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Medical Nutrition Therapy

Medical Nutrition Therapy

The ARHS registered dietitians/nutritionists (RDNs) provide medical nutrition therapy (MNT) for a variety of conditions including diabetes, renal disease, heart disease, gastrointestinal disorders, and obesity. Initial appointments will focus on nutrition assessment, nutrition goal setting, and developing an individualized nutrition plan. Follow-up appointments are also available to determine progress towards goals, address questions, and adjust the nutrition plan as needed. A doctor’s referral is required.

Prevent T2 Prediabetes Program

Nutrition Counseling for Diabetes

Individual nutrition counseling, with a qualified registered dietitian/nutritionist (RDN), is available for patients with T1, T2, or gestational diabetes. Medical nutrition therapy (MNT) can help individuals with diabetes improve their blood glucose, body weight, blood pressure and lipids (cholesterol, triglycerides). Referral is required. Located at Paul H. Broyhill Wellness Center. 

Learn more about the Moving Forward with Diabetes Program >

Image: Nutrition Counseling

Nutrition counseling for other medical conditions

Individual nutrition counseling, with a qualified registered dietitian/nutritionist (RDN), is available for patients with a variety of conditions including renal disease, heart disease, gastrointestinal disorders, and obesity. Referral is required. Located at Watauga Medical Center or Cannon Memorial Hospital.

Locations

Paul H. Broyhill Wellness Center

Broyhill Wellness Center

232 Boone Heights Drive
Boone, NC 28607
Phone: (828) 266-1060
Fax: (828) 386-2664
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Location: Watauga Medical Center

Watauga Medical Center

336 Deerfield Road
Boone, NC 28607
Phone: (828) 262-4100
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Cannon Memorial Hospital

434 Hospital Drive
Linville, NC 28646
Phone: (828) 737-7000
Fax: (828) 737-7401
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Questions?

If you would like to speak to someone about our services, please let us know!

Cardiologist Encourages Patients Not To Delay Heart Care Due To COVID-19

Cardiologist Encourages Patients Not To Delay Heart Care Due To COVID-19

Lalit K. Vadlamani, MD, is an interventional cardiologist at Watauga Medical Center.

 

Infographic: Heart Disease

Reports of heart attacks have declined by 40 percent worldwide during the COVID-19 pandemic, a trend that worries Dr. Lalit Vadlamani, Cardiovascular Interventionist at the new Heart & Vascular Center of Watauga Medical Center. But that doesn’t mean heart attacks themselves are not happening.

Says Vadlamani, “Heart attacks are not elective. They either happen or they don’t. There is no choice, which is why this statistic about a worldwide decline is so surprisingly startling. One would think that heart attacks would be on the rise, with all of this stress and anxiety we are currently experiencing in our daily lives.”

According to Vadlamani, chronic total obstruction (CTO) is a particularly concerning type of heart attack, often called a widow-maker. “With this type of heart attack there is a blockage of the left anterior descending artery. If left untreated, it could lead to death, or serious damage to the heart,” he said.

 

Seeking cardiac care is safe

 

Vadlamani continues, “The chances that you will die of a heart attack are actually much higher than dying from COVID-19. I travel extensively for my job, and hospitals nationwide have taken the necessary precautions to minimize the risk of patients being infected from COVID. The scenario has changed quite a bit, and the Emergency Departments no longer look the way they did in the past when they were crowded with sick people coughing and sneezing.

Remember that heart disease is still the number one cause of death in the U.S., and that risk of a full-blown heart attack outweighs the risk of contracting COVID-19 at the hospital. In fact, in Dr. Vadlamani’s opinion, the chances of contracting COVID from someone at the grocery store are probably higher than at the hospital.

He concludes, “Both COVID-19 and heart disease share multiple symptoms, such as shortness of breath and fatigue, and pain that radiates to other areas (such as the jaw, back or down the arm.) So please do not ignore any of these symptoms, as time is of the essence with any heart-related issue. You must act quickly and call 9-1-1 if you are unable to get yourself to the emergency room. The longer you wait or postpone it, the worse your outcome will be.”

Call the Heart & Vascular Center of Watauga Medical Center at (828) 264-9664 or request an appointment online. 

Pediatric & Adolescent Medicine

Call Now

AppFamily Medicine:
(828) 386-2222

Baker Center:
(828) 737-7711

Davant Medical Clinic:
(828) 386-3350

Pediatric & Adolescent Medicine

Appalachian Regional Healthcare System is a medical home for your whole family, infant to adult. To accomplish that goal, we offer pediatrics in Boone and Linville at many of our practices and Watauga Medical Center. If you’re looking for a pediatrician in Boone or Avery County, why not try a family doctor trained in pediatrics?

Outpatient family doctors/ pediatrics providers deal with a wide range of medical issues for ages infant to adolescent in a true family practice setting. Our family doctors are also trained to coordinate care among different specialists and subspecialists. Establish a relationship with a pediatrics provider by scheduling an annual routine check-up, which is covered by most health insurance plans.

Watauga Pediatric Hospitalists include board-certified pediatricians (pediatric doctors) who care for infants, children, and adolescents while they are in the hospital. These providers are there shortly after a mother gives birth to care for the newborn, as well as treating children or adolescents who find themselves in the hospital for various reasons. The MAHEC Rural Family Medicine Residency program also works with Watauga Pediatric Hospitalists.

Family & Internal Medicine Boone, NC

Pediatrics – Infant and Child

  • Chronic Illness
  • Complete Physical Exams
  • Dermatology
  • ADHD/Behavioral Health
  • Same-Day Sickness or Injury
  • Sports Physicals
Adolescent Medicine

Adolescent Medicine

  • Chronic Illness
  • Complete Physical Exams
  • Dermatology
  • Depression and Anxiety
  • Gynecology/Women’s Health
  • Same-Day Sickness or Injury
  • Sports Physicals
Pediatric Hospital Medicine

Pediatric Hospital Medicine

  • Board-Certified Pediatricians
  • Newborn Care
  • Diagnostics
  • Pediatric Hospital Care
AppFamily Medicine

AppFamily Medicine

148 Hwy 105 Extension, Suite 102
Boone, NC 28607
Phone: (828) 386-2222
Fax: (828) 386-2223
Visit website

Baker Center for Primary Care

Baker Center for Primary Care

436 Hospital Drive, Suite 230
Linville, NC 28646
Phone: (828) 737-7711
Fax: (828) 737-7713
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Davant Medical Clinic

Davant Medical Clinic

623 Chestnut Ridge Parkway
Blowing Rock, NC 28605
Phone: (828) 386-3350
Fax: (828) 386-3352
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Location: Watauga Medical Center

Watauga Medical Center

336 Deerfield Road
Boone, NC 28607
Phone: (828) 262-4100
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More information

Health Navigation

If you are a patient of one of the Appalachian Regional Medical Associates practices, and are being discharged from Watauga Medical Center or Cannon Memorial Hospital, you may receive a call from the Health Navigation Team to assist you in getting follow up care with your primary care provider. Read More: Health Navigation

Medicare Annual Wellness Visit

Medicare Part B covers a yearly visit to a healthcare provider at no cost to you to help prevent disease and disability. At this appointment, you and your provider will discuss your current health and risk factors and develop a personalized prevention plan to help you stay healthy. Read More: Medicare Annual Wellness Visit

Questions?

If you would like to speak to someone about our services, please let us know!

School and sports physicals: Important whether learning in-person or remotely

School and sports physicals: Important whether learning in-person or remotely

A. Kyle Wilson, MD, is a family medicine doctor and faculty member of the new MAHEC Boone Rural Family Medicine Residency program at Watauga Medical Center and AppFamily Medicine. Dr. Wilson is skilled in providing care for the whole family, including infant, pediatric, adolescent, and adult patients.

 

School & Sports PhysicalNow more than ever, it is important that all school-aged children and adolescents obtain a school or sports physical. One of the primary benefits of this visit is to help students and their families better understand how they can stay well as our nation continues to respond to the COVID-19 crisis.

A school physical is designed to cover many different components that make up a student’s overall health and wellbeing.

  • screening students for heart related problems
  • assessing vaccination status
  • addressing conditions that could require a treatment plan prior to returning to school
  • vision and hearing screening
  • addressing potential developmental and behavioral concerns
  • other factors that affect a student’s well-being and educational success.

 

Getting ready for the school/sports physical visit

 

Prior to the visit, it will be helpful to think through your student’s past medical history and existing medical problems. Filling out any patient paperwork for your provider will help guide you on what type of information to include.

An important part of a student’s medical history includes family history of any potential heart-related problems as well as specific pediatric diseases. It will be helpful if parents or guardians are able to tell the provider if the patient has any family members who have passed away at a young age due to a heart-related condition. This will help the provider assess the student’s risk of heart-related issues.

 

Setting students up for success

 

Another important part of a school physical involves addressing the student’s exercise tolerance. Does the student become mildly short of breath upon exercising only for a few minutes? Can the student participate in exercise activities similar to other students in his or her class? Questions like these can help the provider assess many different things such as screening the patient for asthma and musculoskeletal disorders.

The school physical also provides the opportunity for parents or guardians to discuss potential concerns regarding the student’s behavior or development. Learning disorders often go unidentified through adolescence. It is important that each student is empowered with the opportunity to perform at his or her best level. The doctor can help identify, manage and make any assessment referrals for possible conditions such as hearing and vision loss, ADHD, learning disabilities, and more.

Occasionally, accommodations are needed so that students can meet their academic potential. Earlier identification gives opportunities for earlier interventions, if needed. A school physical is an excellent opportunity to better understand how the student can ultimately be given the best chance to meet his or her aspirations.

 

We can help

 

At AppFamily Medicine, Baker Center for Primary Care, and Davant Medical Clinic*, we desire to be a medical home for the entire family – infant, pediatric, adolescent and adult (*Davant Medical Clinic sees patients 6 years and older). This includes helping students and their families get ready for the coming academic school year and have confidence that students’ medical needs are addressed. We look forward to serving you and your family as the coming academic year approaches with its own particular challenges.

Call your child’s primary care provider or one of the following practices to schedule a school physical. You can also request an appointment online.

AppFamily Medicine

AppFamily Medicine

148 Hwy 105 Extension, Suite 102
Boone, NC 28607
Phone: (828) 386-2222
Fax: (828) 386-2223
Visit website

Baker Center for Primary Care

Baker Center for Primary Care

436 Hospital Drive, Suite 230
Linville, NC 28646
Phone: (828) 737-7711
Fax: (828) 737-7713
Visit website

Davant Medical Clinic

Davant Medical Clinic

623 Chestnut Ridge Parkway
Blowing Rock, NC 28605
Phone: (828) 386-3350
Fax: (828) 386-3352
Visit website

Cannon Memorial Hospital Opens New Medical Surgical Unit

Cannon Memorial Hospital Opens New Medical Surgical Unit

behavioral_ribbon_cutting

 

After three years of planning and a year of construction, Cannon Memorial Hospital’s new Medical Surgical Unit is officially open. Hospital staff moved patients into the beautiful healing space on Thursday, June 25th.

The ARHS-funded renovations to create the 8-bed acute care unit Cannon Memorial Hospital began on June 4, 2019. The spacious, family-friendly rooms allow for family members to comfortably stay with loved ones overnight. Rooms are also equipped with the latest technology which enable the medical care team to access the patient’s medical records and discuss care plans with the patient and their family.

Upon completion of phase one, Cannon Memorial Hospital immediately began construction on phase two – a 27-bed Behavioral Health Unit – funded by a $6.5 million grant from the North Carolina Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services (NCDHHS).

Cannon Hospital’s existing 10-bed inpatient behavioral health unit can accommodate only a fraction of the referrals the facility receives.

The funding for the grant originated from the Dorothea Dix Hospital Property Fund, which was created by the North Carolina General Assembly from the sale of the Dorothea Dix Hospital in 2015. The Dorothea Dix Hospital Property Fund was established as a part of NCDHHS’s plan to expand the number of beds that provide crisis stabilization and inpatient behavioral healthcare. The plan calls for 150 new behavioral health inpatient beds across the state. The new behavioral health unit is expected to be complete in the fall of 2021, according to Cannon Memorial Hospital President, Carmen Lacey.

For more information about behavioral health services, visit https://apprhs.org/behavioralhealth/.

 

Behavioral_Bed

BE FAST isn’t just a saying for Watauga Medical Center’s nationally recognized stroke program

BE FAST isn’t just a saying for Watauga Medical Center’s nationally recognized stroke program

The Stroke Center of Watauga Medical Center was recently recognized by the American Heart Association’s Get with the Guidelines® program and awarded the Silver Plus and Target: Stroke Elite Honor Roll quality designations for 2019.

A stroke or “brain attack” occurs when a blood clot blocks an artery or a blood vessel breaks, interrupting blood flow to an area of the brain. Brain cells begin to die and brain damage occurs. Abilities controlled by that area of the brain are lost, i.e. speech, movement and memory. How a stroke patient is affected depends on where the stroke occurs in the brain and how much the brain is damaged.

Time is of the essence in treating stroke patients, and the most important factor in successful treatment is early intervention. Watauga Medical Center Emergency Department staff are trained to recognize the signs of stroke and spring to action immediately to implement stroke treatment protocols.

The acronym BE FAST can help people recognize the signs of stroke and quickly get the help needed.

Balance: Sudden loss of balance and coordination
Eyes: Sudden trouble seeing, or blurred vision in one or both eyes
Face: One side of the face droops or is numb
Arm: Sudden weakness or numbness of any arm or leg
Speech: Sudden Confusion, trouble speaking or understanding speech
Time: Call 911 immediately, and note the time symptoms started

Through the Telestroke program, patients have 24/7 access to acute stroke experts via two-way real time video consultation. Thanks to this network, emergency room physicians are able to receive on demand consultation to help diagnose strokes, develop care plans, and take action if necessary.

Target: Stroke Elite Honor Roll quality designation from the American Heart Association certifies that stroke patients receive Intravenous Thrombolytic Therapy within 60 minutes of arriving at the hospital – 30% quicker than the national average.

In order to receive the Silver Plus quality award, Watauga Medical Center met or exceeded 15 criteria set forth by the American Health Association covering early and thorough treatment, patient education, follow-up treatment and more.

The Stroke Center at Watauga Medical Center is also certified by The Joint Commission for Primary Stroke Centers as an Advanced Primary Stroke Center following a detailed, on-site re-certification review of the hospital in March 2019. The certification is based on the recommendations for primary stroke centers published by the Brain Attack Coalition and the American Stroke Association’s statements/guidelines for stroke care.

For more information about stroke services at Appalachian Regional Healthcare system, visit apprhs.org/stroke.

Emergency Entrance