Schedule Your Colonoscopy
Wipe Out Colon Cancer
Colon Cancer
MARCH IS COLON CANCER AWARENESS MONTH
March is National Colon Cancer Awareness Month and ARH provides colonoscopies at various locations. If you are 45 or older with a family history of colorectal cancer or polyps, it’s time to schedule your colonoscopy today!
Colonoscopy Locations
CUMBERLAND VALLEY REGION
BARBOURVILLE
HARLAN
MIDDLESBORO
BIG SANDY REGION
HIGHLANDS
OUR LADY OF THE WAY
PAINTSVILLE
TUG VALLEY
KENTUCKY RIVER REGION
HAZARD
WHITESBURG
LUNG CARE
LUNG CARE
WHAT WE TREAT
At ARH, we recognize that the people of Central Appalachia bear a heavier burden of lung disease, with some of the nation’s highest rates of Chronic Obstructive Pulmonary Disease (COPD), lung cancer, and black lung. In response, ARH is committed to providing expert pulmonologists who are specially trained to manage even the most complex lung conditions. Whether you need routine outpatient services or advanced inpatient care, ARH combines cutting-edge technology with compassionate expertise. Our mission is to improve lung health across all the communities we serve, helping everyone breathe easier and live longer, healthier lives.
- Shortness of Breath Evaluations
- Pre-Operative Pulmonary Risk Assessments
- Asthma
- Bronchiectasis
- Chronic Bronchitis
- Chronic Obstructive Pulmonary Disease (COPD)/Emphysema
- Post COVID-19 Conditions
- Interstitial Lung Disease/Pulmonary Fibrosis
- Lung Nodules
- Lung Cancer
- Coalworker’s Pneumoconiosis/”Black Lung”
- Respiratory Infections
- Sarcoidosis
- Sleep Apnea
PULMONARY DIAGNOSTICS
ARH offers the latest in pulmonary diagnostics, from the ION robotic bronchoscopy system to advanced sleep labs for diagnosing sleep apnea. This wide range of diagnostic resources enables our pulmonary team to accurately assess and diagnose various lung conditions.
- Pulmonary Function Testing/Interpretation
- Endobronchial Ultrasound (EBUS)
- Bronchoscopy, including Ion Robotic Navigational Bronchoscopy System
- Thoracentesis
- Sleep Labs
- Low-Dose CT scans
LOW-DOSE LUNG CANCER SCREENING
Lung Cancer is the leading cause of cancer death among men and women in the U.S. But, did you know there is a simple screening, like those used to detect breast cancer and colon cancer, to detect Lung Cancer? ARH offers Low-Dose CT lung screenings. This test is performed by a CT scanner that takes 3D pictures of your lungs. Currently a LOW-Dose CT Lung screening is the only screening test for lung cancer recommended by the CDC. Talk to your primary care provider about getting a Low Dose CT lung screening or contact our ARH Lung Screening Navigator at 606-435-7209 to verify your eligibility. Lung Cancer found at its earliest stage can have up to a 90% chance of cure. With early detection we can save lives.
WANT TO SEE IF YOU QUALIFY? CLICK THE LINK BELOW TO CHECK YOUR ELIGIBILITY!
ION ROBOTIC BRONCHOSCOPY
According to the American Lung Association’s 2023 “State of Lung Cancer” report, Kentucky has a higher rate of new lung cancer cases than the national average, but lower rates of survival and early diagnosis.
At Hazard ARH Regional Medical Center, we recognize the critical importance of early detection in lung cancer, which is why we offer comprehensive services starting with screenings using low-dose CT scans. If a spot or small growth in your lung, called lung nodules, is detected on the CT scan, a bronchoscopy is needed to biopsy them. Hazard ARH is the first and only hospital in eastern Kentucky with the newest technology for bronchoscopy, called Ion Robotic Bronchoscopy.
Dr. Ashley Thompson, a Pulmonologist at ARH, has undergone extensive training to perform bronchoscopy using the Ion robotic system. Dr. Thompson uses the Ion controller to guide a flexible catheter into hard-to-reach areas of the lung. The procedure provides a 3-D map of the patient’s lung on a monitor, similar to a car GPS, allowing her to navigate the catheter effectively. The catheter’s flexibility enables it to reach even the outermost lung segments. Once positioned, biopsy tools are inserted through the catheter to collect tissue samples.
Benefits:
- Can reach and biopsy nodules in almost any portion of the lung
- Enables earlier detection of lung cancer due to its precision, stability, and reach
- Less invasive than alternative biopsy methods
- Low complication rates
- Can potentially diagnose and provide staging information for lung cancer in a single procedure
LUNG CARE
LUNG CARE
Women's Health
WOMEN'S HEALTH
FEATURED SERVICES
PREGNANCY & NEWBORN CARE
ARH is where your journey of bringing new life into the world is met with exceptional care and compassion. Our dedicated team of experienced obstetricians, nurses, and support staff is committed to a safe and comfortable experience for you and your family. Your health and the health of your baby are our top priorities, and we are honored to be part of this special time in your life.
BIRTH
ARH offers a spectrum of birthing options depending on the mother’s desires and the medical need.
- Medicated Vaginal Birth: IV pain medication, epidural and Intrathecal
- Non-Medicated Vaginal Birth
- Birthing Balls (used to sit or rock on)
- Distraction Techniques like music, warm showers, use of hot or cold packs
- Massage
- Relaxation and Breathing Techniques
- Walking
- Cesarean Section
- Planned
- Unplanned or Emergency
- Vaginal Birth After Cesarean (VBAC)
- Scheduled Induction of Labor
- Augmentation of Labor
OB UNIT
- Newborn Photos are available in the hospital and can be posted with birth announcements on the hospital’s social media pages with your permission.
- Well-baby Nursery
- Infant Screenings
- Critical Congenital Heart Disease (CCHD) Screening
- Hearing Screening
- Infant Car Seat Challenge
- Metabolic and Genetic Disorders
- Bilirubin Levels
- Breast Feeding: Nurses are trained to assist with education and breastfeeding. Breast pumps are available if needed.
- Kangaroo Care: ARH birthing hospitals support Skin to Skin Care, also known as Kangaroo Care. Mother and baby are skin to skin for, ideally, one hour or longer after delivery. Kangaroo care can be continued on the postpartum unit. Father or support persons are also encouraged to do Kangaroo Care if desired.
NURSERY CARE & NICU
ARH is where your journey of bringing new life into the world is met with exceptional care and compassion. Our dedicated team of experienced obstetricians, nurses, and support staff is committed to a safe and comfortable experience for you and your family. Your health and the health of your baby are our top priorities, and we are honored to be part of this special time in your life.
NICU interventions:
- Continuous Positive Airway Pressure (СРАР) respiratory support is used to deliver oxygen and constant air pressure to help the air sacs in the baby's lungs stay open and help prevent apnea.
- IV Medications such as antibiotics and intravenous fluids for various reasons including infection and volume replacement.
- Neonatal Abstinence Syndrome (NAS) and Opioid Exposure Care - ARH Providers, Nurses and Ancillary Staff have received additional training to provide the best supportive therapies for infants exposed to substances during pregnancy. Therapies include non-medical interventions like music therapy and medication therapy if needed.
- Vapotherm is an oxygen therapy for infants that need help with respiration and oxygenation but do not require a ventilator.
Cancer Care
Cancer Care
The story of ARH is one that is deeply rooted in the dedication to serving the people of Central Appalachia. We are a healthcare system committed to assisting you through every stage of your cancer journey or living with your blood disorder. ARH has a team of providers who specialize in medical oncology, radiation oncology, and surgical oncology that work alongside a staff of highly qualified oncology nurses, social workers, pathologists, and radiologists. Collaboration is a vital part of our approach to excellent care. Cancer cases are reviewed by a board of ARH Oncologists, that reaches throughout our entire system. Receiving input from multiple providers is an important part of what we do to make sure all options are explored, and you have the best possible treatment plan. Our staff’s expertise, combined with advanced technology, and state of the art Oncology centers provide our patients with the highest quality care.
WHAT WE TREAT
(including but not limited to)
- Blood Disorders, such as anemia & hemochromatosis
- Cancers
- Chronic Leukemia (Blood Cell Cancer)
- Gynecological Cancers
- Lymphoma (Lymphatic System Cancer)
- Multiple Myeloma (Plasma Cell Cancer)
- Myelodysplasia (Bone Marrow Disorder)
- Breast Cancer
LOW DOSE-CT LUNG CANCER SCREENING
Lung Cancer is the leading cause of cancer death among men and women in the U.S. But, did you know there is a simple screening, like those used to detect breast cancer and colon cancer, to detect Lung Cancer? ARH offers Low-Dose CT lung screenings. This test is performed by a CT scanner that takes 3D pictures of your lungs. Currently a LOW-Dose CT Lung screening is the only screening test for lung cancer recommended by the CDC. Talk to your primary care provider about getting a Low Dose CT lung screening or contact our ARH Lung Screening Navigator at 606-435-7209 to verify your eligibility. Lung Cancer found at its earliest stage can have up to a 90% chance of cure. With early detection we can save lives.
WANT TO SEE IF YOU QUALIFY? CLICK THE LINK BELOW TO CHECK YOUR ELIGIBILITY!
ION BIOPSY
According to the American Lung Association’s 2023 “State of Lung Cancer” report, Kentucky has a higher rate of new lung cancer cases than the national average, but lower rates of survival and early diagnosis.
At Hazard ARH Regional Medical Center, we recognize the critical importance of early detection in lung cancer, which is why we offer comprehensive services starting with screenings using low-dose CT scans. If a spot or small growth in your lung, called lung nodules, is detected on the CT scan, a bronchoscopy is needed to biopsy them. Hazard ARH is the first and only hospital in eastern Kentucky with the newest technology for bronchoscopy, called Ion Robotic Bronchoscopy.
Dr. Ashley Thompson, a triple board-certified pulmonologist at ARH, has undergone extensive training to perform bronchoscopy using the Ion robotic system. Dr. Thompson uses the Ion controller to guide a flexible catheter into hard-to-reach areas of the lung. The procedure provides a 3-D map of the patient’s lung on a monitor, similar to a car GPS, allowing her to navigate the catheter effectively. The catheter’s flexibility enables it to reach even the outermost lung segments. Once positioned, biopsy tools are inserted through the catheter to collect tissue samples.
Benefits:
- It can reach and biopsy nodules in all 18 parts of the lung.
- Earlier detection of lung cancer due to its reach, precision, and stability.
- It’s less invasive than older methods.
- Low complication rates.
CHEMOTHERAPY
When Pineville, Ky. native Amber Bailey, a registered nurse at Barbourville ARH Hospital, learned she had stage four cholangiocarcinoma, she knew she had to fight this terminal cancer for her three children. What Amber didn’t know was her ARH co-workers would form an army to join her in the fight.
Chemotherapy is a drug treatment that uses powerful chemicals to kill fast-growing cells in your body. Chemotherapy is most often used to treat cancer, since cancer cells grow and multiply much more quickly than most cells in the body. Many different chemotherapy drugs are available. Chemotherapy drugs can be used alone or in combination to treat a wide variety of cancers. Though chemotherapy is an effective way to treat many types of cancer, chemotherapy treatment also carries a risk of side effects. Some chemotherapy side effects are mild and treatable, while others can cause serious complications.
Chemotherapy works by stopping or slowing the growth of cancer cells, which grow and divide quickly. But it can also harm healthy cells that divide quickly, such as those that line your mouth and intestines or cause your hair to grow. Damage to healthy cells may cause side effects. Often, side effects get better or go away after chemotherapy is over.
Depending on your type of cancer and how advanced it is, chemotherapy can:
- Cure cancer– when chemotherapy destroys cancer cells to the point that your doctor can no longer detect them in your body and they will not grow back.
- Control cancer– when chemotherapy keeps cancer from spreading, slows its growth, or destroys cancer cells that have spread to other parts of your body.
- Ease cancer symptoms(also called palliative care) – when chemotherapy shrinks tumors that are causing pain or pressure.
Sometimes, chemotherapy is used as the only cancer treatment. But more often, you will get chemotherapy along with surgery, radiation therapy, or >biological therapy. Chemotherapy can:
- Make a tumor smaller before surgery or radiation therapy. This is called neo-adjuvant chemotherapy.
- Destroy cancer cells that may remain after surgery or radiation therapy. This is called >adjuvant chemotherapy.
- Help radiation therapy and biological therapy work better.
- Destroy cancer cells that have come back (>recurrent cancer) or spread to other parts of your body (>metastatic cancer).
This choice depends on:
- The type of cancer you have. Some types of chemotherapy drugs are used for many types of cancer. Other drugs are used for just one or two types of cancer.
- Whether you have had chemotherapy before
- Whether you have other health problems, such as diabetes or heart disease
You may receive chemotherapy during a hospital stay, at home, or in a doctor’s office, clinic, or >outpatient unit in a hospital (which means you do not have to stay overnight). No matter where you go for chemotherapy, your doctor and nurse will watch for side effects and make any needed drug changes.
Treatment schedules for chemotherapy vary widely. How often and how long you get chemotherapy depends on:
- Your type of cancer and how advanced it is
- The goals of treatment (whether chemotherapy is used to cure your cancer, control its growth, or ease the symptoms)
- The type of chemotherapy
- How your body reacts to chemotherapy
You may receive chemotherapy in cycles. A cycle is a period of chemotherapy treatment followed by a period of rest. For instance, you might receive 1 week of chemotherapy followed by 3 weeks of rest. These 4 weeks make up one cycle. The rest period gives your body a chance to build new healthy cells.
It is not good to skip a chemotherapy treatment. But sometimes your doctor or nurse may change your chemotherapy schedule. This can be due to side effects you are having. If this happens, your doctor or nurse will explain what to do and when to start treatment again.
Chemotherapy may be given in many ways.
- Injection. The chemotherapy is given by a shot in a muscle in your arm, thigh, or hip or right under the skin in the fatty part of your arm, leg, or belly.
- Intra-arterial (IA). The chemotherapy goes directly into the artery that is feeding the cancer.
- Intraperitoneal (IP). The chemotherapy goes directly into the >peritoneal cavity (the area that contains organs such as your intestines, stomach, liver, and ovaries).
- Intravenous (IV). The chemotherapy goes directly into a vein.
- Topically. The chemotherapy comes in a cream that you rub onto your skin.
- Orally. The chemotherapy comes in pills, capsules, or liquids that you swallow.
Chemotherapy affects people in different ways. How you feel depends on how healthy you are before treatment, your type of cancer, how advanced it is, the kind of chemotherapy you are getting, and the dose. Doctors and nurses cannot know for certain how you will feel during chemotherapy.Some people do not feel well right after chemotherapy. The most common side effect is >fatigue, feeling exhausted and worn out. You can prepare for fatigue by:
- Asking someone to drive you to and from chemotherapy
- Planning time to rest on the day of and day after chemotherapy
- Getting help with meals and childcare the day of and at least 1 day after chemotherapy
There are many ways you can help manage chemotherapy side effects.
Many people can work during chemotherapy, as long as they match their schedule to how they feel. Whether or not you can work may depend on what kind of work you do. If your job allows, you may want to see if you can work part-time or work from home on days you do not feel well. Many employers are required by law to change your work schedule to meet your needs during cancer treatment. Talk with your employer about ways to adjust your work during chemotherapy. You can learn more about these laws by talking with a social worker.
This depends on the type of chemotherapy you get and the other types of drugs you plan to take. Take only drugs that are approved by your doctor or nurse. Tell your doctor or nurse about all the over-the-counter and prescription drugs you take, including laxatives, allergy medicines, cold medicines, pain relievers, aspirin, and ibuprofen.One way to let your doctor or nurse know about these drugs is by bringing in all your pill bottles. Your doctor or nurse needs to know:
- The name of each drug
- The reason you take it
- How much you take
- How often you take it
Your doctor will give you physical exams and medical tests (such as blood tests and x-rays). He or she will also ask you how you feel.You cannot tell if chemotherapy is working based on its side effects. Some people think that severe side effects mean that chemotherapy is working well. Or that no side effects mean that chemotherapy is not working. The truth is that side effects have nothing to do with how well chemotherapy is fighting your cancer.
Talk to your doctor or nurse before you take any over-the-counter or prescription drugs, vitamins, minerals, dietary supplements, or herbs.
Some of these products can change how chemotherapy works. For this reason, it is important to tell your doctor or nurse about all the vitamins, minerals, dietary supplements, and herbs that you take before you start chemotherapy. During chemotherapy, talk with your doctor before you take any of these products.
HEMATOLOGY
Hematology is the study of blood and blood disorders. Hematologists and hematopathologists are highly trained healthcare providers who specialize in diseases of the blood and blood components. These include blood and bone marrow cells. Hematological tests can help diagnose anemia, infection, hemophilia, blood-clotting disorders, and leukemia.
· Iron Infusion
· Blood Transfusion
· IV Antibiotics
RADIATION ONCOLOGY
Industry leading radiation treatment at ARH
Patients needing radiation are treated with equipment from the most trusted manufacturer in the industry; the Varian TrueBeam Radiation Therapy Linear Accelerator, equipped with On-Board Imaging and 3D Cone-Beam CT for Image-Guided Radiation Therapy (IGRT). This equipment allows the ARH team to align and treat the patient with radiation beams from multiple angles very accurately. This helps focus the required dose to the desired treatment volumes while minimizing dosage to surrounding tissue and organs. ARH also uses the custom-designed Siemens Somatom GoSim CT Therapy Simulator. This machine helps replicate patient position and imaging the same way as they will be treated on the linear accelerator. Varian’s Eclipse treatment planning software uses this information to create and calculate the individualized radiation plans for each patient.
Types of radiation therapy:
- Systemic radiation therapy – uses radioactive drugs (called radiopharmaceuticals or radionuclides) to treat certain types of cancer, including thyroid, bone, and prostate cancer. These are liquid drugs made up of a radioactive substance. They can be given by mouth or put into a vein; they then travel throughout the body.
- Stereotactic body radiation therapy (SBRT) – also called stereotactic ablative radiotherapy (SaBR)) is used to treat tumors outside of the brain and spine. It accurately delivers very high doses of radiation to the tumor in few treatments (one to five) while limiting the impact on nearby healthy tissue.
- Intensity-modulated radiation therapy (IMRT) is highly personalized to the patient’s needs and anatomy. Just like surgery, outcomes from this therapy greatly depend on physician experience and close attention to dose and volumes of the treated tissues. ARH radiation oncologists are highly experienced in IMRT, and they specialize in complex cases, including patients who have had previous radiation therapy or surgeries and those with other complicated medical issues. IMRT is able to protect the normal, healthy tissue and the critical tissues around the tumor so that your physician can deliver a high dose of radiation more precisely to the cancer and minimize side effects from the treatment. IMRT treatments can be used to cure cancer (typically occurring everyday Monday-Friday for six to nine weeks) or to treat symptoms from the cancer (usually shorter in duration, anywhere from once to every day for two to three weeks), also called palliative treatment.
- 3D CRT Conventional/3D-conformal radiation therapy delivers radiation treatments every Monday through Friday, typically for two to six weeks. This type of radiation directs the appropriate dose of radiation to the cancer, while using detailed imaging and block design to spare the surrounding healthy tissue.
- Respiratory Gating – is an innovative process that uses advanced computer software to guide the delivery of radiation as a patient breathes. A tumor can sometimes move during treatment, especially if it is located in an area of the body that naturally moves as a result of respiration, such as lungs, chest, or abdomen.
PATIENT NAVIGATOR PROGRAM
There is more to your cancer journey than doctor’s appointments and treatment options. From family and financial concerns to insurance or employment issues, these stresses drain energy that should be focused on treatment and recovery. With the help of the Patient Navigators at the ARH, we make sure you are not alone during your treatment by providing free assistance including:
- Transportation Assistance – The Cancer Center has established a Patient Assistance Fund and holds regular fundraisers to help patients who need transportation (to and from treatments on a regular basis) or lodging assistance during multiple treatment visits.
- Medication Assistance – Programs are available to assist qualifying patients in filling prescriptions with large co-pays or if the patient has no insurance.
- Financial Assistance – If a patient has no insurance, arrangements can be made to get them enrolled for a Spend Down Card. Patients qualifying for Medicaid or another program can be assisted in the application process. There are also Financial Assistance programs available through Cancer Care and the American Cancer Society.
- Cancer Information – Our Patient Navigator can help patients find valuable information about their particular type of cancer, its treatment and side effects, to help them be as informed as possible during treatment, as well as during survivorship and living with cancer.
- Survivorship – Once your cancer treatment is complete this service can help patients understand the next steps for follow-up care, like regular well-visits and exams. Our Patient Navigators provide resources as well as clinic support to help you during this transition.
LINKS TO LEARN MORE
- UK Markey Cancer Center Affiliate Network: http://ukhealthcare.uky.edu/Markey/affiliates/index.asp
- American Cancer Society: http://www.cancer.org
- Susan G. Komen for the Cure: www.komen.org
- National Cancer Institute: https://www.cancer.gov · CareingBridge.org: https://www.caringbridge.org
Women's Health
WOMEN'S HEALTH
FEATURED SERVICES
GYNECOLOGY
ARH provides comprehensive care for women at every stage of life. Our team of skilled gynecologists and healthcare professionals offers a full range of services, from routine exams and preventive care to the diagnosis and treatment of complex conditions. We prioritize your well-being by delivering personalized, compassionate care in a comfortable and confidential setting. Whether you’re seeking support for a specific concern or routine care, we’re here to ensure you receive the highest standard of medical attention.
GYNECOLOGICAL CANCERS & GYN-ONCOLOGY
Annual screenings at ARH are important in prevention because early detection means catching gynecological cancers in a stage that has higher success for treatment and before it spreads to other parts of your body.
BREAST HEALTH
It is recommended by the CDC that women 40 years of age and older get yearly mammograms giving you a greater chance of survival and more treatment. Appalachian Regional Healthcare provides outstanding screening, diagnostic, and surgical services.
Breast Cancer is one of the most frequently diagnosed cancers in women. In the United States, 1 in 8 women will be diagnosed with breast cancer in her lifetime. The most important factor in breast cancer survival is EARLY DETECTION!
Breast Cancer Prevention, Symptoms, Risk Factors
Symptoms – If you’re experiencing any of these symptoms, talk to your healthcare provider immediately.
- Breast or Nipple Pain
- Breast Mass that May or May Not Be Painful
- Dimpling or Swelling of All or Part of the Breast
- Nipple Inversion
- Nipple Discharge
- Redness/Thickening of the Nipple or Breast Skin
Risk Factors – Risk for breast cancer is due to a combination of factors, including:
- Dense Breasts
- Drinking Alcohol, Smoking
- Family History and/or Genetic Mutations
- Hormone Changes Due to Night Shift Working
- Not Being Physically Active
- Older Age
- Overweight
- Reproductive History
BREAST IMAGING, TESTING, AND PROCEDURES
Our radiologists focus on breast health, cancerous and noncancerous breast disease, including breast cancer in women and men. ARH uses the most advanced technology to accommodate each patient’s needs. We offer 3-D Preventative Mammography screenings without a physician referral if you meet the following criteria:
- You are a female over the age of 40.
- It has been 366 days since your last screening Mammogram.
- You have no breast abnormalities or complaints related to breast health.
BREAST BIOPSY
If a lump is detected on your mammogram or ultrasound, a biopsy may be needed to know what is causing it. A biopsy is the only way to know if a suspicious breast change is cancer. The 3 types of biopsy ARH uses are:
- Cyst Aspiration
- Localization with Tag Placement
- Ultrasound Guided Breast Biopsies
BREAST SURGERY
Lumpectomy and mastectomy procedures are both effective treatments for breast cancer. though Mastectomy has a slightly lower risk of recurrent cancer and research shows there is no difference in survival rate between lumpectomy and mastectomy.
Lumpectomy removes breast cancer while preserving the breast. A lumpectomy attempts to leave the breast looking as close to the original as possible.
Mastectomy removes the whole breast. There are 5 types of mastectomies:
- Modified Radical Mastectomy
- “Simple” or “Total” Mastectomy
- Subcutaneous (Nipple-Sparing) Mastectomy
- Partial Mastectomy
- Radical Mastectomy
ENDOCRINOLOGY
ENDOCRINOLOGY
At ARH, our endocrinologists are committed to helping our patients better understand the role their endocrine system plays in their overall health, and how to effectively manage the hormones that carry out the functions of the endocrine system. Our bodies have around 40 different types of hormones that are designed to perform specific jobs. Managing these hormones correctly is the best way to ensure our bodies are functioning to the best of their abilities.
Sometimes our body’s hormones become imbalanced and when the body cannot fix the hormones itself, that is where we come in! These situations are often complex and can affect different parts of the body. At ARH our team is committed to finding the imbalance and improving the overall function of your body’s most vital systems.
WHAT WE TREAT
- Diabetes - Learn more about the ARH Diabetes Program
- Thyroid Disorders
- Infertility
- Cholesterol Problems
- Obesity
- Hypertension
SIGNS & SYMPTOMS
(You need to see an endocrinologist)
- Feeling tired all the time no matter how much sleep they get
- Dry skin and hair
- Trouble gaining or losing weight
- Tingling in hands or feet
- Kidney problems
- Vision problems
- Thyroid issues
- Depression
- Anxiety
ASK FOR A REFERRAL TO ARH ENDOCRINOLOGISTS
ENDOCRINOLOGY
ENDOCRINOLOGY
At ARH, our endocrinologists are committed to helping our patients better understand the role their endocrine system plays in their overall health, and how to effectively manage the hormones that carry out the functions of the endocrine system. Our bodies have around 40 different types of hormones that are designed to perform specific jobs. Managing these hormones correctly is the best way to ensure our bodies are functioning to the best of their abilities.
Sometimes our body’s hormones become imbalanced and when the body cannot fix the hormones itself, that is where we come in! These situations are often complex and can affect different parts of the body. At ARH our team is committed to finding the imbalance and improving the overall function of your body’s most vital systems.
WHAT WE TREAT
- Diabetes - Learn more about the ARH Diabetes Program
- Thyroid Disorders
- Infertility
- Cholesterol Problems
- Obesity
- Hypertension
SIGNS & SYMPTOMS
(You need to see an endocrinologist)
- Feeling tired all the time no matter how much sleep they get
- Dry skin and hair
- Trouble gaining or losing weight
- Tingling in hands or feet
- Kidney problems
- Vision problems
- Thyroid issues
- Depression
- Anxiety
ASK FOR A REFERRAL TO ARH ENDOCRINOLOGISTS
Home Medical Equipment
Home Medical Equipment
ARH Home Medical Equipment Locations provides essential healthcare products, supplies, and services including home oxygen equipment, CPAP and BiPAP equipment, hospital beds, wheelchairs, walkers, and many other aids to daily living along with supply items such as ostomy, urological and nutritional items. Each of our locations provide education and monitoring for respiratory illnesses from licensed respiratory therapists. Our knowledgeable staff is dedicated to helping you find the equipment and supplies you need to recover at home and retain your independence.
PRODUCTS
- Aids to Daily Living
- Ambulatory Aids and Accessories
- Bathroom Aids and Safety Equipment
- Braces and Supports
- Breast Pumps
- Enteral Nutrition
- Hospital Beds and Accessories
- Seat Lifts / Lift Chairs
- Oxygen Concentrator
- Portable Oxygen Concentrators
- Wheelchairs
- Manual Wheelchairs
- Power Wheelchairs
- Scooters
- And much more
RESPIRATORY THERAPY & EQUIPMENT
ARH Home Medical Equipment takes pride in providing a full-service respiratory program to our patients. We have certified licensed respiratory therapists available 24/7 to answer questions about your home respiratory needs. Our respiratory therapists provide education and guidance on how to operate your respiratory medical equipment.
Whether you have a diagnosis of Chronic obstructive pulmonary disease, Obstructive sleep apnea (COPD, OSA), or other respiratory related illnesses, talk with your primary care provider to see if you qualify for home respiratory equipment.
-
Oxygen
o Concentrators
o Portable Oxygen
o Portable Concentrators
o Conserving Devices
o Small Oxygen Tanks w/Shoulder Bags
o Homefill Systems
o Air Compressors for Trach Patients
o Tubing and Supplies
- CPAP/BIPAP Equipment, Masks and Supplies
- Nebulizers (Regular, Portable, Pediatric, Tubing and supplies)
- Pulse Oximeters (Overnight & Finger)
- Aspirators and Supplies
- Peak Flow Meters
- Aerochambers
- Incentive Spirometers
- Flutter Devices
INSURANCE & PAYMENT
We accept most forms of insurance including Medicare and UMWA. We also offer payment plans with Ablepay. Some supplies and/or equipment require a physician’s order, medical necessity, and/or prior authorization for insurance coverage.
CERTIFIED SKILLED NURSING/ SWING BED & ACUTE REHABILITATION
CERTIFIED SKILLED NURSING/ SWING BED & ACUTE REHABILITATION
Swing bed or certified skilled nursing is a level of inpatient care that provides patients with skilled nursing services or skilled rehabilitation services.
The ARH therapeutic atmosphere assists patients with self-care and helps them to work toward independent function. We can help patients improve their strength and gain optimal independence to return home.
Our swing bed program is certified in accordance with federal, state and local regulations. Patients are admitted through a referral from their attending physician.
MULTI-DISCIPLINARY CARE APPROACH
Our expert care team works with qualified patients to create unique multidisciplinary treatment plans. Both levels of care are performed under the supervision of a physician, a registered nurse, a licensed physical and occupational or speech therapist. Daily skilled services are provided on an inpatient basis.
- Activities
- Multidisciplinary Patient Care Conferences
- Nutrition Counseling
- Private Rooms
- Rehabilitation Team: Physical Therapy (PT), Occupational Therapy (OT) and Speech Therapies
- Respiratory Therapy
- Skilled Nursing
- Social Services
SWING BED/CERTIFIED SKILLED NURSING SERVICES
Inpatient Care for people who need:
- Wound care
- Long Term IV Antibiotic Therapy including patients with history of substance abuse that need IV antibiotic therapy in an observed setting with Peripherally Inserted Central Catheter (PICC) line. The typical length of stay is approximately 6-8 weeks for antibiotic therapy.
- PT/OT to help with mobility, including trauma patients or patients recovering from hip fractures or stroke, who are in the midst healing, who are well enough to be discharged from an acute setting, but not well enough to go home w/Home Health Care. Patients receive therapy for up to 2 hours daily and a typical stay is approximately 4 weeks.
- Speech Therapy for swallowing and language capabilities
- Respiratory Therapy including those who have had a tracheostomy.
- Temporary Nutrient Care for those with Dobhoff tubes (tubes inserted through the nose for temporary nutrient delivery). In some circumstances, we provide care for patients with long-term feeding needs, if a peg tube has been placed.
- Recovery from Bariatric surgery up to 350lbs.
ACUTE REHABILITATION SERVICES
Acute Rehabilitation is similar to our Swing Bed Program except:
- Patients receive therapy for approximately 3 hours each day.
- A typical stay is approximately 10-14 days.
- Acute Rehab admits patients who need Hemodialysis.
- Acute Rehab treats patients who need a higher level of nursing care and therapy than swing bed care while recovering from trauma, hip fractures or stroke.
ELIGIBILITY REQUIREMENTS
Patients have been admitted to the hospital as an inpatient for at least (3) consecutive midnights within 30 days prior to the swing bed admission.
Patients are being treated for the same condition for which they were treated in the hospital.
Patients are admitted through a referral from their physician and must meet eligibility requirements.
Patients may remain as long as they have goals to obtain and will benefit from rehabilitation, IV therapy
You have options for where you receive care
If you or your loved one are having orthopedic or other surgery services, are recovering from a stroke, need additional IV antibiotics or various other medical services that could require continued inpatient medical care, please ask your nurse, social worker, or physician about our swing bed program.