Valley Health orthopedic surgery teams at Warren Memorial Hospital (WMH) and Winchester Medical Center (WMC) have brought on two new surgical robots to help patients seeking relief from arthritic knee pain and immobility through total knee replacement.
Teams led by fellowship-trained orthopedic surgeons Mesfin Shibeshi, DO, at WMH and Max Lingamfelter, DO, at WMC, are using robotic technology to aid in same-day total knee reconstruction procedures at both facilities.
“The surgical robot is another enhancement to the comprehensive care our teams provide, from thorough pre-op patient education through surgery and post-op physical therapy, so our patients can get back to living life more fully, more comfortably, faster,” said Julie Miksit, BSN, MBA, Vice President, Operations and Service Lines at Valley Health.
Robot-assisted surgery offers uncompromising steadiness and precision when performing total knee replacements. Paired with the robotic technology, an imaging, and surgical planning interface provides a detailed 3D model of the patient’s unique anatomy, supporting more precise planning of incisions and implant placement before surgery. During the procedure, the surgeon can guide the robotic arm to achieve the predetermined surgical plan with a high level of accuracy, while also having the freedom to make intraoperative adjustments, if needed. This level of surgical personalization and precision can limit soft tissue damage, preserve bone, and reduce post-surgical pain for some patients.
About 25% of American adults have arthritis. It is a leading cause of work disability, with annual costs for medical care and lost earnings of $303.5 billion. Replacing a knee or hip joint damaged by osteoarthritis with a prosthesis is one of the most common orthopedic procedures. According to the American Academy of Orthopedic Surgeons (AAOS), 90% of people who have a knee replacement experience a significant reduction in pain.
The Valley Health orthopedics team completes more than 1,000 total joint replacement procedures each year, offering relief for those with joints damaged by degenerative arthritis, injury, or wear and tear. Refinements in surgery, pain management, and rehabilitation have continued to improve the overall experience. For many, joint replacement is now an outpatient surgery and patients go home the same day.
“The robot was an important addition to our orthopedic surgery program at Warren Memorial,” said Dr. Shibeshi. “The individualized 3D pre-planning is exceptional, and the robotic arm is a very stable, precision extension of the surgeon’s hands. We are excited to offer patients this advancement for the long-term relief of knee pain and immobility.” WMH was the first Valley Health hospital to earn the Gold Seal of Approval® for Total Knee Replacement and Total Hip Replacement Certification from The Joint Commission, recognizing its compliance with rigorous performance standards for safe, high-quality joint replacement care. This certification attests to the quality of the hospital’s total joint program, from pre-surgical consultation and patient education to surgery, pain management, rehabilitation, and follow-up.
One of the first patients to benefit from the new robotic equipment at WMH was Front Royal resident Marie McDaniel, age 75, an avid walker despite severe arthritis and bone spurs. She has been very pleased with the personal care she has received from the whole team, before, during, and after her mid-March outpatient surgery. “They’re the best of the best,” McDaniel said of the WMH team. “They still have small-town caring and compassion, and give great medical, but also personal and psychological, care.” She began physical therapy at Valley Health’s Riverton Commons location with realistic expectations. “I’m not a patient person, but I have a wonderful physical therapist I absolutely adore,” she said.
Dr. Lingamfelter, as well as Dr. Shibeshi, is fellowship-trained and experienced in all levels of orthopedic surgery complexity. “Robotic-assisted surgery is the next evolution in total joint replacement and delivers a level of accuracy which is beyond the human eye,” said Dr. Lingamfelter. “Using this technology, we are able to plan and create a 3-dimensional model of the knee before the bone is cut, which allows us to predict how the knee will respond to these implants. This delivers a more consistent and reproducible feel to every knee and allows us to achieve this goal using the most conservative bony cuts.”
One of Dr. Lingamfelter’s patients, Trista Runion, 47, of Martinsburg, WV, had sustained multiple gymnastics injuries and previously struggled to hike and climb stadium steps at sporting events. “My knees are so bad I can’t do a lot of things. It’s especially hard to address being overweight when exercise is so painful,” she said. “Dr. Lingamfelter was very compassionate; he didn’t judge, he just wanted to help.” Runion has had very little surgical pain since her robotic procedure in March and has made tremendous functional gains throughout her postoperative recovery. “I’ve never felt this stable,” she said, adding that Dr. Lingamfelter’s robot-assisted team will replace her other knee in mid-May.
For more information about orthopedic services at Valley Health, visit valleyhealthlink.com/ortho.
Rotary Club of Warren County: Paul Harris Fellow Recognitions
Congratulations to several Rotary Club of Warren County members on their Paul Harris Fellow Recognition this month.
ELLEN ADERS – Ellen has been a very active member this whole year. A driving force behind pulling club members together for breakfast meetings at Mom’s Kitchen before we began gathering in person again. Always ready to participate in service projects and ready to tackle challenges. She has served the club as Secretary this year. This recognition is also for her hard work organizing the children’s toy drive for Kentucky families who suffered tornado devastation this December. And amazing work gathering sponsorships for the Ride with Rotary.
ROBERT HUPMAN +4 – Robert Hupman is a dedicated club member who participates in service projects…with a favorite passion for cleaning up our environment! Shenandoah River clean up projects are top of his list. Robert was also the mastermind behind the spontaneous trip to Kentucky for Christmas toy distribution. He hopped in his truck with friend TJ to bring toys and gift cards to children for Christmas! Robert built the shower trailer for the homeless this winter. He has a “can do” attitude and really cares about Warren County.
JEN AVERY +1 – Jen has worked as PR Chair ever since joining the club almost 3 years ago. She also helped with the Project: Christmas in Kentucky with Ellen, Robert, and Kahle. She helps with most of the social media posts (including this one…LOL), created LinkedIn account, and creates custom videos for the club.
MICHELLE SMELTZER – Michelle managed our Club Service Projects Chair this year when the need emerged. She is connected to our community in so many ways that she is able to bring community needs to the table easily within the club. Michelle and Robert worked on the Thermal Shelter shower trailer this year and has managed several drives for the homeless and those in need. She always has a positive attitude and a smile even when going gets tough!
DAVE HARDY +8 – At this point he and his wife Carol are Major Donors!!! This year Dave spent endless hours organizing the inaugural Ride with Rotary to benefit Cars Changing Lives and Reaching Out Now. Dave strategically planned every detail of the event, above and beyond what the club could have imagined. We are so grateful for his work on this very successful fundraiser.
HANK ECTON +2 – Hank has won numerous awards for his glorious newsletter. Packed with every detail you could ask for, Hank has set the standards on what a club’s newsletter could/should look like! We are all thankful for Hank and his years of dedication!!
*The Paul Harris Fellow recognition acknowledges individuals who contribute, or who have contributions made in their name, of $1,000 to The Rotary Foundation.
Blue Ridge Wildlife Center Patient of the Week: Striped Skunk
This infant Striped Skunk was spotted all alone and wandering outside of his den. If mom dies or does not return to the den, babies who are typically too small to leave the den will venture out to find her.
After monitoring the situation for a few days, it became apparent that mom was not returning and the baby came in for care.
Although thin and dehydrated upon admission, this kit was eager to eat on his own once rehydrated. We expect him to do well and be releasable later this year!
If you have unwanted skunks denning near your home, please do not intervene until AFTER baby season is over in the early fall to prevent creating orphans.
Generally, skunks are not aggressive animals and actually make good neighbors! They are most active at night and eat insects, rodents, and carrion (dead animals)—making the environment healthier for everyone.
If a skunk is behaving oddly or appears ill, or if you believe there are babies in need of help, do not try to handle them yourself. Skunks are considered a high-risk rabies vector species and handling or feeding them can result in life-threatening consequences for you and them. Call your local permitted rehabilitator as soon as you believe there is an issue.
Did you know?
Skunks do not have an infinite amount of liquid in their scent glands to spray, so they only use it when they think their lives are in danger.
Skunks will typically stomp their front paws to warn potential predators and they will even raise their tail as a threat at those who ignore this first warning. Finally, if the threat continues, they will spray. This spray causes eye irritation and has an extremely potent smell meant to distract and discourage predators from continuing their threatening advances.
Once they use their full amount, it can take days for skunks to “recharge,” leaving them potentially vulnerable to predators looking to test their luck.
Stay away and don’t get sprayed! Give skunks ample room to move away from you and try not to make quick movements. Sudden movements can make animals nervous and send them into defense mode. Keep pets on a leash when outside in an un-fenced area to help prevent them from being sprayed!
Looking for an easy way to help native wildlife? Become a monthly BRWC donor! For as little as $5/month, you can provide year-round, sustainable support that helps us fulfill our mission.
Northern Virginia 4-H Educational Center Annual Fireworks Show
The Northern Virginia 4-H Educational Center is pleased to again host the 2022 Independence Day Celebration. This year’s event will be on Friday, July 1st, at the 4-H Center; 600 4H Center Drive, Front Royal.
Parking will open at 5:00pm and festivities will begin at 7:30 p.m. and will continue throughout the evening, including live patriotic music performed by the American Legion Community Band. Also, food trucks will be set up so guests can enjoy some dinner while listening to the band until the capstone event of a professional fireworks display – which is sure to produce many “oohs and ahhs!”. Food trucks include: Fearless Eats (burgers and hot dogs), Rutz BBQ, Mike’s Concessions (pizza, funnel cakes, and cotton candy), Sugar Creek Snowy & Sweet, and Lemon Squeezers.
Parking will be available and Warren County Sheriff Department will be present for security and egress traffic support. A voluntary donation (recommended $5 per vehicle) will be requested at the gate to help offset the cost of the event.
New 4-H Center Director Katie Tennant says “We heard such great feedback about last year’s show that we contracted with the same vendor to provide another spectacular event! I am excited to help host this annual celebration for the community and meet more of the residents and businesses who support us throughout the year. This event would not be possible without the generous sponsorships we receive.”
The Northern Virginia 4-H Educational Center is a 501(c)(3), non-profit organization with a mission to facilitate experiential learning programs for youth, families, and adults. Since 1981, the 4-H Center has offered year-round, research-based programming to the youth and families of Northern Virginia. In addition to nine weeks of summer 4-H camp, the Center offers a full range of day and overnight camps, environmental education and team-building programs, and conference and meeting facilities and services. The 4-H Center provides meals and lodging for campers and adult guests, as well as access to the Appalachian trail, a challenge course, outdoor pool, pond fishing, sports fields, and horse stables.
Bethel Assembly of God hosts memorable flag presentation service
Bethel Assembly of God (111 Totten Lane, Front Royal, VA 22630) was honored to host Sergeant Major (US Army Retired) James McGruder on Sunday, June 26th, 2022, for a very memorable flag presentation service. The service was arranged by Tim Wolfe, a church member and Warren County resident, and was planned to coincide with the church’s annual Independence Day celebrations.
SGM McGruder entered the U.S. Army in February 1983 and attended Basic and Advanced Individual Training at Fort Sill, Oklahoma. He was awarded the MOS 13B Field Artillery. After basic training, he was assigned to Fort Hood, Texas as part of the 1st 92nd Field Artillery, 8 Inch Battalion (BN).
SGM McGruder deployed to Iraq with Alpha Battery 5-18 Field Artillery as part of Desert Shield/Storm in November 1990. While in Iraq, he risked his life to extinguish a fire in a M548 ammunition carrier in order to save the M110 Howitzer’s combat ammunition load; he took this action selflessly, without hesitation and without formal recognition of his heroism.
SGM McGruder is passionate about mentorship and ensuring the future success of the NCO Corps. In 2003, as the Senior Professional Development NCO for the Field Artillery Branch in the Human Resources Command (HRC), SGM McGruder managed over 24,000 Soldiers and expertly advised the Branch Chief and Sergeant Major on military education requirements, career progression and Military Occupational Specialty structure. While assigned to HRC, SGM McGruder was selected over more than 26 NCOs to serve as the President of the Human Resources Command, Sergeant Audie Murphy Club.
SGM McGruder has also been instrumental in developing young Officers. In July of 2009, SGM McGruder was selected by the Cadet Command CSM to serve as the Deputy Chief of Staff, G-3, United States Army Cadet Command, Fort Monroe, Virginia. His selfless service and devotion to mission accomplishment made lasting impacts in training operations and opportunities throughout the command.
SGM McGruder on August 7, 2014 had the distinct privilege of introducing former president Barrack Obama prior to him signing The Veterans Affairs Overhaul Bill. This bill signed into law a 16.3 billion dollar measure to help overhaul the Department of Veterans Affairs, the agency that in recent months had faced intense criticism for long wait time for health care and manipulation of records. This was the first time in American history that an active duty Sergeant Major had ever introduced a sitting president.
SGM McGruder’s last assignment was at Fort Belvoir Garrison operations, where he served as an Enlisted Advisor to the Garrison Commander. After more than 32 years of military service, SGM McGruder retired on February 28, 2015. SGM McGruder is married to the former Tammy Buerl and they have been married for 34 years. They have two children, daughter Jamecia and son James.
The Flag Presentation Service honored Pastor Steven A. Schetrom II for his dedication to the community. Bethel Assembly of God is a growing and community-minded church working to positively impact the Front Royal-Warren County community with the Gospel of Jesus Christ. As an example of its dedication to the community, the church is currently working to distribute gift bags to community agency employees and volunteers to show their appreciation and support for the hard work those individuals do in the community.
Weekly services are held at Bethel Assembly of God each Sunday at 10:30am. The church also hosts or sponsors several small groups each week. The church’s mission is “to be a vital community of loving disciples committed to building one another up so that each reaches their full potential.” More information about the church can be found online at www.bethellife.org or by emailing firstname.lastname@example.org.
Financial advisor Bret Hrbek receives Edward Jones Spirit of Caring Award
Bret Hrbek, an Edward Jones financial advisor in Front Royal recently received the firm’s exclusive Spirit of Caring Award designed to recognize those financial advisors who exemplify the values, culture and spirit of giving back.
Hrbek has demonstrated unyielding dedication to giving back, which has positively impacted his clients, colleagues and community.
The award is given to only one financial advisor in each of the firm’s 316 regions and is determined by a vote of his peers.
“Edward Jones is a partnership. That structure is not just financial, it’s a philosophy,” Hrbek said. “We work together, help each other and all share in the rewards of working with long-term individual investors. That brings out the best in everyone. I am humbled to be this year’s recipient of the Spirit of Caring Award.”
The Edward Jones branch-office business model, with more than 15,000 branches throughout North America, allows the firm’s nearly 19,000 financial advisors to identify what matters most to each individual client and create personalized strategies, with the goal of developing long-lasting relationships to help keep them on track toward their goals.
Hrbek’s office is located at 986 John Marshall Highway, Front Royal, Virginia.
Edward Jones, a FORTUNE 500 firm, provides financial services in the U.S. and through its affiliate in Canada. The firm’s nearly 19,000 financial advisors serve more than 8 million clients with a total of $1.7 trillion in client assets under care. Edward Jones’ purpose is to partner for a positive impact to improve the lives of its clients and colleagues, and together, better our communities and society. Through the dedication of the firm’s 50,000 associates and our branch presence in 68 percent of U.S. counties, the firm is committed to helping more people achieve financially what is most important to them. The Edward Jones website is edwardjones.com and its recruiting website is careers.edwardjones.com. Member SIPC.
Rotary Club of Warren County names Rotarian of the Year, Jennifer Avery
Every year the Rotary Club of Warren County awards one dedicated outstanding club member as Rotarian of the Year. This year the award goes to Jennifer Avery!
One of the biggest contributions Jen makes to the Rotary Club of Warren County is social media, photos, videos, community engagement, and public relations in general.
A few highlights of the year Avery shared included registering the club with We See You, Warren County through the Warren Coalition, representing Rotary at the Humane Society’s Polar Plunge, creating the club’s LinkedIn profile, and expanding social media reach.
Avery reflects on the year, “Helping the homeless has grown into my biggest passion. It comes easy and is so rewarding to see how the community has responded so enthusiastically and graciously! My Rotary family has been incredibly supportive through grants, event participation, and donations. I feel so grateful and so do the men we have helped at the House of Hope.”
In addition to 2021-2022 Rotarian of the Year, Avery was recognized earlier this month by Reaching Out Now with the Service Above Self award at the “Eye to See” Leadership Gala, April 2022 the Outstanding Community Service Award by the Front Royal Presbyterian Church, and 2020 BRAR Community Service Award by the Blue Ridge Association of Realtors.
Avery has served on several boards over the past few years including Front Royal Women’s Resource Center, House of Hope, and Humane Society of Warren County. She is a member of the Rotary Club of Warren County serving as the past PR Chair. However, top of the priority list of important roles Jen plays is MOM to Shiloh (15), Jordan (13), and Easton (12).