2023 Health & Wellness

Health & Wellness
2023
Dr. Deepti
Bhasin
Provides an
in-depth
look at
Alzheimer’s
and its effects
on the patient &
their loved ones
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Health & Wellness
2023
Published by
The Houston Home Journal
A Division of the Dublin Courier
Herald Publishing Company
1210 Washington Street
P.O. Box 1910
Perry, GA 31069
478-987-1823
www.hhjonline.com
ADVERTISING DIRECTOR/SALES
Lori Kovarovic
lorikhhjads@gmail.com
Nathan Mathis
nathanmhhjads@gmail.com
MANAGING EDITOR
Brieanna Smith
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STAFF WRITERS
Sandra Hernandez
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Clay Brown
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GRAPHIC DESIGN
Kayley Trischan
CONTENTS
Discussing Dementia: A sit down
with Dr. Deepti Bhasin......10-14
Cantrell’s spirit of Caring:
Houston Healthcare’s longest
serving nurse reflects on
career, hospital growth......20-23
The DaVinci Surgical System:
Houston Healthcare adds another
robotic surgery tool
to expanding fleet......26-28
4

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Discussing Dementia:
10 10

A sit down with Dr. Deepti Bhasin
STORY BY BRIEANNA SMITH | PHOTOGRAPHY BY LORI KOVAROVIC
11 11

November is National Alzheimer’s Disease
Awareness Month, and the Alzheimer’s Association
estimates 6.7 million Americans live with the disease. We
sat down with Dr. Deepti Bhasin, a Child, Adolescent,
Adult and Forensic Psychiatrist based in Warner Robins
and discussed the impact dementia and Alzheimer’s can
have on both individuals and the ones they love.
As Bhasin explained, in a nutshell, dementia is
marked by cognitive decline, and it falls under different
stages, depending on severity.
“There’s very mild dementia and then there can be
very profound, where people even can stop talking and
recognizing their loved ones and stop knowing what basic
utensils are for or writing, just basic functioning,” Bhasin
said.
While the two are used interchangeably, Alzheimer’s
Disease falls under the umbrella of dementia and can be
brought about by more than just old age, and unfortunately
cannot be fully cured, only slowed down.
“There are different kinds of dementia. Alzheimer’s
is the most common type of dementia that we see. But you
can have dementia because [you] have vitamin deficiencies.
You can have dementia because [you’re] an alcoholic and
[your] brain, [your] neurons have been damaged. [You]
can have dementia because [you] have an infection, like
hepatitis and some HIV,” Bhasin said.
Additional conditions and habits that can
contribute to dementia include stroke, high blood pressure,
COPD, high cholesterol, obesity, smoking and poor
diet. Additionally, males are more likely to have a higher
percentage of dementia, as well as minority groups, such as
Black and Native Americans.
Bhasin advises to look out for telltale signs that you
or a loved on may be in pre-dementia, such as memory
changes, changes to routine, change in personality of
communications style, disorientation to time and place,
as well as difficulty with abstract thinking and increased
impulsivity. If symptoms are constantly happening, those
could be warning signs.
“There may be emotional disregulation; there
could be personality changes; there could be hallucinations
attached to it. But the basic definition, like when would we
say ‘You know, I’m thinking this patient may be having it?’ is
when we start seeing the neurocognitive changes in them,”
Bhasin said.
As Bhasin explained, scientists are still not sure
why dementia can start to develop, but chalks the decline
in cognitive function to a lack of communication between
12

neurons in the brain. In Alzheimer’s specifically, telltale
signs during brain scans are excessive protein deposits.
However, public awareness around dementia
according to Bhasin, is sending people in earlier for
screening, leading to early intervention and an early
slowing down of the disease, using medicine and FDA
approved treatments.
“So somebody may
start seeing pre-dementia
symptoms, and then now
they’re in the mild
stages of dementia.
We can prolong
that mild stage,
intervene at that
time and make
it 15 years
or 20 years
instead of
five years.
We can’t
stop, but
we can
definitely
slow
down the
progress,”
Bhasin said.
A recent
development,
approved by
the FDA in
2008 is TMS, or
Transcranial
Magnetic
Stimulation. First
approved for depression,
the treatment shows a 65%
to 75% efficacy rate, is nonmedicinal
and there are little to no
side effects. Bhasin’s office has been using the
treatment since 2010, and now the treatment is approved
for smoking cessation, autism and of course, dementia.
“One of the things that happens, especially in
dementia, the connectivity between the neurons is getting
lesser, and it’s getting faded and it’s breaking. So what the
TMS does is it creates new networks. If they cannot fix or
improve the existing network, they’ll create new networks.
The concept is called neuroplasticity. That means that there
is still ways to regenerate this neuron; it’s not completely
gone.”
Treatments, alongside habits that keep the brain
active can help slow down the progression of dementia.
“Very recently, a couple of years
ago, we got FDA approved for
one medication that is for
dementia and agitation, so
there’s a little bit more
available in terms of
medication. But
also remember,
if we can
recognize the
signs, then
we can start
putting
things in
place,”
Bhasin
said.
“For
example,
slowing
down the
progression
by
stimulating
the brain,
engaging these
people with more
social activities,
giving them some
brain activities, like
Sudoku, word puzzles,
jigsaws, board games, card
games. The more we can engage it
is preventive, and also helps slow down
some of the progression for the dementia.”
For those who are afflicted with dementia, the
mental health factor can also comes into play. Bhasin
explained depression is also common among those who
have dementia. Depression can also mimic symptoms
of dementia. Those who are fearful they may be with
dementia are encouraged to get tested and screened as early
13

as possible; early treatment can help slow down symptoms,
leading to longer functionality.
“As they’re getting older, they’re already aware. One
of the fears that most of us would have is, am I losing it?
Am I getting demented? That’s a very common question.
Once you start seeing patients in geriatric population that’s
always in the back of our minds: Am I losing it? And so
depression is a very big part of the dementia. There is a
condition called pseudo-dementia, which is actually purely
depression,” Bhasin said. “What happens is when you feel
that loss; this is the age that we start losing loved ones, or
spouses or companions or friends. In pseudo-dementia, it is
actually depression where I may lose my cognition, meaning
my thinking ability, my memory, my ability to reason, my
ability to be motivated, because they overlap between where
dementia and depression may appear.”
Depression and burnout can also be symptoms that
caregivers to those with dementia face.
Bhasin also spoke to grief before a loved one passes
away, highlighting a common scenario between those
with dementia and caretakers, commonly children and
grandchildren.
“Grieving starts much earlier. We’re talking about
stages. I mean, you’ve already started losing your loved one
earlier on, their personality’s changing, their tastes might
change. Who you known them for all these years, suddenly,
they’re not that same person. And then, when it comes
down to that, they don’t even recognize who you are, when
you’re the one they’ve been with all your life… They raised
you, now you’ve been taking care of them. It’s so painful,”
Bhasin said.
In the wake of what can be emotionally taxing,
Bhasin advised for caregivers to treat themselves kindly and
don’t be afraid to reach out for help, as there is a possibility
as the disease progresses where constant monitoring is
needed.
“You need to take care of yourself first. You absolutely
need to take care. And that’s not being selfish, because if
you’re not healthy, both physically and mentally, you will
not be able to take take care of anybody else. It’s a physical,
emotional and financial burden. It’s from all aspects right.
Have a good support system, a very good support
system. Advocate for your loved ones. There are some
services that can be in house, nursing. There are some
services that can be provided and paid by the insurance,”
Bhasin said.
This in turn can make caring for loved ones easier
and help maintain good relationships. Counseling can also
serve as a support system for both those with dementia and
caregivers.
Bhasin’s office is located at 402 Osigian Boulevard
Suite #400 in Warner Robins.
•
14

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19

Cantrell’s spirit of Caring
Cantrell
reflects on
42 years
of work at
Houston
Healthcare
20 20

N
Houston Healthcare’s
longest serving nurse
Nurses deserve more
appreciation with the long hours
they are on the job and overall
help they provide to the
community, no matter
how big or small. It
may be a tough job
at times, but there
are those who stick
around and find
reward in the field.
Robbie Cantrell
is one of those
people.
Cantrell
is the Assistant
Nurse Manager
on the Pediatric
floor at Houston
Healthcare and
has been working
there for many
years.
reflects on career,
hospital growth
STORY BY SANDRA HERNANDEZ | PHOTOGRAPHY BY BRIEANNA SMITH
Working at the
hospital came full circle
for her. Cantrell shared she
was one of the first babies
born at the hospital when it
first opened back in September
1957. She was born in December of
“It’s just what
I enjoy doing,
I can’t imagine
doing anything
else other than
being a nurse.”
that year. She also shared all of
her children were born at
the hospital and even her
grandchildren.
She has been
working at the
hospital her entire
nursing career
and recently
celebrated
her 42-year
anniversary
back in May.
“I work on
the Pediatric
floor, which
is a small
department.
We do take
adults and kids
and I just think
we’re the best
kept secret in the
hospital. … I just
enjoy my job. I enjoy
the people I work
with. It’s different every
single day when you’re
a nurse. There’s no routine.
Every patient is different; every
diagnosis is different. It’s just a great
21

job,” said Cantrell.
Over the past 42 years, Cantrell
has been through all the changes in the
hospital both in new technology and in
growth.
Back when she started, Houston
Healthcare was called Houston County
Hospital and she said it was small then
and still remembers when they built
their first tower back in 1985. She has
also seen the various names the hospital
has had, she said she has seen it go from
Houston Medical Center to now Houston
Healthcare.
She said she has seen the changes
in the structure but always the changes in
medicine.
Cantrell shares that one of her staff
members is a 21-year-old who recently
graduated from nursing school, and she is
always telling them the things they used
to do on the floors, and she said they are
always shocked when she tells them her
stories.
“A lot has changed. I used to wear
the white dresses and the white hose and
the white shoes and the hat when I first
started. And, of course, now, we’re in
scrubs and I still have a hard time wearing
colorful shoes but the basics of taking care
of patients stays the same,” said Cantrell.
Cantrell started working as a
nurse’s aide since she was still in nursing
school. After graduating, she had already
been working at the hospital for 11 months.
She then moved on to working for
three years in the PACU, which was then
the recovery room. Then, she moved on
to the Pediatric floor, where she has been
working since her second child was eight
weeks old, staying in the role for 36 years.
22
Cantrell shared she wanted to
get married and was engaged when she

Over the years, she has learned the people she works
with and tries to figure out what’s important to them. She
said they all work together on a schedule and thinks that is
what they appreciate the most.
Cantrell said she works on a team leadership style
on the floor because even though her team is small, they
can’t survive unless they’re a team member.
“We rely on each other, and we really build that
confidence in each other that we’re going to be there, that
we’re going to be dependable and that everybody knows
their part,” said Cantrell.
decided to become a nurse. She said she didn’t want to go
to school for four years and instead went to nursing school
for two years at Middle Georgia College nursing program
in Cochran.
“I just felt like that was something that I might
[want.] A lot of people don’t know what to do when they
first go to college. And back then, it was like, you could be
a teacher or be a nurse and I just felt that God was leading
me in the direction of working with people,” said Cantrell.
She shared that while in nursing school, they did
many of their clinicals at Houston Healthcare and admitted
she never thought she would be in pediatrics because it
wasn’t what she liked in school, but as it worked out, that
was where she’s supposed to be.“I do love that it’s different
every single day. I love our staff. I say to people all the time
when they ask me if I’m going to retire and I’m like, ‘I come
to work and play with my friends all day for 12 hours. So
I’m not ready to give that up.’ But I like the variety. I like that
there’s never the same thing twice. Every day is different in
the nursing world,” said Cantrell.
She said her motivation is the children she takes
care of every day, also the new adults they are taking care of
on their floor since the COVID pandemic.
“It’s just what I enjoy doing, I can’t imagine doing
anything else other than being a nurse,” said Cantrell.
She shares her strength on her floor is scheduling and
working around what is important to her staff members.
Cantrell said they have a small staff made up of five nurses,
and two have to work at a time.
And for those interested in joining the field, Cantrell
shared what she would like future nurses to know about the
job and what to expect.
“I would tell them to give it time, to find your niche.
There’s so many different departments in nursing and if one
is not fit for you then there’s plenty of other places. Don’t
give up, there’s so many things you can do as a nurse and
at Houston Healthcare. There is always a way to figure out
what is your best position, whether you want to be in trauma
or in the ER or whether you want to work with women and
children in the women’s center or do the hard stuff in ICU.
We have it all here, there’s a little bit for everybody here.
Don’t let your experience in nursing school dictate whether
or not you think you will do well in that department when
you’re out,” said Cantrell.
Cantrell’s whole life has been Houston Healthcare
and she said that whenever she walks out the door of her
floor, she always sees a familiar face.
“I’ve been here long enough that somebody is going
to know me and I’m going to know them when I’m going
to the cafeteria or whatever. I have a rapport with people in
other departments that have been there a long time. It’s just
home and friends to me,” said Cantrell.
Finally, for Cantrell, as far as Houston Healthcare is
concerned, both the hospital and Warner Robins are home.
“It’s just home to me. I can’t imagine being anywhere else,”
said Cantrell.
•
23

25

Courtesy/Houston Healthcare
Scrub Technicians/Surgical First Assistants
Lori Williams and Danna Rogers.
26

The DaVinci Surgical System:
Houston Healthcare adds another
robotic surgery tool to expanding fleet
S
STORY BY CLAY BROWN | PHOTOS SUBMITTED BY HOUSTON HEALTHCARE
Surgery is one of, if not the toughest responsibility
for doctors, given many procedures can last hours or, in
some extreme cases, days. When you have to undergo such
a lengthy and stressful operation with someone’s life in
your hands, it’s important to have the right tools to allow
for it to go as smoothly as possible.
Though it might seem like adding the system to
Houston Healthcare’s arsenal was an easy choice, change
never comes easy. Going from tools used for decades to
something brand new where you’re technically “hands off ”
is quite the adjustment to make, especially with something
like surgery, but it pays off for patients.
The DaVinci surgical system is one of those tools
that Houston Healthcare has introduced to the community
in recent years.
“It’s a computer-based robot that helps the surgeons
perform what we call ‘minimally invasive’ surgery,”
Nichole Blount, BSN, MBA, Director of Surgical Services
for Houston Healthcare said. “It uses a camera and robotic
arms and allows the physician to be able to see in a 3D
mode or it can magnify what they’re seeing about 10 times
that of the normal human eye.”
The system was approved by the FDA in 2000, but
Houston Healthcare brought their first one on board in
2019.
“We’re not the first ones to jump on the bandwagon.
We kind of wanted to see how it was working for patients
in other facilities,” Blount said. “When we do have new
surgeons coming in, they bring training from the residency
program. So like I said, it’s been around for a little while,
but we decided to go ahead and go for it back in 2019.”
2019 was when they brought their first machine in,
but they’ve been adding to their count since then.
“Six weeks ago, in August, we received our third
robot, so our Warner Robins campus has three robots,”
Blount said. “Probably more exciting than the third robot
here at Warner Robins is that [Houston Healthcare - Perry]
has now received their first robot. It’s not up and running
yet but will be soon. So we’re really excited to see what it
can do for the community.”
“Well, with anything, change is hard, right,” Blount
said. “I think all of surgical services, if it really bought into
this modality and they have seen and heard the success
stories, the surgeons come back and tell them that the
patients that they were working on are doing great or they
didn’t even have to get admitted to the hospital or they
went back to work several days earlier than what they were
expected to. So it really gets those patients out there and
back to normal living conditions and that’s what we do.
That’s why we’re here.”
Dr. Danny Vaughn, a general and bariatric
surgeon, is not resistant at all to the system; in fact he’s a
big proponent of it.
“I think it’s wonderful. I have been using the
DaVinci robotic system since 2015 and have been a big
proponent of it,” Vaughn said. “I’d say that I probably do
90% of my cases on the DaVinci Robot system. I think it’s
better for patients, I think patients are more likely to get a
minimally invasive technique and a better operation.”
“Well, it’s definitely a real nice advanced technology
for our small community here,” Dr. Tan-Loc Nguyen, an
obstetrician and gynecologist added. “It’s really helpful
facilitating a lot of the surgeries that we do to make it safer
and also for us to do a better job and take care of patients.”
Dr. Sarah Stanescu, an obstetrician and gynecologist,
really believes in its ability to minimize patient stays as well
as pain.
“I think it is revolutionizing the care of our hospital.
I think we are able to provide much more, much better
27

surgical care to our patients. It allows shorter patient stays
and decreased pain.” Stanescu said.
Dr. Thekkepat Sekhar, an obstetrician and
gynecologist, not only believes the system has the ability
to improve procedures, but also saves energy for those
performing the procedure.
“It’s a very useful tool and it has made my life a lot easier,
and I think helps to prolong my longevity,” Sekhar added.
Dr. Patrick Narh-Martey, a general surgeon, is glad
that advanced technology like this is available for those
who need it here in Houston County, something not all
healthcare providers can claim.
“I think it’s an extraordinary thing for the
community, for the hospital system and most importantly
for our patients, to be able to have the best, most advanced
technology available for surgical care in our community.
And for our patients to not have to travel to Atlanta
or surrounding areas to receive care; most care can be
delivered here with minimally invasive surgery,” Narh-
Martey said. “Again, our patients have an outstanding day;
having shorter hospital stays and less pain after procedures
is phenomenal…I believe we are as cutting edge as we can
be in this community.”
Looking back, the system presented a learning
curve, as Dr. Silvie Harrington, a general surgeon explained.
28
“I will say that it was positively accepted, was positive…we
got trained and it all came together. I guess it was actually
a pretty smooth transition and was a good addition to the
community for sure,” Harrington said. “We didn’t know
what to expect, but once the staff got their training we
got comfortable with it, because it’s different for different
surgeons. I didn’t come trained robotically from residency.
So I was doing things a certain way, laparoscopy, so the
transition was hard. But it was worth it in the end…They
really were a great addition.”
A fun tidbit about their third and most recent
DaVinci system is that they’re partnering with Houston
County School District to name the robot; they’re opening
it up to fifth graders according to Blount.
Houston Healthcare’s goal is always to improve the health
of the community, and given physician testimonies, it
seems the system does just that.
“Our mission is to improve the health care of the
community… and we do that by delivering high quality care
that’s cost effective. That’s exactly what this robot is doing
for us,” Blount said. “It increases the quality of care that
we give the patients. It’s more cost effective for the patients
because let’s face it, they can get back to work sooner if they
don’t have to spend the night in the hospital.”
•

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