Leaving a child, senior or pet behind in a car can pose serious danger, even if it’s just for a few minutes.
That was the message of the hot car safety event hosted by Ellen Walston, Injury Prevention Program coordinator at ECU Health Medical Center, along with the Martin-Pitt Partnership for Children, Pitt County Sheriff’s Office, Safe Kids North Carolina and Greenville Fire Rescue.
Walston said it’s dangerous for anyone to be left alone in a vehicle because of how quickly they can heat up, especially for children.
On June 29, Walston and community partners shared the information in the parking lot of Kohl’s in Greenville. During a somewhat overcast afternoon with temperatures around 90 degrees, it took about 15 minutes for the display car on hand to reach 123 degrees inside.
“Our campaign is never leave your child alone, not even for one minute,” Walston said. “That means when you think you can just run in and do a quick errand in the store or any situation, we don’t ever want a child to be left alone in a car, not even for a minute. That also includes our senior adults and pets.”
Walston said leaving the windows cracked for a child, pet or senior with the engine off is not enough ventilation to be safe, and even leaving them in the car with the air conditioning on can pose dangers.
During the event, Walston and team demonstrated how the heat inside vehicles can literally cook s’mores by roasting them on the dashboard. She said there have already been eight deaths in the United States this year from children being left alone in cars. While there have not been any in North Carolina this year, the state had four of the 33 national deaths last year.
“One death is too many, that’s why we’re out here today educating the community,” Walston said. “The car we have out here today actually has a feature that has a reminder to check the backseat when you turn off the engine. It’s important to put something tangible in your backseat that you need to get out when you leave the car – your pocketbook, your cell phone, a briefcase, your lunch bag – just to remind you to always check the backseat.”
Walston said that while many parents think this could never happen to them, it can be as easy as breaking your routine to make a parent forget a child is still in the car. More than 50 percent of child deaths from hot cars are from children that have been forgotten in vehicles, and only 17 percent have been intentionally left.
Walston earns North Carolina Coordinator of the Year
Allan Buchanan, Safe Kids North Carolina director, was on hand during the event to recognize Walston as Safe Kids North Carolina Coordinator of the Year.
Buchanan said Walston is a great role model for other Safe Kids Coordinators and is a great leader for the program across the state.
“She does a wonderful job here in Pitt County, getting the message out on injury prevention,” Buchanan said. “In North Carolina, we actually have 46 coalitions across the state. Ellen does a fabulous job here in Pitt County for injury prevention program across a number of different risk areas. She’s just a vital access to the community and creating risk reduction in this area. We’re very fortunate to have Ellen as a coordinator.”
Last year, Safe Kids Pitt County was recognized as the North Carolina Coalition of the Year. Walston said she’s just happy to share the recognition with her many community partners across Pitt County and eastern North Carolina.
She said the nomination was anonymous but she believes the events her team hosts, the collaboration with community partners and the work that Safe Kids Pitt County does with other Safe Kids coalitions across the state helped earn the award.
“I do think when they see these type of events and the work that we do in Pitt County and beyond that, they pay attention and we really try to partner with other Safe Kids coalitions,” Walston said. “So I’m all about sharing resources and working together, that’s how you make it happen. We’re really fortunate to have such great partners.”
The Maynard Children’s Hospital at ECU Health Medical Center is celebrating its 10th year of offering high-quality, compassionate care in a soothing environment for patients and families in eastern North Carolina.
Dr. Matthew Ledoux, pediatrician in chief at Maynard Children’s Hospital, said the children’s hospital has immensely benefited the youngest patients in the East and made for more seamless care.
“The children’s hospital itself has given us the opportunity to grow services – we started an ECMO program, we’ve started and developed a dedicated Children’s Transport Team that flies all over the region and picks up kids and brings them back here,” Dr. Ledoux said. “The fact that we have all the subspecialty care, we have all the surgical care and generalized pediatric care here makes all the difference. It’s really a shining light in the East.”
Over the past 10 years, countless improvements have been made that have positively impacted the lives of many children and their families in eastern North Carolina. Other key expansions included the Pediatric Day Medical Unit, Pediatric Radiology Unit, and Pediatric Pharmacy among several other additions.
Kim Crickmore, PhD, RN, senior vice president for Women’s and Children’s Hospital and Community Health Programs, said the Maynard Children’s Hospital is an integral part of health care in eastern North Carolina today. Over the last 10 years, the children’s hospital has delivered more than 37,000 babies, with more 61,000 inpatient admissions, 216,000 emergency cases, 223,000 outpatient cases and an additional 700,000 pediatric outpatient visits through the ECU pediatric outpatient center.
“When we consider the impact to the region over the last 10 years, it’s really unbelievable,” Crickmore said. “It means so much to us here at the hospital that we’ve been able to provide care, primarily under one roof and unite all the services and to be the destination in eastern North Carolina for children who are sick or injured and need the specialty care we provide.”
Crickmore and Dr. Ledoux both said one of the services they are most proud of is the Children’s Transport team. The team consists of intensive-care trained nurses and respiratory therapists skilled in providing the specialty care many children need from the onset of transport to arrival at Maynard Children’s Hospital. Crickmore said it has been an intentional focus to build the program over the last five years and the program has seen many successes.
The Space
The amenities offered in the under-the-sea-themed Maynard Children’s Hospital are designed with patients and families in mind. Soothing young patients in a health care setting is no small task, but the children’s hospital is uniquely equipped to handle the challenge.
Dr. Ledoux said the community has stepped up time and again to provide resources and make donations that make a real difference for patients and families.
When thinking about his favorite area of the Maynard Children’s Hospital, Dr. Ledoux came back to the light tower, which can be seen when driving past the hospital. He said it’s a reminder of why he, and every children’s hospital team member, shows up to work every morning – to take care of the youngest patients in eastern North Carolina. He said he’s often asked what the colors on the light tower mean when people drive by at night.
“The reason is, we’re generally celebrating a child, we’re celebrating the end of a treatment, they’ve finished chemotherapy, or maybe they’ve been in the NICU for two or three months and they’re getting to go home,” Dr. Ledoux said. “We really try to make sure that the families and children get to pick the color and the time, but any time you see the color change anything different from our usual light blue, we’re celebrating a child and a family so it’s pretty exciting.”
Into the Future
Crickmore and Dr. Ledoux both said the next 10 years are something they’re looking forward to with the Maynard Children’s Hospital. They hope to continue expanding services and looking more to the region to bring specialty care closer to home for patients and families.
Dr. Ledoux said he and other physicians in the system have enjoyed their time spent in the region and the ability to help patients and bring key services closer to home for patients makes it special.
“I think the biggest thing is the distance that people have to travel,” Dr. Ledoux said. “We know that it’s a very underserved population and there’s a lot of poverty. People have challenges paying for gas or even having a car. The closer we can be to them to provide those services, the better.”
Another upcoming project that will impact pediatric patients in the East is the behavioral health hospital, slated to open in Greenville in 2025. ECU Health is partnering with Acadia Healthcare to build the state-of-the-art facility that will feature 24 inpatient beds specifically for children and adolescents with mental health needs. These beds will be the first of their kind in ECU Health’s 29-county service area and the only child and adolescent beds within 75 miles of Greenville, North Carolina.
Join us in celebrating the Maynard Children’s Hospital and all of its team members for the last 10 years of service to eastern North Carolina.
Four students in the Brody School of Medicine at East Carolina University have been named to the 2023-24 class of the North Carolina Albert Schweitzer Fellowship (NCASF) program and will spend the next year working on projects that address social factors that impact health and health care. Their projects will be completed in part at ECU Health facilities.
They are part of a class of 29 North Carolina graduate students — including two other Brody students and two students in the ECU School of Dental Medicine — representing medicine, dentistry, physical therapy, occupational therapy, public health and law.
“Schweitzer Fellows are not given a project or told to address a specific health need,” said Barbara Heffner, executive director of the N.C. Albert Schweitzer Fellowship. “They follow their passion and the needs of the community to develop innovative approaches which fill gaps in our health care system.”
Schweitzer Fellows develop and implement service projects that address the root causes of health disparities in under-resourced communities, while also fulfilling their academic responsibilities. Each project is implemented in collaboration with a community-based organization. Schweitzer Fellowships include an intensive leadership component, with fellows working closely with community and academic mentors during their fellowship year.
The ECU Schweitzer Fellows working on projects through ECU Health sites are:
Miranda Freeman and Michael Burt, Brody School of Medicine
Miranda Freeman
Michael Burt
A.C. Reid Schweitzer Fellows
Academic Mentor: Dr. Rima Panchal
Site Mentor: Dr. Margaret Clifton
Site: Palliative care unit at ECU Health Medical Center and Service League of Greenville Inpatient Hospice
Freeman and Burt are developing an end-of-life companions volunteer program to provide compassionate end-of-life companionship to palliative care patients who do not have anyone able to visit them. Volunteers will receive basic inpatient and outpatient hospice training, participate in narrative medicine workshops and will become knowledgeable advocates for the role of palliative services in modern patient care.
Freeman, a fourth-year medical student and native of Eagle Springs, said her passion for the project comes from her father’s recent cancer diagnosis.
“I saw how incredibly important it is to have support and care during scary difficult moments in life,” she said. “End of life should not have to be something individuals go through on their own. This program aims at providing more support to those at the final stages of their lives.”
Burt, a fourth-year medical student from Williamston, said the project aims to bridge a gap for a vulnerable population that deserves support.
“One group of individuals who are often not appreciated in conversations about loneliness is those who are in hospice care,” he said. “There are unfortunately many people who find themselves alone as they approach the end of their lives, and we believe they deserve the option of compassionate companionship, outside of their health care team, during this time.”
Vaishnavi Siripurapu and Elisabeth “Ella” Whitfield, Brody School of Medicine
Vaishnavi Siripurapu
Elisabeth “Ella” Whitfield
Academic Mentor: Dr. Lisa Moreno
Site Mentors: Dr. Hannah Florida, Dr. Lauren Sastre
Site: ECU Physical Medicine and Rehabilitation Inpatient Unit
Siripurapu and Whitfield are launching a cardiovascular health intervention for patients at the ECU Physical Medicine and Rehabilitation Unit focused on individualized goal setting, nutrition education, behavioral health and community support.
Siripurapu, a second-year medical student from Mooresville, said her passion for the project comes from watching her father’s diabetes journey.
“After following his journey and realizing the impact that chronic cardiovascular disease has on many people in my rural community,” she said, “I decided to pursue a project in order to address this unmet need that has manifested in my own life.”
Whitfield, a second-year medical student from Durham, said the project will address continuity in support from the hospital to home.
“During their hospital stay, patients are provided with structure, nutritional counseling and convenient healthy meals, therapy such as physical and occupational therapy, and support from hospital staff. However, upon discharge, this support structure is removed, leaving patients feeling isolated and powerless in their circumstances,” Whitfield said. “With the status quo, patients have a difficult time creating lasting change. We hope to ease this transition for CVD patients, and prevent future re-hospitalizations, by providing an abundance of supportive measures during this gap in care. We want to support individuals in a holistic way and help to empower them to feel confident in their ability to take charge of their own health journey.”
The NCASF is funded through the Blue Cross and Blue Shield of North Carolina Foundation, Delta Dental of North Carolina, Duke University School of Medicine, ECU Brody School of Medicine, North Carolina Area Health Education Centers, North Carolina Central University School of Graduate Studies, University of North Carolina School of Medicine, North Carolina Oral Health Collaborative, UNC Office of Interprofessional Education and Practice, ECU Health, Wake Forest University Health Sciences and individual donors.
NCASF began in 1994 as a local chapter of the national nonprofit, the Albert Schweitzer Fellowship, and has trained more than 600 leaders in health care. Nationally, more than 4,000 U.S Schweitzer Fellows have served individuals and communities in need and are continuing to shape health care policy and provide direct service.
Hurricane season is underway in the Atlantic and according to the Eastern Healthcare Preparedness Coalition (EHPC), it’s expected to be an active season.
The EHPC team said that while hurricanes are difficult to predict, we can all do our part to prepare for the best possible outcomes. That includes preparing yourself, your family and your home for potential storms.
“If something goes off unexpectedly and you’re unable to leave your house potentially due to flooding, do you feel like you could provide for yourself and your family, including your pets, for about 72 hours?” Stephanie Seals, disaster services specialist with EHPC, asked. “Historically, we know the rescue services aren’t able to help for about the first 72 hours, so we always recommend having enough food, water and medications at your home to take care of yourself, your family and your pets for that time.”
Other key items to keep in mind for your preparedness kits include important phone numbers, documents like birth certificates, marriage certificates and wills, and a first aid kit.
“You don’t necessarily have to go out and buy a brand new first aid kit, you can kind of buy your equipment and piecemeal it together yourself, but it’s important to make sure it’s stocked,” Seals said. “The big things that we see needed after these storms are things such as band aids, ace bandages and gauze to wrap up injuries and your basic antiseptic ointment to clean off those wounds.”
Ready.gov is a federal government website with helpful information about how to properly prepare for a hurricane. This includes guidance on Creating a plan that meets the specific needs of your household and building an emergency kit that contains supplies to help you stay adequately prepared for a natural disaster like a hurricane.
The EHPC team is ECU Health-based while proudly serving all of eastern North Carolina, which enables Seals to pursue her passions on both the personal and professional fronts.
“Getting to help people when they need it the most is incredibly important to me. I think helping people help themselves is one of the coolest things we get to do, too,” Seals said. “We have heard back from people that we get to train and educate and they’ll say, ‘When this happened unexpectedly, we had a house fire or another situation, I was ready because of the things that we put together.’ That just means the world to me.”
Resources
Hurricanes can form quickly. Take the time now, before a hurricane impacts our region, to educate yourself on how to prepare and respond. Below are helpful links for federal and state websites:
“I was really apprehensive about it because I’ve always been at one little hospital,” said Suzanne Foster, a travel nurse with ECU Health, “so it was a little intimidating coming to a larger hospital.”
Suzanne Foster isn’t the only nurse who found herself looking for new and different opportunities in the wake of the COVID-19 pandemic.
“I wanted to try travel, nursing and experience other facilities,” said Foster, “but I have a husband and a son that I dearly love and do not want to be away from. The fact that I can drive home at night is huge.”
She can do both thanks to the ECU Health Travel Staffing program. It’s an innovative approach to recruiting driven by the ever-changing health care industry and the need to meet nurses where they are.
“For an organization of our size to develop its own staffing agency is significant in the innovation of nursing care and staffing hospitals,” said Dennis Campbell, ECU Health Beaufort Hospital, a campus of ECU Health Medical Center interim president. “It’s no secret that there is a nationwide shortage of staff nurses and nurses are more mobile today than they have ever been.”
“I was getting a little bit burnt out in my current role, which frankly after COVID, I think a lot of us needed just a change of scenery,” Foster said.
“The travel staffing program mimics any other staffing agency. The difference is it’s ours,” said Campbell.
Since the start of the program, the system has hired more than 500 clinical team members. Of those, 89% have opted to extend their assignments.
“The team, everybody that you encounter is extremely considerate and thankful to have you on board,” Foster said. “Working at ECU Health has been wonderful.”
To learn more about the ECU Health Travel Staffing Program visit: https://careers.ecuhealth.org/pages/vidant-health-travel-staffing-program.
ECU Health, local organizations, non-profits and other behavioral health and substance use groups came together on May 23 to host the 11th annual Mental Health Expo, which was in person for the first time since 2019.
Nearly 50 exhibitors saw groups and individuals come through as they answered questions and provided information about local mental health and substance use resources.
Glenn Simpson, ECU Health system service line administrator for Behavioral Health, said the opportunity to come back together in person was crucial for the event to connect with community members face-to-face.
“Most of us become accustomed to Zoom meetings and masking and not having that interpersonal relationship. As humans, interpersonal relationships are extremely important,” Simpson said. “Technology helped us with this event the last couple years but to be able to actually see people shake people’s hands, talk to them directly is really exciting.”
The event also included speakers presenting on a few different topics, including: “Mind Over Matter: Using Mindfulness to Assist with Treatment of Depression and Anxiety,” “Lay Responder Naloxone Training: When and How to use NARCAN Nasal Spray” and “Human Trafficking: Building Protective Factors for Prevention and Resiliency.”
Simpson said these “mini workshops” were helpful to give community members more information on topics that may be important to them.
Simpson also shared that this event would not be possible without the support of the community and the many organizations that came together to share information with eastern North Carolinians.
“There is help out there, you just kind of have to figure out how to get it,” Simpson said. “This event brings the exhibitors, agencies and the public together to share all of this information. I’ve already talked to a few people and realized I didn’t even know the agency existed and I’ve been doing this for a long time. It’s a real cool opportunity to learn what’s out there and I know the communities we collectively serve really benefit from that.”
The Walter B. Jones Center, located in Greenville, was one of nearly 50 exhibitors on hand for the Mental Health Expo. Team members from the center said the partnership with ECU Health is crucial and the opportunity to connect with community members in person is invaluable.
“It’s great to get the word out and to let people know what we do and let folks know how to get into treatment and get help when they need it,” Jade Butler, counseling supervisor at Walter B. Jones Center, said. “I think we have the same vision and goal in mind as ECU Health, to help as many people as we can with mental health and substance use issues. Having ECU Health Medical Center right here and us just down the road, I think we’re able to collaborate and be able to serve as many people as we can.”
Simpson said the event was also a great opportunity to help promote the 988 Suicide & Crisis Lifeline as well, which offers 24/7 access to trained crisis counselors who can help people experiencing mental health-related distress.
The lifeline is available nationwide and connects callers with a trained professional in the state from which they are calling. North Carolina residents contacting the 988 services are connected to a team in Greenville. The lifeline offers free and confidential support and can also help callers connect with nearby services.
Access to care was a frequent topic during the Mental Health Expo and Simpson shared that Medicaid expansion is an exciting development for those seeking behavioral health care. He added that the upcoming behavioral health hospital, slated to open in Greenville in spring 2025, is a major step in improving access for eastern North Carolina.
“We’re very excited to partner with Acadia,” Simpson said. “It’s going to be a state-of-the-art behavioral health hospital that will serve all ages. That’s all on top of what we’re already able to do today so it will be from children to senior citizens that need that level of care.”
ECU Health team members were on hand to share information on family services and important topics, like setting up a Psychiatric Advance Directive. The ECU Health team also shared information on MyChart and ECU HealthNow.
When Lauren Moore, a fourth-year student at the Brody School of Medicine at East Carolina University, begins her residency training at ECU Health Medical Center in July it will mark the beginning of a new chapter in her deeply personal family medicine journey. With a love for health care passed down from her parents, including her late mother, Moore’s next step is another toward her ultimate goal: making a difference in the lives of countless eastern North Carolina community members.
Moore’s experience with health care goes far beyond her medical school training. Her father is a physician’s assistant and she was naturally drawn to the connections he made in the community. Growing up in Farmville and attending school in Greenville, she recalls countless instances where he was stopped in places like the grocery store, catching up with a long-time patient or offering helpful advice.
“Growing up, people would come up to us and be like, ‘Mr. Eddie, how are you doing?’ I’d ask, ‘Dad, who is that?’ He’d say, ‘Oh, a patient that I’ve had for ten years now.’ I would think, ‘That is amazing,’” Moore said. “And even recently, ever since I’ve matched at ECU Health, just within the past few weeks, I’ve had several people from my Bible study at my church that have said, ‘You know, I’ve been needing to get a primary care doctor.’ And I’m like, ‘I’m your person!’ It just feels good that they trust me enough to one day be their doctor and to have those personal connections and be able to serve them to make sure their health is taken care of.”
She also experienced the health care profession from the patient perspective through her mother’s cancer journey. When Moore was seven years old, her mother was diagnosed with breast cancer for the first time and was declared cancer free after about a year of treatment.
Then, six years later, she was re-diagnosed with metastatic breast cancer, which spread to her liver and brain. Moore’s mother passed in June of 2010. She reflected on the care her mom received and how the care teams went above and beyond for patients and families alike. Moore learned what it meant to be a compassionate care giver and she said she’s prepared to bring that same compassion to her future patients.
“Seeing her go through that and seeing the way that her physicians were able to play such a vital role in not only her life, but also my family’s life and making sure that we were OK even after the fact,” Moore said. “If my dad was walking through the hospital, my mom’s physicians would check in on him and ask how he was doing and if he needed anything. So it wasn’t that they were just taking care of my mom as a patient, but they were also taking care of the rest of her life, too. That had such a tremendous impact on me. My goal is not only to care for my patients the same way my dad does, but also to make the families feel the same way that those physicians made me feel.”
Brody Matches
Moore is one of 77 Brody medical students poised to begin their residency at hospitals across the country, following an emotional Match Day ceremony in March and commencement in May. For Moore, who wants to practice family medicine in the region in which she grew up, matching to ECU Health Medical Center was always the goal.
“Being a medical student at Brody and seeing the patient population that we have here, I think that’s really what drew me to ECU Health,” said Moore. “The fact that it serves patients throughout the 29 counties in eastern North Carolina who otherwise wouldn’t have a primary care provider or a Level I trauma center if it wasn’t for us. I was drawn to the educational opportunities given the uniqueness of our patients and everybody in the residency program is just so welcoming and nice. I know it’s family medicine, but it is also like a family there.”
Photo Courtesy of ECU News Services
Match Day at Brody marked a milestone for the Class of 2023, whose medical school journey included the historic events of learning through the COVID-19 pandemic and the integration of Brody and then-Vidant Health, which became ECU Health in 2022.
Match Day is arguably the pinnacle of medical school, when students discover where they will train during their residency, surrounded by friends, family and Brody faculty and staff who have guided them over the years.
The Class of 2023 is a snapshot of Brody’s mission to serve the state. The 77 members of the graduating class represent more than 25 North Carolina counties, from Buncombe in the west to Pasquotank in the northeast.
ECU Health Medical Center had an excellent Match Day, according to Dr. Herb Garrison, associate dean for Graduate Medical Education, with 98 medical students matching into the 12 main residency programs. Twenty-six of the students, or 27%, will graduate from North Carolina medical schools, including 16 students from ECU’s Brody School of Medicine. Brody’s most recent class features the most medical students who will begin their residency at ECU Health Medical Center in July.
“We’re thrilled for this class to start their residencies across the country and we’re especially excited about how many will be staying with us at ECU Health Medical Center,” Dr. Garrison said. “This group had their first year of medical school disrupted by the start of COVID and I’m so proud of the way they supported each other through that experience. I’m just excited, as I am every year, to see these skilled and highly trained students start their careers and share everything they’ve learned here with the rest of the world.”
A Rural Legacy
Dr. Mott Blair’s journey to his post as a physician at ECU Health Family Medicine – Wallace is not totally unlike Moore’s. Dr. Blair’s father was a doctor in Duplin County beginning in 1949.
Dr. Blair shared that his father was a primary care physician who also took up obstetrics and did home deliveries for many families. Seeing his father’s connection with patients and families in his home town lead him directly to his own career in medicine.
He attended the Brody School of Medicine – then called ECU School of Medicine – and graduated in 1987, alongside his brother. He matched with ECU Health Medical Center – then called Pitt County Memorial Hospital – and began practicing in Wallace after his three-year residency. He said his decisions to attend Brody, make Greenville his first choice for residency, establish a practice in his rural hometown and eventually partner with the ECU Health system have all been rewarding for himself and beneficial for the patients he serves.
“I feel like the mission of the medical school was a mission that I wanted to take on and I think I’ve been successful in doing that,” Dr. Blair said. “I think the credit in being able to do that goes to the medical school and now the medical center as well. I really think that what we’re doing now, particularly as we support practices across the eastern region of the state, is a crucial thing to put in place, because health care in rural North Carolina is so difficult and we need to have true rural primary care.”
Dr. Blair said that he knows his time at Brody prepared him well for the challenges of residency and he has seen the same for other Brody graduates whom he’s connected with as residents.
For first year residents, he said it’s a new kind of challenge and learning curve, just like those experienced in the first year of medical school and the first year of rotations, but sticking to the same habits that got residents where they are will make all the difference.
“Work hard, study hard. Getting through residency the first year is a lot of hard work,” Dr. Blair said. “So enjoy it and it will go by fast and it will seem like a distant memory pretty quickly. Coming out of Brody, you’ll be well prepared. I found the preparation for me was excellent. You have to be patient with the pace in medicine. It changes rapidly and has really changed a lot since I’ve been in practice and continues to do so.”
In line with the Brody School of Medicine’s mission to increase the number of primary care physicians who serve North Carolina, 52% of the 2023 Brody class matched into primary care residencies — including obstetrics and gynecology — and 44% matched to residency programs in North Carolina.
Moore and Dr. Blair are just two examples of the importance of the Brody School of Medicine and ECU Health connection. Developing high-quality, compassionate physicians for a region in need helps meet the organizations’ combined mission to improve the health and well-being of eastern North Carolina.
“Developing great primary care providers for rural areas is at the core of what we do at Brody and within ECU Health” said Dr. Michael Waldrum, CEO of ECU Health and dean of Brody. “Working as rural health care professionals is hard but we’re working together to train doctors that will care for the whole patient, their physical and emotional health, and I think we’ve been successful in doing that. We have students, professors, residents and doctors that really understand that side of health care and their work in that space leaves a legacy that we can all be proud of.”
Brian Floyd
ECU Health Chief Operating Officer and ECU Health Medical Center President Brian Floyd joined other rural health care leaders from across the state for a virtual town hall hosted by the North Carolina Healthcare Association on Tuesday, April 11.
During “Reimagining Rural Health in North Carolina,” Floyd and the 4 other panelists – Jessie Tucker, president and CEO at UNC Health Wayne, Kathy Bailey, president and CEO at UNC Health Blue Ridge, Lynda Stanley, President and CEO at Dosher Memorial Hospital, and Michelle Fortune, CEO at St. Luke’s Hospital – discussed how they are evolving the future of rural health care in the state.
Like many rural regions, 1.4 million people who call eastern North Carolina home face a number of systemic socioeconomic challenges, which have negative impacts on health outcomes. The panelists discussed the unique challenges rural health care faces, how Medicaid expansion will impact rural health care and communities, workforce development, community partnerships and outreach and innovations. Partnerships and collaboration were a key topic and many rural health systems across the state, including ECU Health, continue to identify solutions to improve access to care in rural communities.
“I was honored to discuss rural health care challenges, successes and innovations alongside fellow rural health leaders across North Carolina at today’s town hall,” said Floyd. “ECU Health and the Brody School of Medicine at East Carolina University are uniquely positioned to help train the next generation of physicians and health care workers. Together, we can address the issues that rural communities face like a lack of access to health care resources and disproportionate chronic illness. From community education, to partnerships that make every social system more vital, to caring for people at their worst and sometimes best day, the work we get to do is so fulfilling.”
Patient-centered care is a term often used in health care to describe a collaborative relationship between care teams, patients and families. It is the goal of many health care providers, the type of relationship that occurs only when trust is fully developed.
For medical students learning the trade, there are right and wrong answers to most of the questions they encounter. These symptoms match that disorder, or this medication cannot be given to that type of patient. While there is much to learn about the science of medicine from the pages of a textbook or within the walls of the classroom, it is hard to replicate the hands-on experience gained during direct patient care. Often times, the best lessons come from long days and nights spent compassionately caring for patients, listening to feedback, patiently answering questions and validating the feelings of those they care for.
“It’s one of those things that you’re taught in medical school to listen to patients and their families because it really is shared decision making,” said third-year Brody School of Medicine at East Carolina University student Jennifer McMains. “But then when you get in the moment, there’s so much going on and it’s very easy to think that you know medically what’s best. But that’s not the way we practice medicine. If the family feels strongly, then listen because they’re with their loved one every single day, every minute.”
McMains learned firsthand the importance of patient-centered care when she met Carnie and Melody Hedgepeth in June 2022 during one of the most difficult periods of their lives.
Carnie, who serves as the director of emergency services for Beaufort County and as a pastor at Arthur Christian Church, was out for a summer ride on his motorcycle when he was involved in a serious accident. He was hit by an oncoming driver and thrown from his bike, eventually landing on the roof of the car. Despite wearing a helmet, the accident left him with multiple facial injuries and a brain bleed that resulted in a traumatic brain injury. With Melody by his side, Carnie spent more than a month in ECU Health Medical Center where they quickly found an expansive support system.
“A lot of people in the (emergency room) know him and people surrounded us with love and prayers,” said Melody. “We got through that first night thanks to everyone in the ER.”
It was in the ER during her surgery rotation where McMains would first meet the Hedgepeths.
“We would go in as a team of doctors to check and provide updates on the plan,” McMains recalled. “Melody was constantly asking ‘Can we be doing anything more?’ or ‘Are there better ways for us to position his feet?’ Things like that seem small but she was always looking at the six-months, one-year outcome and always believing that he would recover. That showed me a lot because I would go into the next person’s room and there wouldn’t be a person to advocate.”
For the Hedgepeths, the attention and care they received left a lasting impression.
“From my standpoint, that’s the most important thing, knowing that the person who is calling the shots cares,” said Carnie. “It means so much when you know that the person cares.”
Carnie, Melody and McMains were reunited April 6 at the Hilton in Greenville during the Legacy Teachers Celebration, a tradition presented by Brody and ECU Health that gives students a chance to honor a patient they met during third-year rotations who taught lessons about care, compassion and communication they will take with them into their careers as physicians.
In total, 20 third-year medical students shared their stories at the luncheon, which featured gift baskets, a photo station and remarks from ECU Health and Brody leaders. At the end, legacy teachers placed custom pins on the students’ white coats to commemorate the significance of the occasion and serve as a reminder of the lessons learned – lessons that they will carry with them through their medical careers.
“As physicians, these stories fuel our hearts and purpose for servant leadership in our pursuit of medicine,” said Dr. Christina Bowen, ECU Health chief well-being officer. “The connections we make with patients help us learn the art of practicing medicine. We’re here to honor these sacred relationships and celebrate our legacy teachers.”
Third-year Brody student Karen Semaan shared her experience with former patient Aidan Mummert and his grandparents. Semaan got to know them well while on the pediatric hematology-oncology rotation. At first, the care team was unsure of the cause of Mummert’s illness. They visited Mummert and his family often to ask more questions and run more tests. Despite the uncertainty, the family and care team developed a light-hearted and fun relationship. When doctors finally determined the cause of the infection, the care team celebrated with joy alongside the family during Mummert’s discharge.
Semaan said the relationship she developed with Mummert and his family was a reminder of her “why” as a future physician.
“Talking with Aidan and his grandmother reminded me, even though medicine and medical school is hard, even though you’re tired and your emotional reserves are low, you can get energy from people,” Semaan said. “You can get love and compassion from them that you can then give back and share with other patients that you see that day.”
The Legacy Teachers Celebration is an important partnership between ECU Health and Brody. The education that medical students receive at Brody, combined with the experiences gained within the ECU Health clinical setting, provides a full spectrum of knowledge that prepares them to deliver compassionate care to the patients they will serve.
“Today is one of the greatest days because we get to celebrate the relationship between our student doctors and their patients,” said Dr. Amanda Higginson, associate dean for student affairs at Brody. “Together, Brody and ECU Health have a shared responsibility to provide both healing and learning. Our legacy teachers help us do that in ways that go beyond just the classroom setting.”
Dr. David Eldridge, senior associate dean for academic affairs at Brody and Brian Floyd, chief operating office at ECU Health and president of ECU Health Medical Center, provided remarks at the event. Like the students, they shared their deeply personal stories of important lessons they learned as students. The speakers shared common themes, especially around the importance of positive, trusting relationships between patients and care teams.
“All across health care, and especially here at ECU Health, there incredible people gathered around others who are in-need of care,” said Floyd. “We’ve chosen this work because it is so meaningful. We are able to make a difference in the lives of so many because of the beautiful relationship between these students and these patients. Today is a reminder of why we do what we do.”
On Wednesday, ECU Health Medical Center partnered with Honorbridge to celebrate National Donate Life Month and recognize organ and tissue donors, their families, those who are waiting for life-saving and life-changing donations, and recipients of organ and tissue donations.
The occasion was marked at 10:08 a.m. as the Donate Life flag was raised in front of ECU Health Medical Center, followed by a 30-second moment of silence. These two numbers are significant as the time symbolizes that one donor can save eight lives while the moment of silence recognizes the 3,000 North Carolinians waiting for an organ donation.
Dr. Walter Pofahl, chief medical officer for ECU Health Medical Center, said eastern North Carolina is home to a disproportionately high number of those 3,000 in North Carolina. Dr. Pofahl shared that last year ECU Health Medical Center had 31 organ donors, transplanted 90 organs while 18 were sent out for research. It also had 56 tissue donors with 141 tissues recovered and 90 eye donors with 84 corneas transplanted and 21 placed for research.
A daughter’s gift
During Wednesday’s event, Darice Fonville shared her inspiring story of donating her kidney to her mother in February.
Fonville said her mother had suffered from chronic kidney disease for about 20 years and as she began to struggle more, they learned she would need to find a donor or start dialysis. She knew that dialysis can be very difficult for patients, and she wanted to help her mother any way she could. So Darice decided to get tested to see if she would be a match.
“I was actually at work when I got the call, and they let me know we were a match,” Fonville said. “As soon as I got that call, everybody in the office already knew how excited I was. I put work on pause to go call my mom. She already knew, and she was nervous. I was excited. I knew it was a done deal. We were just going to go through with it.”
She said she never had any hesitation when she knew she could give something back to her mother and improve her life. She said the transplant team at ECU Health Medical Center put everyone at ease and allowed Fonville and her mother to be together shortly before surgery to spend time with one another.
How to give
Dr. Pofahl said while it is important to identify as an organ donor when you receive your driver’s license or state identification card, it’s just as important to share your wishes with those close to you.
“It’s not always easy, but having that discussion is important,” Dr. Pofahl said. “In that critical time when decisions are being made around donation, if your loved ones understand what your wishes are upfront and ahead of time, that makes the process a lot easier.”
While only about 50 percent of adults in North Carolina are registered organ donors, there are 3,000 people waiting for organ and tissue donations in North Carolina and more than 100,000 waiting for a donation across the country.
Learn more about how to become an organ donor and the impact you can make as a donor on Donate Life’s website.