By Josh Jarman
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.”
Meeting a need
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.
In this line of work it is not about perfection, it is about progress. We do what we do in behavioral health because we love our patients. It is hard to describe just how blessed I feel to work here and to give back to the very community that has given so much to me.”
Learn more about Behavioral Health services at Appalachian Regional Healthcare System>
Over the past few weeks, we have seen a decline in flu cases within our facilities. This decrease in flu cases matches what our state is reporting as well.
Appalachian Regional Healthcare System has removed restrictions for visitors under 18 years of age effective March 18, 2019.
What this means for visitors:
- Visitors 18 years and younger are allowed at all ARHS facilities.
- Adult visitors and visitors 18 years and under should be free from fever, cough, colds or stomach virus symptoms.
- Visitors who display flu-like symptoms may be asked not to visit.
- Visitors must wash or sanitize their hands before, during and after each visit.
Thank you for your patience. We apologize for any inconvenience the restrictions may have caused.
If you develop flu-like symptoms, visit your primary care provider, AppUrgent Care Center, Baker Walk-in Clinic or the nearest Emergency Department. For more information about the flu, visit www.cdc.gov/flu.
Choosing nutritious foods and getting enough physical activity can make a real difference in your health. For National Nutrition Month® 2019, in March, the Academy of Nutrition and Dietetics and Appalachian Regional Healthcare System encourage people to make informed food choices and develop sound eating and activity habits.
Each March, the Academy focuses attention on healthful eating through National Nutrition Month®. “Through the campaign, we share good eating tips such as how to keep nutritious meals simple, the importance of making food safety a part of your everyday routine, the value of preparing meals with foods you have on hand to avoid wasting food, and how to select nutritious food options when dining away from home,” says registered dietitian nutritionist Robin Foroutan, a New York-based spokesperson for the Academy.
“Eating right doesn’t have to be complicated,” Foroutan says. “Think about what you want your plate to look like and ask if it’s incorporating all the major food groups. Select a mix of lean protein foods, vegetables, whole grains and fruits to enjoy a healthful meal.”
The Academy recommends balancing nutritious foods with physical activity most days of the week. According to the U.S. Department of Health and Human Services’ physical activity guidelines, adults should participate in at least 150 minutes of moderate-intensity aerobic physical activity per week, including at least two days of muscle-strengthening activities. Being physically active up to 300 minutes per week has even greater health benefits.
“Look into incorporating physical activity into your daily routine,” Foroutan says. “Walk to work or take a walk during your lunch hour. Do something physical during the weekend, such as playing basketball with your kids or going dancing with your friends. The goal is to get moving; every little bit helps.”
For individualized nutritional recommendations, the Academy recommends visiting a registered dietitian nutritionist. Locate an RDN using the Academy’s online Find an Expert service.
“Registered dietitian nutritionists can help consumers determine the lifestyle balance that provides the nutrients you need while still eating the foods you enjoy the most,” Foroutan says.
Initiated in 1973 as National Nutrition Week, National Nutrition Month® became a month-long observance in 1980 in response to growing interest in nutrition.
To commemorate the dedication of registered dietitian nutritionists as the leading advocates for advancing the nutritional status of Americans and people around the world, the second Wednesday of March is celebrated as Registered Dietitian Nutritionist Day. This year’s Registered Dietitian Nutritionist Day will be celebrated March 13.
As part of National Nutrition Month®, the Academy’s website includes articles, recipes, videos and educational resources to spread the message of good nutrition and the importance of an overall healthy lifestyle for people of all ages, genders and backgrounds.
Consumers can also follow National Nutrition Month® on the Academy’s social media channels including Facebook and Twitter using #NationalNutritionMonth.
In observance of National Nutrition Month®, the ARHS Clinical Nutrition Department is planning various activities throughout March.
- During the entire month of March, look for a weekly taste testing in the dining room at Watauga Medical Center and at Cannon Memorial Hospital. There will be contests for prizes and a variety of current, evidence-based nutrition information available.
- From March 25th through March 30th, there will be a food drive at both Watauga Medical Center and Cannon Memorial Hospital. The food collected will benefit the Hunger and Health Coalition of Watauga County and Feeding Avery County. Collection boxes for non-perishable items will be available in the dining rooms at each facility.
- Stop by the Wellness Center to schedule a consultation with one of our amazing registered dietitians. A consultation will give you highest level of nutrition counseling with both professional and science based nutrition recommendations. Click here to learn more.
AppState Basketball Game vs Georgia Southern
February 23, 2019
2:00 p.m. – 4:00 p.m.
Appalachian State University, Holmes Convocation Center
Use promo code OMAR to get tickets for only $5
Before, during and after the game, you can receive hands-on training in Bystander CPR (cardiopulmonary resuscitation) and AED (automated external defibrillator) use. There will be opportunities to win prizes throughout the game for participation in CPR training.
February is American Heart Month. Join The Cardiology Center, Omar Carter Foundation, Beaver College of Health Sciences, and other partners as we work together to educate the High Country on bystander CPR and AED training and awareness.
In addition to the events below, every Beaver College of Health Sciences faculty member will spend 30 minutes in each class teaching chest compressions and AED use.
Healthy Heart Collaborative Schedule
February 4: Athletics Presentation to Coaches and Student Athletes
- 12:00 – 1:30 pm- Presentation and hands on training with App State Coaches
- 7:30 – 8:30 pm- Presentation and hands on training with App State Student Athletes
February 20: Alpha Phi Healthy Heart CPR/AED training event
- 6:30 – 8:00 pm in the Plemmons Student Union (room TBD)
For the ASU Greek Community. This event will focus on training members of the App State Greek community in bystander CPR and AED training. Omar will share his story and then Alpha Phi members will oversee the training of Greek peers.
February 21: WATA Radio with David Jackson
- 10:00-10:30 am on WATA (AM1450/96.5FM)
For public listening. Omar and Dr. Denier of The Cardiology Center will discuss the importance of cardiac health, CPR and AED training and the overall mission of the Healthy Heart Collaborative.
February 21: Boone Chamber Gathering
- Noon- 1:30 pm at the Watauga Medical Center Auditorium
For members of the Boone Area Chamber of Commerce. During this drop-in reception the community collaborative will present on how to train and educate local businesses in CPR and AED training. Lunch provided.
February 22: Watauga High School Event
For WHS students and staff. Students will hear Omar Carter’s story and Dr. Denier will explain the importance of cardiac health. Students will also learn the steps of bystander CPR.
February 22: ASU Beaver College of Health Sciences Seminar
- 11:30 am – 12:30 pm lecture/Q&A at Leon Levine Lecture Hall
- 12:30 pm – 1:15 pm hands-on CPR and AED training in Leon Levine Hall Lobby
Students and faculty will hear Omar Carter’s story and Dr. Denier will explain the importance of cardiac health. Students will also learn the steps of bystander CPR. There will be a presentation and Q&A about Sudden Cardiac Arrest, and hands-on training to follow.
By Josh Jarman
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 judgements 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.”