicki Kirby
WEBMAStER: Brian McGill
Like a good neighbor
deAr friends,
At Augusta Health, supporting our community is as important
to us as providing exceptional healthcare to our patients. That’s
why we provide multiyear grants to nonprofit organizations that
work to improve the well-being of those in our community. You
can read about our involvement with Project GROWS—which
educates children about the importance of healthy eating—on
the back cover of this publication.
Being a good neighbor doesn’t end in our community, though.
Our reach has extended abroad, where Augusta Health’s own
Walter Kerschl, MD, has embarked on medical missions to build
and staff a medical clinic in Haiti. Dr. Kerschl’s foundation, the
Rockbridge-Haiti Medical Alliance, has done a tremendous job of
providing expert and compassionate care to those who need it
most—and his work is far from over. Read more about Dr. Kerschl’s
“mission to care” on page 18.
the news your family needs
This issue of Health Matters has more of the up-to-date news and
information that can keep you healthy this season. From keeping
your kids healthy (page 14) to convenient mammography
(page 12) and health advice straight from the experts (page 8),
we hope the information in these pages helps you and your
family achieve your best health.
Best regards,
MARY N. MANNix, FACHE
PRESiDENT AND CHiEF ExECuTiVE OFFiCER
AuGuSTA HEALTH
www.augustahealth.com 3

Getting ready to serve you
The Heart and Vascular Center prepares for March 2013 opening
the future of heArt cAre in our AreA is fAst tAking shApe.
Set to open its doors in March 2013, the new, four-story
Augusta Health Heart and Vascular Center, which broke
ground on Oct. 1, 2011, is now a fully enclosed structure
connecting to the existing hospital. “The concrete is poured,
walls are going up and the electrical and plumbing systems
are being installed,” says Kathleen Heatwole, Augusta Health’s
vice president for planning and development.
Brick by brick, pipe by pipe, glass window by glass
window, the community has watched the building rise,
and to the casual observer, it may look—at least from the
outside—as if the hospital is ready to start seeing patients.
But according to Heatwole, this current phase of the project
and all the small details are very time-consuming work. “it
takes so long to do an interior,” she says.
The next phase will involve moving major medical
equipment into new space; that’s expected to take place
through January and February, Heatwole says. The hospital
will then have to meet strict building codes and be awarded a
certificate of occupancy by an inspector before it can open.
4 HealthMatters Fall 2012
››
CONStRuCtION OF tHE HEARt AND vASCuLAR
CENtER CONtINuES AS tHE CENtER PREPARES
FOR ItS GRAND OPENING.
A big impact
Of the 90,000 square feet being dedicated to the project,
70,000 is new space and 20,000 renovates existing hospital
space.
in addition to five top-notch cardiologists who have been
brought on board by Augusta Health, patients can expect
two new cardiac catheterization labs featuring the latest in
technology. Augusta’s much-praised cardiac rehabilitation
open ‘house’
curious to learn more about all of the stages
of the heart and vascular center’s progress?
you can view photos, read updates and stay
tuned for news about community events and
tours of the new facility before its official
opening—it’s all online at www.augustahealth.
com/construction.

››
CONStRuCtION WORKERS ARE BuSy COMPLEtING tHE INtERIOR SPACES OF tHE HEARt AND vASCuLAR CENtER.
program will also see an upgrade. “it’s operating in such a
tight space,” Heatwole says of the program’s current location.
“it will be greatly enlarged from its current space and will be
located on the ground floor.”
Visitors to the hospital will appreciate the improved
cardiac cath team support space, including rooms equipped
with private bathrooms and the ability to wait in private for
your loved one.
Heatwole says the impact of the project is “tremendous
for the local community.” The total number of work hours
put into it was 154,609 through September, and 718 workers
have in some way contributed to the project.
Of course, the largest impact will be the community’s
access to such critical services. “We just recently completed
a community health assessment, and heart disease is the
No. 1 cause of death and disability,” Heatwole says, which
mirrors the statistics for the rest of the country.
“That’s why it’s so exciting to see this come to fruition,”
she says. “The sooner we are able to make the necessary
interventions, the less damage there is to the heart.”
floor by f loor
Packed into every inch of the new Heart and Vascular
Center and renovated spaces are services that will
bring healthcare in the area to a whole new level.
Here’s what patients and visitors can expect:
Ground f loor
Cardiac rehabilitation
Support services
New conference center
First f loor
Noninvasive cardiovascular services
Second f loor
invasive cardiology (two catheterization labs)
Cardiology and pulmonary/critical care medical
offices
third f loor
Saved space for future development
www.augustahealth.com 5

inging a new level of care to Augusta
P. Michael Marshall, PhD, ANP-C, the Cancer Center’s hematology/
oncology nurse practitioner, has joined the center’s staff after
working at the university of Virginia (uVA) for 22 years.
“i’m a lifetime resident of Augusta County, so Augusta Health
is my community-based hospital,” he says. “When the opportunity
came for me to do oncology here, that was very exciting, and i
was lucky enough to get the position.”
At uVA, Marshall specialized in breast and gastrointestinal
malignancies, but at the Cancer Center’s general oncology
6 HealthMatters Fall 2012
››
PAtRICK juDSON, MD (LEFt)
MONIquE PALMER, MD (CENtER)
MICHAEL MARSHAL, MD (RIGHt)
practice, he sees patients with a variety of diagnoses.
Marshall was also involved with clinical trials at uVA, which
he plans to continue at the Cancer Center. “One of our goals is
to make clinical trials more accessible to patients here, without
having to go somewhere else,” he says. “We’re affiliated with the
Duke Oncology Network; clinical trials that are open at Duke are
available to bring here to Augusta Health. The doctors will help
decide what we should bring, based on patient needs. We’d like
to have some trials open up by the first of the year.”
››
(L-R) PAtRICK HENRy
juDSON, MD;
SHANIquE PALMER,
MD; AND P. MICHAEL
MARSHALL, PhD, ANP-C

Patient-centered
cancer care
if you need to visit the AugustA heAlth cAncer center,
you’ll find A modern, full-service cAncer center
offering A personAlized ApproAch to medicine.
According to Teresa Griffin, RN, a member of the
hospital’s Quality Performance improvement Council and a
surgical floor nurse, “By providing patients with the support
they need, we can improve patient outcomes.”
At the core of the center is a philosophy of providing
care that goes far beyond medical consultations and
treatments. “We take care of the whole patient,” says Patrick
Henry Judson, MD, medical director of medical oncology at
the center. “They’re not a disease, they’re human beings. Our
care focuses on the person and his or her family, psychosocial
situations and things going on besides cancer.”
Working together
When doctors at the center meet with patients, they explain the
entire disease process, including treatment options and the risks
and benefits of different therapies.
“it’s a collaborative process,” says Shanique Palmer, MD,
a hematologist/medical oncologist at the Cancer Center. “it’s
very important for patients to understand what’s going on. i
always tell patients, ‘The decision is yours. My job is to educate
you.’ it’s their body, and they need to take an active part in the
decision-making process.”
Dr. Palmer says that she tries to be empathetic to be a more
effective caregiver. “it can be a very emotional time for patients,
so giving compassionate care is important,” she says. “They may
be one of many patients to you, but you’re their only doctor.”
At many cancer centers, the focus on palliative care
(addressing pain and discomfort) is often considered an end-oflife
issue. At the Augusta Health Cancer Center, however, doctors
try to manage discomfort throughout treatment.
“We try to work with their symptoms from the beginning,
not just when they’re not doing well,” Dr. Judson says.
A positive place for healing
Dr. Judson strives to make the Cancer Center a welcoming
place for patients. “My mother died of breast cancer,” he says.
“When i was starting a similar center elsewhere, she told me,
‘Make it a place where people want to come: friendly and warm,
where they’re not just a number.’ That’s what we do here.”
Breast cancer patient Kim Lambert believes they’ve
succeeded. She’s impressed not only by the quality of
care that she receives from doctors, nurses and her breast
navigator, but also by her physician’s accessibility.
“i saw Dr. Judson three times during my last
appointment,” she says. “it makes you feel really good that
a doctor would take care of you that well. They’ve taken me
under their wing.”
A warm welcome
(and welcome back)
Drs. .Judson and Palmer, who moved to the Valley for their
current positions at the Augusta Health Cancer Center, are
adjusting well to their new surroundings.
Dr. Palmer, who grew up in Jamaica and worked at
the Mayo Clinic in Minnesota, is new to Virginia, but she
already feels at home. “i love the geographic area because
of the great diversity of the population and because i have
extended family and friends up and down the East Coast,” she
says. “Also, my husband and i are foodies, and we’ve already
sampled a few restaurants in Staunton that we’ve loved.”
For Dr. Judson, moving to Virginia has been a
homecoming of sorts. “i spent most of my professional life
out West—Hawaii, Denver, Nebraska, Santa Fe—but i grew
up in northern Virginia,” he says. “i’ve always wanted to live
here. The Shenandoah Valley and Blue Ridge Mountains are
perfect for me. There are lots of good restaurants, the hills
and trees are nice, and there are great places to go jogging.”
cancer has met its match
for more information about the Augusta health
cancer center, call (800) 932-0262, ext. 5960.
www.augustahealth.com 7

Ask the expert
Augusta Health physicians and professionals answer your questions
Q:
i thought allergies only occurred in the
springtime. Why am i getting them now? Q:
unfortunately, allergies can occur year-round, and the
change in season may bring additional allergens. Weeds, for
instance, are particularly prevalent during the fall months.
identify your allergy triggers and take steps to avoid them,
such as closing your windows at night to reduce pollen
entering your home; dusting and vacuuming regularly; and
showering after being outside to rinse pollen from your
hair and body. Over-the-counter (OTC) decongestants and
antihistamines also may help you control symptoms such
as congestion, itching, sneezing and runny nose. See your
healthcare provider for an evaluation and prescription
medications if OTC remedies and self-care measures don’t
offer enough relief, your symptoms worsen or you develop
asthma-like reactions such as wheezing.
HEIDI CARR, FNP-C
8 HealthMatters Fall 2012
Heidi Carr, FNP-C, is a certified nurse
practitioner specializing in internal medicine
with Augusta Health Family Practice. She
graduated from Elmira College in New York
and completed her graduate education
at SuNY upstate Medical university in
New York.
if i have to take a prescription
medication, is it safe to continue using
my over-the-counter (otc) medications?
if you’ve been prescribed prescription medications, it’s
important to be aware of how each one can interact with
other prescriptions, OTC medications, dietary supplements
or even certain foods or beverages. Some interactions can
reduce a medication’s effectiveness, increase the severity
or likelihood of side effects or even result in a harmful
combination. And the more medications you take, the
greater the risk for interaction problems.
You can ensure your own safety and avoid dangerous
complications by reviewing your prescriptions and OTC
drugs and supplements on a regular basis with your doctor
or pharmacist. if you have more than one doctor, be sure to
tell him or her about all of the medications or supplements
you’re taking when you’re prescribed something new—this
will help your doctor assess the risk for interactions. And
using one pharmacy for all of your prescriptions can help
your pharmacist spot any potential medication conflicts.
WALtER
KERSCHL, MD
Walter Kerschl, MD, is an internal
medicine physician with Augusta
Health internal Medicine. He is also the
founder of the Rockbridge-Haiti Medical
Alliance, which organizes medical
missions to Haiti. You can read more
about Dr. Kerschl on page 18.

››
BEFORE
››
AFtER
treat yourself this holiday season
Let La Vie Medi-Spa take care of you!
the holidAy seAson cAn be both joyous And exhAusting.
sometimes you need A little “me” time to relieve stress
And re-energize yourself. Let the experts at La Vie Medi-
Spa at Augusta Health help you relax and rejuvenate. Boardcertified
dermatologist Kristen Savola, MD, director of the
Medi-Spa, and her staff have what you need to look and feel
good this holiday season.
“What sets us apart is that we’re not just a spa. We’re
a medical office, too, so you’re getting highly qualified
dermatologists and staff who are looking at everything from
acne to anti-aging treatments,” Dr. Savola says.
Revitalizing services
Whether you’re looking to relieve some tension in your back
or are worried about a few pesky wrinkles, La Vie Medi-Spa
can help with a range of services, including:
anti-aging care
facial, hair and skin treatments
mineral makeup services
massage and body therapy
“We also offer the hydrofacial, which is a microdermabrasion
procedure that cleans out your pores and
immediately improves your skin tone and texture,” says
Dr. Savola. “You can only get this treatment here.”
While you’re there, you can do some holiday shopping.
Cosmetic products and gift cards are available as gifts for your
friends or family members.
neW jane iredale
cosmetics at la vie!
Tired of using makeup that dries out your skin? Try the
mineral-based line of cosmetics by Jane iredale, now
available at Le Vie Medi-Spa.
“Mineral makeup doesn’t irritate skin, doesn’t clog
pores and has better sun protection than oil-based
makeup,” says Dr. Savola. “You can come in for a free
consultation to help you make decisions either for
yourself or for gift ideas for others.”
if you’re interested in learning more about the
Jane iredale collection and the benefits of mineral
makeup, set up a free consultation with Kristy
Chapman, head aesthetician at La Vie Medi-Spa, by
calling (540) 213-2531.
looking for gift ideas?
la vie medi-spa has the gift choices you’re
looking for this holiday season. stop in at
57 north medical park drive, suite 109 in
fishersville, visit www.augustahealth.com/
la-vie or call (540) 213-2531 to purchase a
gift certificate.
PHoTo CourTeSy of dr. giuSePPe SCArCeLLA
www.augustahealth.com 9

A shot of good health
Adults need vaccinations, too
vAccinAtions mAy seem more like A childhood
occurrence, like spelling tests And science projects.
But adults need their shots, too. Getting them helps
prevent the spread of disease—especially to people with
compromised immune systems and very young children
who may not be old enough to be vaccinated themselves.
“What may feel like a bad cold to you can be very bad for
an infant who hasn’t had his or her full vaccination schedule,”
points out Carolyn Palmer, BSN, an infection control nurse at
Augusta Health.
Here are four vaccinations you need to consider for your
health and the well-being of those around you.
Influenza
According to Palmer, approximately 200,000 hospital
admissions occur each year in the united States stemming
from the flu virus. “i’ve watched influenza for 26 years, and i’ve
seen people in their 20s on ventilators in the iCu because of
the flu,” she says.
The shot is recommended for all people 6 months old
and older. “Basically, anyone who doesn’t want to get the flu
should get the flu vaccine,” says Doug Larsen, MD, medical
director for the state Health Department’s Central Shenandoah
Health District, which covers some 280,000 Virginia residents.
it is strongly urged for those who face the greatest risk of
complications, such as those with heart disease and diabetes,
pregnant women and children.
Flu is ever changing, so you need to get vaccinated yearly.
A new vaccine is produced before every flu season and is
formulated based on the Southern Hemisphere’s season,
Dr. Larsen says.
Pertussis
Pertussis, also called whooping cough, is a serious respiratory
infection that can trigger severe breathing problems and,
in newborn babies, death. Coughing till vomiting is a more
common symptom in adults than the trademark “whooping”
sound, Palmer says.
Despite the availability of a vaccine (DTaP for first shots,
10 HealthMatters Fall 2012
Tdap for boosters), it’s an illness that’s on the upswing in
Virginia and nationwide in both children and adults, says
Allison Baroco, MD, medical director of infectious diseases at
Augusta Health. Not getting vaccinated and waning vaccine
immunity are thought to be behind the trend.
Current recommendations suggest that adults get the
one-time Tdap booster shot if they did not receive the Tdap
booster as a preteen. Women who are pregnant, anyone who
will be caring for a young baby or family members who will
be around the baby regularly are urged to get the shot. Many
people are unaware that they are not up to date on this critical
vaccination, Dr. Larsen says.
Shingles
Shingles (herpes zoster) causes significant pain and skin
infections in adults, says Dr. Baroco. This condition, which
triggers a blistering rash, is caused by a reactivation of the
chicken pox virus and usually affects an isolated portion
of the body. (it’s important to note that you can’t spread
shingles; you can, however, give chicken pox to someone who
has not previously been exposed to the chicken pox virus.)
Pain or discomfort resulting from the shingles may last for
weeks, months or even years following the outbreak.
The shingles vaccine is recommended for those age 60 and
older in a one-time dose. Because the vaccine is relatively new,
it’s not yet known whether a booster is needed.
Pneumonia
if you’re age 65 or older, have a chronic disease or otherwise
have a compromised immune system, your healthcare
provider may recommend a pneumococcal vaccine. This will
help protect you from the lung infection pneumonia, which
can cause rapid breathing, fever, vomiting, chills and chest
pain. The vaccine can also help protect against meningitis
and certain blood infections.
Only one shot is typically needed, although a second
vaccination may be recommended if you have a chronic illness
or if you had your shot before age 65. Ask your doctor if you
need a second vaccination.

Adult immunization schedule
Vaccine how often
Tetanus, diphtheria, pertussis (Td/Tdap) • 1 Tdap vaccine
• 1-dose Td booster every 10 years for adults ages 19 and older
Measles, mumps and rubella (MMR) • 1–2 doses for adults ages 19 to 55 who lack evidence of immunity
• 1–2 doses after age 55 if risk factors are present
Varicella (chickenpox) • 2 doses for adults ages 19 and older who lack evidence of immunity
Influenza • 1 dose annually for all adults
HPV vaccine for women • 3 doses between ages 19 and 26
HPV vaccine for men • 3 doses between ages 19 and 21
• 3 doses between ages 22 and 26 if risk factors are present
Pneumococcal polysaccharide (pneumonia) • 1–2 doses between ages 19 and 64 if risk factors are present
• 1 dose for ages 65 and older who lack evidence of immunity
Hepatitis A • 2 doses if risk factors are present
Hepatitis B • 3 doses if risk factors are present
Meningococcal (meningitis) • 1 or more doses if risk factors are present
Zoster (shingles) • 1 dose after age 60
Source: U.S. Centers for Disease Control and Prevention
www.augustahealth.com 11

Self-schedule mammography
removing barriers to this lifesaving exam
scheduling A mAmmogrAm just got A Whole lot eAsier
At AugustA heAlth.
On July 1, the hospital began offering self-schedule
mammography for patients looking to set up a screening
mammogram appointment without first having to go
through the customary visit to their healthcare provider.
Typically, patients must obtain a written order for the
mammogram from their provider before being allowed to
even schedule the mammography screening. This multistep
process can be daunting for the time-pressed, but with selfscheduling,
you make the appointment and leave the rest of
the work to Augusta Health.
12 HealthMatters Fall 2012
“We know people are working hard, and we’re really
reaching out to the community to make scheduling your
mammogram an easier process,” says Rader Dod, RT-R,
radiology director at Augusta Health, of the hassle-free,
streamlined approach.
Adds Diane Rapp, RT-RM, coordinator of Augusta Health’s
Women’s imaging: “We’re giving women better—and easier—
access to their yearly mammogram.”
How self-scheduling works
Women call the Augusta Health Women’s imaging Center
and schedule their mammograms directly. Before confirming

the mammogram necessity
Like in most other conditions, early detection is key in beating breast cancer. “One in 8 women will be diagnosed with
breast cancer in her lifetime,” says Lisa Sullivan, mammography team leader at Augusta Health.
By the numbers
Another sobering statistic: A 2010 analysis found that only about half of insured women were getting their routine
mammograms. Separate research has pointed to factors such as unsatisfactory prior mammography experiences and
barriers to getting mammograms as playing a role in missed mammograms.
The results of a recent Mayo Clinic analysis also found that since the controversial recommendations released in 2009 by
the u.S. Preventive Services Task Force—which, among other things, recommended that women begin regular screenings
later, at age 50—the rate of mammograms for women in their 40s dropped by 6 percent, equaling about 54,000 fewer
mammograms. (Many leading cancer agencies and experts, including those at Augusta Health, have chosen to continue
following the American Cancer Society’s recommendation of beginning mammogram screenings at age 40.)
Your ally
According to the u.S. Department of Health and Human Services Office on Women’s Health, a high-quality mammogram
and clinical breast exam are the best tools for detecting breast cancer early, when it’s more treatable. Thanks to these tools,
60 percent of breast cancers are caught before they spread, when patients have a five-year survival rate of 99 percent,
according to the American Cancer Society.
Your healthcare provider can help determine what your individual breast-screening schedule should be. Mammograms
are typically recommended every year, but women who have a personal or family history of breast cancer may require more
frequent testing and may need to begin at an earlier age.
the appointment, a patient will be asked a set list of questions to
determine if she is a candidate for this service, Rapp says. Women
who are candidates include those who:
are age 40 or older
have seen a healthcare provider in the past two years
Women who are not candidates include those who:
have no primary care provider or have not seen their provider in
more than two years
had a mammogram less than a year ago
have or have had breast-health issues, including pain, tenderness,
nipple discharge, lumps or masses
have implants
had previous abnormal mammograms or mammograms that
required follow-up
For women who meet the criteria, nothing else is needed.
Augusta’s imaging staff will secure the necessary written order for the
mammogram prior to the appointment.
Wait times for mammograms are usually less than a week, and the
exam is offered at the Women’s imaging Center on the Augusta Health
campus, Dod says. in addition to the mammogram, women will also
be given educational information about breast self-exams and clinical
breast exams (those performed by a healthcare provider). Results of
the exam are sent to the patient and her provider.
time to get tested!
for more information about self-schedule
mammography or to schedule your
mammogram, please contact Women’s
imaging services at Augusta health at
(540) 332-4486 (staunton) or (540)
932-4486 (waynesboro). scheduling
hours are monday through thursday, 7 a.m.
to 5 p.m., and friday, 7 a.m. to 4:30 p.m.
www.augustahealth.com
13

No appointment?
No problem
our Convenient Care Clinics
and urgent Care Centers offer
convenient care for your child’s
sports and camp physicals
We All hAve busy lives. Add in your children plAying
sports, And the dAys cAn get even shorter. Luckily,
Augusta Health can make one aspect of your hectic day a
bit easier. You can get your child’s sports and camp physicals
done at any of Augusta Health’s Convenient Care Clinics or
urgent Care Centers without an appointment.
Here when you need us
if your child is involved in school sports, it’s important to get
a sports physical once a year. The Convenient Care Clinics and
urgent Care Centers are ready for your child when the need
arises, and they’re open later than many physicians’ offices.
When you and your child come in, remember to
bring any forms required for your child’s activity. “it’s also
helpful for parents and guardians to discuss their child’s
medical history with them prior to coming in for a physical,”
recommends Bob Lianez, NP, a nurse practitioner at Augusta
Emergency Physicians and the Convenient Care Clinics.
The physical can go quickly but will be as thorough as
necessary, says Lianez. Patients will go over their medical
history, get a general head-to-toe evaluation (as well as a
cardiac and skeletal examination) and be approved for their
activities or referred to their primary care physicians for
follow-up.
What about school
physicals?
camp and sports physicals are a great way to make
sure your child is physically fit, but they aren’t an
alternative to a comprehensive school physical. school
physicals are not offered at the centers and should be
conducted by your child’s primary care physician.
14 HealthMatters Fall 2012
many convenient
locations
CONvENIENt CARE
CLINICS
Old trail, Crozet
(434) 823-7896
1005 Heathercroft Circle,
Suite 400
Crozet, VA 22932
Monday–Friday,
10 a.m.–6 p.m.
Saturday–Sunday,
10 a.m.–5 p.m.
Staunton Walmart
(540) 213-0277
1028 Richmond Ave. C
Staunton, VA 24401
Monday–Friday,
10 a.m.–7 p.m.
Saturday, 10 a.m.–5 p.m.
Sunday, noon–5 p.m.
Waynesboro Walmart
(540) 949-9315
116 Lucy Lane
Waynesboro, VA 22980
Monday–Friday,
10 a.m.–7 p.m.
Saturday, 10 a.m.–5 p.m.
Sunday, noon–5 p.m.
uRGENt CARE
CENtERS
Staunton
(540) 245-7470
851 Statler Blvd.
Staunton, VA 24401
Monday–Sunday,
8 a.m.–7 p.m.
Weyers Cave
(540) 453-0040
1140 Keezletown Road
Weyers Cave, VA 24486
Monday–Sunday,
noon–8 p.m.

CHRIStOPHER HARMON,
MD, PhD
Bringing advanced GI care
to Augusta Health
Meet r. Christopher Harmon, Md, Phd
pAtients Who need AdvAnced gAstrointestinAl (gi)
cAre noW don’t hAve to look fArther thAn their oWn
neighborhood to find it, thAnks to the Addition of
boArd-certified gAstroenterologist r. christopher
hArmon, md, phd, to AugustA heAlth. After completing a
fellowship in advanced Gi endoscopy, Dr. Harmon now brings
his unique expertise to Augusta Health Gastroenterology.
Leading-edge procedures
Dr. Harmon is skilled in endoscopic ultrasound (EuS) and
endoscopic retrograde cholangiopancreatography (ERCP),
two procedures that until now were unavailable in this
region. “Generally, these tools are limited to major academic
centers, so i’m excited about bringing these leading-edge
technologies to Augusta Health,” Dr. Harmon says.
ERCP uses a combination of x-rays and endoscopy (which
uses a lighted, flexible tube with a camera attached) to
diagnose and treat problems of the pancreatic and bile
ducts. “We can perform procedures for bile duct stones,
strictures, tumors and other blockages,” explains
Dr. Harmon.
EuS also uses an endoscope to look at problems of the
digestive tract and the surrounding tissue and organs.
“Recent articles in respected medical journals confirm that
EuS for management of infections and pancreatic necrosis
is the most optimal therapy and prevents patients from
having to undergo complicated surgical procedures,” adds
Dr. Harmon. “The biggest benefit is in the diagnosis and
staging of cancer. if a patient has a tumor that’s detected by
endoscope or CT, this tool allows me to understand what it
is and stage the tumor to direct its treatment.”
comprehensive gi care
in addition to endoscopic ultrasound and endoscopic
retrograde cholangiopancreatography, the Augusta
Health Endoscopy Center offers a wide range of
procedures to diagnose gastrointestinal disorders,
including:
colonoscopy
upper Gi endoscopy
bronchoscopy
transesophageal echocardiogram
capsule endoscopy
Right at home
Dr. Harmon may be new to Augusta Health, but he’s
no stranger to Fishersville. Dr. Harmon and his wife,
Vanessa Lee, MD, who also practices at Augusta Health
Gastroenterology, have lived in Fishersville for seven years,
where they have a farm and enjoy many outdoor activities.
After completing his fellowship in Roanoke, Dr. Harmon
was eager to return home. “i love living in this region,”
Dr. Harmon says.
make an appointment todaY!
dr. harmon is seeing patients at Augusta health
gastroenterology, located at 70 medical center
circle, suite 302, in fishersville. to schedule an
appointment, call (540) 245-7350.
www.augustahealth.com 15

16 HealthMatters Fall 2012
Spider veins have you
fearing
La Vie Medi-Spa can help
Winter Will soon come And go, And it’ll be time to
pull out those shorts And sWimsuits And enjoy the
summer sun. if you’re one of the millions of people
affected by spider veins, however, you’re probably
dreading that time of year.
Stop dreading and do something about it! The
experts at La Vie Medi-Spa offer several vein removal
options for you to consider, which can help rid you of
those displeasing spider veins. Consider these options:
Sclerotherapy is a procedure that can be done right in
the office. The procedure involves injecting a solution
directly into the vein using a small needle, which causes
the blood to clot and seals off the spider veins from
other veins. Over a period of six to 10 weeks, the veins
will shrink and fade away. “Sclerotherapy is very safe,”
says Kristen Savola, MD, medical director of La Vie Medi-
Spa. “The only side effects that may occur are a treatable
brown pigmentation or small scarring.” Depending on the
amount of spider veins, a patient may need up to three
treatments to completely get rid of the veins.
Laser treatment is a noninvasive treatment for spider
veins. This procedure targets the blood vessels without
scarring. “it constricts the vessel and causes it to
dissolve,” Dr. Savola explains. “There are no needles, and
it’s a bloodless procedure.” it may take six to eight weeks
for best results.
Both treatments are permanent, and you won’t have
to worry about the veins reappearing. (You should refrain

summer?
from long periods of standing for up to two days after either
treatment.) They don’t require anesthesia and can be done
in the comfort of the office at La Vie Medi-Spa.
How to choose
Before choosing a treatment option, you’ll consult with
Dr. Savola to determine which treatment option is right for
you. “Sclerotherapy tends to be better for slightly larger
spider veins, whereas the laser is better for the superficial
veins that are red and right at the surface of the skin,” she
says. Laser treatment is also better for matted veins.
Another option may be a combination of both
procedures. Dr. Savola may suggest using sclerotherapy
for the larger veins and switching to laser treatment for
the smaller or matted veins, or simply for a touch-up.
The cost of each procedure will vary depending on
the extent of the treatment. Treatments can range from
$150 to $350. Dr. Savola will determine costs and discuss
your payment options with you during a consultation.
A team you can trust
Dr. Savola and her team have extensive knowledge of and
experience in spider vein treatments and offer a comforting
atmosphere for patients. “We are a medical office and we
are board-certified dermatologists performing the
procedure,” says Dr. Savola. “A treatment session is about
30 minutes long, and we work hard to make the procedure
as comfortable and painless as possible.”
how spider veins
affect you
Kristen Savola, MD, medical director of La Vie Medi-Spa,
has the answers to your questions about spider veins.
Q : what are spider veins?
a: What we most commonly consider spider
veins are the red or bluish veins that appear underneath
the skin on the legs and feet.
Q : who suffers from them?
a: For the most part, spider veins are hereditary.
Most people think they have them because they stand
on their feet all the time or sit with their legs crossed,
but that’s not the reason. About 50 to 55 percent of
women and 40 to 45 percent of men in the united
States suffer from spider veins.
Q : do spider veins pose a health risk?
a: Spider veins don’t pose any health risks;
however, spider veins should not be confused with
varicose veins that can cause health risks. Spider veins
are mainly cosmetic and can be removed at any time.
make an appointment!
to learn more about spider vein treatments or to
book a consultation with kristen savola, md, at
la vie medi-spa, call (540) 213-2531.
www.augustahealth.com 17

A mission of caring
As A primAry cAre physiciAn, WAlter kerschl, md, hAd
AlreAdy committed his life to helping And heAling
others. But during his first international medical mission
to Honduras in 2008, he discovered that his medical skills
and compassionate spirit could have a far greater reach and
impact.
“We were traveling around to multiple villages when
i realized that another medical mission might only return
to that same place in three years,” recalls Dr. Kerschl,
who is also a physician executive at Augusta Health.
During that mission to Honduras, Dr. Kerschl and a friend,
Joshua Harvey, resolved to create an organization that
could organize regular medical mission trips to help
impoverished people abroad, and the Rockbridge-Haiti
Medical Alliance was born.
“Our inspiration was a desire to guide and support
impoverished people—empower them to help themselves,”
Dr. Kerschl says.
A helping hand
Dr. Kerschl and Harvey decided to concentrate their efforts
in Fond Pierre, located in the central part of Haiti (about
three hours by car from Port-au-Prince). in addition to being
in need of help—Haiti is the poorest country in the Western
18 HealthMatters Fall 2012
A typical trip
Dr. Kerschl usually recruits six missionaries (who can
include physicians, nurses, allied health and medical
students, EMTs and nonmedical persons) to accompany
him on his medical missions to Haiti.
After flying to Port-au-Prince, the team travels over
mountains and through rough roads and neighboring
villages to Fond Pierre. For the next three days, they run
the clinic, seeing hundreds of adults and children. On
the fourth day, the team (along with a Haitian nurse and,
on the last mission, a Haitian physician) packs up their
supplies and travels to Paredon, where they treat an
average of 300 people in one day.
Hemisphere—the closer proximity to the united States meant
that more frequent trips to Fond Pierre would be possible.
Since its founding in 2009, the Rockbridge-Haiti Medical
Alliance has organized four medical missions to this area;
a fifth trip is currently being planned for March 2013.
Making progress
in nearly four years, the Rockbridge-Haiti Medical Alliance,

OPPOSItE PAGE: WALtER KERSCHL, MD, SPENDS tIME WItH HAItIAN CHILDREN, CARES FOR PAtIENtS AND CELEBRAtES A SuCCESSFuL tRIP WItH FELLOW vOLuNtEERS.
tHIS PAGE: DR. KERSCHL AND HIS tEAM OF vOLuNtEERS PREPARE tO LEAvE tHE PEOPLE OF FOND PIERRE AND tRAvEL ALONG tHE MuDDy ROADS tO PORt-Au-PRINCE.
a 501(c)(3) nonprofit, has raised more than $90,000. That
money has allowed the organization to set up a school
clinic with a pharmacy; they’ve also hired a full-time Haitian
nurse to staff their clinic and are looking to hire a full-time
Haitian physician so care can continue between visits from
Dr. Kerschl and his volunteers.
Dr. Kerschl also reports that each mission benefits more
and more Haitians and their families. “We usually see about
250 people over four days, but during our last trip [in April
2012], we saw well over 1,200 people!” he says. “Every time
we go, it grows and gets bigger and bigger.”
Getting more than they give
Dr. Kerschl says that each person who goes as a volunteer
experiences it differently, but everyone comes home
feeling changed in some way. “it’s hard to describe,” he says.
“Some are emotional at first, but once they leave they feel
empowered and touched by the things they’ve seen and
the people they’ve met. The experience takes part of your
heart and adds something to it that somehow helps you
understand what’s really important in life.”
Dr. Kerschl fondly remembers a story that particularly
touched him: “An 86-year-old nun who runs a visitation home
in the capital city told us that the night after the earthquake
that hit Port-au-Prince in 2010, she listened off in the distance
and heard songs of hope and of thanking God for saving
them. That shows how faithful and appreciative the Haitian
people are, and that’s what makes this such a reward for us.”
Many volunteers have even expressed an interest in
returning on future missions. “i’ve not had anyone who’s
ever come with us say, ‘i don’t want to go back,’ ” says
Dr. Kerschl. Despite a very busy four-day trip, “most are
always rejuvenated and full of a new spirit of hope and
appreciation for all that we have and for all that we can give
to help others.”
Become part of the mission
the rockbridge-haiti medical Alliance is
looking for volunteers for future medical mission
trips. medical and nonmedical professionals
are welcome. for more information, visit
www.r-hma.org.
if you can’t make the trip, you can still
support the rockbridge-haiti medical Alliance
with a donation that will help the organization
continue its mission of healing and empowering
others. donations can be made online or mailed
to Walter kerschl, md, at the rockbridge-haiti
medical Alliance, 55 comfort Way, suite 1,
lexington, vA 24450.
www.augustahealth.com 19

On the level
What your cholesterol levels mean—and how to control them
like high blood pressure, unheAlthy levels of
cholesterol hAve A WAy of doing their dAmAge Without
Any WArning signs thAt something’s Amiss. So unless
you’ve been tested to find out your
levels, you may not even know your
cardiovascular system is at risk for
narrowed arteries, heart attacks or
other ailments.
Experts recommend adults get
a simple blood test called a lipid
panel—which measures your total
RODNEy GRABER, MD
cholesterol, good HDL cholesterol,
bad LDL cholesterol and triglycerides—beginning at age 20
and repeating about every five years (or more frequently if
your numbers are off).
But what numbers are you aiming for?
the numbers game
“ideally, you want your total cholesterol levels to be less than
200 mg/dL,” says Augusta Health cardiologist Rodney Graber,
MD. But total cholesterol only offers one part of the picture:
your HDL cholesterol, which removes excess cholesterol
from the bloodstream and keeps it from accumulating on
blood vessel walls, should be at least 50 to 60 mg/dL.
your LDL cholesterol should be less than 100 mg/dL, or
less than 70 mg/dL if you have heart disease or are at risk
for it.
triglycerides—another type of blood fat—should measure
below 150 mg/dL.
20 HealthMatters Fall 2012
taking charge
Cholesterol control typically starts with lifestyle measures,
such as quitting smoking, losing excess pounds, cutting back
on bad fats, concentrating on good fats (monounsaturated
and polyunsaturated) and incorporating more whole grains
into your diet, in addition to more frequent exercise. “Then i
bring them back in after three months and see how they’re
doing,” Dr. Graber says.
if improvements aren’t seen or aren’t significant,
medications such as statins are usually the next step. These
drugs not only lower cholesterol to healthier levels but also
stabilize existing cholesterol buildup (or plaque) and keep it
from rupturing, Dr. Graber says.
cholesterol type ideal levels
Total cholesterol Less than 200 mg/dL
HDL (good) cholesterol 50-60 mg/dL or higher
LDL (bad) cholesterol Less than 100 mg/dL
Triglycerides Less than 150 mg/dL
get healthY!
dr. graber’s practice, Augusta health cardiology,
is located at 70 medical center drive, suite 107 in
fishersville, on the Augusta health campus. for
more information or to schedule an appointment,
call (540) 332-4278.

A new view
New SPeCT/CT scanner
provides patient-friendly,
state-of-the-art imaging
pAtients Who need imAging studies noW hAve AdvAnced
technology on their side, thAnks to AugustA heAlth’s
neW spect (single photon emission computed
tomogrAphy) And ct scAnner. The GE Discovery NM/CT
670 is the only SPECT/CT scanner of its kind in the area—
and it’s already improving the patient experience with
exceptional image quality and patient comfort.
How it works
“Our new scanner is a unique system—the next generation
in hybrid SPECT,” says Rader Dod, RT-R, director of radiology
at Augusta Health. A two-in-one scanner, it includes a
nuclear all-digital camera fused with an 8-slice CT scanner.
“The nuclear medicine component shows how the organs
function, while the CT component shows the anatomical
positioning,” explains Sheila Brown, supervisor of nuclear
medicine and PET-CT services at Augusta Health.
The scanner is used to help diagnose a variety of
conditions, including those of the heart and certain cancers.
“For example, we can see the walls of the heart much clearer,
and it can help us determine where a tumor is located and if
it’s spread,” says Brown.
A plus for patients
Augusta Health’s previous SPECT/CT scanner wasn’t digital;
in contrast, Brown says, “Our new scanner produces all-digital
images, which will enhance our ability to diagnose and do so
much earlier in the disease process.”
The scanner’s advanced robotics make it possible to
perform multiple actions quickly and at once, which shortens
overall imaging time. “This, in turn, improves patient comfort,
which also reduces anxiety,” Brown says, adding that CT scans
can be performed in less than one minute.
Another benefit for patients is the larger table weight,
which can accommodate larger patients. “Whereas in the
past, the images weren’t as clear for these patients, now we
can provide high-quality imaging for them,” Dod notes.
››
RADER DOD, Rt-R,
AND SHEILA BROWN
WItH AuGuStA
HEALtH’S NEW
SPECt/Ct SCANNER
the accreditation
advantage
Augusta Health is proud to have received another
three-year Gold Seal Accreditation in magnetic
resonance imaging (MRi) from the American College of
Radiology (ACR), a national professional organization
serving more than 34,000 diagnostic and interventional
radiologists, radiation oncologists, nuclear medicine
physicians and medical physicists. This accreditation
is awarded to facilities that meet the ACR’s stringent
guidelines for image quality and patient safety.
where image is eVerYthing!
the next time you need imaging services, you can
feel confident in Augusta health’s high-quality,
convenient care. to learn more, visit
www.augustahealth.com/radiology.
www.augustahealth.com 21

Augusta health lifetime
fitness group classes
and screenings
Nonmembers may purchase a 10-class
pass for $100. Classes run on an
ongoing basis. Other classes not listed
here can be found on our website at
www.augustahealth.com/lifetime-fitness.
For more information, call Sharon
Stiteler of Lifetime Fitness at
(540) 332-5571.
yOGA CLASSES
Basic: Mondays, 5:30 p.m.;
Tuesdays, 9 a.m.
Intermediate: Thursdays, 8:45 a.m.
tAI CHI
Cancer Recovery: Tuesdays, 6:45 p.m.
Free to cancer recovery patients;
sponsored by Augusta Health Cancer
Center
Arthritis and Diabetes: Tuesdays,
11:15 a.m.
Beginner: Wednesdays, 11:15 a.m.
Intermediate: Thursdays, 11:15 a.m.
Advanced: Tuesdays, 7:30 p.m.
CHI KuNG
Intermediate: Tuesdays, 10:15 a.m.
Advanced: Thursdays, 10:15 a.m.
LES MILLS BODy COMBAt
Mondays, 5:30 p.m.; Tuesdays,
4:30 p.m.; Wednesdays, 9 a.m.; Fridays,
5:15 a.m.; alternate Saturdays, 9 a.m.
MARtIAL ARtS
Extra fee, class passes excluded
22 HealthMatters Fall 2012
Happenings
at Augusta Health
Calendar of classes and groups
Beginner: Mondays and Wednesdays,
7–8 p.m.
Intermediate: Mondays and
Wednesdays, 8–9 p.m.
Cost: $55 a month for members,
$90 for nonmembers
AquAtIC CLASSES
Aqua Power: Mondays, Tuesdays and
Fridays, 7:45 a.m.; Tuesdays and Fridays,
9 a.m.; Mondays, 4:45 p.m.; Thursdays,
4:45–5:30 p.m. (Fitness Pool)
Aqua Express: Wednesdays, 7:45 a.m.
Deep Water Conditioning: Mondays and
Thursdays, 9 a.m. (Fitness Pool)
Aqua Bootcamp: Mondays, 5:45 p.m.,
Fridays, 9 a.m. (Fitness Pool)
tHERAPEutIC/REHABILItAtIvE
AquAtIC CLASSES
Aqua Lite: Mondays and Fridays, 9 a.m.
and 10 a.m.; Tuesdays and Thursdays,
9 a.m. and 10 a.m.; Wednesdays,
4:45 p.m. (Therapy Pool)
Range of Motion (ROM): Mondays and
Fridays, 11 a.m. (Therapy Pool)
zuMBA DANCE
Mondays, 9:15 a.m.; Tuesdays, 3:45 p.m.;
Wednesdays, 5:30 p.m.; Thursdays,
12:15 p.m.; Fridays, 7:45 a.m. and
5:30 p.m.
tRX SuSPENSION SMALL GROuP
tRAINING CLASS
Mondays and Wednesdays, 9 a.m.;
Tuesdays and Thursdays, 5:15 a.m.;
Wednesdays and Fridays, 12:15 p.m.;
Wednesdays, 5:30 p.m.
Call: Sharon Stiteler at (540) 332-5571 or
email sstiteler@augustahealth.com
for more details; more classes may be
available
oncology support
groups
For more information about any
cancer group, call Leigh Anderson at
(540) 245-7105.
FRIENDS LIStENING tO FRIENDS
GROuP
For newly diagnosed cancer patients
who have fears, questions or concerns.
This group also addresses life after
cancer treatments.
When: Wednesdays, 4–5 p.m.
Where: Augusta Health Cancer Center
Conference Room
LEAN ON ME—CAREGIvER
SuPPORt GROuP
While you‘re taking care of your
loved one, don’t forget to take care of
yourself.
When: Mondays, 4–5 p.m.
Where: Augusta Health Cancer Center
Conference Room
stroke support
SHENANDOAH vALLEy StROKE CLuB
This support group is for those who
have suffered a stroke and their family
members, care partners and friends.
When: First Friday of every month,
noon
Call: Shelley Payne at (540) 332-4047
or (540) 932-4047

community Wellness
GAIN INDEPENDENCE FROM tOBACCO
This six-session smoking and smokeless tobacco
cessation program will help you examine why you
use tobacco and create an individual quit plan. The
instructor uses evidence-based guidelines and is a
Certified Tobacco Treatment Specialist.
When: Winter classes will begin the second week of
January, 6–7:30 p.m.
Call: (540) 332-4988 for more information
yOu CAN! LIvE WELL, AuGuStA!
if you are living with a chronic illness (asthma, arthritis,
diabetes, heart disease, hypertension, etc.), join our
Community Wellness educators for a six-session
workshop to help you explore effective ways to
manage your condition and take charge of your life.
No charge; all community members welcome.
When: Winter session begins the second week of
January. Classes will tentatively be held either
1–3:30 p.m. or 6–8:30 p.m., pending interest.
Call: (540) 332-4192 or (540) 332-4988 for more
information
LIvE WELL, WItH DIABEtES!
Diabetes is a very challenging disease. Come join
this six-week program, led by Community Wellness
nurse educators, to help you better care for yourself
or a loved one. Parents, spouses and caregivers can
benefit from the class and are also encouraged to
attend. Sessions reinforce healthy eating and exercise,
but managing stress, fear, frustration, pain, fatigue,
depression and other challenges are at the heart of
this program. No charge; all community members
welcome.
When: Please call for information on the winter session.
Call: (540) 332-4192 or (540) 332-4988 for more
information
Continued on page 24 »
Now is the time
to prepare for
Winter
Discover what our triple-board certified
Dermatologist, Kristen Savola, MD
can do for you.
• Fraxel Restore and Fraxel
CO2 Repair
• Thermage CPT
• Photo Rejuvenation Lasers
• Botox Cosmetic and Dysport
• Fillers- Restylane, Juvederm,
Radiesse, Sculptra
• Microdermabrasion/
Hydrafacial
• Spider vein treatments-
Sclerotherapy, Laser
• Products to improve s
kin tone, texture,
and fade brown spots
Gift Certificates
Available online
for spa &
cosmetic services
Restore,
rejuvenate
and repair
your skin to
its youthful
glow.
57 North Medical Park Drive
Suite 109
Fishersville, VA 22939
(540) 941-2531
www.augustahealth.com
Find us on Facebook
www.augustahealth.com 23

Happenings at Augusta Health
Continued from page 23 »
SMARt SIttERS
This babysitting class for adolescents
ages 12 and older includes infant and
child care. First aid and family and
friends CPR are also covered.
When: Next class will be held at the
end of the school year in June, 8 a.m.–
4:30 p.m., but call today to reserve
your spot.
Call: (540) 332-4190
LIvING A FuLFILLED LIFE
WItH HEARt FAILuRE
This two-session program helps
participants learn sign and symptom
management of heart failure,
medication management and much
more. it’s for people with and at risk for
heart failure and their caregivers and
loved ones.
When: First and third Wednesdays of
every month; times rotate each month:
11 a.m.–12:30 p.m. or 6–7:30 p.m.
Call: (540) 332-4190
COPD EDuCAtIONAL CLASS
is your shortness of breath due to
getting older or something more
serious? We will offer an educational
class on COPD (chronic obstructive
pulmonary disease) beginning in 2013.
Call: (540) 332-4190
Augusta health
dietitians
CELIAC SPRuE SuPPORt GROuP
Group meetings feature free samples
of gluten-free foods, recipes from
support group members, visits from
food-service providers and a wealth of
practical tips.
When: Third Tuesday of every other
month, Jan. 15; 5–7 p.m.
Where: Augusta Health Community
Care Building, rooms 1 and 2
Call: Laura Johnson, RD, at
(540) 932-5034
24 HealthMatters Fall 2012
Augusta health hospice
of the shenandoah
LIvING At tHE END OF LIFE—
HOSPICE vOLuNtEER tRAINING
Are you interested in becoming a
hospice volunteer and making a
difference? Our next training session
will begin in March 2013.
Call: Lori Showalter, Hospice Volunteer
Coordinator, at (540) 932-4904 or
lshowalter@augustahealth.com
HEARt tO HEARt—
GRIEF SuPPORt GROuP
if someone you love has died and you’d
like the “heart to heart” support of
others who’ve also lost someone, we
invite you to attend our support group.
We understand this is a very difficult
time in your life. Talking and sharing
with others going through a similar
experience can provide tremendous
support and be extremely helpful in
learning how to cope and live with
your grief. Support groups are open
to the community and provided free
of charge.
When: New groups begin throughout
the year
Where: Augusta Health Community
Care Building
Call: For more information and starting
dates, contact Debbie Brown, Hospice
of the Shenandoah, Bereavement
Coordinator, at (540) 932-4911 or
dbrown@augustahealth.com
sleep disorders
SLEEP APNEA SuPPORt GROuP—
AWAKE (ALERt, WELL, AND KEEPING
ENERGEtIC)
Representatives from the Sleep Center
and Care Home Medical will answer
questions about sleep and common
sleep disorders.
When: Third Monday; quarterly basis
Where: Augusta Health Community
Care Building
Call: (540) 932-4169 for more
information
diabetes education
tyPE 1 DIABEtES SuPPORt GROuP
No charge, open to the public.
When: First Thursday of every month,
6:30–7:30 p.m.
Where: Augusta Health Community
Care Building
Call: (540) 213-2537 or (540) 941-2537
for more information
tyPE 2 DIABEtES SuPPORt GROuP
Have questions about diabetes and
need answers? Learn and share with
other people with diabetes. Topics
will be centered around learning to
manage your diabetes. No charge,
open to the public.
When: Fourth Monday of most months,
5:30–6:30 p.m.
Where: Augusta Health Community
Care Building
Call: (540) 213-2537 or (540) 941-2537
for more information
tyPE 2 DIABEtES CLASS SERIES
A monthly three-class series recognized
by the American Diabetes Association
will help with your daily management
of type 2 diabetes. Topics include
prevention steps, meal planning and
medications. Classes are offered at
various times and days of the week.
Call: (540) 213-2537 or (540) 941-2537
for more information
PRE-DIABEtES CLASS
This class is for people diagnosed with
pre-diabetes. The focus is on how to
slow the progression to type 2 diabetes
by making healthy lifestyle changes.
Call: (540) 213-2537 or (540) 941-2537
for information about class dates and
times

ostomy support group
AuGuStA HEALtH DIvERSIONS—
ASSIStING yOu FOLLOWING
OStOMy SuRGERy
in this group meeting, you’ll share
ideas and improve your quality of life
after ostomy surgery.
When: Second Monday of every other
month, 6–8 p.m.
Where: Augusta Health Community
Care Building, Room 2
Call: (540) 332-4346 for details
Augusta health lifetime
fitness tennis program
schedule
ADuLt 1*2*3 tENNIS
Ages 18 and older
Learn how to play, improve skills and
practice.
When: Thursdays, 6–7:30 p.m.
Session 10: Dec. 6–27
Session 11: Jan. 10–31
Session 12: Feb. 21–March 14
Session 13: March 28–April 18
Session 14: May 2–23
Cost: $65 per session
ADuLt CARDIO tENNIS
Ages 18 and older
This “workout” tennis program is sure
to leave you energized.
When: Mondays, 6:15–7:15 p.m.;
Wednesdays, 10:15–11:15 a.m.
Session 3: Mon., Jan. 7–Feb. 11
Session 3: Wed., Jan. 9–Feb. 13
Session 4: Mon., Feb. 25–April 1
Session 4: Wed., Feb. 27–April 3
Session 5: Mon., April 15–May 20
Session 5: Wed., April 17–May 22
Cost: $60 per session
MuNCHKIN tENNIS
Ages 4–6
Ages 10 and under tennis format.
A great introduction to tennis for
the little ones!
When: Saturdays, 9–9:45 a.m.
Session 3: Dec. 1–22
Session 4: Jan. 5–Feb. 16
Session 5: March 2–April 6
Session 6: April 13–May 18
Cost: $50 per session
FutuRE StARS
Ages 7–10 (10 and under tennis
format)
Skill building and play for “future”
players.
When: Saturdays, 9:45–11 a.m.
Session 3: Dec. 1–22
Session 4: Jan. 5–Feb. 16
Session 5: March 2–April 6
Session 6: April 13–May 18
Cost: $75 per session
RISING StARS
Ages 11–15
Learn to play through competitive
drills and games.
When: Saturdays,11 a.m.–12:15 p.m.
Session 3: Dec. 1–22
Session 4: Jan. 5–Feb. 16
Session 5: March 2–April 6
Session 6: April 13–May 18
Cost: $75 per session
ACES
Ages 12–17
Competitive and high-school player
training.
When: Saturdays, 12:15–1:45 p.m.
Session 3: Dec. 1–22
Session 4: Jan. 5–Feb. 16
Session 5: March 2–April 6
Session 6: April 13–May 18
Cost: $108 per session
CIRCuIt ACES
Ages 12–17
Competitive and high-school player
training.
When: Tuesdays and Thursdays,
4:30–6 p.m.
Session 3: Nov. 20–Dec. 20
Session 4: Jan. 8–Feb. 14
Session 5: Feb. 19–April 4
Session 6: April 9–May 16
Cost: $216 per session
Times and fees for all programs
are subject to change. For
more information, call Chad
Reed, Tennis Coordinator/Pro,
at (540) 332-5280 or email
creed@augustahealth.com.
Registration forms can be found at
www.augustahealth.com/
lifetime-fitness.
Prompt &
Convenient Care!
Walmart Super Centers –
Staunton 540-213-0277 & Waynesboro 540-949-9315
Get your
Flu Shots
Now!
$ 20
CONVENIENT CARE CLINICS
When You Need it Most!
www.augustahealth.com 25

NEW HEALtHCARE PROvIDERS
At Augusta Health, recruiting experienced, dedicated providers for your healthcare is one
of our top priorities. These generalists and specialists can help keep you and your family
healthy. We’d like to introduce you to our new physicians and allied health professionals.
26 HealthMatters Fall 2012
ALEXANDER BAER, MD
emergency medicine
medical school: university of Virginia
residency and fellowship: university of
Virginia
practice: Augusta Emergency Physicians
jO ANN BOND, FNP
emergency medicine/primary care
undergraduate and graduate
education: James Madison university
practice: Augusta Emergency Physicians
jAMISON CHANG, MD
internal medicine
medical school and residency:
university of Virginia
practice: Staunton Medical Associates
ALLISON CHuPP, FNP
family practice
undergraduate education: Eastern
Mennonite university
graduate education: James Madison
university
practice: Augusta Health Pain
Management Clinic
BARBARA FENtON, MD
internal medicine
medical school and residency:
George Washington university
practice: Augusta Health internal
Medicine
RENzO FIGARI jORDAN, MD
neurology
medical school: universidad Peruana
Cayetano Heredia
residency: Henry Ford Hospital
fellowship: university of Maryland
practice: Shenandoah Valley Neurological
R. CHRIStOPHER HARMON, MD, PhD
gastroenterology
medical school: Marshall university School
of Medicine
residency and fellowship: university of
Virginia
Advanced fellowship: Virginia Tech Carilion
School of Medicine
practice: Augusta Health Gastroenterology
LISA HILE, MD
emergency medicine
medical school: university of Maryland
residency: C.R. Danrall Army Medical
Center-Fort Hood
practice: Augusta Emergency Physicians
PAtRICK HENRy juDSON, MD
hematology/oncology
medical school: George Washington
university
residency: Tripler Army Medical Center
fellowship: Walter Reed Army Medical
Center
practice: Augusta Health Cancer Center

DAvID KRIEGER, DO
occupational medicine
medical school: Kirksville College of
Osteopathic Medicine
residency: Brooks Air Force Base
graduate school: Harvard university
practice: Augusta Health Occupational
Medicine
MICHAEL LAyNE, MD
hospitalist medicine
medical school: Medical College of
Virginia at VCu
residency: Eastern Virginia Medical
School
practice: Augusta Health Hospitalists
P. MICHAEL MARSHALL, PhD,
ANP-C
hematology/oncology
undergraduate education: Eastern
Mennonite College
graduate and post-graduate education:
university of Virginia
practice: Augusta Health Cancer Center
SHANIquE PALMER, MD
hematology/oncology
medical school: university of the West
indies
residency and fellowship: Mayo Clinic
practice: Augusta Health Cancer Center
BRIAN StISSER, MD
urology
medical school and residency:
Georgetown university
practice: Blue Ridge urological Associates
WILLIAM tHIStLEtHWAItE, MD
hospitalist medicine
medical school: university of Chicago
residency: university of Virginia
practice: Augusta Health Hospitalists
jEFFERy tuRNER, MD
✂
emergency medicine
medical school: East Tennessee State
university
residency: university of Louisville
practice: Augusta Emergency Physicians
AMANDA WILSON, FNP
emergency medicine
undergraduate education: Eastern
Mennonite College
graduate education: James Madison
university
practice: Augusta Emergency Physicians
MAttHEW yODER, FNP-C
nurse practitioner–ed and convenient care
clinics
undergraduate and graduate education:
James Madison university
practice: Augusta Emergency Physicians
find the right phYsician!
if you or a family member needs a primary care
or specialty physician, visit www.augustahealth.
com and click on “find a physician.”
www.augustahealth.com 27

www.augustahealth.com
recycle-logo_2options_v2.ai
Augusta Health Matters is published by Augusta Health.
the articles in this publication should not be considered
specific medical advice, as each individual circumstance
is different. Entire publication © 2012 Augusta Health.
Printed With Soy Ink Printed With Soy Ink
All rights reserved. For more information or to be
removed from or added to this mailing Please list, Recycle please This Publication call
(540) 332-4969 or visit www.augustahealth.com.
Please Recycle This Publication
Printed With Soy Ink
Please Recycle This Publication
Printed With Soy Ink
Please Recycle This Publication
Printed With Soy Ink
Please Recycle This Publication
AuGuSTA HEALTH
78 MEDiCAL CENTER DRiVE
P.O. BOx 1000
FiSHERSViLLE, VA 22939
Non-Profit Organization
US POSTAGE
PAID
Lebanon Junction, KY
Permit No. 115
Helping our community GROW
Local organizations get support through grants from Augusta Health
helping the community is importAnt to AugustA
heAlth, And one of the mAny WAys thAt goAl is being
Accomplished is through multiyeAr grAnts for locAl
nonprofit orgAnizAtions. The grants are awarded over a
period of two to three years, and recipients may receive up
to $20,000 per year.
A healthy community
Many aspects are considered when evaluating grant
proposals, but one thing’s certain: The organization must
impact the community. “We want a project that will have a
positive impact on the health of the community,” says Linda
››
Gail Johnson, RN, BSN, MPH, director of community wellness
at Augusta Health, “and we really look for collaboration and
partnering.”
Project GROWS
One such organization is Project GROWS. Formed two years
ago, Project GROWS seeks to combat childhood obesity
through hands-on education. Children learn about healthy
food and food production by working a 10-acre farm.
Project GROWS began as a collaborative project of nine
nonprofit agencies; it’s now a standalone 501(c)(3) nonprofit
led by a board of directors.
PROjECt GROWS PROvIDES CHILDREN WItH A HANDS-ON WAy tO LEARN ABOut FOOD PRODuCtION AND MAKING SMARt FOOD CHOICES.