The event welcomed 225 ninth-grade girls from across Pike County and focused on leadership and future career opportunities. Students participated in roundtable discussions and heard encouraging messages about pursuing their goals despite the uncertainties ahead.

PMC departments represented included Radiologic Technology, Education, Wound Care, Physical Therapy, Occupational Therapy, Speech Therapy, Recruitment Services and Workforce Development.

A highlight of the day was a career exploration session organized by PMC’s Workforce Development featuring more than 20 stations, most of which focused on healthcare careers. PMC staff enjoyed sharing their experiences and introducing students to the many opportunities available in healthcare.

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Measuring just under 1.6 millimeters in diameter, this groundbreaking technology provides a less invasive approach to restoring a patient’s natural heart rhythm. The OmniaSecure lead is currently the smallest and thinnest implantable cardioverter-defibrillator (ICD) lead available, representing a significant advancement in cardiac rhythm management. The milestone procedure highlights another step forward for the Heart and Vascular Institute of Eastern Kentucky at Pikeville Medical Center as it continues to expand access to leading-edge cardiovascular care across the region.

“At Pikeville Medical Center, we believe our patients deserve access to the most advanced care available, without having to leave the mountains they call home,” said Donovan Blackburn, President and CEO of Pikeville Medical Center. “For more than 100 years, we have been committed to bringing innovative medical technology to Eastern Kentucky, and this milestone procedure by Dr. Souza and his team is another example of that promise in action.”

The OmniaSecure lead is implanted using a minimally invasive catheter-based technique that allows physicians to precisely place the device within the heart. Once connected to an implantable cardioverter-defibrillator (ICD) generator, the lead continuously monitors the patient’s heart rhythm and can deliver pacing or life-saving electrical therapy if a dangerous arrhythmia occurs.

“This device’s extremely small size, combined with the catheter-based delivery method we use, helps reduce the risk of complications while providing powerful protection against dangerous heart rhythms,” explained Dr. Souza. “I am extremely proud to say we are using the smallest device of its kind on the market and are the first hospital in this part of the state to offer it to our patients.”

Heart rhythm disorders, also known as arrhythmias, occur when the electrical signals that coordinate the heartbeat do not function properly. This can cause the heart to beat too quickly, too slowly or irregularly, potentially leading to serious complications, including cardiac arrest. Implantable cardioverter-defibrillators play a critical role in monitoring these conditions and delivering immediate therapy when needed.

The successful implantation further highlights Pikeville Medical Center’s ongoing commitment to bringing innovative cardiovascular treatments to Eastern Kentucky, expanding access to advanced care close to home without the need to travel outside the region.

About Pikeville Medical Center

Pikeville Medical Center is a 348-licensed-bed regional referral center and Kentucky’s only level II trauma center. PMC offers over 400 services, including most major specialties and many subspecialties and features the region’s most advanced medical technology. PMC employs over 3,700 people and has over 600 credentialed healthcare providers.

PMC’s mission is to advance the health and well-being of our region through comprehensive care in a Christian environment.

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PIKEVILLE, Ky. (Jan. 20, 2026) — UK HealthCare is proud to welcome Pikeville Medical Center to the UK Gill Heart & Vascular Institute Affiliate Network.

By joining the Gill Affiliate Network, Pikeville Medical Center (PMC) will gain access to the latest cardiovascular expertise. This collaboration will provide PMC providers and staff with comprehensive cardiac education and training, strengthening their ability to improve the cardiovascular health of patients in Pike County and the surrounding area.

One way this affiliation is making a tangible impact is through the launch of an adult congenital heart disease clinic in Pikeville. UK cardiologist, Dr. Ashley Brunmeier, a specialist in adult congenital heart disease, now provides care through this outreach clinic, bringing advanced expertise closer to home. This initiative allows patients to receive specialized treatment at Pikeville Medical Center rather than traveling to Lexington, improving convenience and access to subspecialty cardiovascular care for patients across the region.

“Joining the UK Gill Heart & Vascular Institute Affiliate Network is an important step forward for Pikeville Medical Center and the patients we serve,” said Dr. Aaron Crum, Chief Medical Officer at PMC. “This affiliation strengthens our ability to deliver advanced cardiovascular care locally by expanding access to specialized expertise, education and collaboration.”

Heart disease remains the leading cause of death in Kentucky, with the state ranking among the highest in the nation. In response, the UK Gill Heart & Vascular Institute, a leader in cardiovascular care, is working to combat these health challenges through its Gill Affiliate Network. This initiative aims to reduce the prevalence of heart disease by fostering collaborative relationships with health care facilities across the state.

“This affiliation reflects our ongoing commitment to improving heart health for our community,” said Dr. Chase Reynolds, Medical Director of the Heart and Vascular Institute of Eastern KY at Pikeville Medical Center. “Through the Gill Affiliate Network, our providers gain access to leading cardiovascular resources and training that enhance the care we provide every day. Expanding services like the adult congenital heart disease clinic provides patients in eastern Kentucky with specialized cardiac care without the burden of traveling long distances.”

As part of these measures, the UK Gill Heart & Vascular Institute collaborates with a large network of 28 regional and community hospitals across the state to enhance access to high-quality cardiovascular care, allowing Kentuckians to receive care where and when they need it.

Through the Gill Affiliate Network, PMC will join a community of hospitals across Kentucky working together to enhance patient care, share best practices and strengthen cardiac programs through education and collaboration.

“We are thrilled to welcome Pikeville Medical Center to the Gill Affiliate Network,” said Dr. Navin Rajagopalan, Director of the Gill Affiliate Network. “Pikeville has a long-standing reputation for delivering exceptional cardiac care to its community, and this collaboration strengthens our shared commitment to advancing cardiovascular health across Kentucky. By working together, we can combine expertise, resources and innovation to ensure patients receive the highest quality care close to home.”The Gill Affiliate Network will give PMC providers and staff access to specialized cardiovascular education and training, assistance in achieving and maintaining cardiac accreditations and support for the growth and development of their cardiac program. This collaboration ensures comprehensive heart care — from medical cardiology to vascular and cardiothoracic surgery — is accessible to Pike County residents and beyond, enabling patients to receive high-quality care close to home for as long as possible.

About Pikeville Medical Center

Pikeville Medical Center is a 348-licensed-bed regional referral center and Kentucky’s only level II trauma center. PMC offers over 400 services, including most major specialties and many subspecialties and features the region’s most advanced medical technology. PMC employs over 3,700 people and has over 600 credentialed healthcare providers.

PMC’s mission is to advance the health and well-being of our region through comprehensive care in a Christian environment. For more information, visit www.pmcky.org.

About UK HealthCare

UK HealthCare is the hospitals and clinics of the University of Kentucky. But it is so much more. It is more than 10,000 dedicated health care professionals committed to providing advanced subspecialty care for the most critically injured and ill patients from the Commonwealth and beyond. It also is the home of the state’s only National Cancer Institute (NCI)-designated Comprehensive Cancer Center, a Level IV Neonatal Intensive Care Unit that cares for the tiniest and sickest newborns and the region’s only Level 1 trauma center.

As an academic research institution, we are continuously pursuing the next generation of cures, treatments, protocols and policies. Our discoveries have the potential to change what’s medically possible within our lifetimes. Our educators and thought leaders are transforming the health care landscape as our six health professions colleges teach the next generation of doctors, nurses, pharmacists and other health care professionals, spreading the highest standards of care. UK HealthCare is the power of advanced medicine committed to creating a healthier Kentucky, now and for generations to come.

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Testimonials AFib's Impact on Stroke Risk An Alternative to Blood Thinners

Marjorie Giovannani's Watchman Story Ingreid Lenz's Watchman Story Billy Stacy's Watchman Story Bill Moate's Watchman Story

How Does AFib Increase Stroke Risk?

The average person with atrial fibrillation (also called AFib or AF) is five times more likely to have a stroke than someone with a regular heartbeat.¹ That’s because AFib can decrease the heart’s pumping capacity by as much as 30%.² Because blood isn’t pumped out of the heart normally, it’s easier for blood cells to stick together and form clots in an area of the heart called the left atrial appendage (LAA).^{2, 3} When a blood clot escapes from the LAA and travels to another part of the body, it can cut off the blood supply to the brain, causing a stroke.^{1, 4}

In people with atrial fibrillation not caused by heart valve problems (the most common type of AFib), more than 90% of stroke-causing clots that come from the heart are formed in the LAA.³

Reducing AFib Stroke Risk

Blood thinners, also called anticoagulants, are an effective way to lower the risk of stroke in people with atrial fibrillation not caused by heart valve problems.⁵ Common blood thinners include warfarin (also known as Coumadin^®), Eliquis^®, Pradaxa^®, Xarelto^® and Savaysa^®.

But some people need an alternative to blood thinners, because they can increase the risk of bleeding.⁵ Some bleeding events are minor and easily treated, like a cut taking longer than normal to stop bleeding. In other cases, the bleeding can be life-threatening, such as when bleeding in the brain causes a stroke.

If you have a history of bleeding or a lifestyle, occupation or condition that puts you at risk for bleeding, your doctor may consider an alternative to blood thinners, such as the WATCHMAN Implant.

WATCHMAN is a permanent implant that offers an alternative to the lifelong use of blood thinners. It’s about the size of a quarter and made from very light and compact materials commonly used in many other medical implants.

How WATCHMAN Works

WATCHMAN effectively reduces the risk of stroke by permanently closing off the LAA to keep blood clots from escaping. WATCHMAN can eliminate the bleeding risks and regular blood tests and food-and-drink restrictions that come with warfarin. In a clinical trial, 9 out of 10 people were able to stop taking warfarin just 45 days after the WATCHMAN procedure.⁶

How is WATCHMAN Implanted?

WATCHMAN is implanted into your heart in a one-time procedure. To implant WATCHMAN, your doctor makes a small cut in your upper leg and inserts a narrow tube, as done in a standard stent procedure. Your doctor then guides WATCHMAN into your heart’s LAA. The procedure is done under general anesthesia and takes about an hour. Patients commonly stay in the hospital overnight and leave the next day.

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Why Treating Your Atrial Fibrillation is So Important Causes of Atrial Fibrillation The Stages of Atrial Fibrillation and How it Affects Your Health Treatments of Atrial Fibrillation Types of Ablation Hybrid AF Therapy Is Hybrid AF Therapy Right For You? Sources and Risk Information

Atrial fibrillation (Afib, AF) is the most commonly diagnosed abnormal heart rhythm (arrhythmia) in the U.S.: ¹

• 8 million people in the U.S. have Afib¹
• 2 million people in the U.S. are diagnosed with Afib each year¹
• 1 in 4 adults will develop Afib in their lifetime²
• 33 million people around the world have Afib³

Atrial fibrillation is an abnormal heart rhythm caused by erratic electrical signals in the heart. A normal heart rhythm creates regular electrical signals that travel through the heart. The signals are essential for the heart to beat in a steady, rhythmic way. This allows blood to be pumped to all parts of the body. Sometimes the electrical signals become irregular, and the heart beats abnormally.

Atrial fibrillation is also called Afib or AF. If not properly treated, it can grow worse over time and possibly damage your heart. Atrial fibrillation can also lead to health problems:

5x increase in stroke risk⁴

5x increase in heart failure development⁵

Atrial fibrillation also leads to a higher risk of:⁶

• Chronic fatigue
• Decreased activity level
• Decline in quality of life

It’s best to have atrial fibrillation treated before it progresses and causes other health problems.⁷

Even after people develop other heart problems, there is hope. When atrial fibrillation is successfully treated it can:

• Reverse the stretching of the left atrium⁷
• Improve heart function overall⁷
• Improve your symptoms⁸
• Reduce the number of heart medications you need⁷

Several medical conditions and risk factors might affect the normal function of the heart, leading to an irregular heart rhythm.

If not properly treated, AFib progresses to more severe stages and can cause damage to the heart.

Medical Conditions

Conditions that may cause people to develop atrial fibrillation include:⁹

• Diabetes—The glucose (blood sugar) imbalance that occurs with diabetes can directly affect the tissues of the heart.
• Obesity—This puts a person at higher risk for atrial fibrillation.
• Sleep apnea—When a person is awakened by lack of oxygen from sleep apnea, it stresses the heart. It can also cause chemical changes inside the heart.
• Overactive thyroid gland—When the thyroid is too active, it increases the heart rate.

Risk Factors

Doctors have also identified risk factors that can lead to atrial fibrillation:⁹

• Heart attacks
• Heart failure
• Heart valve disease
• Coronary artery disease
• High blood pressure
• Aging
• Family history of atrial fibrillation

Many other factors that can lead to atrial fibrillation, listed below,⁹ are within your control. Talk to your health care provider about how to lead a healthy lifestyle.

• Smoking—The risk seems to increase for long-term smokers. But the risk lowers if you quit.
• Stress—Emotional stress, including panic disorders, can also put someone at higher risk of atrial fibrillation.
• Alcohol—Alcohol consumption, and especially binge drinking, raises a person’s risk.
• Caffeine—Caffeine increases the heart rate, which can trigger atrial fibrillation.¹⁰

Trigger Areas for Atrial Fibrillation

There are 3 areas of the heart where atrial fibrillation normally starts. The trigger points are:

• The base of the pulmonary veins (PV)
• The posterior (back) wall
• The left atrial appendage (LAA)

Early Stage of Atrial Fibrillation

Paroxysmal Afib symptoms include:

• Palpitations
• Fluttering feeling in the chest
• Rapid or irregular heartbeat

If not effectively treated, paroxysmal Afib may progress to more advanced stages.

Advanced Stages of Atrial Fibrillation

• Persistent Afib
• Long-standing persistent Afib

• Long-standing persistent Afib affects approximately:¹

  • 45% of all AFib patients
  • 5 million people in the United States

   

How Atrial Fibrillation Impacts Your Health

Atrial fibrillation causes physical changes to the structure and shape of the heart.

Scarring: Atrial fibrillation can lead to scarring of the atrial tissue.

Stretching: Eventually the heart tissue becomes stretched, too. As the walls of the heart are stretched, the heart muscle becomes weaker.

Stiffening: The heart muscle gets stiffer, so that it’s harder for the heart to pump properly.

Atrial fibrillation also leads to a higher risk of:⁶

• Stroke
• Heart failure
• Dementia
• Chronic fatigue
• Decreased activity level
• Decline in quality of life
• Sudden death

Treatments vary, depending on the stage of atrial fibrillation. Because undertreated atrial fibrillation can progress to more advanced stages, it is very important to talk with your healthcare provider about proper treatment.

Lifestyle Changes

• Make exercise and healthy food choices a part of your daily life.
• If needed, get a sleep study to find out if you have sleep apnea and need CPAP therapy.

 

Medications

Medications can help a person in different ways:

• Medications can treat blood pressure, diabetes, or an overactive thyroid.
• Blood thinners can reduce the risk of stroke.
• Rate control medications slow the heartbeat.
• Rhythm control medications help control the heart rhythm.

 

Cardioversion

Cardioversion is done at a hospital or clinic. This therapy delivers a controlled electric shock to the outside of the chest to restore a normal heart rhythm.

If your symptoms continue and are not controlled by medications, your doctor may consider ablation therapy.

The goal of an ablation is to stop the atrial fibrillation, or to make the episodes shorter and less frequent.

Ablation creates lesions, or barriers, on the heart tissue in an effort to stop the erratic electrical signals that cause atrial fibrillation. There are 2 types of ablation:

• Endocardial radiofrequency (RF) ablation: Treats the inside the heart—it is most often used to treat paroxysmal atrial fibrillation, an earlier stage of Afib.
• Epicardial ablation: Treats the outside the heart

 

Hybrid AF Therapy combines both types of ablation. It creates lesions inside (endocardial RF) and outside (epicardial) of the heart. Hybrid AF Therapy is used to treat long-standing persistent atrial fibrillation.

Step 1 of Hybrid AF Therapy: Lesions on the Outside of the Heart

Epicardial (outside of the heart) lesions target areas of the heart that cannot be reached from the inside of the heart.

• The doctor makes a small 2–3 cm incision under the breastbone.
• Once the doctor has access to the heart, lesions are created across the posterior (back) wall.
• These epicardial lesions overlap to create a barrier to the erratic electrical signals that cause atrial fibrillation.

tep 2 of Hybrid AF Therapy: Lesions on the Inside of the Heart

Endocardial (inside of the heart) lesions target areas of the heart that are difficult to reach from the outside.

• A second doctor makes a small incision in the femoral vein in the upper thigh. This allows access to your heart through the vein.
• The doctor looks at an electrical “map” of your heart. It can show any remaining abnormal electrical signals after your first procedure.
• The doctor then creates lesions at the pulmonary veins and at any areas that still have abnormal electrical activity.

 

Your hospital stay will be typically two to three days. Your doctor will:

• Prescribe medication to prevent inflammation soon after the procedure
• Tell you when you can resume taking needed heart medications
• Tell you if you may be able to stop taking certain heart medications

 

Before you leave the hospital, you will be given a card with important information about your procedure and medications. It also tells you whom to call if you have questions. Keep this in your wallet or purse.

Your healthcare team will tell you when you can return to your daily activities.

The goal of ablation treatment for atrial fibrillation is to stop the irregular heart rhythm or reduce Afib episodes, so that they are shorter and less frequent. This helps the heart return to a more normal size, pump better and improve its function overall.⁷

It may be, but only a health care provider can determine the best treatment for you.

When Hybrid AF Therapy effectively stops atrial fibrillation, there can be other important benefits to the heart:

• Reverse the stretching of the left atrium⁷
• Improve heart function overall⁷
• Improve your symptoms⁸
• Reduce the number of heart medications you need to take⁷

Talk to your doctor about how to find the right treatment for your stage of atrial fibrillation.

1. Colilla, S. et al. (2013). Estimates of current and future incidence and prevalence of atrial fibrillation in the U.S. adult population. American journal of cardiology, 112(8), 1142-1147.

2. Lloyd-Jones, D.M., et al. (2004). Lifetime risk for development of atrial fibrillation. Circulation, 110, 1042-1046. doi: 10.1161/01.CIR.0000140263.20897.42

3. Rahman, F., et al. (2014). Global epidemiology of atrial fibrillation. Nature reviews cardiology, 11, 639-654. https://doi.org/10.1038/nrcardio.2014.118

4. Benjamin, E.J., et al. (2019). Heart Disease and Stroke Statistics — 2019 Update: A Report From the American Heart Association. Circulation, 139m e56-e528, DOI: 10.1161/CIR.0000000000000659

5. Odutayo, A. et al. (2016). Atrial fibrillation and risks of cardiovascular disease, renal disease, and death: systematic review and meta-analysis. BMJ, 354, i4482.

6. Calkins, H. et al. (2018). 2017 HRS/EHRA/ECAS/APHRS/SOLAECE Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation. Heart rhythm, 14(10):e275-444.

7. Benussi, S., & de Maat, G.E. (2018). Atrial remodelling and function: implications for atrial fibrillation surgery. European journal of cardio-thoracic surgery, 53(i1):i2–i8, https://doi.org/10.1093/ejcts/ezx340

8. AtriCure. (2020). PMA P200002 FDA Summary of Safety and Effectiveness Data: Epi-Sense® Guided Coagulation System.

9. National Institutes of Health. Atrial Fibrillation. Accessed November 2020. Retrieved from https://www.nhlbi.nih.gov/health-topics/atrial-fibrillation.

10. WebMD. Atrial Fibrillation: Causes, Risk Factors, and Triggers. Accessed December 2020. Retrieved from https://www.webmd.com/heart-disease/atrial-fibrillation/causes-risks-triggers-afib.

11. Barbarossa, A., et al. (2014). Silent atrial fibrillation: a critical review. Journal of atrial fibrillation, 7(3),
12. http://www.jafib.com/PMC/XML/Inprogress/1138/1138pdf_federico_guerra.pdf

12. DeLurgio, D.B., et al. (2021). Hybrid epicardial-endocardial RF ablation vs. endocardial catheter ablation for long-standing persistent atrial fibrillation treatment: Results from CONVERGE randomized controlled trial. International AF Symposium.

Hybrid AF Therapy is for the treatment of long-standing persistent atrial fibrillation.

Risk Information: This procedure is not recommended for patients with Barrett’s Esophagitis, presence of left atrial thrombus (clot), a systemic infection, or an active infection local to the surgical site at the time of surgery (i.e. active endocarditis).

Potential procedural complications include, but are not limited to: Pericardial effusion, pericarditis, infection, cardiac tamponade, pulmonary vein stenosis, vessel injury, tissue perforation, excessive bleeding, phrenic nerve injury, left atrial rupture, esophageal fistula, heart attack, new arrhythmias, thromboembolic complication, stroke/TIA/neurologic complication, complete heart block requiring permanent pacemaker implantation, serious skin burn, a buildup of fluid around your lungs, or death.

This information is not comprehensive. Talk to your health care provider to obtain the FDA-approved product labeling or visit www.AtriCure.com.

Rx Only.

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Making Heart History

The Heart and Vascular Institute of Eastern Kentucky at Pikeville Medical Center (PMC) is committed to providing expert, state-of-the-art cardiovascular care for patients across the region. Earlier this year, PMC heart specialists made medical history by successfully performing Kentucky’s first minimally invasive AngioVac procedure to treat a life-threatening heart valve infection in the left ventricle.

The procedure was led by Dr. M. Paul. Randhawa, board-certified cardiothoracic surgeon at the Heart and Vascular Institute of Eastern Kentucky at PMC. The team of highly specialized experts included interventional cardiologists Dr. Maen Assali and Dr. Joseph Choo, and cardiac anesthesiologist Dr. Joshua Hensley.

Additional key figures in this process included PMC’s perfusionist, the Cardiac Cath Lab team and nursing care teams from the Heart and Vascular Institute. A clinical specialist from AngioDynamics, the company that developed the AngioVac system, also provided important guidance during the planning process.

“This patient’s condition was critical, and traditional surgical options were not viable,” said Dr. Randhawa. “Utilizing the AngioVac system allowed us to remove the infection without subjecting the patient to the risks associated with open-heart surgery.”

The AngioVac system, developed by AngioDynamics, is a vacuum-assisted device designed to remove unwanted material within the heart’s valves. Because the AngioVac is typically used for right-sided heart infections, it is rare for it to be used for left-sided infections, particularly involving the mitral valve. Dr. Randhawa’s team was the first in Kentucky to use the system for such a case, proving to be another remarkable accomplishment for the Heart and Vascular Institute.

“This case exemplifies PMC’s commitment to providing cutting-edge, patient-centered care,” said Dr. Randhawa. “By leveraging advanced technology and fostering interdisciplinary collaboration, we can offer life-saving treatments to patients who might otherwise have limited options.”

For more information or to schedule an appointment, please contact the Heart and Vascular Institute at (606) 430-2201 or visit www.pmcky.org/heart.

A New Era in Imaging: MRI Suite Expansion

Earlier this year, PMC was honored to expand its diagnostic imaging services with the construction of a state-of-the-art MRI suite inside the Outpatient Diagnostic Center. Supported by a generous $2.1 million grant, this suite features the advanced United Imaging 1.5T Magnetic Resonance (MR) System, one of the most sophisticated MRI technologies available today.

This system delivers high-resolution, fast imaging across a wide range of clinical applications. Designed with patients in mind, it features a wide bore that helps reduce anxiety for those who feel claustrophobic in traditional machines.

Additional innovations include:

• Automatic table positioning for improved patient comfort
• Intelligent scan planning for speed and precision
• Consistent anatomical orientation for accurate results

The new MRI suite is thoughtfully designed to support both privacy and comfort, featuring soft ambient lighting, a spacious control room, an equipment room and two private dressing rooms.

For more information about diagnostic technology at PMC, visit www.pmcky.org/diagnostic-center or call 606-430-4673.

Expanding Surgical Services

PMC is proud to have announced a major expansion of its surgical services this year, including the addition of new equipment to support the latest minimally invasive and robotic surgical techniques and four new operating suites, bringing the total to 24. Each suite is designed for maximum efficiency and equipped with the latest technology. This expansion enhances the hospital’s capacity to meet the region’s growing need for surgical care while improving precision and patient outcomes.

At the forefront of this advancement is the new Intuitive da Vinci 5® surgical system, Intuitive’s most advanced and integrated platform. Da Vinci 5 transforms minimally invasive surgery, expanding the range of minimally invasive Xi procedures PMC currently provides.

The system can be used across a wide range of procedures, including urology, gynecology, bariatrics and general surgery. Key innovations give surgeons a better sense of touch and help reduce unnecessary pressure on tissue, supporting greater precision and safety. The system’s optimized imaging delivers higher resolution, sharper detail and more accurate color, allowing surgeons to visualize structures with exceptional clarity.

“This expansion represents a significant milestone for Pikeville Medical Center and the patients we serve,” said Aaron Crum, MD, PMC Chief Medical Officer. “With four new operating suites and the da Vinci 5 system, our surgical teams can offer even more precise, minimally invasive procedures that improve outcomes and support faster recovery. These advancements keep us at the forefront of surgical innovation for Eastern Kentucky.”

With the addition of four new operating suites and the Da Vinci 5 system, PMC’s surgical teams can accommodate more cases, allowing additional patients to receive advanced, minimally invasive care that often results in shorter recovery times.

These investments reflect Pikeville Medical Center’s commitment to leading-edge surgical care, clinical excellence and an exceptional patient experience, while supporting future growth and the ongoing health needs of Eastern Kentucky.  For more information on minimally invasive surgical options at PMC, visit www.pmcky.org/surgery.

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Respiratory syncytial virus (RSV) often affects young children and older adults more severely, while flu and COVID-19 can pose risks for people of all ages. According to the Centers for Disease Control and Prevention (CDC), national trends show an uptick in all three illnesses compared to last month, with many states already reporting higher-than-usual hospitalizations.

Local healthcare providers are encouraging the public to take simple steps to stay healthy during the winter months. Handwashing remains one of the most effective ways to prevent the spread of viruses. People are also advised to stay home when sick, cover their mouths when coughing or sneezing, and disinfect frequently touched surfaces.

Vaccines continue to be a key tool in protecting against serious illness. Updated COVID-19 and flu vaccines are available. An RSV vaccine is also now recommended for adults 60 and older, along with pregnant women to help protect newborns. Getting vaccinated before holiday gatherings is highly recommended to help prevent the spread of illnesses.

Individuals with underlying health conditions, weakened immune systems or very young children should take extra precautions in crowded indoor settings. Wearing a mask in high-risk areas and maintaining distance from those who are sick can help reduce exposure.

While the holiday season brings opportunities to reconnect with family and friends, health experts urge everyone to take precautions to stay well. Anyone experiencing severe symptoms such as difficulty breathing, persistent fever or dehydration should contact their healthcare provider promptly.

Pikeville Medical Center’s (PMC) experienced Primary Care physicians can diagnose and treat illnesses such as RSV, flu and COVID-19, along with providing necessary vaccines. For more information or to schedule an appointment, visit www.pmcky.org/primary-care-services or call (606) 430-2235. PMC Primary Care physicians welcome patients by appointment and walk-in visits.

Focusing on COPD & Lung Health

As temperatures drop and air quality worsens, it is recommended the public pay close attention to lung health, particularly for those living with chronic obstructive pulmonary disease (COPD). The fall and winter months often bring a surge in respiratory illnesses and flare-ups among COPD patients, leading to increased hospital visits and complications.

COPD, a progressive lung disease that includes emphysema and chronic bronchitis, affects millions of Americans and can make breathing difficult year-round. Cold, dry air and seasonal infections such as the flu, COVID-19 and RSV can worsen symptoms, making this time of year especially challenging for those with chronic respiratory conditions.

Healthcare providers recommend that COPD patients stay up to date on vaccinations, including flu and COVID-19 shots, to reduce the risk of severe illness. The RSV vaccine, now available for adults 60 and older, can also help prevent respiratory infections that may aggravate lung conditions.

Experts say it is important for individuals with COPD to monitor their symptoms and follow their prescribed treatment plans, including taking medications as directed and using inhalers properly. Avoiding exposure to cigarette smoke, strong fumes and cold outdoor air can also help prevent flare-ups.

Regular exercise, healthy eating and pulmonary rehabilitation programs can strengthen lungs and improve overall well-being. Doctors also advise keeping rescue inhalers nearby and having an action plan in place in case symptoms suddenly worsen.

Those experiencing increased shortness of breath, coughing or wheezing should contact their healthcare provider as soon as possible. Early treatment can help prevent more serious complications during the colder months.

By taking preventive steps and staying aware of seasonal risks, individuals can protect their lung health and breathe easier throughout the winter season.

For more information or to schedule an appointment with a PMC Pulmonology provider, visit www.pmcky.org/pulmonary-clinic or call (606) 430-2208.

Managing Chronic Conditions with PMC Pharmacy Services

While it is recommended that people with chronic diseases manage their conditions year-round, it is essential to take extra care during the holiday season, when illnesses tend to peak.  As many individuals in Eastern Kentucky live with chronic conditions such as diabetes, heart disease or respiratory issues, it is important to have reliable support for managing prescriptions and medications. The pharmacy services at Pikeville Medical Center (PMC) play a key role in helping those patients stay on track with their care.

The PMC Outpatient and Specialty Pharmacies emphasize safe, effective and reliable service for all patients. Whether individuals are picking up a routine prescription or working with medications for a complex condition, the PMC Outpatient and Specialty Pharmacies are prepared to assist with each patient’s unique needs.

How patients with chronic conditions can benefit

• For those managing long-term disease, timely access to medications is vital. The PMC Outpatient Pharmacy offers retail and internal services so prescriptions can be filled whether you’re inpatient, outpatient or at the hospital’s retail location.
• PMC offers a drive-thru pharmacy with three lanes and a credit/debit card payment kiosk, which saves time and reduces the need to wait indoors, which can be helpful when managing symptoms or have mobility challenges.
• For more specialized needs, the PMC Specialty Pharmacy is available. This service is designed for patients who have complex or rare conditions and require medications that may not be stocked in standard pharmacies.

Tips for patients living with chronic conditions

• Use the drive-thru and home-delivery services (within 41501 area code) when available to reduce exposure to illness, especially during cold and flu season.
• Ask your pharmacist about medication reconciliation, making sure your current prescriptions match the plan set by your doctor. Ask questions if anything seems unclear.
• Reduce pharmacy visits by utilizing Script Sync – an innovative program that allows patients to pick up all their medications in one visit rather than returning when each prescription runs out.

• Stay up to date on important vaccinations. The PMC Outpatient Pharmacy welcomes walk-ins for vaccines Monday to Friday from 8:00 a.m. to 8:00 p.m., and Saturday and Sunday from 10:00 a.m. to 6:00 p.m.

For more information, visit www.pmcky.org/pharmacy or call (606) 218-3576.

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During the “Meet the Neurology Team” session, Dr. Naveed Ahmed, Medical Director of the PMC Stroke Program, shared insights from his more than 40 years of experience in neurology and introduced the hospital’s expanding team of specialists. Under his leadership, the multidisciplinary team, including physicians, nurses, emergency personnel and rehabilitation professionals, works collaboratively to provide every stroke patient with coordinated, timely and comprehensive care from the moment they arrive in the emergency department through every stage of recovery.

“Every minute matters when it comes to stroke,” said Dr. Ahmed. “Our goal is to deliver the fastest, most effective treatment possible, right here in Pikeville, without patients having to leave their community.”

Dr. Ryan Owens, a neurologist with Pikeville Medical Center, is a native of Floyd County, Kentucky, and is dedicated to advancing neurological care for patients in Eastern Kentucky.  During the symposium, Dr. Owens presented “Loop Recorders in Stroke Care,” highlighting how cardiac monitoring devices are transforming stroke prevention by identifying silent heart rhythm abnormalities that can lead to stroke. His presentation underscored PMC’s investment in innovative technologies and early-detection strategies to reduce the risk of recurrent strokes and improve long-term patient outcomes.

Born and raised in Pikeville, Dr. Molly Bates has a deep-rooted passion for serving the people of her hometown and the surrounding Appalachian region. As a PMC Neurologist, she shared her commitment, “Stroke Care Services in Appalachia.” Dr. Bates discussed the unique healthcare challenges faced by rural communities and emphasized how her connection to the area inspires her dedication to improving access to specialized care. She highlighted PMC’s outreach initiatives, community education efforts and growing telehealth services that are helping bridge healthcare gaps and enable patients across the region to receive stroke care close to home.

Pikeville Medical Center’s Emergency Stroke Services are designed to deliver lifesaving care with speed, precision and expertise. When a patient arrives with stroke symptoms, a highly coordinated team immediately initiates PMC’s streamlined stroke response process, enabling rapid diagnosis and treatment within critical time frames. Using advanced imaging technologies such as CT and MRI, physicians can quickly identify the type and severity of a stroke. Simultaneously, neurologists and emergency specialists collaborate in real time to determine the most effective treatment plan, including clot-busting medications or other interventions. Guided by evidence-based protocols and continuous performance monitoring, PMC’s emergency stroke team is committed to providing every patient with the highest standard of care to maximize recovery potential and save lives.

The symposium concluded with Jamie Foley, BSN, RN, Stroke Survivorship Coordinator, who spoke about “Stroke Survivorship.” She shared powerful patient success stories and emphasized the importance of long-term support, rehabilitation and education in the recovery journey. Foley explained that stroke survivorship extends far beyond hospital care, stressing the need to empower patients and their families with the tools and resources they need to rebuild their lives. Through individualized follow-up care, support groups and collaboration with rehabilitation specialists, PMC’s Stroke Survivorship Program helps patients regain strength, confidence and independence while addressing the emotional and physical challenges that can follow a stroke.

“Recovery doesn’t end at discharge,” Foley noted. “Our team guides patients and their families every step of the way, helping them navigate the path toward healing and renewed quality of life.”

Pikeville Medical Center’s Stroke Program is recognized for providing advanced, patient-centered stroke care across all stages from emergency treatment to rehabilitation and survivorship. The program combines the expertise of highly trained neurologists with state-of-the-art technology, including rapid CT and MRI imaging, administration of clot-busting medication and continuous cardiac monitoring.

Commitment to Excellence in Stroke Care

Through its Primary Stroke Center certification and commitment to ongoing education, Pikeville Medical Center (PMC) continues to elevate the standard of care for patients throughout the Appalachian region. Central to this mission is PMC’s state-of-the-art Diagnostic Center, equipped with the latest imaging technology to enhance patient care and improve outcomes. Many diagnostic tests, including advanced imaging studies, can now be performed on weekends, making care more accessible and timelier for patients.

At the Eastern Kentucky Neuroscience Center, neurologists play a critical role in diagnosing and treating conditions of the nervous system, including the brain, spinal cord, and nerves. PMC neurologists, Dr. Naveed Ahmed, Dr. Molly Bates, and Dr. Ryan Owens, collaborate closely with neurosurgeons, radiologists, physical therapists, and other specialists to provide comprehensive, coordinated care. The neurology team sees patients in Pikeville, Prestonsburg, South Williamson, and Whitesburg, ensuring expert neurological care is available across the region. They use advanced diagnostic tools such as magnetic resonance imaging (MRI), electroencephalography (EEG), and next-generation computed tomography (CT) scanners to capture high-resolution images that guide precise treatment decisions.

One of the most common conditions treated by PMC neurologists is stroke, often called a “brain attack.” Strokes occur when blood flow to the brain is interrupted, causing damage to critical brain tissue. To rapidly identify and treat strokes, PMC integrates cutting-edge AI technology via Viz.ai, which is directly linked to its advanced CT scanners. This system enables neurologists to detect suspected large vessel occlusion (LVO) strokes almost immediately. In many cases, specialists can review detailed images on their smartphones while the patient remains in the CT scanner, allowing treatment to begin without delay.

Beyond stroke care, PMC neurologists also diagnose and treat degenerative conditions such as Alzheimer’s disease, Parkinson’s disease, and multiple sclerosis, using advanced imaging and diagnostic technologies to tailor treatment to each patient’s needs.

By combining new scanning equipment and technology with a highly skilled care team and the added convenience of many diagnostic tests available on weekends, PMC’s Diagnostic Center sets a new standard for neurological care in Eastern Kentucky, delivering rapid, precise, and life-saving interventions for patients and families throughout the region.

For more information on advanced neurology care at PMC, visit www.pmcky.org/stroke-center/ or call 606-430-2208

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One in three people in Kentucky is at risk of developing diabetes, and many adults have diabetes without knowing it. Diabetes is a chronic condition that affects how the body processes blood sugar, or glucose, which is the body’s main source of energy. When not properly managed, diabetes can lead to serious and long-term health problems that impact nearly every part of the body.

Uncontrolled blood sugar levels can damage blood vessels and nerves over time, increasing the risk of heart disease, stroke, kidney failure, vision loss and circulation problems. In severe cases, poor circulation can even lead to infections or amputations. Beyond physical complications, diabetes can also take a toll on mental and emotional health, often causing stress, fatigue and anxiety as patients try to balance daily management needs.

Managing diabetes is essential to maintaining a healthy and active life. With proper care, many complications can be delayed or prevented. Healthy eating, regular physical activity, routine blood sugar monitoring and adherence to prescribed medications all play key roles in controlling the disease. Diabetes education programs, like those offered at Pikeville Medical Center (PMC), help patients gain the knowledge and confidence to manage their condition effectively and build healthy habits that last a lifetime.

Living with diabetes can be challenging, but it is far from hopeless. By taking control of the disease and working closely with healthcare providers, individuals can protect their health and improve their quality of life.

Benefits of Diabetes Education

Diabetes education plays a vital role in helping individuals and families better understand and manage this complex condition. At PMC, the Diabetes Education Program offers the tools, resources and personal guidance patients need to take control of their health and improve their quality of life.

One of the greatest benefits of diabetes education is improved disease management. The program at PMC helps patients learn how to monitor blood sugar levels, use medications correctly, make balanced food choices, stay active and cope with the emotional challenges that often come with diabetes. By understanding how lifestyle choices affect blood glucose, patients can make small, meaningful changes that have a lasting impact on their overall well-being.

Education also empowers patients to take a proactive approach to their care. Rather than responding to symptoms after they appear, patients can recognize warning signs early and make informed decisions about treatment. This helps create stronger partnerships between patients and their healthcare providers, allowing for more personalized and effective care.

Another key benefit of diabetes education is the prevention of long-term complications. Gaining the right knowledge can help people better manage diabetes and reduce risks associated with nerve damage, vision problems, kidney disease and heart complications. Learning how to manage blood sugar levels and build healthier habits can significantly improve long-term health outcomes.

Support and community are equally important parts of diabetes care. PMC offers a monthly diabetes support group where patients and their families can connect, share experiences, exchange recipes and offer encouragement. This sense of community helps reduce feelings of isolation and provides ongoing motivation to stay on track.

In a region like Eastern Kentucky, where diabetes is common, access to education and preventive care is crucial. Pikeville Medical Center’s program focuses on reaching people where they are through screenings, educational sessions and outreach at local health fairs. By providing tailored education close to home, PMC helps make healthier living more achievable for everyone.

If you or someone you know is living with diabetes or pre-diabetes, take the next step toward better health. For more information, call (606) 430-8120 or visit www.pmcky.org/diabetes-education.

Diabetes Screening Day

The Pikeville Medical Center (PMC) Diabetes Education Team invites the community to join them for Diabetes Screening Day on Tuesday, Nov. 11, in the hospital’s second-floor atrium from 7 a.m. to noon. The event is open to everyone and offers a friendly, informative way to learn more about diabetes and take charge of your health.

Guests can stop by for a quick glucose test to check their blood sugar levels and chat with PMC’s Diabetes Education Team about what the results mean. Team members will also share helpful tips on healthy eating, staying active and managing or preventing diabetes.

Diabetes is common in Eastern Kentucky, and many people may not realize they’re at risk. This event provides an easy and welcoming opportunity to get screened, ask questions and pick up useful resources for healthier living.

Everyone is encouraged to stop in, meet the team and take an important step toward better health.

For more information about Diabetes Screening Day or the PMC Diabetes Education Program, call 606-430-8120 or visit www.pmcky.org/diabetes-education

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PMC Pulmonologists can diagnose and treat many respiratory conditions, including asthma, chronic bronchitis, Chronic Obstructive Pulmonary Disease (COPD), lung cancer, pneumonia and more. In the treatment of these conditions, the PMC Pulmonology team collaborates closely with a variety of other PMC specialists, including Lawson Cancer Center Oncologists, Sleep Medicine physicians, infectious disease physicians, critical care specialists, and others, to provide patients with comprehensive, coordinated care tailored to their specific medical needs.

Additionally, patients may receive pulmonary rehabilitation if necessary. PMC’s pulmonary rehabilitation program is an exercise and educational program designed to reduce symptoms such as shortness of breath, increase exercise tolerance, improve daily functioning and enhance the overall well-being of individuals with chronic lung conditions. It is particularly beneficial for patients with COPD, interstitial lung disease, pulmonary hypertension and those recovering from lung surgery or transplants. Pulmonary rehab classes meet 2 to 3 days a week for 6 to 10 weeks and last approximately 60 to 90 minutes.

The PMC Pulmonology team welcomes new patients by physician referral, and patients may also self-refer by visiting www.pmcky.org/pulmonary-clinic or calling the PMC Pulmonology Clinic at (606) 430-2208.

Managing Respiratory Illness This Season

Many respiratory viruses circulate during the fall and winter seasons, causing illness of varying severity across the US. Three common viruses include flu, RSV (respiratory syncytial virus) and COVID-19. There are many factors, such as having a chronic lung disease, that increase a person’s risk for severe illness from respiratory viruses. Even those without chronic lung conditions can get sick from an infectious respiratory illness.

However, some people are at increased risk of getting severe illnesses this season. Some risk factors include age and underlying medical conditions. Children under 5 still have developing immune systems with smaller lungs and airways, and older adults experience natural weakening of the immune system, increasing the risk of getting severe illness with age.

People with certain underlying medical conditions are at an increased risk for severe illness from infectious respiratory diseases. An individual with asthma, for example, may already have increased swelling and mucus production in their airways. The addition of a respiratory virus, such as flu, can further increase swelling and mucus production, making it harder for the body to deal with the stress from the flu infection. A few examples of underlying medical conditions include chronic lung diseases like asthma and COPD, heart disease, diabetes, and a weakened immune system.

Some of the best ways to manage respiratory illness during the fall and winter are:

• Staying up-to-date on vaccines
• Frequent handwashing
• Covering coughs and sneezes
• Staying home when sick
• Cleaning and disinfecting areas like the home and workspace

Your Health on Your Schedule

PMC’s new Diagnostic Center Drive Thru Lab allows patients to get vaccinated and tested for respiratory illnesses more quickly and conveniently. The two-bay, climate-controlled lab, located at the PMC Diagnostic Center, is equipped to serve patients with efficiency and comfort in mind. With two lanes, the drive-thru system helps reduce wait times, allowing patients to complete their tests and get vaccines without leaving their vehicles.

Services offered, with a doctor’s order, include nasal and throat swabs, blood draws and adult vaccinations. The lab is open Monday through Friday from 6:30 a.m. to 5:30 p.m., giving people plenty of flexibility to fit important testing and vaccinations into their daily routine. No appointment is necessary – patients can simply drive through and get the service they need.

Additionally, the PMC Diagnostic Center is now open on weekends from 7:00 a.m. to 5:30 p.m. for diagnostic testing, such as laboratory services, X-rays, PET scans, MRIs, CTs, mammography and ultrasound imaging – all supported by experienced radiologists and staffed with skilled technologists and nurses.

For more information about the Diagnostic Center or Drive Thru Lab, call (606) 430-4673 or visit www.pmcky.org/diagnostic-center.

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