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Primary Care

At Appalachian Regional Healthcare (ARH), our primary care providers are your first point of contact for everyday health needs, preventive care, and long term wellness. We care for patients of all ages and focus on keeping you healthy, not just treating you when you’re sick. Our primary care teams build lasting relationships with patients and families, coordinating care across every stage of life.

Your primary care provider serves as your guide, coordinating referrals, tests, and follow up care within the ARH network and beyond. We ensure all parts of your care work together seamlessly. When you chose a primary care provider at ARH, you are gaining excess to a network of providers who offer a true continuum of care through all stages of your health journey.

Preventative and Wellness Care

Primary care is the foundation of good health. Our providers help you stay ahead of illness with services such as:

Annual physicals and routine checkups
Health screenings and risk assessments
Immunizations for children and adults
Women’s and men’s health exams
Sports, school, and physical work

Preventive care helps catch potential health issues early, when they’re easiest to treat.

Acute Illness and Injuries

When unexpected health concerns arise, your ARH primary care provider is here to help manage:

Colds, flu, COVID 19, and respiratory infections
Sinus, ear, and throat infections
Fever, cough, sore throat, and headaches
Minor cuts, burns, rashes, and sprains
Stomach pain, nausea, vomiting, and diarrhea

We focus on prompt treatment and helping you recover quickly and safely.

Chronic Disease Management

Living with a long term condition requires ongoing support. Our primary care providers diagnose, treat, and help manage conditions such as:

Diabetes
High blood pressure
Heart disease
Asthma and COPD
Arthritis and joint pain
Thyroid disorders

We emphasize personalized treatment plans, routine monitoring, and education to help you live well.

Primary Care Providers and Locations

Big Sandy Region

Central Kentucky Region

Cumberland Valley Region

Kentucky River Region

West Virginia Region

MARCH IS COLON CANCER AWARENESS MONTH

Schedule Your Colonoscopy
Wipe Out Colon Cancer

Wipe Out Colon Cancer - Schedule Your Colonoscopy Today!

What is a Colonoscopy?

A colonoscopy is a low-risk procedure that allows your doctor to look inside your large intestine and colon using a thin, flexible tube with a tiny camera. It helps find problems like polyps, inflammation, or early signs of colorectal cancer. If polyps are found, they can usually be removed during the same procedure. The exam is done under sedation, so you’ll be relaxed and comfortable, and most people don’t remember it afterward. It’s one of the best ways to protect your digestive health and prevent colorectal cancer.

Colonoscopy Locations

CUMBERLAND VALLEY REGION

BIG SANDY REGION

KENTUCKY RIVER REGION

WEST VIRGINIA REGION

What is the Purpose of a Colonoscopy?

Having a colonoscopy offers several important health benefits that can protect your well-being now and in the future.

Detects early colorectal cancer, when it’s most treatable.
Detects and removes polyps before they can turn into cancer.
Explains symptoms like bleeding, bowel changes, abdominal pain, or unexplained weight loss.
Allows tissue samples to be taken during the procedure, avoiding extra procedures.
Helps diagnose digestive conditions such as Chron’s disease and ulcerative colitis.
Provides peace of mind by giving you and your provider a clear picture of your colon health.

Who Needs a Colonoscopy?

Most people qualify for a colonoscopy for one of two reasons: routine screening or evaluation of symptoms/risk factors.

Age based screening – Most adults age 45 and older qualify for a screening colonoscopy, even if they feel healthy.

Family history – You may need a colonoscopy earlier or more often if you have:

A first degree relative (parent, sibling, or child) with colorectal cancer or advanced polyps.
A known genetic condition like Lynch syndrome or FAP.

Personal medical history – A colonoscopy is recommended if you have:

A history of polyps or previous colorectal cancer.
Inflammatory bowel disease (Crohn’s disease or ulcerative colitis).

Symptoms that need evaluation – You may qualify for a diagnostic colonoscopy if you have:

Rectal bleeding
Unexplained changes in bowel habits
Persistent abdominal pain
Unexplained weight loss
Iron deficiency anemia

Abnormal results on other tests A positive stool test (FIT, FOBT, or stool DNA test) usually requires a follow up colonoscopy.

What to Expect During a Colonoscopy

Preparation

Your colonoscopy prep usually starts the day before the procedure. Your provider will give you step-by-step instructions, including how to adjust your diet for a few days and how to clean out your bowels using laxatives. These laxatives will cause frequent bathroom trips, but they’re essential because your doctor needs a clear view of your colon.

You can make the prep more comfortable by planning ahead. Stock up on moist wipes, diaper cream, clear liquids, and low-fiber foods you like. It also helps to keep your schedule light on prep days.

Be sure to tell your doctor about any health conditions, past reactions to anesthesia, and all medications, vitamins, and supplements you take. This helps your care team to choose the safest sedation plan and avoid complications. Your doctor may ask you to stop or adjust certain medications before the procedure.

During the Exam

During your colonoscopy, an IV will be placed so you can undergo sedation to help you relax—you will sleep through the exam. You’ll be connected to monitors that track your heart rate, blood pressure, and oxygen levels, and you’ll receive a little oxygen through your nose.

Once you’re comfortable, the doctor gently inserts a thin, flexible tube with a tiny camera into your rectum to examine your colon. The camera sends images to a screen so the doctor can look closely at your large intestine. If any polyps or abnormal tissue are found, they can usually be removed during the same procedure.

The exam itself typically takes 30–60 minutes. With check-in, preparation, and recovery from sedation, expect to be at the hospital for about three to four hours in total.

Recovery

After your procedure, you’ll wake up in a recovery area for about 30–45 minutes, and your care team will go over your results. Because of the sedation, you’ll need someone to drive you home. Most people can return to light activities the same day, but it’s best to avoid heavy lifting, strenuous exercise, and alcohol for 24 hours.

The sedation wears off quickly—usually within about 30 minutes after the IV is removed. You may feel bloated or pass gas for a few hours; walking can help ease this. If polyps or tissue samples were removed, you might notice a small amount of blood in your first bowel movement, which is normal. If you continue to pass blood or blood clots or if you have persistent abdominal pain or a fever, contact your provider.

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!

Lifestyle Medicine

At Appalachian Regional Healthcare, we believe healthcare should do more than treat symptoms—it should help you feel your best, live longer, and enjoy life more fully. That’s why we’re proud to offer Lifestyle Medicine: a personal, whole-health approach that helps you build lasting habits for a healthier life.

We know that in Appalachia, people take care of each other—and we’re here to take care of you. Your daily habits—what you eat, how you move, how well you sleep, how you manage stress, and how you connect with others—have a powerful impact on your health and happiness.

Our team is here to walk beside you, helping you set goals and make changes at a pace that works for you. Whether you’re ready to take one small step or make a big shift, we’ll be with you every step of the way.

What is Lifestyle Medicine?

Lifestyle Medicine is a medical specialty that uses evidence-based changes in daily habits to prevent, treat, and sometimes even reverse chronic conditions. These changes focus on six key areas of everyday life:

We work with you to focus on what matters most to your health. Together, we’ll create a realistic plan that supports your lifestyle—not works against it.

Why choose Lifestyle Medicine at ARH?

People often ask, “Can’t I just make these changes on my own?”

Absolutely—but it’s not always easy. That’s where we come in.

Our Lifestyle Medicine providers are trained to help you set meaningful goals, stay motivated, and build confidence. We won’t overwhelm you with a long list—instead, we’ll help you make small, practical changes that fit your life and bring real results.

You don’t have to do it all alone. We’re here to support you with the same trust and care our communities have counted on for decades.

Benefits of Lifestyle Medicine

Lifestyle Medicine can help improve or manage many chronic health conditions, including:

We know it’s not always about knowing what to do—but figuring out how to do it. That’s why we provide clear tools, encouragement, and guidance to help you take those next steps. Whether it’s healthy eating, better sleep, or finding a moment of calm in your day, we’re here to help.

As the region’s leading healthcare system, ARH is proud to offer an innovative approach to care that helps people live better—not just treat illness.

What to Expect

Lifestyle Medicine visits are designed to support—not replace—your regular care. You might be referred by your primary care provider or a specialist, but a referral isn’t required. Either way, we work closely with your current care team to help you reach your goals.

Getting started is simple:

First Visit: You’ll meet with your provider and fill out a short form to help us understand your needs and goals.
Your Plan: Together, we’ll build a wellness plan that focuses on the areas of your life that matter most to you.
Follow-Up Support: We’ll check in regularly—whether in person, by phone, or through telehealth—so you stay on track.

Yes, we accept insurance. Visits are billed like other specialty services at ARH.

We’ll meet you where you are—and walk beside you every step of the way.

The 6 Pillars of Lifestyle Medicine

Whole Food, Healthy Diet

Eating better doesn’t have to be overwhelming. We’re here to guide you step by step in making smarter food choices. Our team can help you build a sustainable eating plan that focuses on whole, unprocessed foods—like fruits, vegetables, lean proteins, whole grains, and plant-based options—tailored to your preferences and health needs.

How we help:

We’ll work with you to set realistic goals, provide meal ideas, and help you overcome barriers like budget, time, or picky eating. Whether you need recipes, grocery tips, or label-reading guidance—we’re here to support your success.

You’ll also have access to a registered dietician who can provide personalized advice, help with medical nutrition needs, and offer expert support on your journey to better health.

Regular Physical Activity

Movement is medicine, and we’ll help you find ways to incorporate it into your daily life—no gym membership required. Physical activity doesn’t have to be intense to be effective. Together, we’ll create a personalized plan that fits your lifestyle and long-term goals.

How we help:

We’ll help you track progress, set achievable targets (like 150 minutes of moderate exercise per week), and suggest easy ways to build strength and flexibility. We’ll also coach you on how to stay motivated and make exercise enjoyable—not a chore.

Stress Management

Managing stress is vital to your health—and you don’t have to do it alone. Whether you’re dealing with work, family, or personal challenges, we’ll help you build a toolbox of techniques to handle stress in healthy, productive ways.

How we help:

We offer one-on-one coaching, mindfulness exercises, breathing techniques, and resources tailored to your needs. We’ll help you identify stress triggers and develop personalized coping strategies that actually work in your everyday life.
If you feel like you need additional support, we can also connect you with our team of licensed mental health professionals who are here to help you work through deeper emotional challenges in a safe, supportive environment.

Positive Social Connections

You weren’t meant to do this alone. Social support is one of the most powerful tools for staying healthy, motivated, and mentally strong. We’ll help you build or strengthen a network that keeps you encouraged and connected.

How we help:

We’ll connect you with community groups, support circles, or wellness programs where you can share your journey. Whether you’re looking for accountability or just someone to talk to—we’ll help you find your tribe.

And if you’re feeling isolated or need more personalized support, we can also connect you with our mental health professionals, who are available to guide you through emotional or social challenges with expert care.

Restorative Sleep

Sleep isn’t a luxury—it’s a vital part of your health. Getting enough quality rest affects every aspect of your life: your mood, memory, focus, immune system, heart health, weight, and even how well you manage stress.

Poor sleep habits can throw everything off. When you’re not sleeping well, it can feel harder to eat healthy, stay active, manage emotions, or stay motivated. But the good news? Small, consistent changes in your sleep routine can lead to big improvements in your overall health.

How we help:

We’ll work with you to identify what might be interfering with your sleep—whether it’s stress, screen time, inconsistent routines, or other habits. From there, we’ll guide you through small, realistic changes to help you fall asleep easier, sleep more deeply, and wake up feeling more rested.

Whether you need help winding down at night, resetting your sleep schedule, or exploring deeper issues, we’re here to support you every step of the way—so you can get the rest your body and mind truly need.

Avoid Risky Substances

We’re not here to tell you never to enjoy a glass of wine at dinner or have a drink with friends. What we are here for is to support you in developing a healthy—not harmful—relationship with substances like alcohol, tobacco, and other drugs.

How we help:

If you’re thinking about quitting smoking, we can help you make a plan and give you the tools and support you need to succeed. From nicotine replacement options to coaching and accountability, we’ll be with you every step of the way.

We also take time to educate you on the risks associated with substance use—whether it’s smoking, excessive alcohol consumption, or other risky behaviors—so you can make informed decisions for your health.

Our goal is never to judge, but to support. Whether you’re ready to quit, want to cut back, or simply want to ensure your relationship with substances remains healthy and balanced, we’re here to help.

UROLOGY

At Appalachian Regional Healthcare (ARH), our mission is simple: to care for the people of Central Appalachia like family. That commitment guides everything we do — especially in our Urology Department, where we diagnose and treat some of life’s most personal health challenges.

Urological issues can affect every part of life — physically, emotionally, and socially. Whether you’re a man facing prostate concerns or low testosterone, a woman managing incontinence or pelvic floor conditions, or a parent seeking expert care for your child, our team is here for you.

We offer the latest in advanced care, including robotic-assisted surgery, minimally invasive procedures, and personalized treatment plans. Our team treats a wide range of conditions — from kidney stones and urinary tract infections to urological cancers, male infertility, vasectomy procedures, and pediatric urology needs such as circumcision.

At ARH, you’re never just a diagnosis — you’re family. And we’re here with care you can trust, every step of the way.

WHAT WE TREAT

General Urology (Male & Female)

Blood in urine (Hematuria)
Interstitial cystitis
Recurrent urinary tract infections (UTIs)
Kidney diseases
Kidney stones
Urological cancers (bladder, kidney)

Bladder Health

General Urology (Male & Female)

Blood in urine (Hematuria)
Interstitial cystitis
Recurrent urinary tract infections (UTIs)
Kidney diseases
Kidney stones
Urological cancers (bladder, kidney)

Bladder Health

Female-Specific
Urology

Male-Specific Urology

Prostate Health

Sexual & Reproductive Health

Pediatric
Urology

PROCEDURES & TREATMENTS

General Procedures

Bladder Treatments

Prostate Procedures

Sexual & Reproductive Treatments

Pediatric Urology Procedures

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.

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

Women's Health

WOMEN'S HEALTH

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

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.

Protected: Lab Now

Primary Care

Primary Care

Preventative and Wellness Care

Acute Illness and Injuries

Chronic Disease Management

Primary Care Providers and Locations

Big Sandy Region

Belfry, KY

Bypro, KY

Harold, KY

Martin, KY

McDowell, KY

Paintsville, KY

Prestonsburg, KY

Salyersville, KY

South Williamson, KY

Wayland, KY

West Liberty, KY

Central Kentucky Region

Lexington, KY

Cumberland Valley Region

Barbourville, KY

Corbin, KY

Cumberland, KY

Harlan, KY

Middlesboro, KY

Pennington Gap, VA

Kentucky River Region

Big Creek, KY

Hazard, KY

Hyden, KY

Jenkins, KY

Whitesburg, KY

West Virginia Region

Beckley, WV

Belfry, KY

Glen Morgan, WV

Hinton, WV

South Williamson, KY

MARCH IS COLON CANCER AWARENESS MONTH

Schedule Your ColonoscopyWipe Out Colon Cancer

What is a Colonoscopy?

Colonoscopy Locations

CUMBERLAND VALLEY REGION

Barbourville, KY

Corbin, KY

Harlan, KY

Middlesboro, KY

Pennington Gap, VA

BIG SANDY REGION

Hazard, KY

Paintsville, KY

Prestonsburg, KY

Salyersville, KY

South Williamson, KY

KENTUCKY RIVER REGION

Hazard, KY

Whitesburg, KY

WEST VIRGINIA REGION

Beckley, WV

Hazard, KY

South Williamson, KY

What is the Purpose of a Colonoscopy?

Who Needs a Colonoscopy?

What to Expect During a Colonoscopy

Preparation

During the Exam

Recovery

Lifestyle Medicine

Lifestyle Medicine

What is Lifestyle Medicine?

Why choose Lifestyle Medicine at ARH?

Benefits of Lifestyle Medicine

What to Expect

The 6 Pillars of Lifestyle Medicine

Whole Food, Healthy Diet

Regular Physical Activity

Stress Management

Positive Social Connections

Schedule Your Colonoscopy
Wipe Out Colon Cancer

Female-Specific
Urology

Pediatric
Urology