Tag Archives: MD

Lexington Orthopaedics Welcomes Dr. Randy Beard

Lexington Medical Center proudly welcomes Randy Beard, MD, to its network of care at Lexington Orthopaedics. He joins the board-certified surgeons and highly skilled providers at the practice to provide comprehensive sports medicine services and orthopaedic care.

Randy Beard, MD

After graduating cum laude with a bachelor’s degree in religion from Princeton University in Princeton, New Jersey, Dr. Beard earned his medical degree from Wake Forest University School of Medicine in Winston-Salem, North Carolina. While in medical school, Alpha Omega Alpha Honor Medical Society and the Gold Humanism Honor Society recognized his academic performance and inducted him into their societies. 

Dr. Beard then completed his orthopaedic surgery residency at Wake Forest Baptist Health in Winston-Salem, North Carolina, where he received the department’s highest award for surgical performance for three consecutive years. He went on to complete the prestigious Otto E. Aufranc Fellowship in Adult Reconstructive Surgery at New England Baptist Hospital in Boston. 

Dr. Beard specializes in hip and knee replacements and revisions. He offers patients the latest minimally invasive options for total hip replacements, including direct anterior hip procedures. Dr. Beard also performs partial and total knee replacements and complex revisions of worn out, broken, unstable, painful, recalled, metal-on-metal or infected implants. A member of the American Association of Hip and Knee Surgeons, the American Orthopaedic Association, the American Academy of Orthopaedic Surgeons and the Orthopaedic Research and Education Foundation, he has authored numerous articles and book chapters that highlight his evidence-based surgical approach. 

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146 North Hospital Drive, Suite 140
West Columbia, SC 29169

Lexington Medical Center Lexington
811 West Main Street, Suite 101
Lexington, SC 29072

Lexington Medical Park Irmo
7033 St. Andrews Road, Suite 104
Columbia, SC 29212

Now Accepting Patients
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936-7230

Expert Medical Care Beats the Odds with Colon Cancer

The odds were not in Brian Thompson’s favor when he was diagnosed with late-stage colon cancer. By the time his doctor found it, his golf ball-sized tumor had already spread from his colon to involve his bladder and liver.

“My doctor sat me down and said, ‘Look, man, it’s serious,’ Brian said. Five-year survival rates for patients in his situation are less than 15 percent. At age 40 — a decade before most think about having the first routine colonoscopy — Brian and his wife, Rebecca, were explaining his cancer diagnosis to their two daughters and young son.

Brian Thompson at River Bluff High School in Lexington

“I’m kind of a big baby. I didn’t want to see the scans, and I didn’t want to know the details. I’m not as good at the details as my wife is — she was amazing through it all. But I was thinking, maybe if I close my eyes, it’ll all just go away.”

Brian realized he couldn’t insulate his family from the harsh reality to come. “There’s the fear of what’s coming and how bad it’s going to be from a treatment standpoint, but thinking about them — that’s what scared me to death. On the flip side, it was probably because of them that I fought so hard.”

“I’m not afraid of dying — I know where my eternity lies. But I’m afraid of not being there with my family. The days when I was chemo’d up, I’d hear my family carrying on, life-as-normal, outside my bedroom — that was hard. Life was going on, and I wasn’t in it.”

But the River Bluff High School science teacher and assistant football coach beat the odds with the help of his family, school and church community — and an expertly coordinated approach to his medical care.

Dr. Steven Madden of Lexington Oncology at Lexington Medical Center

“Lexington Medical Center’s affiliation with Duke Health gives its oncologists fast access to the latest research, clinical trials and specialists at Duke,” said Steve A. Madden, MD, oncologist at Lexington Oncology, a Lexington Medical Center physician practice.

“Duke physicians have been readily available to us via telephone or email to discuss cases before we send patients to them for evaluation, and they’re very amenable to giving our patients a quick appointment there,” Dr. Madden said.

The formal affiliation is important. Cancer is a complex disease. When patients who live here travel elsewhere for care and don’t have a local doctor familiar with the case, problems can quickly escalate. “The ideal is to have a provider here, and get tertiary care when needed at a comprehensive cancer center like Duke.”

In Brian’s case, several months of chemotherapy treatment to reduce the size of the tumor began right away under Dr. Madden’s care. Brian asked his doctor to work with Duke on his case.

“In our situation, we would be fools not to try to take advantage of every opportunity we could,” he said. “Dr. Madden was very supportive of it.”

Dr. Niharika Mettu, a medical oncologist at Duke, evaluated Brian and agreed with Dr. Madden’s chemotherapy approach. His surgery and imaging scans to evaluate his progress were done at Duke. For the first surgery, a specialist in colon cancer removed part of the colon.

Then a different surgeon specializing in the bladder took over to remove the cancer there. Two months later, a third specialist removed a section of Brian’s liver. After surgery was complete, Dr. Madden oversaw three more months of chemotherapy at Lexington Medical Cancer Center in West Columbia.

“They are very timely at Duke about communicating results to us,” Dr. Madden said. After the last round of chemotherapy, Brian returned to Duke for scans to evaluate his progress.

“I had his results very soon after, and they related to me he was in remission.” The cancer was gone.

That welcome news came just before last Christmas — nearly a year to the date after diagnosis.

“How did I celebrate? I breathed,” Brian said. “It was a ‘normal’ Christmas, a ‘normal’ anniversary, a ‘normal’ time with my family. We feel so blessed. It seemed like every step of the way things have been moving in the right direction.”

Get a Colonoscopy
Brian Thompson had no family history of cancer, but only about 20 percent of colon cancer patients do. He had symptoms for several months leading up to his diagnosis, but signs of colon cancer can mimic other common problems, such as an infection, hemorrhoids or irritable bowel syndrome.

It’s important to know the symptoms of colon cancer and to seek care, according to Dr. Madden.

“Any rectal bleeding or rectal pain that persists more than a few weeks should be evaluated. It doesn’t matter how old you are,” he said. “Yes, it could just be something like hemorrhoidal bleeding, but anything that lasts more than a few weeks should be evaluated by your primary care physician.”

Brian Thompson shares his own advice: “I tell people, ‘Go get your colonoscopy. Don’t wait. It’s a lot scarier to be diagnosed with colon cancer than it is to just get checked out.”

The U.S. Preventive Services Task Force, the independent panel of national experts that examines evidence about preventive health services, recommends screening for colorectal cancer starting at age 50 and continuing until age 75.

Growing Up with Good Sleep

Sleep Studies for Children at Lexington Sleep Solutions

At just nine years old, Hannah Shealy can tell you everything you need to know about having a sleep study. She has six of them under her belt.

“They stick stuff all over me,” she said. “Even my head!”

Hannah Shealy and her mom bed inside Lexington Sleep Solutions’ sleep lab before a sleep study

Hannah was born with a genetic disorder that keeps her face and skull bones from growing normally, which meant her nose and sinus passages tightened as she grew. The older Hannah got, the louder her snoring became—and the more difficult it was to get adequate sleep.

Sleep studies have guided her medical care. For a while, she wore a CPAP (continuous positive airway pressure) mask when she slept to keep her airway open.

“The sleep studies tell us how she’s sleeping and what might be wrong. The doctor uses the information to tell us what to do,” said Hannah’s mom Beth. “The studies helped us know when to have surgery and understand how she’s improved since the surgery.”

While good sleep is essential for all of us, it’s particularly important for children.

“It’s a vital function for brain development and well-being,” said Clarence E. Coker III, MD, a sleep medicine specialist at Lexington Sleep Solutions. “When children have adequate sleep, they’re improving the details and retrievability of their memory so they can perform better on tests, socially, in interactions with family and friends, and in sports.”

Dr. Clarence Coker

Dr. Coker said the signs of sleep apnea in children—from toddlers to 18 year olds—shouldn’t be ignored.

“Loud snoring—anything more than a soft snore—should be discussed with your family doctor,” he said.

Sleep walking, sleep terrors or restless sleep also indicate inadequate sleep. Other indicators may not be as obvious. Seizures, ear infections, enlarged tonsils and even attention-deficit/hyperactivity disorder warrant a sleep consultation with your doctor.

While sleep apnea in adults frequently coincides with obesity, children with the problem may have trouble growing. “The brain doesn’t slow down and sleep enough to maintain the appropriate growth for their age,” said Dr. Coker.

If your child is having trouble in school, or has trouble waking up or staying awake, talk to a doctor who has a good understanding of sleep.

Hannah had her sleep studies at Lexington Sleep Solutions, Lexington Medical Center’s sleep lab that offers comprehensive care for sleep disorders, and sleep studies to diagnose a variety of sleep-related issues. There are three locations in the Midlands, including one in Northeast Columbia. The practice provides services for children ages three and up.

For each study, Hannah brings along a favorite doll and pillow. After coloring and watching a few cartoons on television in the room, which resembles a comfortable hotel room, Hannah is asleep by about 9:00 p.m., secure with her mother Beth sleeping beside her.

“It’s like a sleepover party,” Beth said to Hannah.

LexingtonSleepSolutions.com