Episode Transcript
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Speaker 1 (00:00):
Good morning. This is Sydney Newsome and welcome to Lady
Parts with doctor Richard Villarel of Adina Women's Health OBG
y N. I'm brought to you by a Dina Health System.
Doctor v You've got a guest with us today. Why
don't you tell us a little bit about her?
Speaker 2 (00:13):
Well, first of all, good morning, and yes, I'm very excited.
This is something totally different from what we usually talk about.
And today we're going to talk about feet, which is
great because everybody has a pair and it's good to
talk about. So with me today, I have a doctor
Nicole Smith, and I was just learning a little bit
about her before the show got started. But she's been
(00:33):
all over the country, starting out in California, going to
Arizona and down Florida and Saint Louis and then she's
at a Dina right, got it, So I think that's wonderful.
So she's got quite a bit of experience and seems
very very nice because I've just been sitting here talking
to her, So very excited to have you on the
show today. Thanks for having and we're just going to
(00:53):
talk a little bit about some issues with pedietry. So
let's just get started, Let's just tell the people about
yourself a little bit, and then you know why you
decided to go into pedetary.
Speaker 3 (01:04):
Sure thing.
Speaker 4 (01:04):
So when I was in my undergraduate I studied at
Arizona State University. I had shotted a lot of different
doctors and I had found myself volunteering at a burn
hospital that we have in Phoenix, Arizona, and I had
met a general surgeon there who was doing limb preservation
work and helping patients that were coming in with, you know,
(01:26):
really serious burn injuries. He had introduced me to one
of his colleagues who was also in the field of
wound care and pedietary, doctor David Armstrong, who's a leader
in our field, and I had shadowed the both of them,
and I fell in love with pedietary. Initially for the
wound care aspect, I learned that there was a surgical
aspect to it, and then for muscular skeletal complaints, which
(01:49):
just like you said, everybody has two feed and two ankles.
Speaker 2 (01:53):
That's awesome and your field is needed. So, you know,
we see so much of it, and you know even
what I do. You know, my example, I know, beete
with the women always see their feet and I'm like, okay,
now I know who to send people to. So this
is wonderful. So what are some of the things that
you really like? What do you what do you specialize in?
Speaker 3 (02:13):
I like it all.
Speaker 4 (02:15):
We as p dietrists. We focus on the foot and ankle.
My three partners that I work with are very well trained. Okay,
we all I'll tell you from.
Speaker 3 (02:27):
Toes to ankles. We got you covered everything.
Speaker 2 (02:31):
So does each one of the you, each one of
the providers have a special area they like or can
everybody just do everything?
Speaker 3 (02:37):
So they're all. I tell you.
Speaker 4 (02:38):
My partner, doctor Schaffik, my partner, doctor Shaha, and doctor
Rena are all well trained. We're all graduates of reconstructive
rear foot ankle surgery programs. I would say that my
partners enjoy more of the muscular skeletol complaints. So repairing
any tenderness, muscle injuries, fractures, any bone in the foot
and ankle. We do big reconstructive cases. And I would
(03:02):
say we like everything. We're very open to treat.
Speaker 2 (03:06):
That's cool. So you work in conjunction sometimes with the sports.
Speaker 3 (03:08):
Medicine, Absolutely, yeah, we do.
Speaker 2 (03:11):
So that's pretty interesting. That's wonderful. So let's talk a
little bit about some of the services. So first of all,
how does somebody get into you if they have issues?
Speaker 4 (03:18):
Sure, so, usually how patients get into p dietary they
see their primary care physician. A lot of insurance providers
will require a referral to our service. So usually patients
will start off with their primary care identify that they
may have an issue with their foot or their ankle. Typically,
when it is an issue that's identified or very fortunate,
(03:40):
our primary care providers in the community.
Speaker 3 (03:41):
Will order X rays for us.
Speaker 4 (03:43):
Sometimes they order some advanced imaging and then place out
referral to our service and we get them on our schedule.
Speaker 2 (03:49):
Nice, And where are you guys located?
Speaker 4 (03:51):
So we're located in Chili Cooffee. My partner, doctor Scheik
also goes to Circleville. My partner doctor Shahead goes to
Washington Courthouse. And then my partner doctor Arena is going
to start going to Waverley in the new year, and
I cover.
Speaker 2 (04:07):
Jackson Cool so and then okay, so you're at each
one of the off sites and then at the main campus.
Where are you at the Ortho Center or you got it?
Speaker 3 (04:14):
Yep? So We're at the Adena, Spye and Ortho Center.
We're on the third floor.
Speaker 2 (04:18):
Okay, nice, So I love it. Okay, So you know
what I want to really do is talk about a
few things, because you know, we see so much of
this even here and it's probably all over the country.
But I'd like to start maybe like some diabetic foot
issues and some things. Talk a little bit about that
because we see so much diabetes in this area and
people forget, I think of the damage that can occur
(04:40):
with their feet.
Speaker 4 (04:41):
So can you talk a little bit about Yeah, this,
So the the issues that we see with diabetes, usually
it's multifaceted. Patients typically aren't just presenting with diabetes. They
have multiple comorbidities, heart issues, vascular issues, so all that
kind of wrapped into one package. We see patients coming
in not only for routine diabetic foot care, but unfortunately
(05:05):
with a poor vass healar tree with heart issues that
we identify these patients having wounds arise, so we get
patients that have infections. It can get pretty serious and
it's very important for our diabetic patients to check in
with us frequently. Typically, we do want to see our
patients that are diabetic as early as three months if
(05:26):
issues arise sooner than that, just to keep a close
eye on them and make sure that we're not we
can prevent amputation and not having to pursue additional surgery,
so that.
Speaker 3 (05:36):
We keep them.
Speaker 2 (05:37):
So that's a real thing. If they don't take care
of themselves, they can lose their toes, their foot.
Speaker 4 (05:42):
Yes, it's very serious and we try to do our
best to have our patients leave out of here, leave
out of this world with everything they came in with.
Speaker 2 (05:50):
Oh, I think that's important. So, but most of the time,
you know, patients will so when somebody's newly diagnosed as diabetic,
so I mean, you get your whole range of diabetes,
but somebody who's more severe so insulin other things that
are not well controlled. Those are the people that you
need to see correct Or is it everybody?
Speaker 4 (06:08):
You know?
Speaker 3 (06:08):
I think we all most people have two feet. Some
people love us.
Speaker 4 (06:12):
But you know, if if there is an issue that
arises with those toes, with foot with the ankle, we
want to see everybody. But a patient that is newly
diagnosed with diabetes, I think it's important to check in
and have a provider, have somebody that you're established with
so that if any issues arise, if you know you'll
be well taken care of.
Speaker 2 (06:31):
That's awesome, that's fabulous, you know, because on the show
we've had people, you know, we've talked about everything as
far as with diabetes. We've hit the hearts, we've hit everything,
you know, and this is nice to talk about the
feet because this is important. You know. One of the
first things I guess what for me, I would think,
you know, not dealing with this area, one of the
first things you would notice is probably just wounds not
healing absolutely, and so if you get cut on your
(06:54):
foot or something like that, you just notice it takes
longer to heale. And so if you see that happening,
you know you have problems.
Speaker 4 (07:00):
Yeah, and sometimes, you know, I think what's unfortunate is
with some of our diabetic patients, they maybe aren't the
bust at checking their feet, so they don't know that
an issue has arisen until they get rather sick or
they start noticing smells or.
Speaker 2 (07:17):
Other can't feel things down exactly, so they get the
neuropathies and they lose their sensations, so which is bad. So,
you know, one of the biggest things then is you know,
just from this conversation alone, is just you know, any
of the diabetics out there, please please please get in
to the pediatrist. You know, make sure you know them,
you know their faces, they know you, and you can
(07:39):
get in a regular schedule with them to prevent these issues.
And I think one of the big things with anything
that we do, even you know, in gynecology, is just prevention.
And so that's why we try to bring people back
for early examinations things like that. And so just as
important with your feet, probably even more so because you
have to walk, you have to do things, and yes,
we've got to make sure that you can doing it.
(08:01):
So another thing that I see a lot of are
these hammertoes and bunions. They're very common, and you know,
and I see a lot of the women because they
used to wear there's really tight shoes things like that.
I don't know if that's part of the reason that
it happens, or is it just familial or what brings
us on.
Speaker 3 (08:18):
It's mixed ideology.
Speaker 4 (08:19):
You know a lot of people they don't really recognize
that they have these deformities until they start giving them problems.
So just like you mentioned, a lot of it is familial.
You look on I always ask my patients, I'm like, hey,
do you know what your grandma's feet look like?
Speaker 3 (08:34):
They have these pretty big bunions that come in. We
can get hammertoes forming just from atrophying of the muscles.
Speaker 2 (08:41):
So what's a hammer toe?
Speaker 4 (08:43):
Hammer toe is when your digits start to kind of
curl for you.
Speaker 3 (08:47):
You can see we have.
Speaker 4 (08:48):
Hammertoes, mallettoes, claw toes. They all appear in different different
ways for us.
Speaker 2 (08:54):
Okay, so if your feet aren't doing the normal thing, if.
Speaker 4 (08:57):
They don't look straight, there may be a must unless
you go now, we need to.
Speaker 2 (09:02):
Get you seen, okay. So and they can they can
work on them, they can fit you. And yeah, so
I think if you're trying to make excuses, you know,
and I see women sometimes their toes are crossed over
things like that, So and that's another issue it is.
Speaker 4 (09:18):
Yeah, And usually you know, when we start having an
issue where the patients toes start crossing over, we start
thinking about legamentous injury. So for patients that have that problem,
it can become very very painful. So it's something you
want to get fixed sooner than later.
Speaker 2 (09:34):
Just like about anything we want to do that. I
love that. Okay, So let's talk about some of the
different po dietary services that you guys have. So you
mentioned to me that you're at all these off sites,
so and you take a wide range of just about
anything you'll do.
Speaker 3 (09:51):
Yeah, we see.
Speaker 4 (09:52):
We see all ages pediatric patients into our geriatric patient population.
We treat a variety of concerns. So muscular skeletal, anything
muscle ligamentous, are tendons, so of ankle and foot.
Speaker 3 (10:10):
Like I mentioned, my.
Speaker 4 (10:11):
Partners were all rear foot reconstructive trained, and we like fractures.
So the foot has twenty eight bones in it. Any
of those bones can fracture and we want to fix them.
Your ankles are important too, so we want to keep
those intact. We talked about diabetic patients and infections of
the foot. We also treat other muscule skeletal issues including bunions,
(10:35):
hammer toes, any real deformity that could arise, nerve disorders,
a lot of patients with neuromas.
Speaker 3 (10:41):
Tarsal tunnel syndrome.
Speaker 2 (10:44):
Yeah, it's Tarsal tunnel syndrome is like carpal tunnel.
Speaker 4 (10:47):
It's very Yeah, it's exactly same thing as the foot,
you start getting the numbness, tingle, and sensation traveling down
the leg and into your digits.
Speaker 2 (10:56):
Okay, well that's I'm learning something today. This is not
issues that we cover with what I do. I love this.
So let me You mentioned kids, So what kind of
issues can kids have?
Speaker 3 (11:07):
Lots of issues?
Speaker 4 (11:08):
So flat feet is a really common issue that we treat. Okay,
kids that also have really high arches. We call this
haas gave us deformity. Usually that is more of a
neuromuscular issue. Can also be familial.
Speaker 3 (11:21):
We see a lot of kids that have out toeing
and in towing concerns.
Speaker 2 (11:26):
Kids that have so when you're talking like pigeon toed.
Speaker 3 (11:28):
Or yeah, exactly, Okay.
Speaker 4 (11:31):
Kids that also get just lesions, whether they be warts
or something that just pops up and grown nails. Another
common complaint for our kids and sports related injuries. We
have a lot of young athletes that are trying to
stay active and unfortunately, you know, sports don't always go
as well as they want to.
Speaker 2 (11:50):
You can get hurt easily, so that's amazing. So they
come in to see you and then you can take
care of just about all these issues. So when first
the parents have to recognize it. Yes, I notice it.
So what are some of the first signs if you know,
for example, because most of the kids, you know that
I remember when my kids were they didn't want to
tell you things.
Speaker 3 (12:06):
No, that is a big problem we see.
Speaker 2 (12:08):
So what are some signs. How can we help our
listeners to know if their kids or grand kids are
starting to have problems.
Speaker 4 (12:14):
So a lot of you know, like you said, kids
are not always as vocal about issues. They want to
continue playing their sports, they want to continue living life
as they do. You know, it's just opening that conversation.
Is anything hurting you, you see, I mean most parents are,
they're involved in their kids' lives. So seeing the bruising,
(12:34):
seeing kind of telltale signs that something just doesn't appear right.
Watching how they walk, if they notice their gate is altered,
painful gait for some of these patients, and maybe they're just.
Speaker 3 (12:46):
Not as active as they used to be.
Speaker 4 (12:47):
Those are all signs that maybe something is going on
with their feed, their ankles. These kids are growing too,
so there's growing pains that happen. But sometimes kids kids
aren't as vocal about their parents.
Speaker 2 (13:01):
Okay, so do we have growth plates in our feet
and ankles.
Speaker 4 (13:04):
Now you do, yep, you have, you do? They close
a little bit later. It depends on which bone you're
talking about. But yeah, and every little bone in that
foot and every little bone in the ankle. We have
plates that are really important. We keep them nice and
intact so these kiddos can grow to their greatest potential.
Speaker 2 (13:22):
Because they can be damaged too then in some of
these injuries. Absolutely, okay, so that's why it is important. Okay,
So you work in collaboration. We talked about sports medicine.
It's one of the groups that you work with. Is
there anybody else that you guys.
Speaker 4 (13:36):
Work with, Oh, hand in hand with our vascular surgery
service that makes sense. Infectious disease or orthopedic colleagues too,
are excellent resource for US neurology, interventional pain. We're really
well incorporated with everyone in the hospital.
Speaker 2 (13:52):
That makes total sense. So it's a well organized machine
for you guys.
Speaker 3 (13:55):
It is.
Speaker 4 (13:56):
We're very fortunate to have everybody under one roof.
Speaker 2 (13:59):
That's one okay, Well, that makes more sense. That's why
you would want to be seen. So it's one stop shopping.
Speaker 3 (14:04):
It is.
Speaker 2 (14:05):
You get everything taken care of and whether it be
a vascular, neuro orthopedic or with you guys and muscular. Yeah,
I think that's fabulous. So you've done this a while
so I know you say you do everything, but what
do you really like?
Speaker 4 (14:24):
I do like it all, but I would say my
heart just how I really stumbled into pedietary. I like
and I have a special place in my heart for
diabetic patients.
Speaker 3 (14:36):
I do love wound care.
Speaker 4 (14:39):
I like infections, making sure we clear them out. I
like limp salvage work and just making sure that patients
maintain and keep as much of their feet and lower extremities.
Speaker 3 (14:52):
That they can.
Speaker 2 (14:54):
So how do you tell Okay, here's one of the
toughest things I think is trying to bring people in
because number one is that they don't want to acknowledge
it there's a problem. And number two is I think
people get to the point where that you're they're embarrassed,
they're ashamed, they're afraid that people are going to say
(15:16):
things about them, and they don't want to bring it
to attention. So how do we convince our listeners how
important it is that we are here for them, that
you know, this is our job, this is you know
you chose. This is what you like. You're there, You're
here for them. How do we tell them and how
do we convince them that it's important to make that call.
Speaker 4 (15:38):
I think the biggest thing is just knowing that, like
we've talked about, Adena is a one stop shop, we
do have a patient first approach, so we want to
help the patients. We are here to any issue that
may arise. That's what we're here for. This is what
we train for in pediatry school. And we have a
do no harm approach. Any way that we can help
(16:00):
a patient to be successful, that's what we want to do.
We want to keep everybody on their feet. So nothing
is no long nails, no infection is too large for us,
No injury that a patient has is too daunting. That's
what we are trained for and that's what we want
to help well.
Speaker 2 (16:19):
And probably nothing is too small either. Somebody thinks it's
an issue. Yeah, you know they said, oh, they won't
want to you know, bother with me with this little thing,
but you know I would say, go, it's very important, yeah,
because little issues can become big issues. Right. You know
what I really like listening to you'd say, is the
one stop shopping. It's the team approach, and I think
(16:42):
you know, being I've been at Adana now was thirty
years and well in this community thirty years. I left
for a little bit and came back. But the team
approach is what I like. I like that you have
everybody involved, You have everything that you need to take
care of these more complex, multifaceted injuries or problems. And
(17:04):
so if somebody comes in with a diabetic foot and
they really don't have somebody that's following them for other
vascular issues or whatever, you get them too the vascal surgeon,
or you get them into the neurologist if they can't
feel their feet or you know, all these other issues,
which I think is fabulous. I think that's what you know.
We're trying to establish in the rest of the hospital
as far as all the other departments. We're all working
on that, trying to make sure that we collaborate with
(17:26):
all of the other service lines, and it's coming along wonderfully.
But what you're telling me is is great. And the
fact that these people can come in and get this
all taken care of, I'm just I'm so happy to
hear it. And I hope all of our listeners can
understand what a great, wonderful thing this is, particularly to
(17:47):
have it here in Chilicothee and all the surrounding communities
that you can get in to these providers that this
is what they like, this is what they do, and
they can take care of not just little issues, but
huge issues with your foot and ankle. And you don't
have to go to Columbus, you don't have to go
to Cleveland, you don't have to go to Cincinnati. You
can take care of these big things here because we
(18:08):
have providers that have been trained to do that.
Speaker 4 (18:10):
Night.
Speaker 3 (18:11):
It's excellent. I mean, our team is top tier.
Speaker 2 (18:14):
I love my partners, and that's what you want to hear.
And if that you know she likes her partners, you
know that it's a good thing. So so I love that.
Are there any other things, I mean, I've been elaborating
on this, but are there other things that you think
can differentiate Sadina and the care that you guys give.
Speaker 4 (18:32):
Sure, Yeah, I think you know, Adina, As I've mentioned,
we do have outstanding facilities, not only here in Chillicothe,
but the regions I mentioned in Circleville and Washington Courthouse
in Jackson, where I work and out in Waverley, we
have we're regionally placed so that patients don't have to
travel just like you said, outside of the city confines,
(18:56):
we have excellent providers that are available. The greatest thing
about Poetry, I will say is we're able to get
our patients seen really quickly.
Speaker 3 (19:07):
When we receive a referral. We try to place patients
as quickly as we.
Speaker 4 (19:11):
Can in one of our regional locations and make sure
that issues are addressed in a timely manner. Other things,
you know, like we've talked about the team approach for Adena.
We have such good collaboration across all of our different
specialties that patients you have a continuity of care that
goes on and it's critical because you don't want to
(19:35):
have to go to one health system travel one to
two hours for that maybe that documentation doesn't make its
way back to a Dina health system. So if we
are able to keep patients in house and you know,
continue that continuity of care, it's excellent for patient care
and patients are treated in a really timely manner.
Speaker 2 (19:54):
And that makes sense since we're on the new Epic
Medical Record, so everybody can see what each other is
writing and read each other's notes, see the labs that
were drawing your X rays, your cts or whatever your MRI.
So everybody knows exactly what's happening and they can see
what each of the other providers are saying so that
they can get it taken care of entirely fashion, which
(20:15):
is great. I love that. So you had mentioned a
couple of other things that I was going to talk about.
I keep going back, So I want to talk about
you know, let's talk about sports for a little bit. Sure,
So you know we've football season, basketball season, you know,
all these things are are here. We have some of
(20:36):
the providers that work on the teams that are on
the fields. Do they do you work in conjunction with
them or so?
Speaker 4 (20:44):
The great thing about that is our sports medicine guys
are on the fields with these athletes. They're able to
treat them for issues right there on the field. We
do get a lot of referrals from sports medicine in
regards to patients that they're actively treating at the games.
And like I said, in a timely manner, we get
(21:05):
a lot of these athletes that are injured in sports
back in their sport as quickly as we can. Our
sports medicine team is fantastic. We're very fortunate to have them.
Like I mentioned on the field, sports medicine and our
orthopedic colleagues also run the express clinic that we.
Speaker 2 (21:22):
Have and it's just a walk in clinic.
Speaker 4 (21:25):
It is so it's for non urgent musculo skeletal related
issues that a patient can walk in. Again, non urgent,
so if it was, they'd be more likely to present
to an urgent care ed for those concerns. But patients
can be seen. I want to say. It is Monday
through Friday from eight am to three pm for head
(21:48):
to toe issues.
Speaker 2 (21:49):
So where is this located.
Speaker 4 (21:51):
So it's located at the Adina Spining Northo Institute.
Speaker 2 (21:54):
Oh nice, So they can just walk in. Wow, I
didn't even know that. So that's nice to know. Okay,
so let's talk about let's go on talk about a
couple of other things that I think that are just
very very common. So we've talked about diabetic We've talked
about well you mentioned flat feet, and you talked about
you know, big arches. So what are some of the
(22:14):
things that we can do about this?
Speaker 4 (22:16):
So depending on you know, how conservative a patient wants
to be in their treatment, we can always start conservatively, okay,
with custom orthotics. Some patients will require some level of bracing.
Typically we try to again start with physical therapy if
that is something that can help their concern. If it
is a more severe deformity, more long standing, that's again
(22:40):
debilitating for a patient or affecting their gate and how
they walk, something that may require a higher level of surgery,
but that is something that we offer.
Speaker 2 (22:49):
Okay, So that's awesome, all right? So what what have
you found? Just and I'm gonna put you on the
spot for just a second, coming to a Dina to
Ross County to you know, our nine counties that we serve.
What do you think about it? What have you found here?
Speaker 3 (23:09):
Community?
Speaker 4 (23:09):
I think I've I've found a nice community, very kind patience.
Speaker 3 (23:14):
It's it's been a nice welcoming And.
Speaker 2 (23:17):
That's usually what I tell people when they come to town.
And I didn't tell her that I was going to
ask her that ahead of time, but the providers that
do come here, they realize that the community is very nice.
The people are very nice in this town and the
surrounding communities, and they are very welcoming. And what I
think what you find is that that the providers that
come here also are the same, very nice, very welcoming.
(23:42):
They will do everything, they'll bend over backwards to help you.
And that's what I'm hearing from doctor Smith here. The
same thing is that you know, it sounds to me
that you guys go do everything that you can bend
over backwards to try to get somebody back on their feet,
to get them back in their their activities, their sports
(24:04):
back on the field, whatever it takes, and that's nice.
That's what I want to hear, and I think that's great.
So one of the things that I again I also
want to bring up is the fact that you know
what a fabulous group that you have, and to me,
it's very interesting you know that you came to Chili coffee.
Speaker 4 (24:28):
You know, I'm very thankful to be here with aDNA.
When it came to choosing Adena over other job opportunities
that were presented to me, I was between two jobs.
One was with Mayo Clinic and Mayo Clinic is upper ushlon,
but a Dina. The facilities, the providers that I met
when I came to visit it really swayed me and
(24:50):
I'm elated to be here. I'm very very excited to
be serving this community.
Speaker 2 (24:57):
I think that that kind of shocked me. But I
think the interesting ment thing for most people is they
don't realize the caliber of providers that we have at Adena.
You know, the fact that she could be at Mayo
Clinic now is fabulous. And to know that you have
a physician here who is of that caliber. You know,
we have providers that trained at Harvard, we have providers
that have trained at Yale, you know, Mayo Clinic, Johns Hopkins,
(25:21):
They're they're here at a dina And I don't realize.
I don't think people realize, you know, that what a
fabulous facility we have and what fabulous providers that we
have in just about every field here, uh not just
the dietary. But you guys are fabulous. So so kudos
to you, and thank you for coming, and thank you
(25:42):
for being here, and thank you for taking care of
our family and friends.
Speaker 3 (25:47):
Thank you.
Speaker 2 (25:50):
So are there. Let's let's talk about a few things.
Are there are things that you want to get out
there to the population here that you want anybody to know,
in particular that we haven't because there's so much I mean,
your field is so vast, I you know.
Speaker 4 (26:05):
I think just letting the community know that we are
here for them. We We've said it a few times
during this conversation, but we want to keep everybody on
their feet. We want to keep everybody active. If there's
anything that we can do to help maintain that.
Speaker 3 (26:20):
That's our goal.
Speaker 4 (26:21):
We not just me my three partners I work with.
We have an amazing group of nurse practitioners that also
help us out. We are here to treat, and we
are here to just make sure that everybody stays well
and good.
Speaker 2 (26:36):
Okay, you know. And the other thing that I think
I want to reiterate is the fact that you guys
are under one roof and that you know here that
you have all these service lines. I think you know,
even you know, coming from the larger cities, this is
something that you just don't see and you don't so
you could, you know, be at one place, like you said,
and then you have to go somewhere else and get
it another part taken care of. And the fact that
(26:58):
you can go to a dina get everything taken care
particularly if you're a diabetic or you have other major issues.
You know that you can see neuro you can see
author you can see vascular, you can you know, the
pedetorists will take care of this wound care, you've got
infectious disease, You've got everything that you need to take
care of these big problems in one place. And that's
(27:20):
a tribute to not only the physicians, but to the
hospital system itself that they've been able to set up
such a wonderful group of providers in a wonderful system
to take care of these people. So I applaud you
for that. I think it's fabulous. So I thank you
very much, We thank you for coming today, thanks for
(27:42):
having me, And then I hope that any well, let's
go here to get a hold of you. Can they
call you or do they like you said, they have
to have a referral, or you can do the walking clinic,
so walking.
Speaker 4 (27:55):
Clinic for non urgent muscular skeletal complaints, they'll see one
of our sports icon or orthopedic providers for that. Typically
insurances do require a referral from primary care, so I
think that's always a good first.
Speaker 2 (28:09):
Case, the first PCP.
Speaker 4 (28:11):
And then once that referral is placed. We have an
amazing receptionist and clerk. She makes the calls and gets
patients booked on our schedule as quickly as she can.
Speaker 2 (28:20):
Okay, that's what I like to hear. And then you
can be seen in Jackson, Waverley.
Speaker 3 (28:24):
Washington Courthouse, Circleville.
Speaker 2 (28:26):
Chill Cob, everywhere you want, so close to home. That's
what we like. All right. Well, doctor Nicole Smith, I
thank you so much for being here. Thank you, and
we look forward to seeing you many many years.
Speaker 3 (28:39):
I hope so too.
Speaker 1 (28:41):
All right, thank you so much, Doctor Villayll and doctor
Smith for joining me today here in the studio. This
has been Lady Parts with Doctor Richard Villarill. This airs
the third Monday of every month and it's brought to
you by Adina Health System. You can find this episode,
past shows and podcasts on the iHeartRadio worldwide. Just open
the iHeartRadio app and so for Lady Parts with Doctor
Richard Villaril
Good morning. This is Sydney Newsome and welcome to Lady
Parts with doctor Richard Villarel of Adina Women's Health OBG
y N. I'm brought to you by a Dina Health System.
Doctor v You've got a guest with us today. Why
don't you tell us a little bit about her?
Speaker 2 (00:13):
Well, first of all, good morning, and yes, I'm very excited.
This is something totally different from what we usually talk about.
And today we're going to talk about feet, which is
great because everybody has a pair and it's good to
talk about. So with me today, I have a doctor
Nicole Smith, and I was just learning a little bit
about her before the show got started. But she's been
(00:33):
all over the country, starting out in California, going to
Arizona and down Florida and Saint Louis and then she's
at a Dina right, got it, So I think that's wonderful.
So she's got quite a bit of experience and seems
very very nice because I've just been sitting here talking
to her, So very excited to have you on the
show today. Thanks for having and we're just going to
(00:53):
talk a little bit about some issues with pedietry. So
let's just get started, Let's just tell the people about
yourself a little bit, and then you know why you
decided to go into pedetary.
Speaker 3 (01:04):
Sure thing.
Speaker 4 (01:04):
So when I was in my undergraduate I studied at
Arizona State University. I had shotted a lot of different
doctors and I had found myself volunteering at a burn
hospital that we have in Phoenix, Arizona, and I had
met a general surgeon there who was doing limb preservation
work and helping patients that were coming in with, you know,
(01:26):
really serious burn injuries. He had introduced me to one
of his colleagues who was also in the field of
wound care and pedietary, doctor David Armstrong, who's a leader
in our field, and I had shadowed the both of them,
and I fell in love with pedietary. Initially for the
wound care aspect, I learned that there was a surgical
aspect to it, and then for muscular skeletal complaints, which
(01:49):
just like you said, everybody has two feed and two ankles.
Speaker 2 (01:53):
That's awesome and your field is needed. So, you know,
we see so much of it, and you know even
what I do. You know, my example, I know, beete
with the women always see their feet and I'm like, okay,
now I know who to send people to. So this
is wonderful. So what are some of the things that
you really like? What do you what do you specialize in?
Speaker 3 (02:13):
I like it all.
Speaker 4 (02:15):
We as p dietrists. We focus on the foot and ankle.
My three partners that I work with are very well trained. Okay,
we all I'll tell you from.
Speaker 3 (02:27):
Toes to ankles. We got you covered everything.
Speaker 2 (02:31):
So does each one of the you, each one of
the providers have a special area they like or can
everybody just do everything?
Speaker 3 (02:37):
So they're all. I tell you.
Speaker 4 (02:38):
My partner, doctor Schaffik, my partner, doctor Shaha, and doctor
Rena are all well trained. We're all graduates of reconstructive
rear foot ankle surgery programs. I would say that my
partners enjoy more of the muscular skeletol complaints. So repairing
any tenderness, muscle injuries, fractures, any bone in the foot
and ankle. We do big reconstructive cases. And I would
(03:02):
say we like everything. We're very open to treat.
Speaker 2 (03:06):
That's cool. So you work in conjunction sometimes with the sports.
Speaker 3 (03:08):
Medicine, Absolutely, yeah, we do.
Speaker 2 (03:11):
So that's pretty interesting. That's wonderful. So let's talk a
little bit about some of the services. So first of all,
how does somebody get into you if they have issues?
Speaker 4 (03:18):
Sure, so, usually how patients get into p dietary they
see their primary care physician. A lot of insurance providers
will require a referral to our service. So usually patients
will start off with their primary care identify that they
may have an issue with their foot or their ankle. Typically,
when it is an issue that's identified or very fortunate,
(03:40):
our primary care providers in the community.
Speaker 3 (03:41):
Will order X rays for us.
Speaker 4 (03:43):
Sometimes they order some advanced imaging and then place out
referral to our service and we get them on our schedule.
Speaker 2 (03:49):
Nice, And where are you guys located?
Speaker 4 (03:51):
So we're located in Chili Cooffee. My partner, doctor Scheik
also goes to Circleville. My partner doctor Shahead goes to
Washington Courthouse. And then my partner doctor Arena is going
to start going to Waverley in the new year, and
I cover.
Speaker 2 (04:07):
Jackson Cool so and then okay, so you're at each
one of the off sites and then at the main campus.
Where are you at the Ortho Center or you got it?
Speaker 3 (04:14):
Yep? So We're at the Adena, Spye and Ortho Center.
We're on the third floor.
Speaker 2 (04:18):
Okay, nice, So I love it. Okay, So you know
what I want to really do is talk about a
few things, because you know, we see so much of
this even here and it's probably all over the country.
But I'd like to start maybe like some diabetic foot
issues and some things. Talk a little bit about that
because we see so much diabetes in this area and
people forget, I think of the damage that can occur
(04:40):
with their feet.
Speaker 4 (04:41):
So can you talk a little bit about Yeah, this,
So the the issues that we see with diabetes, usually
it's multifaceted. Patients typically aren't just presenting with diabetes. They
have multiple comorbidities, heart issues, vascular issues, so all that
kind of wrapped into one package. We see patients coming
in not only for routine diabetic foot care, but unfortunately
(05:05):
with a poor vass healar tree with heart issues that
we identify these patients having wounds arise, so we get
patients that have infections. It can get pretty serious and
it's very important for our diabetic patients to check in
with us frequently. Typically, we do want to see our
patients that are diabetic as early as three months if
(05:26):
issues arise sooner than that, just to keep a close
eye on them and make sure that we're not we
can prevent amputation and not having to pursue additional surgery,
so that.
Speaker 3 (05:36):
We keep them.
Speaker 2 (05:37):
So that's a real thing. If they don't take care
of themselves, they can lose their toes, their foot.
Speaker 4 (05:42):
Yes, it's very serious and we try to do our
best to have our patients leave out of here, leave
out of this world with everything they came in with.
Speaker 2 (05:50):
Oh, I think that's important. So, but most of the time,
you know, patients will so when somebody's newly diagnosed as diabetic,
so I mean, you get your whole range of diabetes,
but somebody who's more severe so insulin other things that
are not well controlled. Those are the people that you
need to see correct Or is it everybody?
Speaker 4 (06:08):
You know?
Speaker 3 (06:08):
I think we all most people have two feet. Some
people love us.
Speaker 4 (06:12):
But you know, if if there is an issue that
arises with those toes, with foot with the ankle, we
want to see everybody. But a patient that is newly
diagnosed with diabetes, I think it's important to check in
and have a provider, have somebody that you're established with
so that if any issues arise, if you know you'll
be well taken care of.
Speaker 2 (06:31):
That's awesome, that's fabulous, you know, because on the show
we've had people, you know, we've talked about everything as
far as with diabetes. We've hit the hearts, we've hit everything,
you know, and this is nice to talk about the
feet because this is important. You know. One of the
first things I guess what for me, I would think,
you know, not dealing with this area, one of the
first things you would notice is probably just wounds not
healing absolutely, and so if you get cut on your
(06:54):
foot or something like that, you just notice it takes
longer to heale. And so if you see that happening,
you know you have problems.
Speaker 4 (07:00):
Yeah, and sometimes, you know, I think what's unfortunate is
with some of our diabetic patients, they maybe aren't the
bust at checking their feet, so they don't know that
an issue has arisen until they get rather sick or
they start noticing smells or.
Speaker 2 (07:17):
Other can't feel things down exactly, so they get the
neuropathies and they lose their sensations, so which is bad. So,
you know, one of the biggest things then is you know,
just from this conversation alone, is just you know, any
of the diabetics out there, please please please get in
to the pediatrist. You know, make sure you know them,
you know their faces, they know you, and you can
(07:39):
get in a regular schedule with them to prevent these issues.
And I think one of the big things with anything
that we do, even you know, in gynecology, is just prevention.
And so that's why we try to bring people back
for early examinations things like that. And so just as
important with your feet, probably even more so because you
have to walk, you have to do things, and yes,
we've got to make sure that you can doing it.
(08:01):
So another thing that I see a lot of are
these hammertoes and bunions. They're very common, and you know,
and I see a lot of the women because they
used to wear there's really tight shoes things like that.
I don't know if that's part of the reason that
it happens, or is it just familial or what brings
us on.
Speaker 3 (08:18):
It's mixed ideology.
Speaker 4 (08:19):
You know a lot of people they don't really recognize
that they have these deformities until they start giving them problems.
So just like you mentioned, a lot of it is familial.
You look on I always ask my patients, I'm like, hey,
do you know what your grandma's feet look like?
Speaker 3 (08:34):
They have these pretty big bunions that come in. We
can get hammertoes forming just from atrophying of the muscles.
Speaker 2 (08:41):
So what's a hammer toe?
Speaker 4 (08:43):
Hammer toe is when your digits start to kind of
curl for you.
Speaker 3 (08:47):
You can see we have.
Speaker 4 (08:48):
Hammertoes, mallettoes, claw toes. They all appear in different different
ways for us.
Speaker 2 (08:54):
Okay, so if your feet aren't doing the normal thing, if.
Speaker 4 (08:57):
They don't look straight, there may be a must unless
you go now, we need to.
Speaker 2 (09:02):
Get you seen, okay. So and they can they can
work on them, they can fit you. And yeah, so
I think if you're trying to make excuses, you know,
and I see women sometimes their toes are crossed over
things like that, So and that's another issue it is.
Speaker 4 (09:18):
Yeah, And usually you know, when we start having an
issue where the patients toes start crossing over, we start
thinking about legamentous injury. So for patients that have that problem,
it can become very very painful. So it's something you
want to get fixed sooner than later.
Speaker 2 (09:34):
Just like about anything we want to do that. I
love that. Okay, So let's talk about some of the
different po dietary services that you guys have. So you
mentioned to me that you're at all these off sites,
so and you take a wide range of just about
anything you'll do.
Speaker 3 (09:51):
Yeah, we see.
Speaker 4 (09:52):
We see all ages pediatric patients into our geriatric patient population.
We treat a variety of concerns. So muscular skeletal, anything
muscle ligamentous, are tendons, so of ankle and foot.
Speaker 3 (10:10):
Like I mentioned, my.
Speaker 4 (10:11):
Partners were all rear foot reconstructive trained, and we like fractures.
So the foot has twenty eight bones in it. Any
of those bones can fracture and we want to fix them.
Your ankles are important too, so we want to keep
those intact. We talked about diabetic patients and infections of
the foot. We also treat other muscule skeletal issues including bunions,
(10:35):
hammer toes, any real deformity that could arise, nerve disorders,
a lot of patients with neuromas.
Speaker 3 (10:41):
Tarsal tunnel syndrome.
Speaker 2 (10:44):
Yeah, it's Tarsal tunnel syndrome is like carpal tunnel.
Speaker 4 (10:47):
It's very Yeah, it's exactly same thing as the foot,
you start getting the numbness, tingle, and sensation traveling down
the leg and into your digits.
Speaker 2 (10:56):
Okay, well that's I'm learning something today. This is not
issues that we cover with what I do. I love this.
So let me You mentioned kids, So what kind of
issues can kids have?
Speaker 3 (11:07):
Lots of issues?
Speaker 4 (11:08):
So flat feet is a really common issue that we treat. Okay,
kids that also have really high arches. We call this
haas gave us deformity. Usually that is more of a
neuromuscular issue. Can also be familial.
Speaker 3 (11:21):
We see a lot of kids that have out toeing
and in towing concerns.
Speaker 2 (11:26):
Kids that have so when you're talking like pigeon toed.
Speaker 3 (11:28):
Or yeah, exactly, Okay.
Speaker 4 (11:31):
Kids that also get just lesions, whether they be warts
or something that just pops up and grown nails. Another
common complaint for our kids and sports related injuries. We
have a lot of young athletes that are trying to
stay active and unfortunately, you know, sports don't always go
as well as they want to.
Speaker 2 (11:50):
You can get hurt easily, so that's amazing. So they
come in to see you and then you can take
care of just about all these issues. So when first
the parents have to recognize it. Yes, I notice it.
So what are some of the first signs if you know,
for example, because most of the kids, you know that
I remember when my kids were they didn't want to
tell you things.
Speaker 3 (12:06):
No, that is a big problem we see.
Speaker 2 (12:08):
So what are some signs. How can we help our
listeners to know if their kids or grand kids are
starting to have problems.
Speaker 4 (12:14):
So a lot of you know, like you said, kids
are not always as vocal about issues. They want to
continue playing their sports, they want to continue living life
as they do. You know, it's just opening that conversation.
Is anything hurting you, you see, I mean most parents are,
they're involved in their kids' lives. So seeing the bruising,
(12:34):
seeing kind of telltale signs that something just doesn't appear right.
Watching how they walk, if they notice their gate is altered,
painful gait for some of these patients, and maybe they're just.
Speaker 3 (12:46):
Not as active as they used to be.
Speaker 4 (12:47):
Those are all signs that maybe something is going on
with their feed, their ankles. These kids are growing too,
so there's growing pains that happen. But sometimes kids kids
aren't as vocal about their parents.
Speaker 2 (13:01):
Okay, so do we have growth plates in our feet
and ankles.
Speaker 4 (13:04):
Now you do, yep, you have, you do? They close
a little bit later. It depends on which bone you're
talking about. But yeah, and every little bone in that
foot and every little bone in the ankle. We have
plates that are really important. We keep them nice and
intact so these kiddos can grow to their greatest potential.
Speaker 2 (13:22):
Because they can be damaged too then in some of
these injuries. Absolutely, okay, so that's why it is important. Okay,
So you work in collaboration. We talked about sports medicine.
It's one of the groups that you work with. Is
there anybody else that you guys.
Speaker 4 (13:36):
Work with, Oh, hand in hand with our vascular surgery
service that makes sense. Infectious disease or orthopedic colleagues too,
are excellent resource for US neurology, interventional pain. We're really
well incorporated with everyone in the hospital.
Speaker 2 (13:52):
That makes total sense. So it's a well organized machine
for you guys.
Speaker 3 (13:55):
It is.
Speaker 4 (13:56):
We're very fortunate to have everybody under one roof.
Speaker 2 (13:59):
That's one okay, Well, that makes more sense. That's why
you would want to be seen. So it's one stop shopping.
Speaker 3 (14:04):
It is.
Speaker 2 (14:05):
You get everything taken care of and whether it be
a vascular, neuro orthopedic or with you guys and muscular. Yeah,
I think that's fabulous. So you've done this a while
so I know you say you do everything, but what
do you really like?
Speaker 4 (14:24):
I do like it all, but I would say my
heart just how I really stumbled into pedietary. I like
and I have a special place in my heart for
diabetic patients.
Speaker 3 (14:36):
I do love wound care.
Speaker 4 (14:39):
I like infections, making sure we clear them out. I
like limp salvage work and just making sure that patients
maintain and keep as much of their feet and lower extremities.
Speaker 3 (14:52):
That they can.
Speaker 2 (14:54):
So how do you tell Okay, here's one of the
toughest things I think is trying to bring people in
because number one is that they don't want to acknowledge
it there's a problem. And number two is I think
people get to the point where that you're they're embarrassed,
they're ashamed, they're afraid that people are going to say
(15:16):
things about them, and they don't want to bring it
to attention. So how do we convince our listeners how
important it is that we are here for them, that
you know, this is our job, this is you know
you chose. This is what you like. You're there, You're
here for them. How do we tell them and how
do we convince them that it's important to make that call.
Speaker 4 (15:38):
I think the biggest thing is just knowing that, like
we've talked about, Adena is a one stop shop, we
do have a patient first approach, so we want to
help the patients. We are here to any issue that
may arise. That's what we're here for. This is what
we train for in pediatry school. And we have a
do no harm approach. Any way that we can help
(16:00):
a patient to be successful, that's what we want to do.
We want to keep everybody on their feet. So nothing
is no long nails, no infection is too large for us,
No injury that a patient has is too daunting. That's
what we are trained for and that's what we want
to help well.
Speaker 2 (16:19):
And probably nothing is too small either. Somebody thinks it's
an issue. Yeah, you know they said, oh, they won't
want to you know, bother with me with this little thing,
but you know I would say, go, it's very important, yeah,
because little issues can become big issues. Right. You know
what I really like listening to you'd say, is the
one stop shopping. It's the team approach, and I think
(16:42):
you know, being I've been at Adana now was thirty
years and well in this community thirty years. I left
for a little bit and came back. But the team
approach is what I like. I like that you have
everybody involved, You have everything that you need to take
care of these more complex, multifaceted injuries or problems. And
(17:04):
so if somebody comes in with a diabetic foot and
they really don't have somebody that's following them for other
vascular issues or whatever, you get them too the vascal surgeon,
or you get them into the neurologist if they can't
feel their feet or you know, all these other issues,
which I think is fabulous. I think that's what you know.
We're trying to establish in the rest of the hospital
as far as all the other departments. We're all working
on that, trying to make sure that we collaborate with
(17:26):
all of the other service lines, and it's coming along wonderfully.
But what you're telling me is is great. And the
fact that these people can come in and get this
all taken care of, I'm just I'm so happy to
hear it. And I hope all of our listeners can
understand what a great, wonderful thing this is, particularly to
(17:47):
have it here in Chilicothee and all the surrounding communities
that you can get in to these providers that this
is what they like, this is what they do, and
they can take care of not just little issues, but
huge issues with your foot and ankle. And you don't
have to go to Columbus, you don't have to go
to Cleveland, you don't have to go to Cincinnati. You
can take care of these big things here because we
(18:08):
have providers that have been trained to do that.
Speaker 4 (18:10):
Night.
Speaker 3 (18:11):
It's excellent. I mean, our team is top tier.
Speaker 2 (18:14):
I love my partners, and that's what you want to hear.
And if that you know she likes her partners, you
know that it's a good thing. So so I love that.
Are there any other things, I mean, I've been elaborating
on this, but are there other things that you think
can differentiate Sadina and the care that you guys give.
Speaker 4 (18:32):
Sure, Yeah, I think you know, Adina, As I've mentioned,
we do have outstanding facilities, not only here in Chillicothe,
but the regions I mentioned in Circleville and Washington Courthouse
in Jackson, where I work and out in Waverley, we
have we're regionally placed so that patients don't have to
travel just like you said, outside of the city confines,
(18:56):
we have excellent providers that are available. The greatest thing
about Poetry, I will say is we're able to get
our patients seen really quickly.
Speaker 3 (19:07):
When we receive a referral. We try to place patients
as quickly as we.
Speaker 4 (19:11):
Can in one of our regional locations and make sure
that issues are addressed in a timely manner. Other things,
you know, like we've talked about the team approach for Adena.
We have such good collaboration across all of our different
specialties that patients you have a continuity of care that
goes on and it's critical because you don't want to
(19:35):
have to go to one health system travel one to
two hours for that maybe that documentation doesn't make its
way back to a Dina health system. So if we
are able to keep patients in house and you know,
continue that continuity of care, it's excellent for patient care
and patients are treated in a really timely manner.
Speaker 2 (19:54):
And that makes sense since we're on the new Epic
Medical Record, so everybody can see what each other is
writing and read each other's notes, see the labs that
were drawing your X rays, your cts or whatever your MRI.
So everybody knows exactly what's happening and they can see
what each of the other providers are saying so that
they can get it taken care of entirely fashion, which
(20:15):
is great. I love that. So you had mentioned a
couple of other things that I was going to talk about.
I keep going back, So I want to talk about
you know, let's talk about sports for a little bit. Sure,
So you know we've football season, basketball season, you know,
all these things are are here. We have some of
(20:36):
the providers that work on the teams that are on
the fields. Do they do you work in conjunction with
them or so?
Speaker 4 (20:44):
The great thing about that is our sports medicine guys
are on the fields with these athletes. They're able to
treat them for issues right there on the field. We
do get a lot of referrals from sports medicine in
regards to patients that they're actively treating at the games.
And like I said, in a timely manner, we get
(21:05):
a lot of these athletes that are injured in sports
back in their sport as quickly as we can. Our
sports medicine team is fantastic. We're very fortunate to have them.
Like I mentioned on the field, sports medicine and our
orthopedic colleagues also run the express clinic that we.
Speaker 2 (21:22):
Have and it's just a walk in clinic.
Speaker 4 (21:25):
It is so it's for non urgent musculo skeletal related
issues that a patient can walk in. Again, non urgent,
so if it was, they'd be more likely to present
to an urgent care ed for those concerns. But patients
can be seen. I want to say. It is Monday
through Friday from eight am to three pm for head
(21:48):
to toe issues.
Speaker 2 (21:49):
So where is this located.
Speaker 4 (21:51):
So it's located at the Adina Spining Northo Institute.
Speaker 2 (21:54):
Oh nice, So they can just walk in. Wow, I
didn't even know that. So that's nice to know. Okay,
so let's talk about let's go on talk about a
couple of other things that I think that are just
very very common. So we've talked about diabetic We've talked
about well you mentioned flat feet, and you talked about
you know, big arches. So what are some of the
(22:14):
things that we can do about this?
Speaker 4 (22:16):
So depending on you know, how conservative a patient wants
to be in their treatment, we can always start conservatively, okay,
with custom orthotics. Some patients will require some level of bracing.
Typically we try to again start with physical therapy if
that is something that can help their concern. If it
is a more severe deformity, more long standing, that's again
(22:40):
debilitating for a patient or affecting their gate and how
they walk, something that may require a higher level of surgery,
but that is something that we offer.
Speaker 2 (22:49):
Okay, So that's awesome, all right? So what what have
you found? Just and I'm gonna put you on the
spot for just a second, coming to a Dina to
Ross County to you know, our nine counties that we serve.
What do you think about it? What have you found here?
Speaker 3 (23:09):
Community?
Speaker 4 (23:09):
I think I've I've found a nice community, very kind patience.
Speaker 3 (23:14):
It's it's been a nice welcoming And.
Speaker 2 (23:17):
That's usually what I tell people when they come to town.
And I didn't tell her that I was going to
ask her that ahead of time, but the providers that
do come here, they realize that the community is very nice.
The people are very nice in this town and the
surrounding communities, and they are very welcoming. And what I
think what you find is that that the providers that
come here also are the same, very nice, very welcoming.
(23:42):
They will do everything, they'll bend over backwards to help you.
And that's what I'm hearing from doctor Smith here. The
same thing is that you know, it sounds to me
that you guys go do everything that you can bend
over backwards to try to get somebody back on their feet,
to get them back in their their activities, their sports
(24:04):
back on the field, whatever it takes, and that's nice.
That's what I want to hear, and I think that's great.
So one of the things that I again I also
want to bring up is the fact that you know
what a fabulous group that you have, and to me,
it's very interesting you know that you came to Chili coffee.
Speaker 4 (24:28):
You know, I'm very thankful to be here with aDNA.
When it came to choosing Adena over other job opportunities
that were presented to me, I was between two jobs.
One was with Mayo Clinic and Mayo Clinic is upper ushlon,
but a Dina. The facilities, the providers that I met
when I came to visit it really swayed me and
(24:50):
I'm elated to be here. I'm very very excited to
be serving this community.
Speaker 2 (24:57):
I think that that kind of shocked me. But I
think the interesting ment thing for most people is they
don't realize the caliber of providers that we have at Adena.
You know, the fact that she could be at Mayo
Clinic now is fabulous. And to know that you have
a physician here who is of that caliber. You know,
we have providers that trained at Harvard, we have providers
that have trained at Yale, you know, Mayo Clinic, Johns Hopkins,
(25:21):
They're they're here at a dina And I don't realize.
I don't think people realize, you know, that what a
fabulous facility we have and what fabulous providers that we
have in just about every field here, uh not just
the dietary. But you guys are fabulous. So so kudos
to you, and thank you for coming, and thank you
(25:42):
for being here, and thank you for taking care of
our family and friends.
Speaker 3 (25:47):
Thank you.
Speaker 2 (25:50):
So are there. Let's let's talk about a few things.
Are there are things that you want to get out
there to the population here that you want anybody to know,
in particular that we haven't because there's so much I mean,
your field is so vast, I you know.
Speaker 4 (26:05):
I think just letting the community know that we are
here for them. We We've said it a few times
during this conversation, but we want to keep everybody on
their feet. We want to keep everybody active. If there's
anything that we can do to help maintain that.
Speaker 3 (26:20):
That's our goal.
Speaker 4 (26:21):
We not just me my three partners I work with.
We have an amazing group of nurse practitioners that also
help us out. We are here to treat, and we
are here to just make sure that everybody stays well
and good.
Speaker 2 (26:36):
Okay, you know. And the other thing that I think
I want to reiterate is the fact that you guys
are under one roof and that you know here that
you have all these service lines. I think you know,
even you know, coming from the larger cities, this is
something that you just don't see and you don't so
you could, you know, be at one place, like you said,
and then you have to go somewhere else and get
it another part taken care of. And the fact that
(26:58):
you can go to a dina get everything taken care
particularly if you're a diabetic or you have other major issues.
You know that you can see neuro you can see
author you can see vascular, you can you know, the
pedetorists will take care of this wound care, you've got
infectious disease, You've got everything that you need to take
care of these big problems in one place. And that's
(27:20):
a tribute to not only the physicians, but to the
hospital system itself that they've been able to set up
such a wonderful group of providers in a wonderful system
to take care of these people. So I applaud you
for that. I think it's fabulous. So I thank you
very much, We thank you for coming today, thanks for
(27:42):
having me, And then I hope that any well, let's
go here to get a hold of you. Can they
call you or do they like you said, they have
to have a referral, or you can do the walking clinic,
so walking.
Speaker 4 (27:55):
Clinic for non urgent muscular skeletal complaints, they'll see one
of our sports icon or orthopedic providers for that. Typically
insurances do require a referral from primary care, so I
think that's always a good first.
Speaker 2 (28:09):
Case, the first PCP.
Speaker 4 (28:11):
And then once that referral is placed. We have an
amazing receptionist and clerk. She makes the calls and gets
patients booked on our schedule as quickly as she can.
Speaker 2 (28:20):
Okay, that's what I like to hear. And then you
can be seen in Jackson, Waverley.
Speaker 3 (28:24):
Washington Courthouse, Circleville.
Speaker 2 (28:26):
Chill Cob, everywhere you want, so close to home. That's
what we like. All right. Well, doctor Nicole Smith, I
thank you so much for being here. Thank you, and
we look forward to seeing you many many years.
Speaker 3 (28:39):
I hope so too.
Speaker 1 (28:41):
All right, thank you so much, Doctor Villayll and doctor
Smith for joining me today here in the studio. This
has been Lady Parts with Doctor Richard Villarill. This airs
the third Monday of every month and it's brought to
you by Adina Health System. You can find this episode,
past shows and podcasts on the iHeartRadio worldwide. Just open
the iHeartRadio app and so for Lady Parts with Doctor
Richard Villaril
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