It has been said that timing is everything. Fortunately for Betty Redman, she has been in the right place at the right time, not just once, but at least twice – at least where her heart health is concerned.
Despite a family history of heart problems, Redman had been healthy most of her adult life. “My father died at age 52 with a heart attack, and my mother, although she lived to be 84, was paralyzed from a stroke at the age of 62. She received good therapy, and was able to retain her mobility to a point.”
However, things began to change for Redman in the last decade when she was diagnosed with atrial fibrillation; she responded well to medication, but had occasional mini-strokes.
Still, she said, it wasn’t too serious — until last year.
Uncovering hidden heart conditions
While in physical therapy at The Rehabilitation Center of Cannon Memorial Hospital (CMH) due to a shoulder injury, an observant and compassionate therapist, Day Watson, was concerned when Redman had pain in her left arm and back following her treatment. Her vital signs were erratic, which was alarming to Watson.
“Day told me I needed to call my cardiologist right away. By the time I got home, after we had stopped for lunch, Day had already called Dr. Helak, who was my cardiologist in Boone at the time,” said Redman. “I went in and he began running tests. We discovered that I had more of a problem than I thought.”
Left to right: Fred France, Betty Redman, and Stephanie Platt
Redman had major blockages, which required extensive interventions, so she was transferred to Asheville for stents. That was May 10, 2019. After that, she was referred back to CMH, where she began cardiac rehab and met Stephanie Platt.
A registered nurse with Appalachian Regional Healthcare System since 2012, Platt has a passion for caring for cardiac patients. And it was this passion along with her instinct that led to Redman’s next intervention.
After several sessions of her recommended therapy, Redman was “working away” on one of the machines one day when Platt told her and her husband, Fred France, that Redman’s heart was pausing.
“I was watching the telemetry monitor and began noticing pauses,” Platt related. “They were less than two seconds, initially, but the fact that she was having them at all concerned me.” At the same time, Redman recalled with a chuckle, “I didn’t know what my heart was doing – I was not feeling any of it. I was on the machines going 90 miles an hour.”
At that point, Platt contacted Redman’s cardiologist in Asheville, who asked about her symptoms: was she dizzy or light headed? “No, but she is very fatigued, you can see it when she walks in the door,” Platt replied.
Platt was frustrated that her observation wasn’t taken seriously.
A nurse’s intuition, observation, and tenacity
“That was difficult,” she said. “But, we continued to monitor her. I sat down with Betty and Fred the next session and told them that she was still having some pauses.”
Upon Platt’s recommendation, Redman followed up with Dr. David Kimmel, her primary physician locally, who agreed that she needed to wear a heart monitor.
“Once we touched base with Dr. Kimmel, I felt better,” Platt said. “He understood. We were on the same team, caring for this patient together and figuring out what was going on.”
Redman received the heart monitor, wore it for two weeks as suggested and mailed it back in. “I still thought I was fine – and kept going to rehab.”
But, she was still having pauses, Platt recalled. “And, I continued to send strips of the pauses to her cardiologist in Asheville. I was certain that something was wrong with her, but was told it was okay; they did not express concern.”
At this point Platt was adamant. “You have to listen to what you know, and trust what you know, and continue to fight for your patients.”
Two and a half weeks after she had returned her monitor, Redman said, she and her husband were coming home from grocery shopping when her cell phone rang.
“It was my local cardiologist, Dr. Helak. He said, ‘you’ve got to go to the hospital in Boone right now.’ That was a shock to me. I told him I couldn’t do that, that we had $300 worth of groceries in the car and I had to go home to put them up.”
The two agreed that she would go to the hospital the next morning, a Saturday, to have a pacemaker procedure performed by Dr. Andrew Hordes. “I went to the hospital at 8 a.m., and five minutes later, I was in a hospital gown with a heart monitor on,” she said. “I needed a pacemaker, they told me, but I had to be weaned off of my blood thinners, first. So, they monitored me until it was safe, and on Monday afternoon, I got my pacemaker. I came home on Tuesday afternoon and went back to cardiac rehab as soon as they cleared me. And now I’m doing fine and going to physical therapy two days a week.”
Redman and France, who have been permanent High Country residents since 2000, can’t say enough about the compassionate care they have experienced through this situation.
“I’m a great believer in therapy — and the fine folks in this local hospital system are the best,” she said.
“I’m doing well now and will always be grateful for the care that I have received at Cannon Hospital, and most recently, by Stephanie, Beth Ann Scott (Exercise Physiologist) and Velma Greene (Respiratory Therapist) who monitored me very carefully to make sure I was ok,” she said. “I credit Stephanie for saving my life, and Drs. Kimmel and Helak, for listening to Stephanie’s concerns. Those people are very good. I can’t say enough for them.”
For Platt, the situation was just as pleasant. “Betty and Fred are one of the sweetest couples I’ve ever met. They are so supportive of each other. When we discovered that she was having these (new) problems, we did our best to encourage her. We reassured her that she was in the right place and that we would take care of her.”
Platt said she is “truly blessed” to be working in a position that affords her the opportunity to build a strong rapport with her patients and to advocate for them.
“I consider my patients as family, even after they complete our program,” she said. “It’s people like Betty and Fred who make it all worthwhile. I am thankful that they allowed me to care for Betty during her cardiac rehab.”
In February 2017, Platt was presented with the opportunity to become the Cardiopulmonary Rehab Nurse at Cannon. “I truly feel that God knew where I needed to be and led me to this position,” Platt continued. “I am thankful and blessed to be the nurse for this program and to be able to care for each patient that comes through the program.”
Platt said, she never thinks about it as going above and beyond. “I’ve been given the tools and ability to help someone and that’s just what I do.” But, she’s also quick to say, it’s not just one single person who deserves the credit for these great outcomes. “It’s everybody working together and we do work very well together. I am thankful for the personal care that our staff gives to our patients.”
Left to right: Stephanie Platt, Betty, and Beth Ann Scott on Betty’s “graduation” day.
Beth Ann Scott, Exercise Physiologist and site supervisor for the program at Cannon Memorial Hospital, had this to say: “We are fortunate to have staff at both of our rehab programs who are invested in working in cardiopulmonary rehab. We have well-educated and professionally qualified individuals who all have their heart in truly caring for our patients. We all keep the best interest of our patients as top priority.”
Patients may be in cardiac rehab at least three months and staff get to know them really well. “Our patients become part of our rehab family,” Scott added.
Redman “graduated” from cardiac rehab in January, 2020, and she is doing well. She will continue to follow up with her providers to ensure she stays active for many years to come.
More About Cardiac and Pulmonary Rehabilitation
The Appalachian Regional Cardiac and Pulmonary Rehabilitation Program is a physician-referred medically supervised exercise program. Each patient is provided with multidisciplinary care from several healthcare professionals which include a medical doctor, exercise physiologist, registered nurse, respiratory therapist, behavioral health specialist and clinical dietician.
Cardiac Rehabilitation is designed to help restore cardiac patients to an optimal physical, vocational, recreational and emotional status with the ultimate goal of preventing further disease progression. Patients are strongly encouraged to make various lifestyle changes for the purpose of reducing coronary risk and improving quality of life.
Pulmonary Rehabilitation is designed to improve lung function, reduce symptom severity, and improve quality of life. It plays an important role in helping patients with chronic respiratory disease who remain symptomatic or continue to have decreased function despite standard medical treatment.
What to Expect At Cardiac Rehab
A “typical” patient is referred to Cardiac and Pulmonary Rehabilitation usually by his or her primary care provider, cardiologist, pulmonologist or surgeon after experiencing heart or lung- related issues.
Patients complete an initial orientation appointment with a registered nurse to discuss and review their medical history, medications and goals for the program. The patient will also have a blood pressure assessment and EKG performed at this interview. Next, a ‘new start appointment,’ is scheduled for the patient to work one-on-one with an exercise physiologist to begin their program.
The program consists of 36 sessions, lasting about three months and including a focus on exercise, education, nutrition and mental wellness, while being medically supervised by the clinical staff.
Care plans are customized for each patient, based on their health history, current health status and the event/diagnosis that resulted in the need for cardiac or pulmonary rehab. Rehab staff also work with patients to develop an exercise plan to use once they have completed rehab.
“We develop strong rapport with each one of them, and at times, with their family members, as well,” Platt continued. “When they graduate, they are encouraged to reach out to us if they ever need anything. We have numerous graduates who come back to visit and keep us updated on how they are doing.”
From the very beginning, Roger Mashke has always had a knack for interacting with and helping people. Whether it was running a successful television business or working as a volunteer firefighter, leaving a positive impact on another individual has always been his main source of motivation. That’s why when given the opportunity to volunteer for Charles A. Cannon Jr. Memorial Hospital, he knew it was what he wanted to do. Four years later, Mashke is still one of the most dedicated volunteers we have at Cannon Memorial Hospital and Appalachian Regional Healthcare System (ARHS) as a whole.
Roger began his career as an employee for his father’s television servicing company, the first ever television company to be opened in western New York. At just sixteen years old, he was taking service calls and learning to fix TVs. From there, he went on to join the army and worked with electronics and in the lab at the Utah base where he was stationed. After his time in the army, he moved to Florida with his wife, Barbara, to continue his work in electronics and sales by opening his very own Radio Shack franchise which he would own for the next thirty years.
Roger and Barbara met while in high school. After five years together, they tied the knot and began their sixty-year marriage. “She was a red-headed Irish girl. We got along great. We are lucky we never fought,” says Roger.
Together the couple raised four kids, two boys and two girls. While raising four kids full time, Barbara also worked as a dental assistant. Between the two of them, Roger and Barbara were able to provide themselves and their kids with a comfortable and happy life full of adventures and worthwhile experiences.
Six years ago though, Roger got the shock of his life. He was told his wife, Barbara, had suffered a stroke and was not expected to live. The providers at Cannon Memorial Hospital assured Roger that they were going to do everything they could to save Barbara’s life, and that is exactly what they did. Not only did they save Barbara’s life, Roger and Barbara enjoyed three more happy years of marriage they never expected they would have. After her severe stroke, Barbara spent three years in long-term care at Life Care Center before she passed.
After being given the lifesaving care Roger’s wife needed, mixed with his love for interacting with others, volunteering for Cannon was an opportunity he couldn’t pass up.
“I was looking to volunteer and they had been saying they needed one here for about three months. I figured, ‘well, why not,’” says Mashke.
To this day, you can find Roger volunteering at the Cannon Memorial Hospital gift shop. His volunteer position gives him the ability to continue doing what he loves while making a difference whether it be big or small.
“I like being involved. I like meeting people. Volunteering gives me some purpose. It gives me a reason to get up in the morning and get my butt going,” says Mashke.
Want to become an ARHS volunteer?
Volunteers are valued members of the ARHS patient care team and are always welcome at Cannon Memorial Hospital, Watauga Medical Center and several administrative offices within the healthcare system. Schedules are flexible and there are a variety of work areas available including our pet therapy program (PAWS), our cancer center, human resources, and more.
All volunteers must meet the following criteria before they are able to serve:
Few moments in life are more captivating than the birth of a child. For nervous parents, it is the culmination of all of their thoughts, dreams, plans and prayers over the last nine months. It is the end of one chapter and the beginning of the next. In the waiting room, excitement is palpable, as aunts, uncles, and grandparents-to-be, all eagerly await the opportunity to wrap their arms around the new baby for the very first time. And for the doctor in the room, who has spent a lifetime delivering babies, this precious moment of shared delight is one he will cherish for the rest of his life.
After delivering more than 2,000 babies during his 40-year career as a pediatric and family medicine doctor in Avery County, Dr. Charlie Baker retired in June. Since opening his solo practice in 1979, The Baker Center for Primary Care, a member of Appalachian Regional Medical Associates, has grown to become the cornerstone of accessible healthcare in the community. And although many consider him to be a bona fide local, this mountain doctor’s journey to the High Country just might surprise you.
Charlie and his sister Cilie spent many summer vacations searching for buried treasure around their grandmother’s old antebellum home in Atlanta, GA. It was rumored that a previous owner of the house had buried his treasure on the grounds of the home in anticipation of Civil War General William T. Sherman’s famed March to the Sea in 1864. After years of investigating, the children felt vindicated when at last they discovered a clue in the form of a few Confederate bills hidden in the walls.
“Outside of those bills, we never did find that treasure,” he said. “But I’ll never forget those memories. My grandmother, Irene and I used to sit on the front porch swing together and talk for hours. She taught me to ask questions in life, to be inquisitive, to read and appreciate Sherlock Holmes, and to give freely of my time.”
For Charlie, volunteering time with his grandmother usually manifested itself at the church. It was there that he found choir practice to be particularly distressing because it occurred at the same time on Saturday morning as Captain Midnight, his favorite television show.
“My grandmother did not seem to understand that I needed to be home during the episode so that I could use my Captain Midnight cereal box decoder to figure out each week’s secret message,” he joked.
Charlie’s parents were members of what is often referred to as the Greatest Generation. After surviving the Great Depression they married just before World War II. Like many other young men at the time, Charlie, Sr., enlisted in the Army to go fight the Third Reich while his new bride, Sarah, stayed in Atlanta to teach school. After the war ended, Charlie, Jr. was born in 1946 and the family moved to Charlotte, NC.
Charlie’s interest in medicine first developed when he was six years old. His parents took him to see an allergist who had a profound impact on his life.
“My doctor was a polio survivor and I remember that he took care of me from his wheelchair,” he said. “During the 1950’s polio was deadly, and yet he was able to not just overcome it, but to also help others. Something about that resonated with me. He was very supportive when he learned that I wanted to be a doctor.”
For those that know him, it is not surprising to learn that the young doctor in training went on to be recognized as Most Conscientious in his high school annual. He credits his nose to the grindstone mentality in life to his mother, who always pushed him to do his best.
War and peace
Charlie went on to study pre-med at Davidson College. It was there that he also decided to branch out and take other courses like modern drama, abnormal psychology and romantic poetry. One poet, by the name of William Carlos Williams, stood out in particular to Charlie. In addition to poetry, Williams also served as a general practitioner and as a pediatrician during the 1950s.
“Williams said that being a doctor gave him the privilege to be where important things are happening in people’s lives and that fed his heart. Williams is a big reason why I am a general practitioner and a pediatrician today,” Charlie shared. “For him it was not only about taking care of patients, it was about then reflecting on what that meant in the big picture.”
The Vietnam War began a few years before he started medical school at the University of North Carolina at Chapel Hill (UNC). At the time, Charlie was burned out on medical school, but knew if he quit, he would be drafted. Charlie considered going to language school so he could learn Russian, avoid the Vietnam draft and go to Germany to interrogate defectors. This plan would have also allowed him to follow in his father’s footsteps. However, as fate would have it, all of the Russian language classes were full. It was then that Charlie’s academic advisor, Ike Taylor, James Taylor’s father (world renowned singer and songwriter), encouraged him to at least try to pass his medical school final exams before making a decision.
And so it was that Charlie spent the remaining weeks of his first year of medical school under the spring trees in Chapel Hill studying the biochemical pathways, the Kreb cycle, the brachial plexus nervous system and more. Needless to say he scored well on the exams and so decided to stick with medicine.
Romantic at heart
Charlie and Ann on the Island of Innishmann
All the while Charlie continued to audit creative writing and poetry classes. It was actually an Irish playwright, John Millington Synge, who inspired him to take his then girlfriend Ann to the Island of Inishmaan, off of the coast of Ireland, during his third year of medical school in 1972.
It was there that Charlie proposed at a rocky ocean overlook known as Synge’s Chair. It is said that the late poet used this location as his seat for creative inspiration.
“Our plan was to camp out on the island,” said Charlie. “But a local village woman asked us if we needed a place to stay. She then cleaned out her chicken barn and put down fresh straw. It was modest to say the least, but it was also beautiful and everything we needed. I guess you could say I’m a romantic at heart.”
The happy couple went on to spend the following year in England. Ann was accepted into the Edinburgh College of Art while Charlie managed to secure a scholarship at UNC so that he could complete part of his fourth year of medical school in Edinburgh. To help supplement their living expenses, he worked as an orderly at the Edinburgh Psychiatric Hospital.
“They couldn’t find any Scots to take that job,” he joked. “Working as an orderly at a psychiatric hospital was difficult to say the least, but it also allowed us to stay together.”
And stay together they did. During their year in England, the couple married and returned often to the Island of Inishmaan where it all began. Still madly in love today, Charlie and Ann will celebrate their 47th year of marriage later this year.
Charlie with son Daniel on the Sioux Reservation.
After he completed two years of pediatric residency, Charlie made a deal with Ann. If he got to pick where the couple lived for the next two years, she could decide where they lived for the following two years.
Once the deal was struck, Charlie decided that the Bakers should move to the Pine Ridge Sioux Indian Reservation in South Dakota. Shortly after moving there, Ann realized she was expecting their first child.
“Although it was the first time in our lives that we were a minority, the Native Americans were very welcoming to us,” he said. “They would invite us to their powwows. I remember one powwow where Ann, who was 38 weeks pregnant at the time, reached over and put my hand on her stomach. The baby was kicking at the same beat as the ceremonial drums.”
Charlie was at the hospital the night that Ann called him to say that she was going into labor. “I’ll never forget Charlie just told me to walk the 200 yards from our hut over to the hospital so the baby could be delivered,” Ann quipped. “I still give him a hard time for telling his very pregnant wife, who was going into labor, to walk to the hospital.” Charlie often jokes that the distance she had to walk seems to get longer each time she tells the story.
The actual delivery was hard and proved to be life-threatening. Shortly after their son was born it was determined that his heart rate was dangerously low. Charlie, who was the only pediatric doctor on the reservation, immediately started to use a mask and air bag to resuscitate his own son.
“In that moment I was a doctor first and a dad second,” he said. “I was emotional of course, but this is what I had been trained to do and I knew I could do it better than anyone else.”
Fortunately, their son Daniel survived the ordeal. His proud father also likes to mention that he went on to graduate from Davidson.
Art in the city
After their two year stint in South Dakota, it was Ann’s turn to decide where they lived next. Eager to pursue her own career goals, she was accepted into the Master of Fine Arts Program at Carnegie Mellon University in Pittsburgh, PA.
It was there that she thrived as an artist and sculptor. She also won an award at the Three Rivers Arts Festival for her sky art. The enormous kite-like fabric sculpture was hung between three downtown buildings in Pittsburgh. The sculpture also appeared in color on the front page of the Sunday Pittsburgh newspaper and on the cover of the Carnegie Museum catalog.
Meanwhile, Charlie worked at an inner city clinic for one year and then completed his pediatric residency the following year at the Pittsburgh Children’s Hospital. He also moonlighted in the hospital’s emergency department for extra cash. When their two years were complete in Pittsburgh, Dr. Charlie Baker was board certified in both pediatrics and family medicine.
Ann Baker’s Sky Sculpture
The mountains are calling
The Bakers decided to make their next move a joint decision. After all of their travels, the couple longed to return to North Carolina. And so it was a moment of serendipitous delight when Charlie discovered a help wanted ad for a doctor in Avery County.
The couple made a two-week trip to check out the area and soon fell in love with the mountains. In 1979, Dr. Charlie Baker opened his solo medical practice inside of Garrett Memorial Hospital, which later became Sloop Memorial Hospital. Sloop Memorial Hospital then merged with the old Cannon Memorial Hospital in Banner Elk, NC, to form what is today the Charles A. Cannon Jr. Memorial Hospital in Avery County.
“I purchased three lab coats when I moved to the mountains and I never put one on,” he said. “I don’t hold myself in such esteem that I’m more important than anyone else. Not to mention lab coats and ties are notorious sources of bacteria.”
Charlie does admit that being a mountain doctor means that he is always on call. He often tells his medical students, whom he has taught for more than 30 years, that they better keep their prescription pads on the ready when they go into the grocery store.
“That’s what is different about practicing medicine in the mountains,” he said. “If you live in a rural community, you are part of it. It is not so much a job, but more of a lifestyle. Some of my patients have become my best friends and some of my best friends have become my patients.”
Over the years, Charlie has developed a routine at the office. Before leaving at the end of each day he reviews his patient list for the next day. He jokes that after practicing medicine for 40 years in the community, he recognizes every name on the list.
“That will be the hardest part about retiring,” he said. “I have to say goodbye to patients that I have looked after for generations. In many cases, I have had the privilege to deliver the mother and then deliver and take care of her daughter and granddaughter.”
Charlie is proud to leave the health of the community better than he found it. Before his arrival in the High Country, patients would often have to scramble when a doctor left town or died. For this reason, he is glad that his practice joined Appalachian Regional Medical Associates, part of Appalachian Regional Healthcare System in 2013.
“All things considered, joining the healthcare system was the right decision for my patients,” he said. “It allowed my practice to grow from a handful of providers to a good and sustainable number today. It actually all came full circle for me the other day when we hired a new nurse practitioner, whom I had delivered.”
“None of this would have been possible if it were not for my wonderful staff,” he said. “I could not have asked for better clerical people, better medical assistants, better nurses or better doctors to work with through the years. It is because of this group of folks that I can tell my patients, even though I’m leaving, that they are still in great hands.”
Charlie said that he is most looking forward to spending more time with his wife, kids and grandchild. His son Daniel went on to work in the Peace Corps and now has a little girl of his own. Charlie and Ann also have a daughter, Alice, who is a veterinarian in Colorado and a daughter, Kate, who is a school counselor in Portland, Oregon.
“My wife has stuck with me here for 40 years and we are ready to be more available grandparents,” he said. “I am also looking forward to writing more poetry. I have a few stories to tell.”
From all of us at Appalachian Regional Healthcare System, we would like to thank Dr. Charlie Baker and his wife, Ann, for their years of service in the High Country. As a couple, you braved the frontier and left good tracks for the rest of us to follow.
Can you remember the last time you made a promise? Outside of our marriage vows, most of us do not like to think much about promises because they remind us of our past failed personal attempts to watch less television or to floss with more regularity. Despite our best intentions, if given the option to take the easy road or the hard road in life, we all tend to revert back to the path of least resistance.
Stephanie Pate Greer, the Director of Behavioral Health at Appalachian Regional Healthcare System (ARHS), knows firsthand the danger of complacency. She and her team of nurses, therapists, crisis interventionists and psychiatrists have made a collective and unwavering commitment to always provide high quality behavioral health services in the High Country. For Stephanie, it was a promise made in heartbreak, steeped in love and maintained by her uncompromising resolve.
It takes a village
Stephanie with her mother Geneva Pate at Pope’s Family Center in Newland NC
Stephanie could run the cash register and count back change at 6 years old. It was at her mother, Geneva Pate’s side that she proudly learned the fundamentals of customer service while working at Pope’s Family Center in Newland, NC. In a town with only two traffic lights, she quickly became well-acquainted with everyone in her “Mayberry-esque” community. Between customers she liked to spend her hard-earned wages on peach Nehi and Whatchamacallit candy bars from the neighboring Avery True Value Hardware store.
She also enjoyed spending quality time with her father, Dallas, a retired North Carolina State Trooper, who she considers to be the most influential person in her life. Some of her fondest memories took place in his patrol car, where she was allowed to run the radar detector, wear his trooper hat and just spend quality time with her favorite law enforcement officer.
Stephanie Greer with her father Dallas Pate in front of his patrol car
“While we were ‘out on patrol’ dad also taught me a lot about life,” she shared. “Integrity was very important to my father. He taught me that in this life we are not entitled to anything. But with hard work, we can absolutely accomplish whatever goal is set before us. He also taught me that your word is your bond and that a promise made should be a promise kept.”
Stephanie was named Most Spirited in her high school annual. It was there that she competed in softball, cheerleading, public speaking and in other events as a part of Future Farmers of America, Fellowship of Christian Athletes, Future Business Leaders of America and in the Student Government Association.
She credits her zeal for life to her faith in God. “I think it is a normal part of human behavior to mess up from time to time. But when you discover that you have a God that loves you, and literally a village of people like ours supporting you, I think it brings out the best in people.”
Stephanie with bear cub on Grandfather Mountain
Throughout high school and college Stephanie worked on Grandfather Mountain. It was there that she started in the gift shop and then transferred to the role of zookeeper. In that position, she was tasked to take care of the black bear, cougar, white-tailed deer, golden eagle, and bald eagle habitats.
“Little did I know it at the time, but learning how to change my demeanor to accommodate where I was proved to be great foundational training for the work I do today in behavioral health,” she said. “I’ll never forget the first time I went into the cougar habitat. I was told to expect the 115-pound cat to pounce on me. I was told to face the cougar and to knock the animal back; this would in effect quickly establish who the alpha was in the situation. Sure enough, the cat leapt and I did everything wrong. I turned my back and screamed. I think we all do that at some point in our lives.”
Determined, she went back to the cougar habitat a few days later to face her fears. This time, when the animal pounced, she held her ground – a lesson learned and a fear conquered.
Lost and found
Stephanie’s interest in healthcare developed after she injured her knee cheerleading and had to endure multiple surgeries followed by physical therapy. Inspired by her own healthcare experience, she went onto Western Carolina University to study recreational therapy.
Her program required a four month onsite clinical internship. Stephanie chose to complete her internship at Broughton Psychiatric Hospital because it was close to home and more importantly close to her parent’s refrigerator.
“I was the first intern allowed to work on the adult acute-care admissions unit,” she said. “I learned quickly that at a state psychiatric hospital you see people at their lowest and sickest points. I also learned that there is absolutely no difference in the human beings in need of behavioral healthcare and you and me save a few circumstances. Circumstances could be life or chemical related, but they are still just circumstances. They are still people. A group of people grossly misunderstood and under advocated for. I had found my passion.”
Stephanie was hired as the recreational therapy supervisor for adult acute-care admissions at Broughton Hospital when she turned 21. Admittedly, it was a big job, and she leaned on her more seasoned staff to help her develop new programs, such as the first treatment mall, a school equivalent for patients suffering from mental illness. During that time, she was promoted several times and she went on to complete her Master’s in Business Administration at Gardner-Webb University.
Her hardest lesson learned however took place one day when she heard screams coming down the hallway of her unit. She raced to find a patient who had committed suicide on her watch. Devastated, she admitted to the patient’s family that despite checking-all-of-the-boxes in terms of safety and therapy, she viewed it as a personal failure. Through tears she made a promise to herself and to that patient’s family that she would never again be satisfied with just checking the boxes.
“By the very nature of working in behavioral health, you know that things like this can happen,” she shared. “But we have to be vigilant to guard against it. We can never be content or complacent. I made a promise that day and I was determined to keep it.”
After months of mounting pressure from a family friend, Stephanie finally agreed to go on a blind date with Allan, a Boone Police Officer.
“I was so nervous about the whole blind date thing that I made Allan pick me up from my parent’s house,” she said. “He then took me to see a church play, I figured that was a pretty safe first date. We got married a year later and never looked back.”
Fast forward 10 years. Allan had become a State Trooper, Stephanie was well entrenched in her role at Broughton, they now had two children and were “settled” in every sense of the word when she received a call from a headhunter in Arizona to inform her that a Director of Behavioral Health position had opened in Linville, NC. Assuming that she was unfamiliar with the area, the recruiter went on to try to “sell” the mountain community to his client. Stephanie smiled in a moment of serendipitous delight at the thought of returning home to her beloved Avery County.
She was hired for the position at Cannon Memorial Hospital by Carmen Lacey, now president of the hospital and a lifelong friend; and Chuck Mantooth, President and CEO of ARHS.
“I’ll never forget my first day on January 27, 2008,” she said. “It was an ice-storm and everything in town had shut down, but I knew that I had to get to work, especially on my first day by 8 a.m. So we parked my car at the bottom of our hill the night before and I made it in on time, an hour before everyone else. I guess you could say that I was eager to get started.”
And so it was that the behavioral health department formed at ARHS. Within her first year she reopened a 10-bed inpatient behavioral health unit in the hospital. This unit is fully equipped to provide psychiatric evaluation, medication management, individualized treatment planning and group therapy.
She also revamped outpatient behavioral health services to improve access to adult, child and family therapy. The outpatient program started with 12 patients and now maintains a caseload of more than 1300 individuals from across the High Country.
She then launched the Behavioral Health Crisis Team in 2011. The mobile crisis team is designed to meet and treat patients at whatever point they access the healthcare system. In many cases, the crisis team has saved patients from having to incur costly and unnecessary emergency department visits.
Despite these milestone achievements, the demand for behavioral health services continues to rise in North Carolina. As the only inpatient behavioral health facility within a 40-mile radius, Cannon Memorial Hospital receives more than 5,000 psychiatric referrals from across the state each year. Of those, the hospital is only able to admit an average of 560 patients into its 10-bed inpatient unit.
To help meet this need, the North Carolina Department of Health and Human Services (NCDHHS) recently awarded Cannon Memorial Hospital with a $6.5 million grant, to expand the availability of behavioral health beds in the western region of North Carolina. The funding for this grant originated from the Dorothea Dix Hospital Property Fund, which was created by the North Carolina General Assembly from the sale of Dorothea Dix Hospital in 2015.
“This grant was an answered prayer for our community,” she said. “Not only does this create an opportunity in Avery County for us to continue to meet the medical needs of the community, but it also allows us to have an opportunity to expand and improve access to much needed behavioral health services.”
After months of careful planning, construction began last month to expand outpatient behavioral health services. Additionally, the grant will be used to create a designated 37-bed inpatient psychiatric unit within Cannon Memorial Hospital.
Thanks to other funding sources, the medical side of the hospital is also getting an upgrade. Once the two-and-a-half year construction project is complete, Cannon Memorial Hospital will operate as a Critical Access Hospital, fully equipped with a state-of-the-art inpatient 8-bed medical unit to meet the needs of the community. In addition to behavioral health services and inpatient medical care, the hospital will continue to provide imaging, laboratory, primary care, surgery, rehabilitation and cardiopulmonary services. This full-service medical campus will continue to serve as the hub of healthcare in Avery County.
“I live less than a mile from here,” she said. “So it goes without saying that it is important for me and my family to have access to good medical services. In a community of our size, it is unheard of to have access to primary care, preventative health and wellness care, behavioral health care and all of our specialty care. It is truly a blessing that I don’t think people in our community fully grasp.”
For Stephanie, everything goes back to that little girl behind the cash register with her mom. At an early age she fell in love with this community and she takes great pride in providing for its needs.
“My hope and prayer is that as we grow our services, the High Country will come to see that these patients are nothing more than our friends and our family members,” she said. “Unlike every other diagnosis, there seems to be a stigma or fear to talk about behavioral health. But the truth is that one-in-four adults will suffer every year from a diagnosable mental illness. Our goal is to meet these people where they are and to provide them with the care they so desperately need.”
In her office you will find motivational quotes hanging on the walls and pictures of her children prominently displayed on her bookshelf. She is proud to share that Zack, her oldest, is considering a career as a physical therapist. And that Reagan “Bob”, her 12-year-old daughter, has her mind set on following in her mother’s footsteps and becoming the next director of behavioral health at ARHS. It is clear to see, that like the rest of us, her children admire their mother’s heart and passion to serve others and have been positively affected by having the opportunity to be nurtured in the same “village” of people their mom did so many years ago.
How do you define love? To every retailer’s delight, this question seems to always resurface at Valentine’s Day. For better or worse we have become conditioned as a society to celebrate the “heart holiday” with flowers, chocolates and greeting cards. Although these gifts are certainly appreciated, one could argue that dinner reservations and overstuffed teddy bears do not in and of themselves define love.
Mary Finley, the cardiovascular lab manager at Watauga Medical Center defines love differently. At the hospital she and her team work with interventional cardiologists to provide life-saving heart procedures for patients in need of a second chance. After receiving her own share of second chances in life, she defines love as an action, made evident through undeserved and unconditional grace.
On the run
Mary was the youngest of six children in her family’s home in Wilkesboro, NC. It was there that she shared a cramped bedroom with her twin sisters and spent most of her free time outdoors playing by the creek or at church.
“During those days our family made up half of the cast in the Christmas play,” she quipped. “I was that kid who even received the perfect attendance award at Sunday school.”
Her favorite childhood memory took place on Friday nights. After a busy week of school and extracurricular activities, all of the siblings would gather in the kitchen to drink RC Cola and make their own Chef Boyardee Pizzas.
“That was the only night of the week that we were allowed to have soda,” she shared. “I know it sounds insignificant in terms of memories, but my parents worked really hard to provide for all of us. Family nights were really important in our house.”
Mary got caught up in the wrong crowd however when she turned 15 years old. As a freshman in high school she met a boy and her whole world changed. She ran away from home multiple times before deciding to drop out of school, run away for good and to marry her boyfriend. To no avail, her parents pleaded with her to change her mind, but eventually agreed to honor her wishes and to stand by her side at the wedding.
“I thought I knew what I wanted,” she said. “I mean what teenage girl doesn’t know what they want? I found out years later that my parents prayed a thousand prayers for me. I needed every one of them.”
Reality set in for the newlywed couple when the first bill appeared in their mailbox. Unwilling to admit that she was out of her depth, Mary decided to return to the classroom and to work as a maid after school, cleaning houses for rent money.
“I’ll never forget cleaning the house of a young paraplegic lady,” she said. “We quickly formed a friendship and outside of cleaning her house once a week, I volunteered to go over to her home each day during my lunch break to help her get around the house. I think that’s when it hit me that I wanted to go into healthcare. I liked walking into a messy situation and leaving it better than I found it. I like to look at life that way.”
After she graduated from high school an old church friend and mentor recommended that she start her healthcare career by enrolling in the local radiography program. It was there that she discovered her passion for special procedures like heart catheterization and vascular intervention. Determined to leave house cleaning in the dust, the 17-year-old went on to spend every free moment studying her textbooks, working second shift clinicals and third shift x-ray.
All of her hard work paid off at the end of her program when she landed her first job as a radiology tech at Iredell Memorial Hospital in Statesville, NC.
Unfortunately, her marriage suffered and eventually ended during that time. Due to the unstable nature of their relationship, Mary would often have to hide from her ex-husband. “It was a bad time in my life,” she shared. “But, I would not let it define me. I was a very determined young lady.”
Embarrassed and feeling much like the prodigal daughter, Mary called her parents after five distant years to break the news. Surprisingly, within a few hours her parents and all of her siblings pulled up to her new apartment with truckloads of furniture and everything she needed to survive.
“There were no questions asked and no judgments made,” she said. “I don’t know of too many families that could have done that. They never gave up on me.”
Before long she remarried and applied for a position at Watauga Medical Center in Boone, NC. It was there that the late and beloved Director of Radiological Imaging Services, Wilma Price Redmond, hired Mary as a tech and then quickly promoted her to Special Procedures Supervisor.
“I had so much respect for Wilma,” she said. “Even when she was sick with breast cancer she continued to work, walking around the hospital with her IV pole and her chemo bag hanging by her side. I envied her grit, her kindness and her positive spirit. She taught me how to be leader.”
Mary’s whole world changed again when she had her son, Kyle, in 2000. Eager to spend those early years with her son, she left the hospital and took a more flexible job handling injury claims for an insurance company.
“As a mother, I’ll never regret that decision,” she said. “And that job also allowed me to work in a different side of healthcare. One in which I got to help patients outside of the hospital.”
But soon after her son started school Mary longed to return to the action. To her, nothing was or ever will be more fulfilling than a job in which she literally gets to “scrub in” to help save lives.
During her time away, Appalachian Regional Healthcare System formed and took major strides to improve heart health services in the High Country. Mary was delighted to learn that The Cardiology Center had opened as an outpatient facility on the campus of Watauga Medical Center to provide diagnosis and treatment for heart and vascular disease. A state-of-the-art catheterization lab was also added to the second floor of the hospital to provide much needed interventional cardiology procedures, such as coronary stents and implantable pacemakers. A second cardiovascular lab was added in 2015 to provide patients with better access to vascular surgery.
“We’re in the business of saving lives,” she said. “When it comes to the heart, every second counts. Thanks to these additions, we no longer have to send STEMI cases (heart attack patients) down the mountain for life-saving care. I’m proud to say that we provide everything from cardiac caths and stents to defibrillators and pacemakers to advanced vascular surgery right here in Boone.”
Mary was promoted to cardiovascular lab manager in 2013. As a “working supervisor” she works alongside of her team of technicians and interventional cardiologists to perform more than 1,000 procedures a year at Watauga Medical Center.
Another mentor in Mary’s life has been Dr. Paul Vignola, an interventional cardiologist that she has worked closely with for the last six years. “Dr. Vignola has my total admiration,” she said. “He has been a huge mentor for me not just in the cath lab but also in life. I cannot thank him enough for his support and guidance over the years.”
Shortly after returning to the hospital Mary’s mother, Carolina, was diagnosed with ovarian cancer and became a patient at the Seby B. Jones Regional Cancer Center in Boone. Since her diagnosis in 2007, Carolina has undergone more than 20 surgical procedures at Watauga Medical Center. Today, after losing her husband, Mary’s dad in 2013, she is still fighting her way through chemotherapy treatments.
Around that time Mary also divorced her second husband. “As you can imagine, that was a very difficult time in my family’s life,” she said. “And it took me awhile to admit that I was struggling with depression. To cope, I tried to channel my energy into my work. And then I would walk across the street to the Cancer Center to try to encourage my mom.”
But, as is often the case with parents, it was her mother that encouraged her. Carolina, an artist by trade, gave a beautiful print to her daughter that reads “She believed she could so she did.” These seven words etched in love beautifully described both mother and daughter. The painting is now prominently displayed in Mary’s office at the hospital as a reminder to never lose faith.
“My mom never lost her faith in me,” she said. “I truly believe that everyone deserves a second chance in life. I’m on chance 10,999 and I’m doing the best I can with it. And it amazes me that God has given me that many chances and he still has not given up on me. My family didn’t, my God hasn’t, and this organization hasn’t. I think everyone that walks in our door at the hospital deserves whatever number chance they are on. To me, that is more than healthcare; it’s love. It is undeserved and unconditional grace.”
Have you ever thought about what goes into hospital operations? Oftentimes we spend so much time thinking about doctors, nurses and patients that we tend to overlook those who work behind the scenes to take care of the hospital building itself. Each pipe, ventilation shaft, walkway and light bulb must be well-maintained in order to keep the hospital up and running.
No one knows more about hospital operations than Carlton Isaacs. For more than 41 years, Carlton has served as a caretaker for Watauga Medical Center in Boone, NC. During that time he has shoveled snow, waxed floors, washed dishes, pulled telephone wire, and even helped out in the operating room. He jokes that he knows the ins and outs of the hospital better than his own home. Recently, roles were reversed however when the 67-year-old caretaker relied on the hospital to provide him with lifesaving care.
Words to live by
Carlton was born and raised on a farm in Watauga County. It was there that his father taught him that ‘you are only as good as your word.’ This truth was lived out on the farm where he and his five siblings would milk cows, herd sheep and pull tobacco to help the family stay afloat.
For fun the kids would eat popcorn and watch Westerns at night. They also enjoyed chasing fireflies in the summer and sledding in the winter.
“Money was tight back then,” he said with a chuckle. “Since we couldn’t afford gloves, my mother would make each of us wear our wool socks like mittens in the snow. When they got wet we set them by the stove to warm, grabbed another pair and then back out the door we went.”
To help provide for the family, Carlton landed his first job in the environmental services department at Watauga Medical Center when he turned 17. His first assignment was to scrub and wax all of the floors in the hospital. Often viewed as a menial task, his supervisor noticed that he performed the job with a great deal of pride.
“Growing up on a farm will teach you not to be afraid of hard work,” he said. “No matter what you do at the hospital, your job is just as important as the next one. It takes a team to make everything work.”
Thanks to his positive attitude he was promoted to work in several other departments including plant operations and information technology. He was also recognized as the hospital’s employee of the year in 1991.
“I was shocked when they called my name at the banquet,” he said. “It just goes to show that if you stay true to your word, good things happen.”
One evening, while working second shift at the hospital, Carlton spied a pretty girl who was there to visit her sick grandfather. Unwilling to let the moment pass him by he summoned all of his courage to say hello. And so it was a friendship formed. Night after night the blushing teenagers would secretly rendezvous in the hospital cafeteria until one day when she informed him that her grandfather’s health had improved and he was getting discharged to return home.
“At that point, I knew I had to quit playing around and ask the girl out,” he laughed. “But, without a car or license I felt like a poorly equipped bachelor. So I asked if it would be alright if I called on her once I got my driver’s license and my own set of wheels. She agreed.”
After a year of saving, Carlton purchased his datemobile, a red 1968 Chevrolet 327 Camaro. As fate would have it the couple went on to have their first of many dates at Hilltop Drive Inn and got married a year later. Today, after 47 years of marriage, Carlton and Mary have two kids, three grandchildren and three great grandbabies.
To love and be loved in return
Recently, because of his history with smoking, his primary care provider Jerica Smith, FNP, and Dr. Kevin Wolfe, a pulmonologist at The Lung Center in Boone, NC, recommended that Carlton participate in the hospital’s lung cancer screening program. This low-dose CT (LDCT) scan is free and available as a preventive service for Medicare patients between 55 – 77 years of age who qualify. Private insurance plans also cover the screening program.
“I was surprised to learn that lung cancer is the leading cause of cancer death in the United States,” he said. “But, Jerica and Dr. Wolfe explained that with early detection, patients have a better shot at survival. Needless to say, I signed up for the screening.”
Unfortunately, the screening revealed a suspicious spot in his left lung. He was then referred to Dr. Tim Edmisten, a Boone native and general and thoracic (lung and esophagus) surgeon at Watauga Surgical Group. Dr. Edmisten and the surgical team at Watauga Medical Center were able to use an advanced minimally invasive technology called endobronchial ultrasound (EBUS) to determine that Carlton‘s cancer was detected by the screening CT scan at an early stage. EBUS combines traditional bronchoscopy (looking into the airway and lungs with a light) with ultrasound imaging to enable the surgeon to visualize and biopsy lymph nodes or masses beyond the traditional access points of bronchoscopy in order to increase the ability to obtain a diagnosis and determine the extent of the cancer. All of this can be done as an outpatient procedure without any incisions or need for lengthy recovery time.
Thankfully, the EBUS and x-rays confirmed that Carlton’s cancer was localized in the left upper lung at an early stage, which would give him a high chance of cure with surgical resection, as opposed to the vast majority of patients who are diagnosed with lung cancer at a more advanced stage. Dr. Edmisten went on to explain that less than 20 percent of patients with lung cancer currently survive the disease because it is not detected until a more advanced stage. However, the screening program at Watauga Medical Center enabled Carlton’s cancer to be diagnosed at the earliest stage which would allow an 80 to 90 percent chance for cure with surgical resection. Dr. Edmisten and the team at Watauga Medical Center proceeded to perform a thoracoscopic lobectomy for Carlton which enabled removal of the upper lobe of the lung containing the cancer through a minimally invasive technique involving two keyhole incisions plus a 1 1/2 inch incision utilizing thoracoscopic video technology. This advanced technique, offered to less than 50 percent of lung cancer patients in the United States who have surgically removable tumors, provides the benefit of less pain, lower risk of complications, and more rapid recovery and return to work in comparison to the traditional larger open incision thoracotomy.
As a result, Carlton was able to be discharged from the hospital two days after surgery and is thankfully on a full road to recovery.
“I’ve been around long enough to remember working with Dr. Edmisten’s father (Edmisten Heating and Cooling) to add Freon to the chiller at the hospital,” said Carlton. “Now, I have lived long enough to have his son, Dr. Edmisten, say a prayer over me before surgery. When you have a doctor like that and the good Lord on your side, not much can go wrong.”
Before he was discharged to return home, Carlton was touched by the number of hospital friends who stopped by to check on him.
“I had friends from all points in my career stop by to look in on me,” he said. “When you spend a lifetime taking care of a building, and then that building and the people in it take care of you, well, it’s just pretty special. I love these people like my very own family.”
Nearly two months after his procedure, Carlton, who still wears his 20 years of service pin on his belt buckle, is eager to get back to work on a part-time basis. When asked why he was only coming back part-time, he smiled and said, “So I can spend more time spoiling my grandbabies.